The material in this general introduction to the question of the prevention of conception comprises an article by Margaret H. Sanger and extracts from the works of Havelock Ellis, August Forel and G. F. Lydston, M.D. The last three are eminent authorities, whose opinions are selected as being the clearest exposition of the social philosophy—Birth Control.

NOTE: All the notations of pages and tables refer to original documents and not to the present volume.

CHAPTER I
THE CASE FOR BIRTH CONTROL

By Margaret H. Sanger

(The following is the case for birth control, as I found it during my fourteen years’ experience as a trained nurse in New York City and vicinity. It appeared as a special article in “Physical Culture,” April, 1917, and has been delivered by me as a lecture throughout the United States. It is a brief summary of facts and conditions, as they exist in this country.)

For centuries woman has gone forth with man to till the fields, to feed and clothe the nations. She has sacrificed her life to populate the earth. She has overdone her labors. She now steps forth and demands that women shall cease producing in ignorance. To do this she must have knowledge to control birth. This is the first immediate step she must take toward the goal of her freedom.

Those who are opposed to this are simply those who do not know. Any one who like myself has worked among the people and found on one hand an ever-increasing population with its ever-increasing misery, poverty and ignorance, and on the other hand a stationary or decreasing population with its increasing wealth and higher standards of living, greater freedom, joy and happiness, cannot doubt that birth control is the livest issue of the day and one on which depends the future welfare of the race.

Before I attempt to refute the arguments against birth control, I should like to tell you something of the conditions I met with as a trained nurse and of the experience that convinced me of its necessity and led me to jeopardize my liberty in order to place this information in the hands of the women who need it.

My first clear impression of life was that large families and poverty went hand in hand. I was born and brought up in a glass factory town in the western part of New York State. I was one of eleven children—so I had some personal experience of the struggles and hardships a large family endures.

When I was seventeen years old my mother died from overwork and the strain of too frequent child bearing. I was left to care for the younger children and share the burdens of all. When I was old enough I entered a hospital to take up the profession of nursing.