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Margaret Sanger's work as a visiting nurse focused her interest in sex education and women's health. Her first issue of the Woman Rebel in March, 1914, as well as three succeeding issues, were banned by the Post Office. The Federal government dropped its Comstock case against Sanger in the spring of 1916, giving her a moral victory.
Sanger would spend 30 days in jail, but the Brownsville case resulted in a landmark decision.
In 1929 Sanger formed the National Committee on Federal Legislation for Birth Control to lobby for birth control legislation that granted physicians the right to legally give contraceptives to their patients.
By the late 1920's the birth control movement became more mainstream, and Sanger herself was viewed as too radical for the movement she had launched. That study was performed back in 2009, and found that with perfect use, the pull-out method had a failure rate of about four times out of 100. But, of course, the whole problem with the pull-out method is that it's sort of hard to perform it perfectly every single time. The biggest issue with the results of the study is that it suggests more women than previously thought are using the pull-out method, which, aside from being a not-very-effective means of contraception also provides precisely zero protection from sexually transmitted diseases.

Sanger worked in New York's Lower East Side with poor women suffering the pain of frequent childbirth, miscarriage and abortion. Her final challenge came in a pamphlet, a€?Family Limitationa€?, a specific description of birth control methods which was eventually translated into 13 languages and distributed by the millions. Still, she fought on, going into court again for a broader interpretation of Sections 1142 and 1145 of the New York State law. In 1918 the state's highest court sustained Sanger's conviction, but said Section 1145 not only allowed a physician to prevent and cure syphilis and other social diseases, but also gave a physician the right to give birth control advice to a married woman for her health.
By averaging that failure rate with the rate of pregnancy when it was used incorrectly all the time, the researchers landed on a failure rate of about 18 percent as a best guess for average use of the method. Annie Dude, found that 31 percent of women surveyed had used the pull-out method in the past two years. On August 25, 1914, she was indicted by the Federal government on nine counts that could bring a jail sentence of 45 years. Sanger and her sister Ethel opened the first birth control clinic in Brooklyn on October 16, 1916.
With the merger of the American Birth Control League and the Birth Control Clinical Research Bureau into the Birth Control Federation of America in 1939 (later renamed Planned Parenthood Federation of America) Sanger's role in the birth control movement became largely honorific.

Only a few months later, on September 6, 1966, Margaret Sanger, the founder of the birth control movement, died in a Tucson nursing home at the age of 86.
That's only slightly worse than the average failure rate of condoms (17 percent), though it's pretty easy to argue that condoms are easier to use than the pull-out method. Twenty-one percent of those women reported an unintended pregnancy a€” significantly more than the unintended pregnancy rate of women who used non-pull-out-method forms of birth control (13 percent). In the end, her legislative campaigns and efforts to secure government support for birth control failed. By 1942, Sanger was living in Tucson, AZ and had retired from active participation in the movement.
Court of Appeals ruled that physicians were exempt from the Comstock Law's ban on the importation of birth control materials. This decision gave doctors the right to prescribe or distribute contraceptives, but the ban on importing contraceptive devices for personal use was not lifted until 1971.

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