“Abortions were our birth control,” an anonymous actress once said about the common procedure’s place in Hollywood from the 1920s through the 1950s. While patriarchal political powers connive to block women’s legal access to abortion in 21st century America, in Old Hollywood, abortions were far more standard and far more accessible than they often are today—more like aspirin, or appendectomies. How and why did a procedure that was taboo and illegal at the time become so ordinary—at least, among a certain set?

Much like today, in Old Hollywood, the decisions being made about women’s bodies were made in the interests of men—the powerful heads of motion pictures studios MGM, Paramount Pictures, Warner Bros., and RKO. As Aubrey Malone writes in Hollywood's Second Sex: The Treatment of Women in the Film Industry, 1900-1999, “If you want to play in this business, you play like a man or you’re out. And if you happen to be a woman, better not mention it to anybody.”

From the very infancy of America’s film industry, abortions were necessary body maintenance for women in the spotlight. Birth control, including prophylactics, were about as new as “stars” themselves—movie performers who went overnight from being “Little Mary” or “The Vitagraph Girl” to “America’s Sweetheart” or “Sex Goddess.”

“These newly wealthy men and women didn’t know how to control their money, their bodies, or their lives, spending, cavorting, and reveling in excess,” writes Anne Helen Petersen in Scandals of Classic Hollywood. In the working environment of the Hollywood studio system, society’s 19th-century sexual segregation had fallen away. Women—flappers, It girls, sirens and seductresses—were spared their destiny in the kitchen, and for the first time, they earned large incomes they could spend on whatever and whomever they wished. Many believed the publicity they read about their own erotic powers, and they went toe-to-toe professionally with men. Sparks were bound to fly.

And so it became necessary for the studios to implement reformatory measures to prevent stars from destroying their value through scandal. In 1922, Will H. Hays Hays collaborated with studios to introduce mandatory “morality clauses” into stars’ contracts. Consequently an unintended pregnancy would not only bring shame to these top box-office earners—it would violate studio policy. “[I]t was a common assumption that glamorous stars would not be popular if they had children,” writes Cari Beauchamp in her book on powerful women in Old Hollywood, Without Lying Down.

These clauses may have extended to an actress’s right to marry. According to Petersen, rumor had it that “Blonde Bombshell” Jean Harlow couldn’t wed William Powell because “MGM had written a clause into her contract forbidding her to marry”—a wife couldn’t be a “bombshell,” after all. When Harlow became pregnant from the affair, she called MGM head of publicity Howard Strickling in a panic. Shortly thereafter, according to E.J. Fleming in The Fixers: Eddie Mannix, Howard Strickling and the MGM Publicity Machine, “Mrs. Jean Carpenter” entered Good Shepherd Hospital “to get some rest.” She was seen only by her private doctors and nurses in room 826, the same room she had occupied the year before for an “appendectomy.”

In the 1930s, vamp and man-eating thespian Tallulah Bankhead got “abortions like other women got permanent waves,” biographer Lee Israel quips in Miss Tallulah Bankhead. When virtuous singing sensation Jeanette McDonald found herself pregnant in 1935, MGM studio boss Louis B. Mayer told Strickling to “get rid of the problem.” McDonald soon checked into a hospital with an “ear infection,” according to Fleming’s The Fixers.

Many of these Silent Sex Goddesses either fell victim to their own hedonism, fell out of favor, or burned out, such as Theda Bara and Clara Bow. Others, like Joan Crawford, kept going. Kenneth Anger writes that Crawford was a “gutsy jazz baby” who marched through the “twin holocaust of the Talkies/Crash unscathed” to escape her dirt-poor origins. “Joan knew where she came from,” he continues, “and did not want to go back there.”