She goes through the vale of death alone, each time a babe is born. As it is the right neither of man nor the state to coerce her into this ordeal, so it is her right to decide whether she will endure it. That right to decide imposes upon her the duty of clearing the way to knowledge by which she may make and carry out the decision. Birth control is woman's problem. The quicker she accepts it as hers and hers alone, the quicker will society respect motherhood. The quicker, too, will the world be made a fit place for her children to live. CHAPTER IX CONTINENCE--IS IT PRACTICABLE OR DESIRABLE? Thousands of well-intentioned people who agree that there are times and conditions under which it is woman's highest duty to avoid having children advocate continence as the one permissible means of birth control. Few of these people agree with one another, however, as to what continence is. Some have in mind absolute continence. Others urge continence for periods varying from a few weeks to many years. Still others are thinking of Karezza, or male continence, as it is sometimes called. The majority of physicians and sex psychologists hold that the practice of absolute continence is, for the greater part of the human race, an absurdity. Were such continence to be practiced, there is no doubt that it would be a most effective check upon the birth rate. It is seldom practiced, however, and when adhered to under compulsion the usual result is injury to the nervous system and to the general health. Among healthy persons, this method is practicable only with those who have a degree of mentally controlled development as yet neither often experienced nor even imagined by the mass of humanity. Absolute continence was the ideal of the early Christian church for all of its communicants, as shall be seen in another chapter. We shall also see how the church abandoned this standard and now confines the doctrine of celibacy to the unmarried, to the priesthood and the nuns. Celibacy has been practiced in all ages by a few artists, propagandists and revolutionists in order that their minds may be single to the work which has claimed their lives and all the forces of their beings may be bent in one direction. Sometimes, too, such persons have remained celibate to avoid the burden of caring for a family. The Rev. Dr. Thomas Robert Malthus, who in 1798 issued the first of those works which exemplified what is called the Malthusian doctrine, also advocated celibacy or absolute continence until middle age. Malthus propounded the now widely recognized principle that population tends to increase faster than the food supply and that unlimited reproduction brings poverty and many other evils upon a nation. His theological training naturally inclined him to favor continence--not so much from its practicability, perhaps, as because he believed that it was the only possible method.