Peter C. Engelman

Arguably her most important and influential book, this controversial work, first published in 1922 by pioneering birth-control advocate Margaret Sanger, attempted to broaden the still-radical idea of birth control beyond its socialist and feminist roots. Moving away from a single-minded focus on women's reproductive rights to the larger issue of the general health and economic prosperity of the whole human race, Sanger argued that birth control was pivotal to a rational approach toward dealing with the threat of overpopulation and its ruinous consequences in poverty and disease. Through this book Sanger hoped to persuade the medical establishment to assume control over contraceptive distribution, and thereby to lessen the religious, legal, and moral opposition that continued to restrict access to contraceptive information. However important this book is to the history of women's rights, it remains a very problematic work from our more scientifically informed perspective today. In arguing for population control Sanger made frequent reference to the then fashionable "science" of eugenics. She also adopted its rhetoric, using such callous phrases as "the feeble-minded" and the "unfit" and advocating birth control as a means of limiting the breeding of "defectives, delinquents and dependents." Although she incorporated views and terminology commonly held in respectable medical and scientific circles of the day, Sanger's writings on eugenics, and this book in particular, have become fodder for her critics both on the left and the right, who seek to diminish her achievements and obscure what is ultimately a powerful feminist message: when women gain greater control over their fertility, they will improve the human race. This unusual and historically significant book is complemented by a thoughtful and informative introduction by Peter C. Engelman, assistant editor of The Margaret Sanger Papers Project, who provides much insight by placing this work in the context of the age and Sanger's life.

This narrative history of one of the most far-reaching social movements in the 20th century shows how it defied the law and made the use of contraception an acceptable social practice—and a necessary component of modern healthcare. A History of the Birth Control Movement in America tells the extraordinary story of a group of reformers dedicated to making contraception legal, accessible, and acceptable. The engrossing tale details how Margaret Sanger's campaign beginning in 1914 to challenge anti-obscenity laws criminalizing the distribution of contraceptive information grew into one of the most far-reaching social reform movements in American history. The book opens with a discussion of the history of birth control methods and the criminalization of contraception and abortion in the 19th century. Its core, however, is an exciting narrative of the campaign in the 20th century, vividly recalling the arrests and indictments, banned publications, imprisonments, confiscations, clinic raids, mass meetings, and courtroom dramas that publicized the cause across the nation. Attention is paid to the movement's thorny alliances with medicine and eugenics and especially to its success in precipitating a profound shift in sexual attitudes that turned the use of contraception into an acceptable social and medical practice. Finally, the birth control movement is linked to court-won privacy protections and the present-day movement for reproductive rights.