Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/167

The whole cap is soft enough to be very easily pinched together for insertion, and when used, if the woman does not herself understand it, she should be instructed to insert it when sitting in the position of the Red Indians, namely, squatting on the heels. The cap should be pinched together with convex surface posteriorly and pushed up until it reaches the cervical canal and then allowed its natural expansion. As a rule it is found that it quite readily and automatically adjusts itself and only needs pressing into place round the cervical neck. All that is necessary has then been done. Some women, however, are stupid and nervous and may require to be shown and even to practise taking it in and out themselves during instruction. Experience at the Clinic with seventeen hundred poor and uneducated women has shown that ten minutes' instruction is quite sufficient under ordinary circumstances.

All the varieties of cap are usually sold with a ribbon or rubber attachment with which to pull it out. I find that this is inadvisable from several points of view. The most important objection to the woman tugging at the attachment is, in my opinion, the risk involved of drawing down or uncomfortably "sucking" the uterus. The