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Book part
Publication date: 7 April 2022

Alexandra Desy and Diana Marre

The European Society of Human Reproduction and Embryology (ESHRE) defines the act of travelling abroad to undergo reproductive medical treatments, including assisted reproduction…

Abstract

The European Society of Human Reproduction and Embryology (ESHRE) defines the act of travelling abroad to undergo reproductive medical treatments, including assisted reproduction technology (ART) treatments as cross-border reproductive care. The experiences of patients seeking affordable reproductive care abroad have been widely studied in the last decades (Bergman, 2011a, 2011b; Blyth, 2010; Bracewell-Milnes et al., 2016; Culley et al., 2011; Guerzoni, 2017; Hudson, 2017, 2020; Hudson & Culley, 2011; Kroløkke, 2014a, 2014b; Rodino, Goedeke, & Nowoweiski, 2014; Salama et al., 2018; Shenfield et al., 2010; Van Hoof, Pennings, & De Sutter, 2016; Whittaker, Inhorn, & Shenfield, 2019; Zanini, 2011). However, French women and couples pursuing ART treatments abroad have received little scholarly attention until now. In this chapter, we aim to address this gap in the literature with the results from an ethnographic study conducted with French women and couples who seek ART treatments in Barcelona (Spain) using data from participant observation and in-depth interviews. We begin by discussing the European reproscape, introducing French and Spanish ART legislation, to explain why a large number of citizens are excluded from the French system of reproductive governance and why they choose Spain as their destination. Then, we will discuss the obstacles faced during the reproductive journey, and the impacts of this journey on the embodiment of the treatments are explored, in order to show how French women and couples handle the physical, emotional and cultural displacements that their reproductive project entails.

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Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

Book part
Publication date: 7 April 2022

Lucia Gentile

This chapter explores the interaction between different kinds of knowledge and representations in the making of the ‘fleshed’ female reproductive body in an Indian city. In…

Abstract

This chapter explores the interaction between different kinds of knowledge and representations in the making of the ‘fleshed’ female reproductive body in an Indian city. In particular, it analyzes how women perceive contraception and how the reproductive governance helped to produce the female sterilization as the most widely used contraceptive method in India. The study is based on the case of the city of Bhuj, in the state of Gujarat (India), where three anthropological fieldworks (15 months) were conducted. Modern contraceptive methods are based on a biomedical representation of the body, drawn from Western categories of knowledge and experience, whereas women live the ‘fleshed’ reproductive body through local categories of substance and fluids. How is this knowledge mobilized and affected in relation to reproductive technologies and the government of reproduction? This question is addressed through the analysis of women's embodied experiences of contraception. The narratives collected show a resistance to biomedicine, considered to be a model that alters the female body and its reproductive capacity. Nevertheless, even when sterilization was considered to be a deliberate act of tampering with the functioning of their bodies, women displayed a pragmatic agency in choosing this method. The experiences of respondents reflected complex negotiations between bodily suffering, socio-economic structures and the microphysics of power surrounding them, rather than a unilateral submission to medical authority and reproductive governance.

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Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

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Book part
Publication date: 7 April 2022

Natalia Fernández-Jimeno

This paper analyzes how an infertile body is shaped by social discourses and reproductive technologies. Reproductive governances are articulated in this context by ideas and…

Abstract

This paper analyzes how an infertile body is shaped by social discourses and reproductive technologies. Reproductive governances are articulated in this context by ideas and social values regarding family and motherhood, the binomial of infertility-TRA, legislation and norms and health professionals' practices. In addition, it shows how diverse infertile bodies experience (and withstand) these reproductive governances. Various sources have been consulted, including newspapers, biographical books, bibliographic sources from specialized literature and interviews carried out by the author.

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Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

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Book part
Publication date: 7 April 2022

Kara E. Miller

This chapter is an ethnographic exploration of birthing and body politics in the United States and Uganda with the placenta as the catalyst for understanding reproductive

Abstract

This chapter is an ethnographic exploration of birthing and body politics in the United States and Uganda with the placenta as the catalyst for understanding reproductive regulation and gendered bodily epistemologies. Based on fieldwork spanning 2009–2017 with rural, traditional midwives in Southern Uganda, merged with recent, anecdotal observations from Los Angeles County and greater California and the United States generally, this work considers cultural terrains of placentas as well as corresponding worldviews and perspectives, ranging from life-generating organ imbued with vast spiritual and physiological significance, to preventative mental health food, to bio-waste that is incinerated or filled with toxic chemicals. The bio-ontologies of placentas are explored herein in terms of toxic contingencies and with regard to the relationship between health and industry.

Toxic entanglements and embodied politics of risk and exposure explored herein point to dehumanizing and ill-fitting regulations that stifle health autonomy and medical sovereignty. Such disempowering governance is compounded by gender and myriad cultural factors. With implications for national and international policies, this work examines my findings that illustrate ways in which flesh, technologies and knowledge intersect in bio-praxes that monitor and manage, rather than support, the reproductive body. This work suggests departure from colonial instability and dispossession by re-scripting medicine in such a way that achieves health justice through bodily knowledge, or enfleshed understandings. Decolonizing the flesh demands ungripping health encounters from praxes of control, in favour of choice and preference. This entails reclaiming physiologies as well as reimagining how medical systems inform core ethos.

