In Honor of Women’s History Month, We Remember Hannah Stone

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birth control, birth control methods, history, margaret sanger, reproductive rights, women

When we remember the birth control movement, we must commemorate the extraordinary women who willingly risked so much for the advancement of such a controversial movement. For these activists, giving all women new access and opportunities to contraceptives meant more than their own potential individual  advancements. Dr. Hannah Mayer Stone embodied this type of dedication. Chosen by Margaret Sanger in 1925 to be the head physician of the Clinical Research Bureau, Dr. Hannah Stone would prove to be dedicated not just to the cause, but also to the over 100,000 patients she saw during her time at the clinic.

Hannah M. Stone

While she defied the norm with her passionate involvement with the movement, Dr. Hannah Stone surpassed traditional 20th century women’s roles all her life. Born in New York City in 1893 as the daughter of a pharmacist, she went on to receive a degree in pharmacy from Brooklyn College in 1912. Following this, she attended New York Medical school, receiving her MD in 1920. In 1921, she attended the first American Birth Control Conference, where she met Margaret Sanger. Sanger opened the Clinical Research Bureau in 1923, and two years later she needed a new physician.Dr. Stone was already a member of the medical advisory board for the Clinical Research Bureau when Margaret Sanger offered her the position of physician. As she had this prior involvement, her interest in the birth control movement was known. Dr. Hannah Stone would work at the Clinical Research Bureau, which was later renamed Birth Control Clinical Research Bureau in 1928, for 16 years without receiving compensation.

The main purpose behind the establishment of the Clinical Research Bureau was to do more than just administer birth control to patients; it was to also prove the effectiveness of different types of contraceptives through detailed record keeping. Dr. Stone handled both tasks methodically. By the end of her time at the clinic in 1941, she had helped over 100,000 patients and she had maintained a record for each one. But aside from just being thorough, Dr. Stone was compassionate and understanding with her patients. Her demeanor led her become known as the “Madonna of the Clinic.” In her writing, Sanger expressed her adoration of Dr. Stone. She commented on her attributes, listing  “her infinite patience, her attention to details, her understanding of human frailties, her sympathy, her gentleness” as reasons that she was invaluable to the work of the clinic. Dr. Stone understood the value of her work at the clinic, not just in her interactions with patients, but also with her responsibility of compiling data about her patients. During her 16 years of service to the Birth Control Clinical Research Bureau, Dr. Hannah Stone was able to leave a profound impact. Her detailed records helped the movement discover that the most effective method of birth control was the diaphragm used with spermicide. She later published some of her findings in “Therapeutic Contraceptives.” This article was one of the first involving birth control to be published within a medical journal.

Her passion for helping women extended past the realm of birth control. Dr. Stone and her husband, Dr. Abraham Stone counseled couples with relationship and sexual problems from within the clinic as well. This began casually, but it developed into the more formal Marriage Consultation Center which was ran out of the clinic and a community church. Through this work Dr. Stone again acted as a trailblazer, as these marriage counseling sessions had not been done in this manner before. In 1935, Dr. Stone and her husband were able to publish their counseling techniques in a book entitled A Marriage Manual.

From left: Sigrid Brestwell, Antoinette Field, Elizabeth Pissort, Margaret Sanger, Hannah Mayer Stone, and Marcella Sideri

Dr. Stone’s association with birth   control often caused her to put the movement’s progression ahead of her own career, as her work at the clinic cost her many opportunities. She had been working at the Women’s Lying-In Hospital when she first started to work for Margaret Sanger at the Research Bureau Clinic. Her new work at the clinic caused a conflict with her the Women’s Hospital and they asked her to give up her newly acquired position. She refused this request, and as a result she was asked to resign from the Women’s Lying-In Hospital. This would only be the first of many times where her work at the clinic would prove to be a detriment to her career. Later, in 1929, Dr. Stone was arrested with four others when the Research Bureau Clinic was raided. Although the charges that were brought against her were later dismissed, the picture that was taken of her in handcuffs permanently damaged her record. Dr. Stone felt the full impact of this when she applied to admission to the New York Medical Society in 1932, and her application was tabled. She continued to take risks for the movement, including her involvement with the test case US v. One Package, when a package of Japanese pessaries were shipped to her and later seized. This case ended up being monumental, as it was the first step in legalized birth control. Despite her involvement with the birth control movement, and the clinic itself proving to be a detriment to the furthering of her medical career, Dr. Stone’s dedication to the cause never faltered.

