During the last two decades, a new form of trade in commercial surrogacy grew across Asia. Starting in India, a "disruptive" model of surrogacy offered mass availability, rapid accessibility, and created new demands for surrogacy services from people who could not afford or access surrogacy elsewhere. In International Surrogacy as Disruptive Industry in Southeast Asia, Andrea Whittaker traces the development of this industry and its movement across Southeast Asia following a sequence of governmental bans in India, Nepal, Thailand, and Cambodia. Through a case study of the industry in Thailand, the book offers a nuanced and sympathetic examination of the industry from the perspectives of the people involved in it: surrogates, intended parents, and facilitators. The industry offers intended parents the opportunity to form much desired families, but also creates vulnerabilities for all people involved. These vulnerabilities became evident in cases of trafficking, exploitation, and criminality that emerged in southeast Asia, leading to greater scrutiny on the industry as a whole. Yet the trade continues in new flexible hybrid forms, involving the circulation of reproductive gametes, embryos, surrogates, and ova donors across international borders to circumvent regulations. The book demonstrates the need for new forms of regulation to protect those involved in international surrogacy arrangements.

This book examines driver, vehicle, roadway and environmental characteristics associated with increased crash involvement by older drivers. Project activities were designed to prioritise the situations causing problems for older drivers based on the magnitude of the crash problem, older driver's degree of over-representation, the likelihood of serious injury, or other criteria of interest. The resulting list of the most problematic situations frame further discussions of how age-related functional decline can mediate increased crash risk for older drivers, and hopefully, point to potential countermeasures for lowering this risk.

A cutting-edge analysis of the global issues surrounding modern reproductive technologies Advances in assisted reproductive technologies have sparked global policy debates since the birth of the first so-called "test tube baby" in 1978. Today, mitochondrial replacement therapies represent the most recent advancement in assisted reproductive technologies, allowing some women with mitochondrial diseases to birth babies without those diseases. In the past decade, mitochondrial replacement therapies have captured public sentiment, reigniting debates around social views of reproductive rights and the appropriate legal and political response. Reproduction Reborn guides readers through the history and science of mitochondrial replacement therapies and the various attempts to control them. Leading experts from medicine, genetics, ethics, law, and policy explore the influence of public debate on the evolving shape of these technologies and their subsequent regulation. They highlight case studies from both developed and developing countries across the globe, including recent legislation in Australia and China. They further identify the ethical, legal, and societal norms that need to be addressed by policymakers and communities as more and more people seek to gain access to these treatments. Given the importance of reproduction in family life and cultural identity, clinicians and policymakers must understand how regulatory regimes around mitochondrial replacement therapies have evolved to illuminate the processes and challenges of governing reproduction in a fast-moving world. Informative and global in scope, Reproduction Reborn explores how advancements in assisted reproductive technologies challenge core values surrounding the rights and responsibilities of modern-day family units.

What is expected of 21st Century egg and sperm donors, and how does being a donor impact on men and women's own personal lives and relationships? How do donors navigate connections and relationships created by donation? What do these connections mean to them, and to the people around them -their partners, parents, siblings and children? Donor conception is becoming increasingly widespread and since the new millennium, we have witnessed a dramatic shift in the way that donor conception is regulated and practiced in many jurisdictions around the world. In the past, donor conception has often been a family secret and donors were, almost by definition, anonymous. Now, 'openness' is seen as the ideal and donors can expect to be traced or contacted by those born from their donations. But what does this shift mean for donors, and their families? This path-breaking book draws on in-depth interviews with donors, their kin and fertility counsellors, and addresses these questions by analysing how understandings of donation are shaped by the regulatory, cultural and relational contexts in which they are formed. The authors also discuss what donation stories can tell us about contemporary understandings of connectedness, time and morality in the context of reproduction and family life, and consider how reproductive 'openness' might be done differently.

Embryology has evolved from myth in early cultures, who knew little about the details of conception and pregnancy, to the height of modern scientific knowledge. Thomas Weihs argues persuasively that new scientific understanding of embryology could engender a new mythology, and that, in fact, science and myth are complementary aspects of the study of new life. He explores the correspondence between the creation story in Genesis, and other creation myths, with the development of the human embryo, and also discusses how the intuitive heart-felt values we associate with pregnancy and birth can be reconciled with the science of our age.

