Women have proven to be influential when it comes to social reform. During the 1920’s, women began to bob their hair, shorten their skirts, and voice their disdain for various restrictions on women. One of those restrictions involved women’s reproductive health. Margaret Sanger was a pioneer in women’s rights for birth control. Sanger wasn’t afraid to stand up for what she believed in, even if that meant speaking up when the subject was taboo. She was able to help twentieth-century women to gain the right to decide when and if they were to have children. Sanger sought to influence societal norms and cultural beliefs, which have ultimately changed the lives of millions of women to this day.

The 1920s was an eventful decade for women. Not only did women receive the vote, but they also broke longstanding traditions, epitomized by the image of the “flapper.” F. Scott Fitzgerald described the “flappers” of the day as “lovely, expensive, and about nineteen.”¹ The flapper attitude was characterized by blunt truth, fast living, and sex. They were seen as reckless and lived in the moment. Most of this, if not all of the behavior was due to World War I. During this time period, men joined the war effort, and women joined the workforce, receiving a paycheck and having disposable wealth, which women used to express their independence. After the war ended, both genders found it difficult to return to society’s previous structure.

“They found themselves expected to settle down into the humdrum routine of American life as if nothing had happened, to accept the moral dicta of elders who seemed to still be living in a Pollyanna land of rosy ideals which the war had killed for them.”² Before the society’s social structure underwent a transformation, women didn’t necessarily date; they were supposed to wait for a proper suitor to pay them interest, as long as their intentions were good. What once had been “proper” social values were going through changes. One flapper in particular that exemplified these changing values was Margaret Sanger.

On September 14, 1879, Michael Hennessy Higgins and Anne Purcell Higgins gave birth to not only their sixth child (of eleven), but one of the most influential birth-control activists this country has ever known. Aside from the influence growing up with ten siblings, Sanger was also exposed to most of her parents’ Roman Catholic beliefs. After her mother’s death at age fifty, her father relinquished his own Roman Catholic beliefs, and became an atheist. In becoming an atheist, Michael Higgins not only changed his personal views but the views of his children, all the while becoming an activist for women’s suffrage. The views of those who raised her (mainly her father), as well as her personal experiences, helped mold her personal views on sex issues, feminism, and ultimately birth control.³

Shortly after that, during her earlier career, Sanger practiced nursing in the destitute areas of the East Side of New York City. In her nursing career, Sanger was exposed to a high level of poverty that included exposure to poor families, and to women that had frequent childbirths, miscarriages, and abortions. During this time working, she started writing educational columns for women, including “What Every Mother Should Know,” and she helped many women who wished to terminate their pregnancies.⁴ In her experience with the often hidden aspects of child-bearing, Sanger determined the principal focus of her activism: birth control. Because of the things she witnessed, Sanger decided to take the next step in her activism. In March 1914, Sanger published The Woman Rebel, a newspaper that was devoted to educating and raising the consciousness of working women. “This journal was used to assert that every woman has the right to be an ‘absolute mistress of her own body’ including the right to practice birth control.”⁵

In April 1914, Sanger was notified by the postal authorities that she had violated obscenity laws due to her newspaper. The following May, she declared to the public that The Woman Rebel was “not going to be suppressed by the post office until it has accomplished the work which it has undertaken.”⁶ Three months later Sanger was formally indicted for violating the Federal Comstock Law. To avoid the risk of spending twenty years in jail, Sanger got on a train to Canada, acquired a false passport, and sailed to England under the name “Bertha Watson.”⁷ By 1915, after her actions caught the attention of many, Sanger returned to New York to stand trial. Within a few months, her five year old daughter Peggy died of pneumonia. Due to her loss, many expressions of sympathy poured in, and many friends and supporters sent letters and petitions to President Wilson, affirming their support for Sanger.⁸ With the newly intensified coverage that The Woman Rebel case and the birth control movement had received, to avoid further publicity, the government decided not to press charges.⁹

With this newfound publicity due to The Woman Rebel scandal, Sanger was able to found the first birth control clinic in the United States, on October 15, 1916 in Brownsville, New York. There were some supporters, but others raised their voices against her. Nine days after the grand opening, there was a police raid, and all of the clinic staff (including Margaret Sanger herself) were arrested and prosecuted. In managing these arrests and prosecutions, New York City’s police department may have done more bad than good. Due to the amount of news coverage the arrests made, there were multiple benefactors willing to bail Sanger out, as well as fund the organization. With the newfound publicity, during the month of February 1917, Sanger was able to publish the first issue of her journal, The Birth Control Review.[10. Caroline Katzive, “Margaret Sanger: Demonstrating Leadership and Legacy Through Her Crusade For Women’s Reproductive Rights,” History Teacher 49, no. 1 (November 2015): 130.]  She was its editor until 1929, and used her editorials to promote birth control and negative eugenics. “Eugenists emphasize the mating of healthy couples for the conscious purpose of producing healthy children, the sterilization of the unfit to prevent their populating the world with their kind and they may, perhaps, agree with us that contraception is a necessary measure among the masses of the workers, where wages do not keep pace with the growth of the family and its necessities in the way of food, clothing, housing, medical attention, education and the like.”¹⁰

Sanger was known for her controversial views. She once proposed allowing Congress to solve “population problems” by appointing a “Parliament of Population.” “Directors representing the various branches of science [in the Parliament would] … direct and control the population through birth rates and immigration, and direct its distribution over the country according to national needs consistent with taste, fitness and interest of the individuals.”¹¹ One interesting view in particular Sanger had, was the way she differentiated “Eugenists” and “Birth Control Advocates.”

We who advocate Birth Control, on the other hand, lay all our emphasis upon stopping not only the reproduction of the unfit but upon stopping all reproduction when there is not economic means of providing proper care for those who are born in health. The eugenist also believes that a woman should bear as many healthy children as possible as a duty to the state. We hold that the world is already over-populated. Eugenists imply or insist that a woman’s first duty is to the state; we contend that her duty to herself is her duty to the state.¹²

By this point in time, Sanger had made many of the accomplishments toward reaching her initial goals. On November 10, 1921, Sanger founded the American Birth Control League (ABCL) in New York City. She established ABCL to offer an ambitious program of education, legislative reform, and research. Her goal was to build a truly national organization with representation in every region of the country.¹³

In 1942, The American Birth Control League became the Planned Parenthood Federation of America.¹⁴ Even after the name change, the organization continued to strive. It seems as though Sanger knew just which stepping stones it took to reach her goals all the while never straying away from her views on eliminating the unfit.

Throughout her lifetime, Sanger was able to influence many. Not all of the impact during her time as an advocate for women’s issues was positive, considering her highly controversial views. Compared to the way society was when her activism began in the 1920’s, the country’s relationship with birth control has altered substantially. Sanger’s goal was to build a national organization with representation in every region of the country. Today, “Planned Parenthood is one of the nation’s leading providers of high quality health care…and the nations largest provider of sex education…Planned Parenthood has 56 undefended local affiliates that operate nearly 650 health centers throughout the United States.”¹⁵ The views of Margaret Sanger inspired the availability of reproductive health care for women across the nation. Sanger started a process in which her actions ignited a series of changes in societal norms. On September 14, 1879 Michael Hennessy Higgins and Anne Purcell Higgins gave birth to not only a revolutionist, but to the creator of the legacy that continues to be Planned Parenthood.¹⁶