Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/61

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CHAPTER THREE

  1. Diabetes.
  2. Marked "feeble-mindedness." [For such cases sterilization is to be preferred as they are likely to be too careless to use contraceptives effectively.]

As revealed by former pregnancies, marked tendencies to:—

  1. Puerperal insanity.
  2. Severe albuminuria.
  3. Serious eclampsia.
  4. Toxæmias (various).
  5. Spinal and pelvic deformations (where Cæsarean section is objected to or not available).
  6. Cæsarean section within two years.

[Note re (d).—"Heart disease is, of course, of many grades, and it sometimes arises in circumstances in which it is obviously wise not to prohibit normal coitus, but where child-bearing may be most inadvisable then contraceptives are necessary. As Dr. Blacker said[1]: "The bad effect produced on the heart by pregnancy is, on the whole, not sufficiently marked to justify you in advising a patient strongly that she should not marry. It is true that, if she marries it will be better for her not

  1. ↑ G. F. Blacker (1907): "A Clinical Lecture on Heart Disease in Relation to Pregnancy and Labour." Lancet, May, 1907, pp. 1225–1229.

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