During the early twentieth century, the rate of unwanted childbirth was very high. Women in poor neighborhoods lived their lives in an almost constant state of pregnancy. Margaret Sanger recognized the need for women to be able to control their childbearing. She believed that unintentional childbearing caused many problems. She felt it led to poverty, abuse, crime, alcoholism, and joblessness. She saw the effect it had on the women?s emotional states and decided to make a difference. She provided women with the means and the knowledge to control their offspring. She gave them hope.