A system for the clinical evaluation of menstrual patterns is presen ted. The standardized approach to the collection analysis and evaluation of menstrual data is designed to facilitate objective compari sons between the effects of contraceptive methods on the menstrual cycle and menstruation. The conceptual framework of the method includes: 1) the use of the woman as the unit of analysis 2) bleeding episodes as the basis of assessment rather than the menstrual cycle and 3) a series of variables that are descriptive of salient features of bleeding patterns. A temporal reference frame is developed and bleeding patterns are analyzed in relation to the reference period. A series of computer programs are presented for the proposed system and multivariate statistical procedures for the analysis of menstrual patterns are described.

An approach to the analysis of menstrual patterns in the critical evaluation of contraceptives.

Contraceptive And Sterilization Practices And Extrauterine Pregnancy: A Realistic Perspective *

Simultaneous determination of 15 steroidal oral contraceptives in water using solid-phase disk extraction followed by high performance liquid chromatography-tandem mass spectrometry.

The Catholic Church of Peru supported the use of oral contraceptives between 1967 and 1976, believing that doctrine was compatible with controlling one's fertility. Yet the church did not treat fertility control only as a means to limit births or as an individual prerogative. Rather, it framed distribution of the pill within an education plan to promote the duties of responsible parenting. Joseph Kerrins, a U.S. Catholic physician, began the program in a poor area of Lima. By the late 1970s, the program operated in nineteen parishes. The program thrived even after the 1968 encyclical De Humanae Vitae, thanks to the support of priests, Peruvian and U.S. government agencies, physicians, and users of the program's services. Catholic family planning has been a more pragmatic and creative enterprise than hitherto believed. This article explores these developments within the context of the cold war and the transformations of the Catholic Church in 1960s Latin America. Resumen: La Iglesia Catolica del Peru apoyo el uso de contraceptivos orales entre 1967 y 1976, pensando que la doctrina era compatible con el control de la propia fertilidad. Sin embargo, la iglesia no trataba el control de la fertilidad solamente como un medio para limitar los nacimientos o como una prerrogativa individual. En cambio, concebia la distribucion de pastillas contraceptivas en el marco de un plan de educacion que promoviera los deberes de padres responsables. Joseph Kerrins, un medico estadounidense catolico, inicio el programa en una zona pobre de Lima. Para fines de los anos setenta, el programa existia en diecinueve parroquias. El programa prospero incluso despues de la enciclica De Humanae Vitae de 1968, gracias al apoyo de los sacerdotes, de las agencias peruanas y estadounidenses, de los medicos y de los usuarios de los servicios del programa. La planeacion familiar catolica ha sido una empresa mas pragmatica y creativa de lo que se ha pensado hasta ahora. Este articulo explora estos eventos en el contexto de la Guerra Fria y de las transformaciones de la Iglesia Catolica en los anos sesenta en Latinoamerica.

Manuel Maqueo-Topete

Papers

A Pill-a-Month Contraceptive

Fertility following termination of the once-a-month oral contraceptive