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Parenting today is virtually synonymous with worry. We want to ensure that our children are healthy, that they get a good education, and that they grow up to be able to cope with the challenges of modern life. In our anxiety, we are keenly aware of our inability to know what is best for our children. When should we toilet train? What is the best way to encourage a fussy child to eat? How should we protect our children from disease and injury?

Before the nineteenth century, maternal instinct—a mother’s “natural know-how”—was considered the only tool necessary for effective childrearing. Over the past two hundred years, however, science has entered the realm of motherhood in increasingly significant ways.  In Perfect Motherhood, Rima D. Apple shows how the growing belief that mothers need to be savvy about the latest scientific directives has shifted the role of expert away from the mother and toward the professional establishment. Apple, however, argues that most women today are finding ways to negotiate among the abundance of scientific recommendations, their own knowledge, and the reality of their daily lives.

Early twentieth-century Arizona was a life-threatening place for new and expectant mothers. Towns were small and very far apart, and the weather and harsh landscape often delayed midwives. It was not uncommon for a woman to give birth without medical care and with the aid of only family members. By the 1920s, Arizona was at the top of the list for the highest number of infant deaths.

Mary Melcher’s Pregnancy, Motherhood, and Choice in Twentieth-Century Arizona provides a deep and diverse history of the dramatic changes in childbirth, birth control, infant mortality, and abortion over the course of the last century. Using oral histories, memoirs, newspaper accounts, government documents, letters, photos, and biographical collections, this fine-grained study of women’s reproductive health places the voices of real women at the forefront of the narrative, providing a personal view into some of the most intense experiences of their lives.

Tackling difficult issues such as disparities in reproductive health care based on race and class, abortion, and birth control, this book seeks to change the way the world looks at women’s health. An essential read for both historians and public health officials, this book reveals that many of the choices and challenges that women once faced remain even today.