Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/417

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CHAPTER FOURTEEN

whether there is serious prolapse, or any injury or malformation of the cervix. Where malformation or any difficulty or abnormality is detected an appointment is made with the visiting medical specialist who advises various methods according to the needs of each case In normal simple cases, after digital examination to verify the normality, the nurse can generally estimate the size of the cap advisable. A cap is then inserted and the woman shown the proper posture, squatting on her heels, and slightly bending forward. The cap is then removed and the woman told to insert it herself, to move about and then to allow the nurse to feel whether it has been placed properly and reliably. Few women require a second instruction, but the friendly atmosphere of the Clinic and the sympathy of the nurse encourage them to come again if any difficulty arises.

The correspondence and secretarial work of this Clinic are done partly in the outer reception room and partly in the third room. The correspondence and demands for help from a distance would be almost non-existent were such clinics available in every district. At present this one Birth Control Clinic serves not only London but Great Britain, and even Greater Britain, and also

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