Dr. Hannah Stone died suddenly of a heart attack in 1942 at the age of 48. Her loss was deeply felt at the clinic, as she had dedicated so much of her time to assisting the patients. She was replaced by her husband, who carried on her legacy and dedication to the cause. Dr. Stone is remembered for her kindness, and her groundbreaking work. She was well respected for her tremendous knowledge on administering effective contraceptives. Thousands of medical students and doctors alike came to the Research Bureau Clinic to learn her methods. Even though Dr. Stone was recognized for her greatness, Margaret Sanger wrote extensively on her humility. She did not crave attention or recognition, and often others took responsibility for her advancements.

As a doctor, Hannah Stone was a trailblazer. As a woman, she exceeded the expectations society had for her at the time. But it is her selflessness that is most inspiring. Dr. Hannah Stone dedicated nearly her entire career to serving women and the birth control movement, and despite her vast achievements she never sought recognition for them.

Tracing Sanger’s Steps: The Beginning of Legalized Birth Control

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birth control, history, legal cases, margaret sanger

Throughout the history of the United States, the judicial system has been used as a mechanism for social change. Consider some of the most monumental decisions, from Brown v. the Board of Education to the more recent case of Obergefell v. Hodges. The decisions of these two cases reflected the evolving opinions among the American people, and enabled society to implement the necessary changes. In times when the situation requires a quick solution, the court room provides a benefit over legislation, as it takes less time to reach and implement a decision, then it does to pass new legislation. Therefore, when Margaret Sanger was faced with the restriction of censorship that was the by-product of obscenity laws, she sought a situation that would allow her to speedily remedy the situation. She believed that the repeal of the Comstock laws would allow the birth control movement to continue on past the problem of censorship, and towards legalization. Thus led to the filing her test case, U.S. v. One Package of Japanese Pessaries.

 

Sanger and Morris Ernst

 

By the 1930’s, Margaret Sanger had made strides in the fight for women’s access to birth  control, at least on a New York State level. However, her ability to provide both birth control and information about birth control was limited by the presence of the Comstock laws. Passed by congress on March 3, 1873, the Comstock laws were the first legislation to deal with contraceptives explicitly, and they defined contraceptives as obscene, and prohibited their circulation, and information regarding the prevention of conception. The development of this bill was essentially based on morality, as contraceptives were believed to provoke lust. Initially, this bill made it nearly impossible for women to obtain birth control, and despite being rarely enforced during the 1930’s, fear was enough to prevent the circulation of materials. At this point,  Sanger had realized that to open the access to birth control that had been so severely limited by the Comstock laws, she needed to create a case that could challenge its precedent. In June of 1932, she found her opportunity. A package of pessaries was shipped to her from Japan, only to be seized by customs and sent back to Japan. Sanger ingeniously built her test case on this result, asking Dr. Sakae Koyama,  president of the Juzen Hospital in Osaka, to send a second package to the United States, this time to Dr. Hannah Stone. As Sanger expected, the package was again seized

by customs, giving her a situation on which she could build her test case. According to Section 305 of Title III of Revenue Act, Dr. Stone did not have the right to import contraceptives. This test case was well thought out, as Sanger had spent time with her attorney, Morris Ernst, planning for this opportunity. They wanted to challenge the federal law’s ability to inhibit doctors from prescribing their patients contraceptives.

Hannah Stone

The presiding judge on the case, Grover C. Moskowitz, heard the case on December 10th, 1935. As there were in facts in question, the case was based on his judicial interpretation of the law. On January 6th, 1939, Judge Moskowitz ruled in the favor of the women’s rights activists. He dismissed the libel charges within the case, and stated that the pessaries that had been confiscated did not come within the scope of the Comstock Laws, as they were intended for a lawful purpose, which was to “cure and prevent disease.” Later, when the case went in front of the U.S. Court of Appeals, Judge Augustus Hand upheld the decision made by Judge Moskowitz. According to Hand, the language used within the Comstock Laws was uncompromising; however it would be legal for contraceptives to be imported into the United States so long as they were being administered by a health professional for reasons pertaining to the patient’s health. Judge Hand believed that had 19th century Congress been familiar with the data discussing the dangers of multiple pregnancies, they would not have implemented such strict censorship laws on birth control. This 1939 decision is often accredited to being the first step in giving women full legal access to birth control.

