To honor the 40th anniversary of the International Planned Parenthood Federation, journalist Perdita Huston travelled the world to gather this remarkable collection of oral histories of and about the often unknown leaders of a worldwide movement to bring women their reproductive rights. Drawing on personal interviews, Huston delineates the motivations, strategies, and heartaches of twelve pioneers-eight women, four men-both from the developing world, before and after colonial rule, and from industrialized countries, who braved scorn and abuse to raise the issues of family planning, contraception, and sex education, and to fight for improved healthcare for women. These moving testimonies reflect the personalleadership style of each pioneer from Dr. Evangelina Rodriquez, the first woman doctor in the Dominican Republic, who defied church policies and the corrupt dictator Trujillo to promote family planning and fight the spread of venereak disease, to Miyoski Ohba who contended with innumerable taboos in postwar Japan to introduce poor villagers to the use of condoms, to Elsie Ottsen-Jensen, born in 1886 to a poor Norwegian family of 17 children, who became acutely aware of the high rate of maternal mortality throughout turn-of-the-century Scandinavia and went on to found the Swedish Association of Sex Educators in 1933. Motherhood by Choice stands as a significant historical document tracing the development of public health services, sex education, and contraceptive services that will inspire and inform all who are concerned about women's health and reproductive rights.