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Devices and Desires: A History of Contraceptives in America

Devices and Desires: A History of Contraceptives in America
By Andrea Tone

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A down-and-out sausage-casing worker by day who turned surplus animal intestines into a million-dollar condom enterprise at night; inventors who fashioned cervical caps out of watch springs, and a mother of six who kissed photographs of the inventor of the Pill -- these are just a few of the fascinating individuals who make up the history of contraceptives in America. Scholars of birth control typically frame this history as one of physicians, lawyers, and political activists. But in Devices and Desires, Andrea Tone breaks new ground by showing what it was really like to produce, buy, and use contraceptives during a century of profound social and technological change.

Tone begins with the passage of the 1873 Comstock Act, which criminalized the birth control business, and ends with the inventions of today (including Depo-Provera and Norplant). Along the way she assesses the social and economical effects of chemical prophylaxes kits for World War I soldiers, condoms, the Lysol antiseptic douche, and the 1973 Dalkon Shield disaster (among others). In lively and engaging prose, her book illuminates the industry's trails from an illicit trade located in basement workshops and pornography outlets to one of the most successful legitimate businesses in American history.


Product Details

  • Amazon Sales Rank: #1534003 in Books
  • Published on: 2001-06-01
  • Original language: English
  • Binding: Hardcover
  • 368 pages

Editorial Reviews

From Publishers Weekly
There were the dark days of frequent unwanted pregnancies, quack remedies and backstreet abortions; then there was the Pill. Or so we often believe about the history of birth control in America. But the subject, as Tone, associate professor at the Georgia Institute of Technology, shows, is much more complex. Indeed, our Victorian forebears were familiar with several contraceptive choices, from condoms to pessaries and douches, which were readily available from small shops or by mail order until the Comstock Act deemed them obscene in 1873. But the new law succeeded only in driving the contraceptive business underground, as regulations were inconsistently enforced. By the 1920s, birth control began to be seen as a public policy issue; activist Margaret Sanger, who focused particularly on birth control for the poor, was instrumental in gaining legitimacy for the movement by making contraception the purview of the medical profession. Her efforts led to the popularity of the custom-fitted diaphragm and, later, to the development of the Pill. Tone focuses on contraception as a matter of customer demand and market responses, while also dealing with major controversies, including the Pill's health risks; religious objections to it; alleged racism in birth control policy; and the Dalkon Shield tragedy, in which business decisions contributed to the marketing of an unsafe IUD. Bringing the story up to 1970, Tone ends with a plea for increased research, sex education and affordable over-the-counter options for both men and women. Although some might argue that condoms already fill this need, Tone points out the irony that "the most frequently used contraceptive in th[is] country by a wide margin is irreversible female sterilization." Though some readers may find its conclusions oversimplified, this overview remains lively and informative. Illus. not seen by PW.

Copyright 2001 Cahners Business Information, Inc.

From Library Journal
Catholic obstetrician John Rock considered the pill a "morally permissible variant of the rhythm method" and assisted in its development. This is one of the many fascinating complexities found in the annals of contraception and recounted in these two books. U.S. historian Tone chronicles U.S. practices from the 1800s and Comstock era censorship, when underground cottage-industry products for both men and women thrived, advertised via euphemisms like "feminine hygiene." Under pressure from changing laws and Margaret Sanger, physicians gradually took over, touting first the diaphragm, then the pill and the IUD. As Tone recounts, condoms have remained popular; but lawsuits from medical methods and high consumer expectations post-pill have led to dampened development of new contraceptives and to sterilization's becoming popular. This account of the women who wanted to avoid pregnancy and the men and women who wanted to help them and profit from them is detailed, readable, and exhaustively referenced. For her focus on "the Pill," British historian Marks covers scientific development, testing, and use in the United States and beyond Latin America, Europe, Asia, and Africa. Marks's account is as detailed and well referenced as Tone's, somewhat more scholarly, and sometimes hard to follow since chapters are based on subtopics rather than time units. Her more medical/scientific detail and global perspective complement the coverage found in Elizabeth Watkins's On the Pill: A Social History of Oral Contraceptives 1950-70 (Johns Hopkins Univ., 1998). Both Marks's and Tone's books are recommended for academic and large public libraries, and the latter is appropriate for smaller public libraries as well. Consider also James Reed's Eve's Herbs (1978) about herbal birth control since ancient times. (Tone's illustrations not seen.) Martha Cornog, Philadelphia
Copyright 2001 Reed Business Information, Inc.

From Booklist
Tone, a historian at Georgia Institute of Technology, offers a lively history of the demand for contraceptives in the U.S and the remarkable variety of people who set out to meet that demand. Rather than concentrating on physicians, legislators, and activists such as Margaret Sanger, Tone explores "the technological and industrial developments that have been equally important in transforming Americans' lives." Beginning in 1873, with passage of the federal Comstock Act, which declared contraceptives obscene, part 1 examines the "contraceptive entrepreneurs" who practiced what was for many years an illegal trade, regulated by no one. In part 2, "From Smut to Science," Tone considers the development of relatively reliable contraceptive techniques, including diaphragms, douches, and condoms; part 3, "The Medicalization of Contraceptives," covers birth control pills, Norplant, and intrauterine devices. For much of the period Tone discusses, contraception was illegal or disreputable, yet millions of Americans needed these products and found ways to obtain them. That perhaps is the most enduring lesson of Tone's enlightening study. Mary Carroll
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