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Although major breakthroughs in reproductive technology have created dramatic opportunities for many people, they are not without problems. More significant than the question of whether the technologies are "good" or "bad," however, is for whom they are good, in what instances, and to whom they should be made accessible. These issues can be debated at multiple levels; from the ethical implications, to the social and psychological consequences for society and for the individual, to the legal and medical outcomes. Each chapter highlights a different array of problems and benefits, while emphasizing four major themes: the impact of technology on women's lives; the role of women; the individual versus society; and the fetus as patient.

This book outlines the history of rickets, a disease commonly associated with childhood, and studies its association with race and its long-reaching effects on childbirth. For centuries, the condition was poorly understood. For females, rickets could pose a double jeopardy: suffering in childhood and severe danger in adulthood when giving birth. The disease could result in a contracted pelvis that obstructs the birth canal. Medical researchers were faced with two distinct challenges: unravelling the etiology of rickets and ensuring the safety of women giving birth--both proved especially difficult. Thought variously to be a disease of industrial cities and children of the poor, grounded in lack of exercise or sunlight, or the of product racial difference, the condition defied analysis until the discovery of vitamin D early in the 20th century. The dangers of rickets radically diminished. Medical intervention in childbirth continued, and childbirth increasingly shifted from the home to the hospital. Medical practitioners justified intervention by emphasizing the dangers of pelvic disproportion, continually enlarging the definition to gain full control of birth. Often conditioned by racial assumptions, surgical experimentation promoted common use of anesthesia and a radical increase in caesarean sections, and birth became a colder, more clinical experience.

The author presents the case of surgeon Dr. Mary Dixon-Jones, who in 1889 Boston was the subject in two court cases -- one for manslaughter and the other for libel -- which became a 19th century sensation.