Cross-border reproductive care in North America: a pilot study testing a prospective data collection program for in vitro fertilization clinics in Canada and the United States

Hughes, Edward G.; Sawyer, Angie; DeJean, Deirdre; Adamson, G. David

doi:10.1016/j.fertnstert.2015.11.048

Cited by 17 publications

(9 citation statements)

References 48 publications

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“…Overall, political science has comparatively less representation in the literature than other individual social science disciplines. Additionally, our search for datasets yielded very little, confirming an ongoing issue of a shortage of CBRC data previously documented by other scholars (Hughes & DeJean, ; Hughes, Sawyer, DeJean, & Adamson, ; Ireni‐Saban, ; Whittaker, ). Finally, our review of the existing literature led us to note that, despite the preference of professional health organizations (i.e., CDC, ESHRE) to use “cross‐border reproductive care” as their preferred terminology, academic literature tends to favor “reproductive tourism,” with “reproductive tourism” found in 70 percent of the search results compared to “cross‐border reproductive care” appearing in only 24 percent of the references.…”

Section: The State Of Political Science Research On Cbrcsupporting

confidence: 82%

“…However the researchers only contacted 34 Canadian clinics, making the data collected limited for Canada as well. Further attempts to collect data from Canadian and American clinics also resulted in little data collected, with both a low initial response rate to contact from the researchers, and only one clinic providing any follow-up data for analysis (Hughes et al, 2015). Neither North American nor European clinics are required by any agency to collect and share data on cross-border reproductive services, which consequently ensures a lack of available data for analysis.…”

Section: Dataset Searchmentioning

confidence: 99%

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Cross‐Border Reproductive Care: Two Lenses in Political Science

Stapleton¹,

Skinner²

2018

World Med & Health Policy

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Cross‐border reproductive care (CBRC)—when patients travel outside their country to seek assisted reproductive services—is a booming industry. Globalization facilitates the increase in CBRC by reducing transportation costs, removing language barriers, and liberalizing the reproductive services market. Yet global and domestic regulatory responses are failing to keep pace, raising ethical, economic, political, and social issues. Political science has been slow to contribute to our understanding of CBRC politics and policies. This article first establishes the gap in existing CBRC research, before presenting how political scientists can respond in two specific areas: 1) the role of globalization health governance in relation to CBRC and 2) the political implications and potentials of “medical necessity” in shaping patient motivations for seeking—as well as their ultimate access to—CBRC. New research in these areas will aid policymakers in recognizing the context in which they must develop CBRC regulations.

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Section: The State Of Political Science Research On Cbrcsupporting

confidence: 82%

Section: Dataset Searchmentioning

confidence: 99%

Cross‐Border Reproductive Care: Two Lenses in Political Science

Stapleton¹,

Skinner²

2018

World Med & Health Policy

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“…Therefore, oocyte donation services often are provided to cross-border patients. Other factors associated with crossborder care include single person treatment, nontraditional family treatment, PGT, surrogacy, compensation for third party reproduction, legal issues, financial issues, and perceived quality of care (27,28). The ICMART continues to promote the importance of obtaining and reporting data on cross-border reproductive care.…”

Section: Art Practicementioning

confidence: 99%

International Committee for Monitoring Assisted Reproductive Technology: world report on assisted reproductive technology, 2011