Protecting the reproductive potential of young patients undergoing cancer therapy is increasingly important. With modern treatment protocols, 80% of patients can be expected to survive. It has been estimated that up to one in 250 young adults will be a survivor of childhood cancer in the future; infertility, however, may be a consequence. As a wide range of fertility preservation methods are increasingly offered by clinicians, this systematic and comprehensive textbook dealing with the cryobiology, technology and clinical approach to this therapy will be essential reading to infertility specialists, embryologists, oncologists, cryobiologists, ObGyns, andrologists, and urologists with an interest in fertility preservation. Fertility Cryopreservation reviews all the techniques of this increasingly important field within reproductive medicine. It covers the basic principles of pertinent cryobiology, and contains major sections on the different therapies available, written by international specialists combining experience from both academic centers and commercial industries.

Gender and mental health is a growing field in psychiatry and in the last three to four decades, many different aspects of women's mental health have bloomed. Researchers have gained a better understanding of the psychological, social, and cultural aspects of mental health problems in women, and it is possible to describe, classify, and circumscribe different diagnoses as they appear in the female gender. Epidemiological data has also shown an increased frequency in different clinical aspects of many psychiatric disorders. In addition, research into areas including eating disorders, perinatal, psychiatric disorders, and the long term effects of abuse have helped us to appreciate the societal, parental, and personal consequences of mental health problems. The Oxford Textbook of Women and Mental Health is dedicated to fundamental aspects in women's mental health. Part one of the text covers topics from women's health as a global issue to different medical psychological theories, giving an overview of the role of gender in mental health. The second part of the book examines clinical aspects of women and mental health. In part three, special clinical topics such as PTSD, self-harm, menopause, violence and its management are investigated. Part four of the text focuses on parental psychiatric disorders, clarifying how mental health and behavioural problems in children can be a marker or consequence of maternal distress. The final two parts look at the topics of women and disability, and legislation and policy. A book of exceptional scope and depth, it will be essential for all those health professionals involved in managing mental health problems in women.

Significant advances have been made in treatment strategies in adult and adolescent women's health over the past decade, particularly in relation to reproductive control. The Oxford Handbook of Reproductive Medicine & Family Planning provides practical, evidence-based information on the care and management of adolescents, reproductive age females, and to a lesser extent males. Divided into three main sections, it follows chronological age up to the menopause covering areas such as the embryological development of the reproductive system; puberty and the normal course, and dysfunctions associated with it; dysfunctions of the normal menstrual cycle; the different types of male and female contraceptive methods, and the investigation and management of the infertile couple. This is an essential resource for all practitioners, trainees and students in reproductive medicine.

In January 1979, Robert Edwards and Patrick Steptoe delivered a lecture detailing the ten-year clinical and scientific research programme that led to the birth of Louise Brown, the first baby born utilising IVF. This thoroughly-researched book provides both a full annotated transcript of the lecture as well as recorded reminiscences from those who attended, detailing the contemporary understandings of the event. An essay on the lecture's historical context adds fresh insight into the biographies of Edwards and Steptoe and highlights sources from print and broadcast media that have received scant attention in earlier publications. Current and future implications of the advances in IVF since the first procedure are also explored, examining future medical and scientific possibilities as well as ethical issues that may arise. A foreword by Louise Brown herself places this remarkable leap of science in a personal context, one that so many families have since experienced themselves.

The last step in the IVF treatment cycle, embryo transfer, is also the process with the highest failure rate. No matter how good the laboratory technique is, a successful pregnancy will not be achieved without meticulous preparation of the uterus to accept the embryo. This book reviews the scientific evidence on endometrial receptivity, including histological, hormonal, biochemical, and immunological factors. Practical and concise, it supports gynecologists and embryologists to make evidence-based decisions that can influence the success rates of implantation and live births. Part of a series of books offering treatments and strategies for fertility and conception to optimize IVF outcomes, this volume is for all clinicians and embryologists working in reproductive medicine.

In Skeleton Keys: An Introduction to Human Skeletal Morphology, Development, and Analysis, Second Edition, Jeffrey H. Schwartz presents a detailed yet highly accessible introduction to the study of the human skeleton. This unique volume examines the skeleton from its developmental basis to the expression of individual variation. It reviews a variety of different approaches used to determine an individual's sex, age, and pathological history and challenges readers to think critically about how to analyze a human skeleton rather than learning formulas for quick results. An ideal text for courses in human osteology, skeletal analysis, and bioarchaeology, this book is also a helpful reference for professionals.
Thoroughly revised and updated, the second edition of Skeleton Keys features:
* A unique CD-ROM containing hundreds of color images of skeletons and skeletal elements--demonstrating morphology, pathology, and nonmetric variation--that can be used as classroom projections or for individual study
* Coverage of the most recent developments in the field, including the molecular regulation of bone and tooth formation
* Expanded studies in each area of analysis: sex, age, nonmetric variation, pathology, biodistance and bioarchaeology, and stable isotope analysis
* Additional photographic images, especially in the pathology and sexing chapters
* Two separate and extensively illustrated chapters on the skull, one dealing with articulated elements and one with isolated bones (these topics were covered in one chapter in the first edition)
* Integration of material--such as anthropometric landmarks--from appendices in the previous edition into relevant chapters astables
* More accessible language throughout and an extensive glossary

