Ireland has recently been characterised as a country dominated by private patriarchy. One indicator of private patriarchy is the incidence of women engaged in full-time ‘home duties’ rather than in paid employment. The participation of women in the Irish labour force has been comparatively very low because the majority of married women in Ireland are full-time housewives. Persistently high fertility rates—in 1987 the highest in Europe—and a state ideology which enshrined women's position in the home explained this phenomenon in the past. One might have expected industrialisation to have promoted greater change, yet its influence was minimal. Early industrialisation did not create a demand for female labour. In the 1960s export-oriented industrialisation generated a demand for female labour but this was obstructed by patriarchal state policy. In the 1970s, EU membership removed many legislative restrictions on the labour-force participation of married women. However, a patriarchal family based taxation policy and the absence of state supported child care still perpetuate private patriarchy in Ireland.

This article describes the experiences of twelve Irish couples who had successful IVF treatment in Ireland. Irish Medical guidelines specify that IVF may only be used when no other treatment is likely to be effective. This article is based on data drawn from a longitudinal research study by Cotter (2009) which tells the stories of 34 couples who sought fertility treatment. Initially, the women assumed that they would become pregnant when they stopped using contraception. As a couple, it was the 'right time' for them to have a child--they were ready, socially and financially. For several months they were patient, hoping it would happen naturally. With envy and some despair they watched as their friends had babies. Infertility came as a shock to most of them. They were reluctant to talk about it to anyone, and over time their anxieties were accompanied by feelings of regret, stigma and social exclusion. They finally sought medical treatment. The latter involved a series of diagnostic treatments, which eventually culminated in IVF which offered them a final chance of having a 'child of their own'. While IVF can be clinically assessed in terms of cycle success rates, their stories showed treatment as a series of discoveries, as an extensive range of diagnostic tests and procedures helped to reveal to them where their problems might lie. They described their treatments as a series of sequential 'hurdles' that they had to overcome, which further strengthened their resolve to try IVF. Much more knowledgeable at that stage, they embraced IVF as a final challenge with single minded dedication while drawing on all their psychological and biological resources to promote a successful outcome. Of the 34 couples who took part in the study, twelve got pregnant. Unfortunately, two children died shortly after birth but eighteen babies survived (see Table I). The findings suggest that health policy should raise awareness of infertility, and advise women to become aware of it--just as in the past, when health policy addressed contraception. Increased public knowledge would reduce the stigma attached to the inability to have a baby. In the Irish case, infertility diagnosis should be reviewed with a view to giving eligible couples earlier access to IVF.

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