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In 1902, she married architect William Sanger, giving up her education.

Supported by her two older sisters, Margaret Higgins attended Claverack College and Hudson River Institute, before enrolling in 1900 at White Plains Hospital as a nurse probationer. Sanger was the sixth of 11 surviving children, spending her early years in a bustling household. In 22 years, Anne Higgins conceived 18 times, birthing 11 alive before dying aged 49. Īnne accompanied her family to Canada during the Great Famine.
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: 12–13 Michael became an atheist and an activist for women's suffrage and free public education. Upon leaving the army, he studied medicine and phrenology but ultimately became a stonecutter, chiseling-out angels, saints, and tombstones. Michael had immigrated to the United States aged 14, joining the Army in the Civil War as a drummer aged 15. Sanger was born Margaret Louise Higgins in 1879 in Corning, New York, to Irish Catholic parents-a "free-thinking" stonemason father, Michael Hennessey Higgins, and Anne Purcell Higgins. She died in 1966 and is widely regarded as a founder of the modern birth control movement. From 1952 to 1959, Sanger served as president of the International Planned Parenthood Federation.

In 1929, she formed the National Committee on Federal Legislation for Birth Control, which served as the focal point of her lobbying efforts to legalize contraception in the United States. In New York City, she organized the first birth control clinic to be staffed by all-female doctors, as well as a clinic in Harlem which had an all African-American advisory council, where African-American staff were later added. In 1921, Sanger founded the American Birth Control League, which later became the Planned Parenthood Federation of America. She considered contraception the only practical way to avoid them. She believed that, while abortion may be a viable option in life-threatening situations for the pregnant, it should generally be avoided. She also wanted to prevent so-called back-alley abortions, which were common at the time because abortions were illegal in the United States. Sanger felt that in order for women to have a more equal footing in society and to lead healthier lives, they needed to be able to determine when to bear children.
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Her subsequent trial and appeal generated controversy. In 1916, Sanger opened the first birth control clinic in the United States, which led to her arrest for distributing information on contraception, after an undercover policewoman bought a copy of her pamphlet on family planning. She has been criticized for supporting eugenics. Sanger remains an admired figure in the American reproductive rights movement.
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However, Sanger drew a sharp distinction between birth control and abortion and was opposed to abortions throughout the bulk of her professional career, declining to participate in them as a nurse. Due to her connection with Planned Parenthood, Sanger is a frequent target of criticism by opponents of abortion.

Sanger's efforts contributed to several judicial cases that helped legalize contraception in the United States. She feared the consequences of her writings, so she fled to Britain until public opinion had quieted. She was prosecuted for her book Family Limitation under the Comstock Act in 1914. Sanger used her writings and speeches primarily to promote her way of thinking. Sanger popularized the term "birth control", opened the first birth control clinic in the United States, and established organizations that evolved into the Planned Parenthood Federation of America. Margaret Higgins Sanger (born Margaret Louise Higgins September 14, 1879 – September 6, 1966), also known as Margaret Sanger Slee, was an American birth control activist, sex educator, writer, and nurse.
