The Changing Role of Women: The Contraceptive Pill (DP IB History: HL): Revision Note

Natalie Foad

Written by: Natalie Foad

Reviewed by: Bridgette Barrett

Updated on

Summary

  • The introduction of the contraceptive pill in 1960 was a significant factor in the emergence of second-wave feminism in the United States

  • It gave women greater control over reproduction, allowing them to plan if and when to have children

  • By 1970, around 10 million American women were using the pill, showing its widespread impact

  • The pill contributed to wider social changes, including increased participation in education and employment

  • By separating sex from reproduction, the pill challenged traditional gender roles and expectations of women as primarily wives and mothers

  • Although not the sole cause of feminism, it acted as an important catalyst by increasing women’s independence and exposing inequalities

How did the contraceptive pill increase women’s independence?

  • The contraceptive pill allowed women to take control over reproduction, allowing them to prevent pregnancy reliably and independently

    • This reduced the risk of unplanned pregnancies, which had previously limited women’s life choices

  • By 1965, around 6.5 million American women were using the pill, rising to about 10 million by 1970

    • This allowed women to postpone marriage and motherhood and to focus on their career goals and education

  • University enrollment among women increased during the 1960s. By 1970, women made up approximately 40–42% of all college students in the United States

    • This created a more skilled and ambitious female population, with these women calling for more equality between the sexes

How did this independence affect society?

  • The pill also contributed to the sexual revolution of the 1960s

    • It encouraged more liberal attitudes towards female sexuality and relationships

  • Traditional ideas about women’s roles within the family began to weaken

    • Women increasingly rejected the expectation that they should be full-time homemakers

  • As women entered education and employment, they became more aware of discrimination and experienced inequalities in pay, promotion, and treatment in the workplace

How did this lead to the feminist movement?

  • The contraceptive pill played a key role in enabling feminist activism by increasing women’s independence and opportunities

  • Greater participation in education and employment exposed systemic inequalities

    • Women developed a shared awareness of discrimination, helping to form a collective identity

  • Feminists began to campaign for equal pay, workplace rights, and reproductive freedom

    • Activism included protests, legal challenges, and the formation of organisations such as the National Organisation for Women in 1966

  • Key legal developments included:

    • The 1965 Griswold v. Connecticut case

      • This legalised contraception for married couples

    • The 1972 Eisenstadt v. Baird case

      • Extended contraceptive access to unmarried women

Historiography
Elaine Tyler May
Homeward Bound: American Families in the Cold War Era (1988)
May argues that post-war domestic ideology restricted women, but technological changes like the contraceptive pill helped undermine this system.

Limitations and barriers

Restricted access

  • The pill was not accessible to all women, particularly in the early 1960s

    • Unmarried women often faced legal and social barriers to obtaining it

    • In practice, many doctors refused to prescribe the pill to young or unmarried women due to social stigma

  • Access to contraception was also unequal across race and class

    • Poorer women and African American women faced greater barriers

Health risks

  • Early versions of the pill contained high hormone doses

    • This increased the risk of serious side effects such as blood clots and strokes

  • Concerns about safety were raised during the 1970 Nelson Pill Hearings

    • During the hearings, it was revealed that women had not been fully informed of the risks

  • The development and regulation of the pill were dominated by male doctors and scientists, limiting women’s control over decisions about their own bodies

    • This led to criticism from feminists and increased demands for informed consent and patient rights

Case Study

Nelson Pill Hearings

Key details:

  • Held in 1970, led by Gaylord Nelson

  • Investigated safety of the contraceptive pill (high hormone doses, health risks)

  • Women protested exclusion (all-male panel of doctors)

Significance:

  • Introduced patient information leaflets

  • Increased awareness of women’s health rights

  • Strengthened the women’s liberation movement

Inequality persisted

  • Despite increased freedom, many women were still expected to prioritise marriage and family

  • Traditional gender norms remained strong in many parts of society

  • Women continued to face discrimination in employment and education

  • The pill alone did not eliminate structural inequalities

Worked Example

For this topic, it is easy to get sidetracked from the main argument!

Don't just say 'it gave women freedom', instead say 'It allowed women to delay childbirth, enabling greater participation in higher education and the workforce.'

Remember: The contraceptive pill can be used as a social and economic cause and is stronger when combined with:

  • changing attitudes

  • activism

  • legal inequality

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Natalie Foad

Author: Natalie Foad

Expertise: History Content Creator

Natalie is a History Content Creator at Save My Exams with over 10 years of teaching experience across KS3–KS5 in the UK and international schools. She has extensive expertise in IB and IGCSE/GCSE History, having taught multiple exam boards including Cambridge, Edexcel, and AQA, and previously worked as an AQA GCSE examiner. Natalie specialises in developing students’ analytical writing, exam technique, and source analysis skills, supported by her background in curriculum design and assessment.

Bridgette Barrett

Reviewer: Bridgette Barrett

Expertise: Development Editor

After graduating with a degree in Geography, Bridgette completed a PGCE over 30 years ago. She later gained an MA Learning, Technology and Education from the University of Nottingham focussing on online learning. At a time when the study of geography has never been more important, Bridgette is passionate about creating content which supports students in achieving their potential in geography and builds their confidence.