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Birth control is at the center of global reproductive politics. The term birth control refers to a regimen of one or more sexual practices, medical devices, or medications that couples use to deliberately prevent unwanted pregnancy. Globally, millions of people have practiced birth control for centuries. Most modern scientific contraceptives were developed after Word War II. Recent studies of birth control come from various disciplines with different emphases, indicating the complexity of this subject, especially in the global context. Scholars from women's history and feminist studies to global history and foreign policy studies explore topics ranging from sexuality, women's health, and gender equality to social movements, contraceptive technologies, and geopolitics.

In recent decades, the term birth control has been used interchangeably with contraception or family planning, yet when American feminist Margaret Sanger (2006) invented this term, she highlighted women's agency in managing their reproductive powers: “The verb ‘control’ means to exercise a directing, guiding, or restraining influence. … It implies intelligence, forethought, and responsibility” (p. 4).

The ideas and practices of birth control that emerged in western Europe and the United States in the late 19th and early 20th centuries soon extended their global reach to the colonies and to other countries such as Japan and China. Various voluntary groups and individuals around the world promoted or opposed birth control for different reasons, ranging from women's liberation, maternal welfare, classism, racism, and eugenics to religious and moral concerns.

In the second half of the 20th century, the discourses, institutions, practices, and policies regarding birth control shifted from planned parenthood to family planning for population control, then to reproductive health care for women's empowerment. The global arena involved—including feminist activists, nongovernmental organizations, health professionals, private foundations, state governments, and intergovernmental organizations—increasingly recognizes that access to birth control is a basic human right and that couples, but especially women, should have the freedom to decide if, when, and how often to have safe sex and bear children.

Birth Control Movement, Neo-Malthusianism, and Eugenics

Early birth control advocates came from different groups with various rationales. Influenced by the English economist and Anglican clergyman Thomas Malthus (1766–1834), a group of early 19th-century elite White males, including Jeremy Bentham (1748–1832), Francis Place (1771–1854), and John Stuart Mill (1806–1873), saw a solution for poverty in the regulation of fertility. Whereas Malthus stressed moral restraint—delayed marriage and abstinence—on religious grounds, neo-Malthusians searched for more practical methods, such as coitus interruptus, vaginal douching, condoms, pessaries, and sponges. They mainly campaigned as single individuals in their freethinkers’ circles until 1877, when Charles Drysdale (1829–2907) founded the Malthusian League in England and published a journal called The Malthusian to challenge Victorian sexual morality. Branches were established in Holland, France, and Germany in the 1880s and 1890s; the first International Neo-Malthusian Conference met in Paris in 1900.

Some feminists at the turn of the century shared with the neo-Malthusians the idea of legalizing contraception and making it more available, but to promote women's liberation and maternal welfare rather than on economic grounds. Leading figures include Aletta Jacobs (1854–1929) in Holland, Annie Besant (1874–1933) and Marie Stopes (1880–1958) in England, Helena Stoecker (1869–1943) in Germany, Emma Goldman (1869–1940) and Margaret Sanger (1879–1966) in the United States, and Ishimoto Shizue (1923–2001) in Japan. They wrote pamphlets and delivered public lectures to disseminate information about contraception. Significantly, they worked with female doctors to set up birth control clinics. The first centers in the Netherlands, the United States, Germany, and Japan were created in 1882, 1916, 1919, and 1922, respectively. These activists formed an informal transnational feminist network and influenced each other's work; they also sent information and supplies to dozens of countries. Like many pioneers, they faced harsh criticism. To some advocates of women's emancipation, the discourses and practices of the birth control movement seemed controversial and threatened to undermine their priority of women's suffrage; they refused to include the topic of birth control on their agendas. Medical professionals, predominantly male, also kept their distance from the movement. Eager to earn scientific endorsement for their work, the birth control campaigners turned to eugenicists and built an alliance with the eugenics movement.

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