This groundbreaking volume is the first to highlight the ways in which diverse ethnic, cultural and religious identies affect understanding of technological solutions for infertility and associated treatment experiences. The collection begins with a consideration of some of the key methodological challenges for social research on ethnicity and infertility. The book introduces and examines concepts of infertility such as the bio-medical definition and discusses the companion concept of ethnicity, analyzing the shortcomings of simple assessments of ethnicity common in the health literature. It also discusses the relationship between the ethnic identity of both researcher and the researched and outlines some of the major issues, which can arise in engaging minority ethnic populations in research studies on sensitive topics.
Winner, 2020 Senior Book Prize, given by the Association of Feminist Anthropology Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology Honorable Mention, 2020 Victor Turner Prize in Ethnographic Writing, given by the Society for Humanistic Anthropology Finalist, 2020 PROSE Award in the Sociology, Anthropology and Criminology category, given by the Association of American Publishers A troubling study of the role that medical racism plays in the lives of Black women who have given birth to premature and low birth weight infants Black women have higher rates of premature birth than other women in America. This cannot be simply explained by economic factors, with poorer women lacking resources or access to care. Even professional, middle-class Black women are at a much higher risk of premature birth than low-income white women in the United States. Dána-Ain Davis looks into this phenomenon, placing racial differences in birth outcomes into a historical context, revealing that ideas about reproduction and race today have been influenced by the legacy of ideas which developed during the era of slavery. While poor and low-income Black women are often the “mascots” of premature birth outcomes, this book focuses on professional Black women, who are just as likely to give birth prematurely. Drawing on an impressive array of interviews with nearly fifty mothers, fathers, neonatologists, nurses, midwives, and reproductive justice advocates, Dána-Ain Davis argues that events leading up to an infant’s arrival in a neonatal intensive care unit (NICU), and the parents’ experiences while they are in the NICU, reveal subtle but pernicious forms of racism that confound the perceived class dynamics that are frequently understood to be a central factor of premature birth. The book argues not only that medical racism persists and must be considered when examining adverse outcomes—as well as upsetting experiences for parents—but also that NICUs and life-saving technologies should not be the only strategies for improving the outcomes for Black pregnant women and their babies. Davis makes the case for other avenues, such as community-based birthing projects, doulas, and midwives, that support women during pregnancy and labor are just as important and effective in avoiding premature births and mortality.
Controlling reproduction – who has children, how many, and when – is important to states, communities, families, and individuals across the globe. However, the stakes are even higher than might at first be appreciated: control over reproduction is an incredibly powerful tool. Contests over reproduction necessarily involve control over women and their bodies. Yet because reproduction is so intertwined with other social processes and institutions, controlling it also extends far into most corners of social, economic, and political life. Nancy Riley and Nilanjana Chatterjee explore how various social institutions beyond the individual – including state, religion, market, and family – are involved in the negotiation of reproductive power. They draw on examples from across the world, such as direct fertility policies in China and Romania, the influence of the Catholic Church in Poland and Brazil, racial discrimination and resistance in Mexico and the US, and how Japan and Norway use laws intended to encourage gender equality to indirectly shape reproduction. This engaging book sheds new light on the operations of power and gender in society. It will appeal to students taking courses on reproduction in departments of sociology, anthropology, and gender studies.
Assisted reproduction challenges and reinforces traditional understandings of family, kinship and identity. Sperm, egg and embryo donation and surrogacy raise questions about relatedness for parents, children and others involved in creating and raising a child. How socially, morally or psychologically significant is a genetic link between a donor-conceived child and their donor? What should children born through assisted reproduction be told about their origins? Does it matter if a parent is genetically unrelated to their child? How do experiences differ for men and women using collaborative reproduction in heterosexual or same-sex couples, single parent families or co-parenting arrangements? What impact does the wider cultural, socio-legal and regulatory context have? In this multidisciplinary book, an international team of academics and clinicians bring together new empirical research and social science, legal and bioethical perspectives to explore the key issue of relatedness in assisted reproduction.
