The Pivot of Civilization. Margaret Sanger

in the three black rooms; the sagging porch overflowing with pale and sickly children; the over-worked mother of seven, still nursing her youngest, who is two or three months old. Worn and haggard, with a skeleton-like child pulling at her breast, the women tries to make the investigator understand. The grandmother helps to interpret. "She never sleeps," explains the old woman, "how can she with so many children?" She works up to the last moment before her baby comes, and returns to work as soon as they are four weeks old.

      Another apartment in the same house; another of those night-working mothers, who had just stopped because she is pregnant. The boss had kindly given her permission to stay on, but she found the reaching on the heavy spinning machines too hard. Three children, ranging in age from five to twelve years, are all sickly and forlorn and must be cared for. There is a tubercular husband, who is unable to work steadily, and is able to bring in only $12 a week. Two of the babies had died, one because the mother had returned to work too soon after its birth and had lost her milk. She had fed him tea and bread, "so he died."

      The most heartrending feature of it all—in these homes of the mothers who work at night—is the expression in the faces of the children; children of chance, dressed in rags, undernourished, underclothed, all predisposed to the ravages of chronic and epidemic disease.

      The reports on infant mortality published under the direction of the Children's Bureau substantiate for the United States of America the findings of the Galton Laboratory for Great Britain, showing that an abnormally high rate of fertility is usually associated with poverty, filth, disease, feeblemindedness and a high infant mortality rate. It is a commonplace truism that a high birth-rate is accompanied by a high infant-mortality rate. No longer is it necessary to dissociate cause and effect, to try to determine whether the high birth rate is the cause of the high infant mortality rate. It is sufficient to know that they are organically correlated along with other anti-social factors detrimental to individual, national and racial welfare. The figures presented by Hibbs (2) likewise reveal a much higher infant mortality rate for the later born children of large families.

      The statistics which show that the greatest number of children are born to parents whose earnings are the lowest,(3) that the direst poverty is associated with uncontrolled fecundity emphasize the character of the parenthood we are depending upon to create the race of the future.

      A distinguished American opponent of Birth Control some years ago spoke of the "racial" value of this high infant mortality rate among the "unfit." He forgot, however, that the survival-rate of the children born of these overworked and fatigued mothers may nevertheless be large enough, aided and abetted by philanthropies and charities, to form the greater part of the population of to-morrow. As Dr. Karl Pearson has stated: "Degenerate stocks under present social conditions are not short-lived; they live to have more than the normal size of family."

      Reports of charitable organizations; the famous "one hundred neediest cases" presented every year by the New York Times to arouse the sentimental generosity of its readers; statistics of public and private hospitals, charities and corrections; analyses of pauperism in town and country—all tell the same tale of uncontrolled and irresponsible fecundity. The facts, the figures, the appalling truth are there for all to read. It is only in the remedy proposed, the effective solution, that investigators and students of the problem disagree.

      Confronted with the "startling and disgraceful" conditions of affairs indicated by the fact that a quarter of a million babies die every year in the United States before they are one year old, and that no less than 23,000 women die in childbirth, a large number of experts and enthusiasts have placed their hopes in maternity-benefit measures.

      Such measures sharply illustrate the superficial and fragmentary manner in which the whole problem of motherhood is studied to-day. It seeks a LAISSER FAIRE policy of parenthood or marriage, with an indiscriminating paternalism concerning maternity. It is as though the Government were to say: "Increase and multiply; we shall assume the responsibility of keeping your babies alive." Even granting that the administration of these measures might be made effective and effectual, which is more than doubtful, we see that they are based upon a complete ignorance or disregard of the most important fact in the situation—that of indiscriminate and irresponsible fecundity. They tacitly assume that all parenthood is desirable, that all children should be born, and that infant mortality can be controlled by external aid. In the great world-problem of creating the men and women of to-morrow, it is not merely a question of sustaining the lives of all children, irrespective of their hereditary and physical qualities, to the point where they, in turn, may reproduce their kind. Advocates of Birth Control offer and accept no such superficial solution. This philosophy is based upon a clearer vision and a more profound comprehension of human life. Of immediate relief for the crushed and enslaved motherhood of the world through State aid, no better criticism has been made than that of Havelock Ellis:

      "To the theoretical philanthropist, eager to reform the world on paper, nothing seems simpler than to cure the present evils of child-rearing by setting up State nurseries which are at once to relieve mothers of everything connected with the men of the future beyond the pleasure—if such it happens to be—of conceiving them, and the trouble of bearing them, and at the same time to rear them up independently of the home, in a wholesome, economical and scientific manner. Nothing seems simpler, but from the fundamental psychological point of view nothing is falser. … A State which admits that the individuals composing it are incompetent to perform their most sacred and intimate functions, and takes it upon itself to perform them itself instead, attempts a task that would be undesirable, even if it were possible of achievement.(4)" It may be replied that maternity benefit measures aim merely to aid mothers more adequately to fulfil their biological and social functions. But from the point of view of Birth Control, that will never be possible until the crushing exigencies of overcrowding are removed—overcrowding of pregnancies as well as of homes. As long as the mother remains the passive victim of blind instinct, instead of the conscious, responsible instrument of the life-force, controlling and directing its expression, there can be no solution to the intricate and complex problems that confront the whole world to-day. This is, of course, impossible as long as women are driven into the factories, on night as well as day shifts, as long as children and girls and young women are driven into industries to labor that is physically deteriorating as a preparation for the supreme function of maternity.

      The philosophy of Birth Control insists that motherhood, no less than any other human function, must undergo scientific study, must be voluntarily directed and controlled with intelligence and foresight. As long as we countenance what H. G. Wells has well termed "the monstrous absurdity of women discharging their supreme social function, bearing and rearing children, in their spare time, as it were, while they `earn their living' by contributing some half-mechanical element to some trivial industrial product" any attempt to furnish "maternal education" is bound to fall on stony ground. Children brought into the world as the chance consequences of the blind play of uncontrolled instinct, become likewise the helpless victims of their environment. It is because children are cheaply conceived that the infant mortality rate is high. But the greatest evil, perhaps the greatest crime, of our so-called civilization of to-day, is not to be gauged by the infant-mortality rate. In truth, unfortunate babies who depart during their first twelve months are more fortunate in many respects than those who survive to undergo punishment for their parents' cruel ignorance and complacent fecundity. If motherhood is wasted under the present regime of "glorious fertility," childhood is not merely wasted, but actually destroyed. Let us look at this matter from the point of view of the children who survive.