Romanian IVF: a brief history through the ‘lens’ of labour, migration and global egg donation markets

Nahman, Michal

doi:10.1016/j.rbms.2016.06.001

Cited by 19 publications

(12 citation statements)

References 16 publications

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“…Besides the limited awareness for infertility treatment and STD prevention in Romania, compared to other European Union countries [ 38 , 39 , 40 ] due to economic and political factors, the state funding for ART is lower than the average of the EU. However, a further country-wide investigation is required to determine the real numbers of average completed fertility treatments, childlessness, and singleton Romanian families, as the latest UNICEF report warns about Romania [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment

Margan

Fira-Mladinescu

et al. 2022

IJERPH

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Around 20% of couples worldwide are affected by infertility issues, with numbers in the European Union reaching as high as 25%, while access to reproductive care varies significantly by geopolitical and country-specific variables. The purpose of this research is to shed light on the unique social, psychological, and financial difficulties faced by Romanian couples seeking access to assisted reproductive therapy (ART). A cross-sectional study was conducted between 2017 and 2019 to involve women who accessed ART at fertility clinics in Romania by completing two infertility surveys. We analyzed the data in terms of all facets of infertility and ART, including the effect of personal background and stress levels on succeeding to conceive, the impact of treatment costs, and household income. A total of 829 participants completed the survey. We observed that high stress exposure leads to a substantially higher duration to conceive using ART, although the proportions of successful pregnancies did not differ between low-stress and high-stress groups. A significantly higher number of couples achieved pregnancy when their monthly household income was higher than EUR 1000 and if the ART method was more expensive. Additionally, we observed that advanced age, high stress levels, and the high cost of ART had a negative association with achieving pregnancy using ART. The findings indicated that Romanian couples experiencing infertility must contend with significant expenses for specialist infertility treatments, as well as treatment-related stress, both of which have a detrimental effect on their odds of attaining conception.

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Section: Discussionmentioning

confidence: 99%

Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment

Margan

Fira-Mladinescu

et al. 2022

IJERPH

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“…Unlike the westernised countries in which such genetic investigations are reimbursed through the public health system [ 47 ], for a mid-class country, such as Romania, the costs are quite prohibitive. On the other hand, the field of assisted human reproduction has expanded significantly in Romania in recent years, an IVF national program being developed in this context [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

In Vitro Fertilisation (IVF) Associated with Preimplantation Genetic Testing for Monogenic Diseases (PGT-M) in a Romanian Carrier Couple for Congenital Disorder of Glycosylation Type Ia (CDG-Ia): A Case Report

Doroftei

Nemtanu

Ilie

et al. 2020

Genes

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Background: Congenital disorder of glycosylation (CDG) is a severe morphogenic and metabolic disorder that affects all of the systems of organs and is caused by a mutation of the gene PMM2, having a mortality rate of 20% during the first months of life. Results: Here we report the outcome of an in vitro fertilisation (IVF) cycle associated with preimplantation genetic testing for monogenic diseases (PGT-M) in a Romanian carrier couple for CDG type Ia with distinct mutations of the PMM2 gene. The embryonic biopsy was performed on day five of the blastocyst stage for six embryos. The amplification of the whole genome had been realized by using the PicoPLEX WGA kit. Using the Array Comparative Genomic Hybridisation technique, we detected both euploid and aneuploid embryos. The identification of the PMM2 mutation on exon 5 and exon 6 was performed for the euploid embryos through Sanger Sequencing with specific primers on ABI 3500. Of the six embryos tested, only three were euploid. One had compound heterozygosity and the remaining two were simple heterozygotes. Conclusion: PGT-M should be strongly considered for optimising embryo selection in partners with single-gene mutations in order to prevent transmission to the offspring.

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“…They argue that even though Eastern European oocyte sellers could be seen as typical victims of neoliberalism’s effects after the collapse of the Soviet Union, these women are not merely poor and passive victims who are made bioavailable by neoliberalism and a neoliberalized fertility industry. On the contrary, they portray egg sellers as active and ‘savvy participants in the neoliberal economy’ (Nahman, 2008: 67, 2016).…”

Section: Becoming a Bioavailable Bodymentioning

confidence: 99%

Intimate Lives in the Global Bioeconomy: Reproductive Biographies of Mexican Egg Donors

Perler

Schurr

2020

Body & Society

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Research on cross-border reproductive care has shown how the geographical, historical, economic and political contexts in which egg donation takes place shape this transnational practice. As many women offer their oocytes due to their precarious conditions, they become seen as ‘bioavailable bodies’. The presence of these bioavailable bodies is key to the emergence of global egg donation hotspots. We argue that feminist research needs to go beyond the conceptualization of egg donors as bioavailable bodies. We suggest the analysis of ‘reproductive biographies’ as an innovative way to understand the entanglements of the global bioeconomy with intimate experiences of reproduction. We suggest advancing current feminist discussions around clinical labour by (1) studying the entanglements between the global bioeconomy, a neoliberalized healthcare system, systematic feminicide and women’s reproductive biographies, and by (2) revealing how women’s decision to donate results from gendered dependencies, obligations of care and coercive moments in egg donors’ reproductive biographies.

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Romanian IVF: a brief history through the ‘lens’ of labour, migration and global egg donation markets

Cited by 19 publications

References 16 publications

Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment

Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment

In Vitro Fertilisation (IVF) Associated with Preimplantation Genetic Testing for Monogenic Diseases (PGT-M) in a Romanian Carrier Couple for Congenital Disorder of Glycosylation Type Ia (CDG-Ia): A Case Report

Intimate Lives in the Global Bioeconomy: Reproductive Biographies of Mexican Egg Donors

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