Instead of twisty trapdoor vaginas, we now have the Pill and the diaphragm. Instead of the Bruce effect, we have methotrexate and misoprostol. Instead of waiting for a less dangerous birth canal to evolve, we have midwives who help our newborns squeeze through the gauntlet and the miracle of modern C-sections.[*37] When, in other species, physiological evolution would have created a newly evolved feature to enable female reproductive choice, hominins used behavioral innovations instead—some of them social and others involving new tools and pharmaceuticals. That control we have over the most
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