Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Rodino, Iolanda S.; Goedeke, Sonja; Nowoweiski, Sarah

doi:10.1016/j.fertnstert.2014.07.1252

Cited by 23 publications

(27 citation statements)

References 46 publications

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“…Patients often have limited access to information regarding CBRC, with most information accessed via the internet and patient forums, raising concerns about the reliability of information upon which patients base their decisions . The consent process used overseas may also be inadequate by Australian standards.…”

Section: Discussionmentioning

confidence: 99%

“…The consent process used overseas may also be inadequate by Australian standards. In addition, patients accessing CBRC may have limited access to appropriate counselling during their treatment, with one study reporting that only half of patients received any pretreatment counselling, with only a third counselled about the legal implications of treatment …”

Section: Discussionmentioning

confidence: 99%

“…In Australia, with the tendency to postpone the age that couples are starting their families and the increasing recourse to ART, anecdotally it appears that more couples are seeking CBRC to access donor oocytes. Other potential influences may be access to treatment options not readily available in Australia (eg gender selection for family balancing, commercial surrogacy), and perceived differences in success rates, treatment costs and availability of multiple embryo transfers (ET) …”

Section: Introductionmentioning

confidence: 99%

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The contribution of multiple pregnancies from overseas fertility treatment to obstetric services in a Western Australian tertiary obstetric hospital

Waller

Dickinson

Hart

2017

Aust NZ J Obst Gynaeco

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At the sole tertiary obstetric centre in WA, approximately one-third of all multiple pregnancies conceived with fertility treatment resulted from treatment overseas. The Australian healthcare cost for these 11 women and their infants exceeded $1 000 000. This study suggests that overseas fertility treatment has a significant health-related cost to the mother and infant, and the local healthcare system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The contribution of multiple pregnancies from overseas fertility treatment to obstetric services in a Western Australian tertiary obstetric hospital

Waller

Dickinson

Hart

2017

Aust NZ J Obst Gynaeco

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“…Studies specifically exploring the motivations of CBRC seekers are few, but do reveal a nuanced pattern. A study in New Zealand 16 reported that CBRC clients from that country were motivated by the limited availability of gamete donors in their home jurisdiction, difficulty in meeting treatment-eligibility criteria, and the fact that some treatments were legally prohibited at home.…”

Section: Motivations and Driversmentioning

confidence: 99%

Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy

Deonandan¹

2015

RMHP

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Reproductive tourism, or “cross-border reproductive care”, is the phenomenon of people crossing international borders to access reproductive technologies. One of the fastest-growing categories of cross-border reproductive care is international surrogacy, the act of infertile clients traveling internationally to engage the paid services of foreign surrogates to carry their babies to term. It is a multibillion-dollar global industry presenting unique legal, ethical, and risk-management challenges. Clients tend to be price-sensitive, middle-income individuals seeking services from surrogates who in the global market are thought to be of quite low socioeconomic status. Risks are experienced by all parties involved in the transaction, including the client’s countries of origin and destination. The risks to the surrogate evolve from the potential to exploit her economic vulnerability in order to encourage both consent and unfair pricing. Opportunities for policy development are explored.

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“…Australian women travel abroad for treatment via egg donation, not because of ‘push’ factors such as legal restrictions, but rather due to the ‘pull’ of ‘bioavailability’ ( Cohen, 2005 ); that is, to access donor eggs more quickly, and with a wider range of choice, than they are able to within Australia ( Millbank, 2015b , Rodino et al, 2014 ). Common destinations for Australians seeking egg donation at the time of writing are South Africa, Greece, Spain and the USA.…”

Section: Introductionmentioning

confidence: 99%

The role of professional facilitators in cross-border assisted reproduction

Millbank¹

2018

Reproductive Biomedicine & Society Online

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The operations of those who facilitate travel across international borders for access to assisted reproduction are little understood. Within the broader field of research into medical travel facilitators, most empirical studies have addressed websites and promotional materials, with few qualitative investigations of individuals who are service providers. The research presented here centres on interviews with 23 professionals facilitating cross-border assisted reproduction. This study sought to understand how facilitators and service providers operate within a professional framework, examining their understanding of the ethical limits on their roles within a largely unregulated and rapidly evolving international ‘marketplace’. Broadly, participants trusted in the market to ‘find its own level’, such that unscrupulous players would not succeed because others would not refer to, or work with, them. In instances where a clear risk to the health of reproductive contributors or to the well-being of future children was perceived, participants understood their own ethical duty to be limited to service denial or withdrawal of participation. Among the eight facilitators who were not legal or medical professionals, there was a striking commonality, in that all had personal experience of assisted reproduction, both as patients and as reproductive contributors. Within this group, and particularly among the six women who directly ‘matchmade’ arrangements between intended parents, egg donors and surrogates, was a strong sense of ‘embodied’ expertise and claims to ethical practice based upon that expertise.

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Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Cited by 23 publications

References 46 publications

The contribution of multiple pregnancies from overseas fertility treatment to obstetric services in a Western Australian tertiary obstetric hospital

The contribution of multiple pregnancies from overseas fertility treatment to obstetric services in a Western Australian tertiary obstetric hospital

Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy

The role of professional facilitators in cross-border assisted reproduction

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