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Is medically assisted fertilization (with the use of in vitro technology) about “reproductive rights” or about white women's privileges? What is “choice” for white and rich women seems to become a further commodification of the body for women of color and economically disadvantaged women.

Several feminists define reproductive rights by demanding social justice and a type of support for the mothers that does not include expensive technologies, which have a problematic outcome, that of generating a divide between women in the north and women in the south of the world. Some authors also talk about a “division of labor” in reproduction.

The first part of my chapter offers an outline of the historical feminist debate over gender and technology, looking at different positions regarding biotechnologies, and reproductive technologies in a specific way. The second part presents an investigation around the (often racialized) international market of eggs and surrogate mothers in the United States, India and Eastern Europe.

The third part consists of an analysis of few recent studies about the health of women who undergo ovarian hyper-stimulation in order to give eggs as “donation” (under payment); women who offer themselves as surrogate mothers and the children who have been conceived with in vitro fertilization, specifically with heterologue forms (egg donation or surrogate motherhood).

Electronic word of mouth (eWOM) is a digital marketing method that has been considered by some companies as an effective and efficient approach to enhance social learning and the environment for the customers. A social media user could benefit from gaining information from other users to aid their decision-making process. Instagram is an example of a social media platform that could be utilized for the application of eWOM. It could serve as a source of quality, credible and detailed information, and a channel to increase customer interactions and trust. This study aims to determine the effects of eWOM information generated through Instagram on patients’ intention to join the in vitro fertilization (IVF) programs. By adopting the information acceptance model (IACM) theory, several parameters were evaluated: information quality, credibility, usefulness, adoption, attitude toward information, and purchase intention. The structural equation modeling (SEM) was used to analyze as many as 200 respondents of Morula IVF Jakarta and were active Instagram users. The results showed that the adoption of information and attitude toward information had considerably influenced patients’ intentions to join the IVF programs. Such circumstances might have occurred as a result of the increase in information exchange about IVF, through the discussions and sharing of experiences by patients on Instagram. Furthermore, information usefulness was demonstrated to affect information adoption and was influenced by the credibility of information and attitudes toward information. Nonetheless, one variable which did not display any effects on the usefulness of information was the quality of information. In summary, the characteristics of eWOM information that were conveyed on Instagram could affect the intention of patients in joining the IVF program.

The purpose of this study was to assess the relationship between quality of life (QOL) and willingness to pay (WTP) for in vitro fertilization (IVF) in patients undergoing treatment for infertility. Adult women (N = 86) in treatment for infertility completed a self-administered mail survey. The Short-Form 36 was used to measure QOL and the contingent valuation method was used to measure WTP. Mean WTP for IVF was $10,277 (SD = $13,210, median $8,000) and mean total QOL was 574.6 (SD = 145.7). There was no significant difference in QOL (p = 0.70) or WTP (p = 0.20) among patients in Stages 1, 2, and 3 of infertility treatment. QOL and WTP were negatively (r = −0.05), but not significantly (p = 0.65) correlated.

This chapter examines how lawmakers had to grapple with whether and how to regulate medically assisted reproduction after the 1988 Baby M court case in the United States propelled surrogate motherhood and related reproductive technologies onto the public policy stage. The chapter compares the public policy approaches of two countries, France and Germany, with the regulatory structures in the United States where the Baby M court case that garnered international attention took place. Specifically, the chapter provides an in-depth examination of the legal and historical contexts of each country's policy approaches in the form of existing national marriage, family, and adoption laws as well as policies regulating human reproduction. Lawmakers' task became even more pressing once citizens began using the court system and traveled abroad to either gain access to proscribed technologies or use them for a lesser fee elsewhere. As a result, Germany developed one of the most restrictive national laws in the world while France established certain legal proscriptions, which are still more far-reaching than the regulatory structures in the United States. Along the way, this developing policy area contributed to the creation of international frameworks governing medically assisted reproduction and the development of national bioethics advisory councils.

Childbearing via in vitro fertilization (IVF) was taboo for a long time in the Philippines despite being available in the Philippines since 1996 and the signing of the Republic Health Law back in 2013 (Dupont, 2013). In this chapter, the author examines how IVF is imagined, presented, and accepted in the Philippine context by looking at selected case studies of Filipino influencers who opted to bear children via IVF. The author explores these through analyses of selected YouTube videos and Facebook posts through the lens of visibility labor which refers to the activities done by influencers to “the work enacted to flexibly demonstrate gradients of self-conspicuousness in digital or physical spaces depending on intention or circumstance for favourable ends” (Abidin, 2016). The author also examines the comments sections of these selected videos and posts through web scraping to get a glimpse of the reception to the journeys and struggles of these public figures. The author argues that through the visibility labor of influencers, the phenomenon of childbearing via IVF is not only promoted as a viable, if not acceptable procreative process, but also perpetuated as an in/accessible procedure in the Philippines.

One in six people globally are affected by infertility, and many turn to fertility treatment in a bid to have a child(ren). While many countries offer work-related legislative protections and provisions for those who are successful in conceiving a child, in the form of maternity and paternity-related supports and protection again discrimination – the same cannot be said for those struggling to conceive. There are similar inequalities when it comes to workplace policy and support. Drawing on data from our two-year research study on “complex fertility journeys” and employment, this chapter sets out the work-life challenges that arise when individuals find themselves navigating the considerable “reproductive work” of fertility treatment alongside the demands of paid employment, and how affected employees respond. It also touches on the challenges experienced by line managers tasked with offering support. The chapter concludes with implications for practice in terms of making organizations more “fertility friendly,” which should extend beyond support for attending fertility treatment appointments to include awareness raising, manager training, and support for the varied outcomes of treatment cycles, including involuntary childlessness.

Although research on reproductive technologies such as IVF and egg freezing has traditionally been rather separated from the work on contraceptives and abortion, analysing reproductive and nonreproductive technologies together, as this volume proposes, can provide the basis for a broader contemporary politics of reproductive control. This chapter analyses this politics of integrating reproductive and nonreproductive technologies by focusing specifically on IVF-based fertility (preservation) treatments and (medical) abortion. More specifically, it explores both technologies' interrelated research trajectories and the financial and platformised dimensions of their clinical implementation. With a dual focus on egg freezing and medical abortion, this project seeks to explore how processes of platformisation and financialisation shape the clinical and commercial infrastructures that govern twenty-first-century reproduction. The chapter's broadened analytic scope that incorporates both reproductive and nonreproductive technologies highlights how a contemporary biopolitics of reproductive control may be expressed through these technologies' interrelated regulatory practices, shared politicised reference points (e.g. the embryo), opposite investment practices and mutually reinforcing social effects.