While in prison, Sanger concluded that she needed a different strat-
egy, one based on education, organization, and legislation. In 1921, Sanger
founded the American Birth Control League, in her words, to “build up
public opinion so that women should demand instruction from doctors,
to assemble the findings of scientists, to remove hampering Federal
statutes, to send out field workers into those states where laws did not pre-
vent clinics, to cooperate with similar bodies in studying population prob-
lems, food supplies, and world peace.”
An international personality in the 1920s, Sanger organized the 1927
World Population Conference, held in Geneva, Switzerland, and in 1931,
she organized the National Committee on Federal Legislation for Birth
Control (NCFLBC) to lobby Congress for changes in birth control laws.
NCFLBC developed regional, state, and local organizations with trained
lobbyists, organizers, and fieldworkers. By working with and through lo-
cal women’s clubs, religious denominations, and medical organizations,
these groups intended to pressure Congress and the states to permit physi-
cians to dispense birth control information and devices.
By 1936, Sanger concluded that the legislative route was not going to
be successful and decided to seek the changes she wanted through a court
decision. After fighting a series of court battles, NCFLBC initiated United
States v. One Package of Japanese Pessaries. In the 1936 case, a federal court
concluded that the Comstock law could not stop the importation of di-
aphragms for legitimate medical use and created a distinction between le-
gal and illegal use of contraceptives. The next year, the American Medical
Association resolved that contraception was a valid health practice and
that it should be taught in medical schools. Government agencies began
incorporating birth control services into their programs in 1938.
The Birth Control Clinical Research Bureau, which collected infor-
mation on the reliability of contraceptives, and the American Birth Con-
trol League merged in 1939 to form the Planned Parenthood Federation
of America.
Sanger wrote The Pivot of Civilization (1922), Woman and the New
Race (1923), Happiness in a Marriage (1926), and her autobiographies, My
Fight for Birth Control (1931) and Margaret Sanger: An Autobiography
(1938).
Born in Corning, New York, Margaret Sanger attended Claverack
College, a preparatory school. She completed her nursing training at
White Plains Hospital in 1902.
See also Abortion; Dennett, Mary Coffin Ware; Planned Parenthood Federation
of America; Reproductive Rights
References Kennedy, Birth Control in America: The Career of Margaret Sanger
(1970).
Sanger, Margaret Louise Higgins 599