Margaret Sanger’s calculated decision to use a court case to challenge the precedent of
the Comstock laws helped her to grant women further access to birth control. As the public’s attitude toward birth control was improving, Sanger utilized it to further her agenda of legalizing birth control. However, the scope for which birth control was legalized was narrow, as it was only permissible in situations relating to women’s health. Margaret Sanger’s reaction to the decision of her case was a mixture of dissatisfaction and caution, as she knew would continue to work towards giving women unrestricted access to birth control. While the One Package Decision was a crucial stepping stone, it left birth control activists with the realization that they still had a tremendous amount of work to do. For as Margaret Sanger once wrote, “No woman can call herself free who does not own and control her own body.”

Anniversary of Spanish-language publication of Family Limitation

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birth control, Censorship, Family Limitation, margaret sanger

To celebrate the publication of a Spanish-language translation Margaret Sanger’s  Family Limitation’s in Merida, Mexico, her grandson Alexander Sanger wrote the following new introduction:La brújula del hogar

Introduction to Family Limitation – La Brujula del Hogar
By Alexander Sanger

La brújula del hogar

“In the summer and fall of 1914, my grandmother, Margaret Sanger, nascent birth control advocate and a public health nurse in New York, wrote a pamphlet entitled, Family Limitation, in which she described various methods of contraception which she recommended to enable couples to plan, space and limit their children. It was this pamphlet that was translated into Spanish as La Brujula del Hogar and published in Merida in 1922.
My grandmother, a mother of three, knew what she was talking about, not just because she had only three children, but because she had been working in the poorest slums of New York City, taking care of mothers who had children they did not want and could not afford. She often talked of one patient, Sadie Sachs, who in 1912 went to a back alley abortionist and almost died in the attempt. My grandmother nursed her back to health. When the doctor made his final visit, Sadie Sachs asked what she could do to not have any more children. The doctor responded,”“So you want to have your cake and eat it too. The answer is, tell Jake (her husband) to sleep on the roof.’”

“Three months later, Sadie Sachs was pregnant again, went to a back alley abortionist and died in my grandmother’s arms.”

“My grandmother said, ‘Enough.’”

“She went to Europe to research contraceptive methods and put all her knowledge of methods available in the United States and in Europe into Family Limitation.”

“In the United States at that time, both the Federal Government and the states had Comstock Laws, which prohibited the dissemination of birth control information and supplies. The laws also criminalized advocating the legality of birth control.”

“In March of 1914, my grandmother announced in the first issue of her monthly newspaper, The Woman Rebel, her intention to ‘advocate the prevention of conception’ and ‘impart such knowledge in the columns of this paper.’ She never actually imparted any contraceptive information in The Woman Rebel, but nonetheless the authorities confiscated the newspaper. In it she first used the phrase ‘birth control.’  My grandmother kept printing the paper and the government kept confiscating it, and finally indicted her on obscenity charges, since birth control under the Comstock laws was considered ‘obscene.’”

“The indictment made headlines, spreading birth control far beyond the limited readership of her paper and agitating women and men to support her cause.”

“She decided to ‘give them (the government) something to really indict me on,’ she wrote to her muckraker friend, Upton Sinclair. She printed 100,000 copies of Family Limitation. It was immediately translated into multiple languages, including in 1919 and again in 1922 into Spanish. Her willingness to put women’s rights and health above the law launched the United States birth control movement, and soon the worldwide movement.”

“What my grandmother saw in the slums of New York and on her visits to Mexico (she made at least a half dozen), was enormous inequality between the classes. In New York and in poorer areas of the United States, the rich and poor often lived near each other but had vastly different incomes, access to health care and numbers of children, both born and surviving. There were scandalously high infant and maternal mortality rates. If women used contraception, it was a traditional method, often ineffective if not dangerous, and when it failed, the women often resorted to unsafe abortion. There were Sadie Saches in Mexico as well as New York, and my grandmother vowed to put an end to it. In her campaign she was repeatedly imprisoned but she never wavered.”

“Imprisonment also seemed likely for the translators, printers and publishers of La Brujula del Hogar in 1922. The pamphlet fell into the hands of birth control opponents in Merida, the Knights of Columbus, who drew up a petition seeking the prosecution of the publishers. Newspapers took both sides, cartoonists got busy, public became aroused and Birth Control became the most discussed topic of the hour. The first edition of the pamphlet, all 5,000 copies, was exhausted in one day, and a second edition of 10,000 copies was immediately re-printed.”