This open access edited book brings together new research on the mechanisms by which maternal and reproductive health policies are formed and implemented in diverse locales around the world, from global policy spaces to sites of practice. The authors - both internationally respected anthropologists and new voices - demonstrate the value of ethnography and the utility of reproduction as a lens through which to generate rich insights into professionals' and lay people's intimate encounters with policy. Authors look closely at core policy debates in the history of global maternal health across six different continents, including: Women's use of misoprostol for abortion in Burkina Faso The place of traditional birth attendants in global maternal health Donor-driven maternal health programs in Tanzania Efforts to integrate qualitative evidence in WHO maternal and child health policy-making Anthropologies of Global Maternal and Reproductive Health will engage readers interested in critical conversations about global health policy today. The broad range of foci makes it a valuable resource for teaching in medical anthropology, anthropology of reproduction, and interdisciplinary global health programs. The book will also find readership amongst critical public health scholars, health policy and systems researchers, and global public health practitioners.

Now in a completely revised and expanded fourth edition, including two new chapters, this user-friendly textbook offers a succinct overview of both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. Included here are updated chapters on major reproductive endocrinology and infertility issues, such as polycystic ovary syndrome (PCOS), pubertal disorders, amenorrhea, menopause, management of endometriosis and fibroids (including interventional radiology), laboratory and clinical aspects of assisted reproductive technologies (ART), imaging modalities such as ultrasonography and sonohysterography, hysteroscopic and laparoscopic techniques, an expansion of female infertility and fertility, preimplantation diagnosis and screening, osteoporosis, and contraception and sterilization. Chapters new to this edition discuss third-party reproduction and uterine transplantation. In addition, chapters opens with a list of bulleted key points and end with multiple choice review questions, and most include vibrant clinical case material to illustrate important concepts. Residents, fellows, and new clinicians in obstetrics and gynecology interested in reproductive endocrinology and infertility will find this fourth edition of Clinical Reproductive Medicine and Surgery: A Practical Guide a valuable and focused reference.

Relevant to students, academics and practitioners across the globe, this original volume highlights contemporary issues associated with assisted reproduction and embryology and critically analyzes the law surrounding human reproduction in the light of case law and technological developments since the Human Fertilisation and Embryology Act (HFE Act) Act was passed in 1990.

Tackling issues from an interdisciplinary perspective, the authors identify and evaluate areas that have provoked intense public and academic debate as well as those where further or renewed regulation is needed. Focusing primarily on the legal and ethical issues involved in regulating this area in the UK, which is at the forefront of developing legislation in this area, this book has international relevance as many countries have used the UK as a model for their own legislation.

This text is suitable for a broad range of readers, including legal academics, law students and practitioners interested in the areas of medical/healthcare law and ethics, bioethics and moral philosophy, family law, sociology and reproductive medicine and genetics.

The 1990s marked a new era in family formation. Increased access to donor sperm enabled single women and lesbian couples to create their families on their own terms, outside the bounds of heterosexual married relationships. However, emerging "alternative" families were not without social and political controversy. Women who chose to have children without male partners faced many challenges in their quest to have children. Despite current wider social acceptance of single people and same sex couples becoming parents, many of these challenges continue. In Romancing the Sperm, Diane Tober explores the intersections between sperm donation and the broader social and political environment in which "modern families" are created and regulated. Through tangible and intimate stories, this book provides a captivating read for anyone interested in family and kinship, genetics and eugenics, and how ever-expanding assisted reproductive technologies continue to redefine what it means to be human.

