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A diverse history, as well as a record of continuing challenges, has characterized motherhood in the state of New York. This history begins with the Iroquois Indians, with their matrilineal culture, gender parity, and matrilocal households. Clan mothers enjoyed much political influence. These rights were unknown among Europeans, although in New Netherland, settled in 1624, women could inherit property, retain it in marriage, and bequeath it as well. Under English rule, beginning in 1664, these rights deteriorated. Subsequently, activists labored to improve mothers' status in many ways.

In New York, various reform efforts involved motherhood. After the Revolutionary War, mothers gained attention as the nurturers of future citizens, leading to expansion in women's educational opportunities. New York feminists began to demand equality, and, in 1848, met at Seneca Falls for the first women's rights convention in the United States. Activists called for female property rights, educational and job opportunities, the vote, and equal rights to custody of children. New York mothers gained this last objective in 1902. The utopian Oneida community went so far as to abolish monogamous marriage, attempt to prevent unwanted pregnancies, and institute communal child rearing.

Motherhood continued to enter into reforms of the 19th and early 20th centuries. Temperance activists argued that alcohol abuse led to domestic violence and the squandering of fathers' paychecks. Catholic nuns, middle-class Protestants, and African Americans and Jews worked to assist poor mothers and children. Settlement house workers, as at Henry Street Settlement, worked to improve the lives of poor immigrant mothers with childcare, visiting nurses, and agitation for protective labor laws and better working and living conditions. In 1915, the state adopted Mother's Pensions, a social welfare program to assist widowed mothers. In New York, the concerns of mothers were prominent in social welfare, labor, and urban issues.

Fertility, Maternity, and Health Care

New York has also been a center of efforts to control fertility. In 1828, the state passed an antiabortion law, allowing the procedure only with the approval of two physicians. In 1873, New York reformer Anthony Comstock convinced the state and federal governments to ban dissemination of birth control information by mail. However, New York later became home to the nation's first birth control clinic, established by Margaret Sanger in 1916. New York feminists of the 1960s demanded abortion rights, which the state legalized in 1970.

Today, New York is among the top five states according to an index measuring women's reproductive rights. Additionally, in 2005, the teen motherhood rate in New York was significantly lower than the national rate (47 teen births per 1,000 females 15–19, compared to 73 nationally). One study cites the role of education in the decline of teen pregnancy. New York's overall birth rate in 2004 was 13.4 per 1,000 population, somewhat below the national rate of 14.

Maternity in New York reveals that the state has more work to do in ensuring adequate health care. In 2001, 80 percent of New York mothers began prenatal care in the first trimester. While 88 percent of white women received this care, only 70 percent of African American, and approximately 75 percent each of Hispanic, Native American, and Asian American women did. Of babies born to whites, 6.4 percent were underweight, while 11.7 percent of African American women's babies, and about 7.5 percent each of babies born to Asian American, Native American and Hispanic women were underweight. The infant mortality rate in New York also varies by race. For babies of white women, the rate was 4.6 deaths per 1,000 births, while for babies of African American women, the rate was 10.5. Minority women represent about half of all maternal deaths.

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