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December 18, 1943


JAMA. 1943;123(16):1043-1047. doi:10.1001/jama.1943.82840510009009

Medicine is beginning to assume responsibility for marriage counsel, for fostering desirable fertility, for prescribing protection against unwise or hazardous pregnancy, for providing sex instruction to further enduring marriage. The ability to give advice on bearing all the children compatible with well-being of parents, progeny and community calls for knowledge of the best methods of spacing births. Twenty years of experience in clinics, urban and rural, has been studied and summarized.1 Basic research for better means is well started. There is demand for ways of protection covering a longer or shorter continuous span, as well as for those suited to the very poor out of reach of medical attention. Harmlessness, simplicity and low cost are counted as essentials. Preferred means are those in the hands of the partner most concerned, the wife.

There are two methods outstanding and equal in degree of protection. These are the diaphragm combined with