Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/217

find it "fails" and she conceives, and she is thus not only a sufferer personally, but is a centre of these very untrue rumours that a "cap is unreliable."

Obesity, the stretching due to many child-births, and a lack of tonicity in the adjacent muscles sometimes result in local conditions making the use of the small occlusive cap impossible. For such cases, who are inherently unable to perform the sex act quite perfectly, the use of the properly made "Dutch Cap" is perhaps the best method available.

It is interesting to note that the Jewish women of the slum quarters of East London appear to have cervices much larger than those normal among more typically British stocks, and there is an extra very large size of cervical occlusive cap which was originally made for Jewish midwives and used by them among their patients.

Unfortunately in those women who have been injured by and improperly repaired after child-birth, or who have, in other ways, borne too great a strain, uterine displacements and prolapse of one sort or