Eugenics, which had started long before my time, had once been defined as including free love and prevention of conception... Recently it had cropped… - Margaret Sanger

Thus we see that the second and third children have a very good chance to live through the first year. Children arriving later have less and less chance, until the twelfth has hardly any chance at all to live twelve months. This does not complete the case, however, for those who care to go farther into the subject will find that many of those who live for a year die before they reach the age of five. Many, perhaps, will think it idle to go farther in demonstrating the immorality of large families, but since there is still an abundance of proof at hand, it may be offered for the sake of those who find difficulty in adjusting old-fashioned ideas to the facts. The most merciful thing that the large family does to one of its infant members is to kill it. The same factors which create the terrible infant mortality rate, and which swell the death rate of children between the ages of one and five, operate even more extensively to lower the health rate of the surviving members.

We may never achieve the goal of having every pregnancy end with the birth of a healthy, normal child, but certainly a vast majority of the 17,000 stillbirths which occur to Negro mothers each year could be prevented if every baby were planned. Mothers in poor physical condition, mothers who are suffering from chronic diseases, who are sustaining themselves on inadequate diets or performing work out of all proportion to their strength, should have the means to avoid childbearing until their own physical situation can be improved. It is wicked that such women should be expected to bear a baby every year or to deny the love of their husbands. The fact that such pregnancies so frequently end in miscarriage or still-birth makes this burden as pointless as it is cruel.

But during all the long years this matter has been discussed, advocated, refuted, the people themselves—poor people especially—were blindly, desperately practicing family limitation, just as they are practicing it today. To them birth control does not mean what it does to us. To them it has meant the most barbaric methods. It has meant the killing of babies—infanticide,—abortions,—in one crude way or another.