"Many slave owners looked at black women’s bodies as a source of free labor and often forced relationships or raped enslaved women to produce more children. Generally, enslaved women who bore children were considered more valuable than those who didn’t. At the same time, the backbreaking work expected of the women, the lack of medical care and healthy food, and abusive treatment often resulted in miscarriages, premature births, and stillbirths. Those losses led some southern whites to conclude that enslaved women knew secret ways to manage their fertility. Though the practice probably wasn’t as common as was assumed, some black women did use remedies such as cotton root or looked to a black midwife to end their pregnancies. In doing so, they were asserting some control over their own bodies-and perhaps hoping to avoid the heartbreak of having a child born into slavery or sold away from the family. But the birth rate for black women didn’t notably decline until after the end of the Civil War."