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Book part
Publication date: 7 April 2022

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Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

Book part
Publication date: 22 November 2019

Siri Suh

To explore the politics of gender, health, medicine, and citizenship in high-income countries, medical sociologists have focused primarily on the practice of legal abortion. In…

Abstract

To explore the politics of gender, health, medicine, and citizenship in high-income countries, medical sociologists have focused primarily on the practice of legal abortion. In middle- and low-income countries with restrictive abortion laws, however, medical sociologists must examine what happens when women have already experienced spontaneous or induced abortion. Post-abortion care (PAC), a global reproductive health intervention that treats complications of abortion and has been implemented in nearly 50 countries worldwide, offers important theoretical insights into transnational politics of abortion and reproduction in countries with restrictive abortion laws. In this chapter, I draw on my ethnography of Senegal’s PAC program to examine the professional, clinical, and technological politics and practices of obstetric care for abortions that have already occurred. I use the sociological concepts of professional boundary work and boundary objects to demonstrate how Senegalese health professionals have established the political and clinical legitimacy of PAC. I demonstrate the professional precariousness of practicing PAC for physicians, midwives, and nurses. I show how the dual capacity of PAC technologies to terminate pregnancy and treat abortion complications has limited their circulation within the health system, thereby reducing quality of care. Given the contradictory and complex global landscape of twenty-first-century abortion governance, in which pharmaceutical forms of abortion such as Misoprostol are increasingly available in developing countries, and as abortion restrictions are increasingly enforced across the developed world, PAC offers important theoretical opportunities to advance medical sociology research on abortion politics and practices in the global North and South.

Book part
Publication date: 15 September 2022

Rishita Nandagiri

Sterilisation in India (and globally) has a contentious and deeply politicised history. Despite this troubling legacy, India continues to rely on female sterilisation as the main…

Abstract

Sterilisation in India (and globally) has a contentious and deeply politicised history. Despite this troubling legacy, India continues to rely on female sterilisation as the main form of contraception and family planning. Abortion, which has been legal under broad grounds since 1971, intersects with sterilisation at different points over women's reproductive lifecourse. Drawing on three case studies exploring women's abortion trajectories in Karnataka, India (2017), this chapter examines sterilisation as a reproductive technology (RT) in women's abortion narratives. These include experiences of failed sterilisation necessitating abortion, as well as narratives around pre- and post-abortion counselling with sterilisation conditionalities. Women report healthcare workers shaming or scolding them for not being sterilised after their last pregnancy – demonstrating the prominence of sterilisation as an enforced social norm using ‘health’ frames. Using reproductive justice (RJ) as a lens, I analyse how sterilisation interacts with abortion and the narratives of shame and stigma that surround the two technologies and make visible the ways in which it results in the denial and restriction of women's reproductive freedoms.

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Technologies of Reproduction Across the Lifecourse
Type: Book
ISBN: 978-1-80071-733-6

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Book part
Publication date: 7 April 2022

Claudia Mattalucci

Starting from an event occurring in 2018, I consider burials of abortive remains as a battleground for reproductive governances. Public debate on pregnancy loss is often…

Abstract

Starting from an event occurring in 2018, I consider burials of abortive remains as a battleground for reproductive governances. Public debate on pregnancy loss is often intertwined with the abortion debate. In Italy this association caused a considerable delay in implementing practices recommended by international guidelines on pregnancy loss. In this essay, I analyse burial regulations and the ways in which they are enforced asking what is at stake when the State, the regions, the Catholic Church, healthcare and cemetery professionals and women undergoing a termination or a pregnancy loss decide what to do with bodily remains. What is the meaning of these peculiar dead bodies? How are they publicly named? What are the effects of the actions performed on fetal remains over the lived experiences of women and couples with different reproductive histories? Who has the right to make decisions over these peculiar bodies and relationships?

Based on a long-term ethnography on abortion and pregnancy loss in Italy, I explore the inherent complexity of these questions, arguing that burial practices conflict with abortion rights when they signify the body unequivocally, separating it from social and intimate relationships, fixing its identity and determining the conditions for its recognition. Human flesh, sociologically understood (Memmi, 2014), is both material and symbolic: a fluctuating reality that takes on different meanings and affects over time within relationships.

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Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

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Book part
Publication date: 7 April 2022

Corinna Sabrina Guerzoni

Surrogacy is a practice that requires the participation of multiple social actors: sperm and/or egg donors, intended parents (IPs) and gestational carriers (GCs). The data were…

Abstract

Surrogacy is a practice that requires the participation of multiple social actors: sperm and/or egg donors, intended parents (IPs) and gestational carriers (GCs). The data were collected during a research on US surrogacy conducted in Southern California between September 2017 and January 2020. The study involved IPs, GCs and the clinical and hospital staffs of a fertility clinic and six hospitals. In this contribution, I will read surrogacy as a sophisticated interweaving of relationships (Berend, 2016a) that is activated thanks to the support of artificial reproductive technologies (ARTs). I will analyze the surrogacy pregnancy not exclusively as an organic process, but, following Elly Teman (2009) and Zsuzsa Berend (2016a) insights, I will read it as a choral project shaped by all the actors directly or indirectly involved in it. I will show which rituals are practiced during the surrogacy pathway, and in particular, I will pay attention to some specific aspects that are invested by particular meaning such as ultrasounds, rooming-in, breastfeeding and the ‘skin-to-skin’ practice.

Details

Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

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