“The Knights of Columbus petition was forwarded on from the District Attorney, Arturo Cisneros Canto, to the Governor of Yucatan, Felipe Carrillo Puerto, who at once remitted instructions to refuse it. Incidentally, Carrillo, a Socialist, was one of 14 children. In compliance, District Attorney Canto issued a statement published in the March 14 Diario Official, which was reprinted in Meridá newspapers, which said, in part:”

“The Attorney General’s Office cannot shape its manner of proceedings to the narrow-minded and antiquated criteria of morality, the result of deep-rooted religious prejudices, which crops out in your petition. The Executive of the State wishes to have it made clear that forever have gone the prosecutions, which have no other cause than moral fanaticism, which filled with horror the vast period of clerical domination of the Middle Ages. As long as the present socialist government directs public destiny, the Attorney General’s office will not undertake any prosecutions for futile ideas of morality, since prosecutions in the name of morality have at all times been the most odious pretext of which religion made use so as to destroy its enemies.”

“My grandmother touted the Yucatan government’s support of birth control, noting that Arturo Cisneros Canto’s statement’“is a remarkable document and one that might be recommended to the attention of police departments in some American cities–especially in New York, where a meeting for the discussion of the morality of birth control was broken up not six months ago.’”

“The Yucatan’s socialist experiment was short-lived. In 1924 Governor Carrillo Puerto was assassinated, and support for feminist and socialist reforms there evaporated. But, as historian Dan La Botz noted, ‘revolutionary Yucatan set the long-term agenda of the Mexican women’s movement, and many of its demands are still being fought for.’”

Happy Birthday Margaret Sanger!!!

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birth control, birthday, margret sanger

Margaret Sanger,  who would have been 136 years old today, would no doubt be shocked to learn we are still fighting the battle for reproductive rights, or that she has become a pawn in this endless battle. As Imani Gandy point out in her recent, excellent Reality Check article (http://rhrealitycheck.org/article/2015/08/20/false-narratives-margaret-sanger-used-shame-black-women/) notes that as “anti-choice fanatics seem utterly incapable of making an honest argument that Black women should be forced into childbirth rather than permitted to make their own decisions about what to do with their bodies, they resort to lies, misinformation, and half-truths about Sanger and the organization she founded.”

Yet we could not have come even this far without the dedication, spirit and the willingness of Margaret Sanger to dedicate her life to make certain that all women would have access to effective and readily available contraceptive knowledge and tools. She knew the extent of the struggle and understood that success would be achieved quickly or easily. But she was guided by determination. “We must unite in the task of creating an instrument of steel, strong but supple,” she wrote, “if we are to triumph finally in the war for human emancipation.” (Pivot of Civilization, 1922).

Sanger Slept (Spoke) Here – Hotel Paso de Norte, El Paso, Texas (February 1937)

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Beth Mary Goetting, clinics, El Paso, history, margaret sanger, reproductive rights

Hotel Paso del Norte (Camino Real El Paso Hotel)

photo source: Wikipedia

In February of 1937, Margaret Sanger was invited to speak at the Hotel Hilton in El Paso,Texas to celebrate the opening of the El Paso Mother’s Health Center (which would later become the El Paso Planned Parenthood). However, due to pressure from local Catholic groups, the event was moved to the Hotel Paso del Norte. The event was hosted by Health Center Chairman, Beth Mary Goetting and the Birth Control Clinic Committee.

Sanger spoke in front of some 350 El Pasoans including a number of local clergy and doctors. She expressed the hope that clinics would be established both on El Paso’s north and south sides. Clinic equipment and supplies were provided by the Birth Control Clinical Research Bureau.

El Paso people are the first to take advantage of the December 7, United States Circuit Court of Appeals ruling that physicians might send contraceptives by mail – an act considered hitherto illegal…Now doctors need not fear a $500 fine, or five years in the penitentiary for administering a simple, scientific preventive to a woman who is not able to bear a child.

On February 9, 1938, Sanger wrote to Ms. Goetting commending the center:

I am particularly proud of the fine work being done in El Paso and I feel that your group has much to offer to others interested in advancing the birth control cause in Texas.

From 1937 – 1938, the clinic served over 600 patients.  By the time of it’s closure in 2010, the clinic was serving more than 10,000 local women providing prenatal and postnatal information and healthcare including affordable HIV/AIDS testing.

The Hotel Paso del Norte is a historic hotel located less than one mile north from the United States-Mexico border. The hotel, designed by Trost & Trost, was opened in 1912. Added to the National Register of Historic Places in 1979, the hotel was extensively remodeled in 2004 and renamed the Camino Real El Paso Hotel.

For more info on Planned Parenthood of El Paso: https://sangerpapers.wordpress.com/2010/11/03/planned-parenthood-of-el-paso/

For more info on the development of the birth control movement in Texas: https://sangerpapers.wordpress.com/tag/texas/

All quotes from documents accessed through the MSPP’s Microfilm Files.

Click here for our map of Sanger’s travels.