This book combines empirical research with commentary on ethics, policy and legislation, raising provocative questions about reproductive donation and surrogacy.
The world has undergone a revolution in assisted reproduction, as processes such as in vitro fertilization, embryonic screening, and surrogacy have become commonplace. Yet when governments attempt to regulate this field, they have not always been successful. Canada is a case in point: six years after the federal government created comprehensive legislation, the Supreme Court of Canada struck it down for violating provincial authority over health. In Assisted Reproduction Policy in Canada, Dave Snow provides the first historical exploration of Canadian assisted reproduction policy, from the 1989 creation of the Royal Commission on New Reproductive Technologies to the present day. Snow argues the federal government’s policy failure can be traced to its contradictory "policy framing," which sent mixed messages about the purposes of the legislation. In light of the federal government’s diminished role, Snow examines how other institutions have made policy in this emerging field. Snow finds provincial governments, medical organizations, and even courts have engaged in considerable policymaking, particularly with respect to surrogacy, parentage, and clinical intervention. The result—a complex field of overlapping and often conflicting policies—paints a fascinating portrait of different political actors and institutions working together. Accessibly written yet comprehensive in scope, Assisted Reproduction Policy in Canada highlights how paying attention to multiple policymakers can improve our knowledge of health care regulation.
In this book, leading academics and practitioners in the field of reproductive health address topics such as contraception, abortion, sexually transmitted infections, maternal and prenatal health, sexuality and reproductive rights by examining a number of critical issues in these areas. The authors describe new research, identify gaps and priorities in policy and practice, and illustrate innovative solutions. The book further addresses such current imperatives as understanding the social meanings of emergency contraception, measuring gender-based violence, improving reproductive health governance, strengthening health systems and services, and redressing institutional barriers. The book also assesses how reproductive health programs can be reconfigured to new challenges such as those posed by climate change, vulnerable youth in fragile states, and risks from new infertility treatments. Using a rich and varied set of cases, a broad public health and social science perspective, and novel methodological approaches, this book questions common assumptions, illustrates effective solutions and sets out research, policy, and programmatic agendas for the present and future. This is a comprehensive volume which provides a valuable resource to researchers, educators, practitioners, policymakers and students, as well as anyone studying or advocating for reproductive health.
This book presents an ethnographic study on gestational surrogacy in India. It frames the ethnography of the surrogacy clinic in conversation with concerns raised in the arenas of law, policy, medical ethics, and global structural inequality about the ethics of transnational assisted reproductive technology (ART) practices. Engaging ethical discourses that both advocate for and trouble the subject of reproductive rights that remains of interest in feminist studies, the volume takes up the work of critical feminist, anthropological and science studies scholarship in India, the United States, and Europe concerned with reproductive technologies. Based on fieldwork and archival sources, the volume will be of great interest to scholars and researchers of ethnography, gender, social and public policy, South Asian studies, and global public health, especially reproductive health.
Intimate and medicalized, natural and technological, reproduction poses some of the most challenging ethical dilemmas of our time. This volume brings together scholars from multiple perspectives to address both traditional and novel questions about the rights and responsibilities of human reproducers, their caregivers, and the societies in which they live.
Reproducing Race, an ethnography of pregnancy and birth at a large New York City public hospital, explores the role of race in the medical setting. Khiara M. Bridges investigates how race—commonly seen as biological in the medical world—is socially constructed among women dependent on the public healthcare system for prenatal care and childbirth. Bridges argues that race carries powerful material consequences for these women even when it is not explicitly named, showing how they are marginalized by the practices and assumptions of the clinic staff. Deftly weaving ethnographic evidence into broader discussions of Medicaid and racial disparities in infant and maternal mortality, Bridges shines new light on the politics of healthcare for the poor, demonstrating how the "medicalization" of social problems reproduces racial stereotypes and governs the bodies of poor women of color.
