The medical intervention of ‘twilight sleep’, or the use of a scopolamine–morphine mixture to anaesthetise labouring women, caused a furore among doctors and early 20th-century feminists. Suffragists and women’s rights advocates led the Twilight Sleep Association in a quest to encourage doctors and their female patients to widely embrace the practice. Activists felt the method revolutionised the notoriously dangerous and painful childbirth process for women, touting its benefits as the key to allowing women to control their birth experience at a time when the maternal mortality rate remained high despite medical advances in obstetrics. Yet many physicians attacked the practice as dangerous for patients and their babies and antithetical to the expectations for proper womanhood and motherly duty. Historians of women’s health have rightly cited Twilight Sleep as the beginning of the medicalisation and depersonalisation of the childbirth process in the 20th century. This article instead repositions the feminist political arguments for the method as an important precursor for the rhetoric of the early birth control movement, led by Mary Ware Dennett (a former leader in the Twilight Sleep Association) and Margaret Sanger. Both Twilight Sleep and the birth control movement represent a distinct moment in the early 20th century wherein pain was deeply connected to politics and the rhetoric of equal rights. The two reformers emphasised in their publications and appeals to the public the vast social significance of reproductive pain—both physical and psychological. They contended that women’s lack of control over both pregnancy and birth represented the greatest hindrance to women’s fulfilment of their political rights and a danger to the healthy development of larger society. In their arguments for legal contraception, Dennett and Sanger placed women’s pain front and centre as the primary reason for changing a law that hindered women’s full participation in the public order.

This article examines how ideals of contract freedom within the women's rights movement challenged medical and medical jurisprudence theories about women between 1870 and 1930. Throughout this period, medicine linked women's intellectual incapacity with problems rooted in their physical bodies. Doctors opined that reproductive diseases and conditions of pregnancy, childbirth, menstruation, and menopause rendered women disabled, irrational, and inherently dependent. Yet at the same moment, the elimination of the legal disability of coverture, and new laws that expanded women's property and earnings rights contributed to changing perceptions of women's public roles. Courts applied far more liberal understandings of sanity and rationality in property and contract cases, even when the legal actors were women. Seizing this opportunity, reformers made powerful arguments against doctors' ideas of women's “natural” mental weakness, pointing out that the growing rights to contract and transact illustrated women's rationalism and competency for full citizenship. Most significantly, these activists insisted that these rights indicated women's right to total bodily freedom—a concept that would become crucially important in the early birth control movement.

The suffrage and birth control movements are often treated separately in historical scholarship. This essay brings together new research to demonstrate their close connections. Many suffragists became active in the birth control movement just before and after the passage of the Nineteenth Amendment in 1920. The roots of suffrage arguments were deeply embedded in the same ideas that were foundational to the birth control movement: bodily freedom and notions of what constituted full and participatory citizenship. Beginning in the 1840s, women's rights reformers directly connected the vote to a broad range of economic and political issues, including the concept of self-ownership. Wide-ranging debates about individual autonomy remained present in women's rights rhetoric and were then repeated in the earliest arguments for legalizing birth control. The twentieth-century birth control movement, like the suffrage movement before it (which had largely focused only on achieving the vote for white women), would then grapple with competing goals of restrictive racist and eugenic arguments for contraception alongside the emphasis on achieving emancipation for all women.

The social politics of women’s alcohol use is controversial given current debates over maternal-fetal health, fetal alcohol syndrome, and debates about welfare. Exploring the early twentieth century intersections of Prohibition, birth control reform, and alcohol politics reveals the historical roots of current recommendations surrounding women, alcohol, and public assistance.

We assessed the degree to which obesity affects political candidate evaluation using self-report and physiological assessments. Fifty-four participants were assigned to 1 of 4 experimental conditions that manipulated candidate body weight and sex. On the basis of participant self-report, male obese versus nonobese candidates were evaluated more positively (p < .01); in contrast, participants’ startle eyeblink responses when viewing males did not differ. No differences were noted for female candidates based on participant self-report, although significantly larger eyeblink responses (indicative of negative affect) were documented when viewing obese versus nonobese females (p < .01). Weight bias in political contexts exists, and bias against obese female candidates might be captured better by objective assessments. These findings suggest that the evaluation of political candidates, particularly female candidates, is likely influenced by voter perceptions about obesity in addition to the candidate’s political ideology.

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