Tag: reproduction

Criminality, Risk, and Labor: Altruistic Surrogacy in Contemporary India

Surrogacy is a form of assisted reproduction in which the gestational labor of birthing a child is carried out by someone other than the intending parent/s. Surrogacy in India has gained a great deal of popularity over the last three decades, emerging as a major transnational commercial hub. Generating close to $2.3 billion in annual revenue (Rudrappa 2015), the industry was largely unregulated, until recently. In December 2021, the Indian state passed the Surrogacy (Regulation) Act, criminalizing commercial surrogacy and permitting only altruistic surrogacy for select clients. The Act bans the “commercialization of surrogacy services,” outlawing any possible compensation for surrogate workers, whether it is “payment, reward, benefit, fees, remuneration, or monetary incentive in cash or kind” (Government of India 2021, 2). In effect, surrogacy is legally permitted only if it is “altruistic,” with heavy punitive measures in place for commercial surrogacy. By “altruistic” surrogacy, the state means an unpaid surrogacy arrangement that is borne out of the good will and selflessness of the surrogate worker, upon whose body the biomedically intensive, complicated, and risky process of surrogacy is carried out. It is important to note that surrogacy arrangements in India are largely shaped by stark power imbalances. Surrogate workers tend to come from marginalized socioeconomic backgrounds, and are often low-income, oppressed-caste women from rural areas. Intending parent/s, by contrast, are typically more privileged – urban, middle-to-upper-class, and from dominant-caste groups. These structural disparities have significant implications for surrogate workers in the current moment, with the regulatory turn to “altruism.” (read more...)

Uterus Transplantation: A Scientific Advance or the Reflection of Gender Stereotypes?

Uterus transplantation has been touted as one of the most innovative reproductive technologies in recent years (Brännström 2018). The procedure allows women without a uterus to become pregnant and give birth using a donated organ, which is removed after the baby is born in most cases (Brännström 2024). But behind this advancement, there is also a debate about the values and beliefs that drive the development of this technology. After all, to what extent do highly innovative medical technologies, such as uterus transplantation, cease to express a progressive vision of the future and instead reinforce morally conservative values related to motherhood, gender, and gestation? Could this really be a solution to a medical problem, or is it a response to a social construct that prioritizes biological motherhood over other forms of parenthood? (Luna 2004; Luna 2007). (read more...)

Funeral for an Embryo

On a freezing February morning, I pulled my rental car into the small parking lot behind a sprawling Minnesota church. I had flown halfway across the country to take part in a Catholic burial of lab-grown frozen embryos. The event was organized by a midwestern Christian organization, the Holy Trinity Guardians, a group that had been burying embryos in this cemetery for several years. Some of the embryos were sent from local fertility clinics; others were shipped from labs around the United States. As I walked through the snow-covered burial grounds looking for signs of other attendees, I spotted an elderly man standing solemnly by a large stone monument. He waved and introduced himself as Fred. He was also looking for directions to the embryo remains burial. Fred had taken a detour to this spot, which marked the buried remains of miscarried fetuses and stillborn infants. Together, we made our way along the icy wooded path toward the larger cemetery where people had begun to gather. As we walked, Fred recounted how, decades earlier, his wife had suffered a late-term miscarriage. This very church had buried the remains. Fred never forgot that baby, he told me, and he had come today to honor what he saw as other unborn lives who would never have the chance to grow up. (read more...)

Rene Almeling, Winner of the 2012 Forsythe Prize, on Sex Cells: The Medical Market for Eggs and Sperm

I am deeply honored to be the recipient of the 2012 Diana Forsythe Prize for Sex Cells: The Medical Market for Eggs and Sperm (University of California Press, 2011).  It is a thrill to be considered to be working in the tradition of Forsythe herself, as well as the list of distinguished scholars who have received this prize since 1999, which includes many of my academic heroes!  In what follows, I provide a short synopsis of the book, and for those who are interested in reading more, there is a link to the Introduction on my website: http://www.yale.edu/sociology/faculty/pages/almeling/ Unimaginable until the twentieth century, the clinical practice of transferring eggs and sperm from body to body is now the basis of a bustling market. In Sex Cells, I provide an inside look at how egg agencies and sperm banks do business. Although both men and women are usually drawn to donation (read more...)