Globalised quests for assisted conception: Reproductive travel for infertility and involuntary childlessness

The global movement of people across international borders to undergo assisted reproductive treatment is common, although there is little accurate data. In this article, we synthesise findings from our own empirical research on reproductive travel in addition to a review of clinical, ethical, legal,...

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Vydáno v:	Global public health Ročník 14; číslo 12; s. 1669 - 1688
Hlavní autoři:	Whittaker, Andrea, Inhorn, Marcia C., Shenfield, Francoise
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England Taylor & Francis 02.12.2019 Taylor & Francis Ltd
Témata:	Ambiguity assisted reproductive technologies Borders Capitalism Childlessness Children cross border reproductive care Decision making Destinations Embryos Ethics Exploitation Female Gametocytes Global economy globalisation Globalization Humans Inequality Infertility International trade Internationality Involuntary Legal issues Legal status Medical Tourism Mothers Older women Oocytes Power Preferences Pregnancy Religion Reproductive Techniques, Assisted Reproductive travel Research methodology Safety Safety regulations Scholarship Social power Surrogate mothers Travel cross border reproductive care Reproductive travel infertility globalisation assisted reproductive technologies
ISSN:	1744-1692, 1744-1706, 1744-1706
On-line přístup:	Získat plný text
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Shrnutí:	The global movement of people across international borders to undergo assisted reproductive treatment is common, although there is little accurate data. In this article, we synthesise findings from our own empirical research on reproductive travel in addition to a review of clinical, ethical, legal, and regulatory complexities from studies on reproductive travel since 2010. Motivations for travel include legal and religious prohibitions; resource considerations; lack of access to gametes and reproductive assistors; quality and safety concerns; and personal preferences. Higher risks to mothers and children are associated with multiple embryo transfer and subsequent multiple and higher order pregnancies and the average older age of women undertaking reproductive travel. The potential exploitation of other women as providers of oocytes or surrogacy services, the lack of equity in access to assisted reproduction and the ambiguous legal status of children conceived from international reproductive travel are important ethical considerations. A range of significant legal issues remain given variable and limited international regulation. Scholarship on this trade necessarily engages with issues of power and gender, social inequities, global capitalism and the private decision-making of individuals seeking to form families. Research gaps remain given recent changes in the organisation, demands and destinations of the trade.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4
ISSN:	1744-1692 1744-1706 1744-1706
DOI:	10.1080/17441692.2019.1627479