Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/192

stretching of the vaginal canal, and the resultant evils.

If the caps are properly constructed the Dutch type would be useful in certain cases, as for instance for a woman with a very short forefinger, or a very fat woman with the local parts stretched and displaced, for in such it may be the only form of cap which she may succeed in placing correctly herself. On the whole, however, I am not particularly in favour of it, except as a "second choice" for special and difficult cases (see also p. 190).

The "Mizpah," when both parts are attached, looks very like the cap described above (number 22, p. 138), but it will be seen from the figure (Pl. III, fig. 5) that it has a double rim, the idea being that the thin cap portion which is detachable should be taken in and out and the solid ring left in place.

The general idea behind the use of the cap is similar to that discussed on p. 139, and need not be repeated.

As regards practical details this cap appears to me to have three major disadvantages. In the first place I do not see