A History of Family Planning in Twentieth-Century Peru, by Raul Necochea Lopez. Chapel Hill, University of North Carolina Press, 2014. 256 pp. $32.95 US (paper). In this well-researched and smartly-organized book, Raul Necochea Lopez expands and complicates the historical narrative about reproduction, contraception, fertility, society, and the state in modern Peru. Necochea is particularly interested in exploring the shifting constellation of actors and organizations that promoted, suppressed, and interacted with family planning during a long period marked by urbanization, civil war, political upheaval, and advances in reproductive medicine and technologies. Moving chronologically, the book's seven substantive chapters follow the variegated development of family planning from the beginnings of academic medicine in the nineteenth century to the formulation of population policies after World War II. Although Necochea does not offer an in-depth assessment of the extensive sterilization campaign carried out in the 1990s, which involved tens of thousands of tubal ligations performed on Indigenous women, he does provide a compelling historical context for understanding how such a social program could have emerged in Peru under the neoliberal regime of Alberto Fujimori (president, 1990-2000). This book explodes several pieces of conventional wisdom that frequently undergird studies of reproduction and fertility in Latin America. First, Necochea demonstrates that abortion, while illegal, was not heavily criminalized for the first two-thirds of the twentieth century in Peru. For many decades, with high rates of maternal and infant mortality, other common forms of pregnancy loss easily could overshadow abortion. At the same time, many leading physicians sympathized with the economic and social conditions that prompted women to seek therapeutic abortions. Indeed, by examining criminal cases from Lima involving abortion or suspicious miscarriages between the early 1960s and late 1970s, Necochea reveals that a drastic rise of police investigations of such cases did not start until around 1973. This chapter is doubly impressive, because of Necochea's multi-layered archival research (medical records, legal documents, and a range of primary sources) and his careful discussion about the need to analyze abortion in Peru in its unique social, political, and medical milieu. This caveat is particularly important for Anglophone and American readers accustomed to thinking about abortion as a stand-alone contested and stigmatized practice throughout the twentieth century. Second, one of Necochea's most fascinating chapters explores the seemingly unexpected programs run by the Catholic Church, which offered birth control pills alongside health exams, sexual education, and parenting classes. Rather than reject birth control as unnatural, after WWII some Catholic leaders in Peru promoted the use of oral contraceptives, viewing them as compatible with the responsible regulation of fertility. …
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