Adamson

Mouzon²,

Chambers

et al. 2018

Fertility and Sterility

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313

197

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Objective: To report the utilization, effectiveness, and safety of practices in assisted reproductive technology (ART) globally in 2011 and assess global trends over time. Design: Retrospective, cross-sectional survey on the utilization, effectiveness, and safety of ART procedures performed globally during 2011. Setting: Sixty-five countries and 2,560 ART clinics. Patient(s): Women and men undergoing ART procedures. Intervention(s): All ART. Main Outcome Measure(s): The ART cycles and outcomes on country-by-country, regional, and global levels. Aggregate country data were processed and analyzed based on methods developed by the International Committee for Monitoring Assisted Reproductive Technology (ICMART). Result(s): A total of 1,115,272 ART cycles were reported for the treatment year 2011. Imputing data for nonreporting clinics, 1,643,912 cycles resulted in >394,662 babies, excluding People's Republic of China. The best estimate of global utilization including People's Republic of China is approximately 2.0 million cycles and 0.5 million babies. From 2010 to 2011, the number of reported aspiration and frozen ET cycles increased 13.1% and 13.8%, respectively. The proportion of women aged R40 years undergoing nondonor ART increased from 23.2% in 2010 to 24.0% in 2011. As a percentage of nondonor aspiration cycles, intracytoplasmic sperm injection (ICSI) decreased slightly from 67.4% in 2010 to 66.5% in 2011. The IVF/ICSI combined delivery rates per fresh aspiration and frozen ET cycles were 19.8% and 21.4%, respectively. In fresh nondonor cycles, single ET increased from 30.0% in 2010 to 31.4% in 2011, whereas the average number of transferred embryos decreased from 1.95 in 2010 to 1.91 in 2011-again with wide country variation. The rates of twin deliveries after fresh nondonor transfers decreased from 20.4% in 2010 to 19.6% in 2011; the triplet rate decreased from 1.1%-0.9%. In frozen ET cycles performed in 2011, single ET was 51.6%, with an average of 1.59 embryos transferred and twin and triplet rates were 11.1% and 0.4%, respectively. The cumulative delivery rate per aspiration increased from 27.1% in 2010 to 28.0% in 2011. Fresh IVF/ICSI carried a perinatal mortality rate per 1,000 births of 21.0 in 2010 and 16.3 in 2011. This compared with a perinatal

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“…Based on a survey of 1230 patients, the study estimated a minimum of 24,000–30,000 cross-border cycles in Europe each year, involving between 11,000 and 14,000 patients. In another major study from North America, it was estimated that approximately 4% of patients treated with IVF in the USA were from other countries ( Hughes et al, 2016 ; Hughes and DeJean, 2010 ), and that 6% of Canadian IVF patients left their country for treatment, including to the USA, mostly for donor oocytes (80%). A recent detailed analysis of the extent and scope of reproductive travel to the USA shows a doubling of incoming patients over the 7-year reporting period from 2006 to 2013 ( Levine et al, 2017 ).…”

Section: Transnational Questsmentioning

confidence: 99%

Where has the quest for conception taken us? Lessons from anthropology and sociology

Inhorn¹

2020

Reproductive Biomedicine & Society Online

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Louise Brown, the world's first test-tube baby, was born more than 40 years ago in England. For Louise Brown's infertile mother, Lesley, in-vitro fertilization (IVF) was the 'hope technology' which allowed her to overcome her tubal infertility after 9 years of heartbreaking involuntary childlessness. Since then, IVF has travelled to diverse global locations, where millions of individuals and couples have embarked on technologically assisted 'quests for conception'. After 40 years of IVF, where has the quest for conception taken us? This article outlines seven major global trajectoriesnamely, that the quest for conception has become more: (i) technological, because of a profusion of IVF-based innovations; (ii) masculine, because of men's eager uptake of intracytoplasmic sperm injection, their own 'masculine hope technology'; (iii) stratified, due to persistent race-and class-based barriers in IVF access; (iv) transnational, as infertile and other involuntarily childless people search across borders to overcome restrictions in their home countries; (v) selective, as IVF-based reprogenetic technologies eliminate genetic disease while exacerbating sex selection; (vi) moral, as religious sensibilities both accommodate and curtail the possibilities and outcomes of assisted reproductive technology (ART); and (vii) extended, as new cryopreservation technologies prolong the reproductive lifespan and extend reproduction to the transgender community. The article concludes with thoughts on where future quests for conception might take us, and why IVF and other reproductive technologies are 'good to think with' in both the anthropology and sociology of reproduction.

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Cross-border reproductive care in North America: a pilot study testing a prospective data collection program for in vitro fertilization clinics in Canada and the United States

Cited by 17 publications

References 48 publications

Cross‐Border Reproductive Care: Two Lenses in Political Science

Cross‐Border Reproductive Care: Two Lenses in Political Science

International Committee for Monitoring Assisted Reproductive Technology: world report on assisted reproductive technology, 2011

Where has the quest for conception taken us? Lessons from anthropology and sociology

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