In US security culture, motherhood is a site of intense contestation--both a powerful form of cultural currency and a target of unprecedented assault. Linked by an atmosphere of crisis and perceived vulnerability, motherhood and nation have become intimately entwined, dangerously positioning national security as reliant on the control of women's bodies. Drawing on feminist scholarship and critical studies of security culture, Natalie Fixmer-Oraiz explores homeland maternity by calling our attention to the ways that authorities see both non-reproductive and "overly" reproductive women's bodies as threats to social norms--and thus to security. Homeland maternity culture intensifies motherhood's requirements and works to discipline those who refuse to adhere. Analyzing the opt-out revolution, public debates over emergency contraception, and other controversies, Fixmer-Oraiz compellingly demonstrates how policing maternal bodies serves the political function of securing the nation in a time of supposed danger--with profound and troubling implications for women's lives and agency.

In the late 1990s, Egypt experienced a boom period in in vitro fertilization (IVF) technology and now boasts more IVF clinics than neighboring Israel. In this book, Marcia Inhorn writes of her fieldwork among affluent, elite couples who sought in vitro fertilization in Egypt, a country which is not only at the forefront of IVF technology in the Middle East, but also a center of Islamic education in the region. Inhorn examines the scientific, religious and cultural ramifications of the transfer of IVF technology from Euro-American points of origin to Egypt - showing how cultural ideas reshape the use of this technology and in turn, how the technology is reshaping cultural ideas in Egypt.

Mary Warnock steers a clear path through the web of complex issues underlying the use of new reproductive technologies. She begins by analysing what it means to claim something as a 'right', and goes on to discuss the cases of different groups of people. She also examines the ethical problems faced by particular types of assisted reproduction, including artificial insemination, in-vitro fertilization, and surrogacy, and argues that in the future human cloning may well be a viable and acceptable form of treatment for some types of infertility.

This text will provide doctors both in training and in practice with useful advice on managing women and men who are having trouble conceiving and couples with infertility and related disorders. Its combination of scientific information and practical advice for tackling problematic cases make this an accessible handy reference in outpatient clinics or in revision for professional exams, as well as a fully referenced information resource. Contents: Glossary of terms * Problems with puberty and its onset * Understanding infertility * Investigations in infertility * Influencing the sperm count * Helping women to ovulate * Damage to the uterus, the fallopian tubes and the ovaries * What to do if nothing wrong can be found and how to answer when a couple asks 'what can we do to improve our fertility?' *Assisted conception * Preserving fertility * Global perspectives on reproductive medicine * Reproductive biology in one other great ape (the gorilla) * Research questions still unanswered - And further reading

How to decelerate loss of global biodiversity is one of the greatest challenges of our generation. Reproductive technologies have enormous potential to assist the recovery of species by enhancing reproductive output, facilitating genetic management, and supporting reintroduction of threatened species. Of particular value are cryopreservation technologies coupled with the establishment of global gene banks to conserve, in perpetuity, the remaining extant genetic diversity of threatened amphibians. Reproductive Technologies and Biobanking for the Conservation of Amphibians brings together leading experts in the field to provide a comprehensive overview of current best practices, summarise technological advancements, and present a framework for facilitating the integration of reproductive technologies and biobanking into conservation breeding programs for threatened amphibians. It is an invaluable reference for the next generation of conservation practitioners: captive breeding facilities, researchers, and policy-makers involved with biodiversity conservation

Based on the "Guide to the Human Fertilisation and Embryology Act 1990," this volume reviews the regulation of assisted conception including complex moral issues such as abortion, embryo research and cloning. It offers a comprehensive guide to the 1990 legislation as well as important legal and technical developments since that time.

The options in antenatal and neonatal care are legion. Preferences still tend to be subjective. In spite of much publicity that has raised public expectation, an up-to-date thorough evaluation of antenatal and neonatal screening was lacking. This book sets out screening approaches in a quantitative manner and will enable choices to be based on objective evidence of efficacy and, where appropriate, safety. Technical advances have sometimes been introduced uncritically and without adequate assessment. It has been assumed, perhaps naively, that the early detection of abnormality will invariably be a good thing. In this book, there is no such assumption that new tests or technical procedures are useful. They are only considered as a legitimate medical option if they can and have been shown to lead to improvements in outcome. Each disorder is defined and the screening procedure which is designed to identify the disorder critically evaluated. Priority is given to the screening of disorders which lend themselves to effective intervention and practical guidance is provided on how screening should be conducted. Most chapters include a discussion of problem areas and research needs. There are 23 chapters from leading experts from Europe and North America. The book bridges different disciplines concerned with screening and thereby improves the understanding of the subject and will improve delivery of preventive medical services. The book is directed at obstetricians, public health doctors, paediatricians and fetal medicine doctors, epidemiologists, geneticists, health care providers and administrators.