Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/66

gent" when he is having union with his wife. In such cases an understanding of the importance of the coital act, together with instruction in the use of the necessary contraceptives, generally restore normal life and health to the woman.

Many cases exist, particularly in poor families, where the use of contraceptives (and, therefore, presumably instruction in their proper use) is indicated by reason of the puny and unsatisfactory condition of the existing children, although an absolute indication, such as specific disease, may not be present. Toward these congenital "C3's" the position of the medical adviser will be different according to his temperament and sense of responsibility. One may take it, I think, as a general rule that if a couple have produced more than two unsatisfactory children, the chances of the later children being satisfactory are too remote to justify the responsible medical adviser, whose first duty is to the State as a whole, in leaving the couple in such ignorance that they may continue to reproduce involuntarily. It may appear to the parents themselves right to bring into the world still another, a desired child, which they are able to support; but they should be instructed and the responsibility for it only