Fertility, Reproduction and Sexuality: Social and Cultural Perspectives

Through detailed ethnographic analysis, this book shows how religious sensibilities inform the health practices, issues of sexuality and well-being of the Ghanian-Dutch and Somali-Dutch communities residing in the Randstad area of the Netherlands.

Tracing women’s experiences of miscarriage and termination for foetal anomaly in the second trimester, before legal viability, shows how such events are positioned as less ‘real’ or significant when the foetal being does not, or will not, survive. Invisible Labours describes the reproductive politics of this category of pregnancy loss in England. It shows how second trimester pregnancy loss produces specific medical and social experiences, revealing an underlying teleological ontology of pregnancy. Some women then understand their pregnancy through kinship with the unborn baby.

This book explores everyday experiences of parenting and childlessness of ‘ethnic’ Germans in Berlin, who came of age around the fall of the Berlin Wall, and brings them into conversation with theories on parenting, waithood, non-biological intimacies, and masculinities.

Human beings have been producing more twins, triplets, and quadruplets than ever before, due to the expansion of medically assisted conception. This book analyzes the anticipatory regimes of making multiple babies. With archival documents, participant observation, in-depth interviews, and registry data, this book traces the global and local governance of the assisted reproductive technologies (ARTs) used to tackle multiple pregnancy since the 1970s, highlighting the early promotion of single embryo transfer in Belgium and Japan and the making of the world’s most lenient guidelines in Taiwan.

Focusing on premarital sex, homosexuality, and cohabitation outside marriage, this book provides an ethnographic account of sexuality among the Iranian Dutch. It argues that by embracing, rejecting, and questioning modernity in stories about sexuality, the Iranian Dutch actively engage in processes of self-fashioning.

This book offers a much-needed analysis of shifting reproductive policies and practices in the Islamic Republic of Iran, a society that is usually represented as either “revolutionary” or “oppressive.” Instead, Tremayne reflects on more than four decades of research to argue that changing reproductive behaviors on the part of ordinary Iranians must always be viewed against the backdrop of core cultural values and traditions.

Motherhood in Mexico is profoundly shaped by the legacy of colonialism. This ethnography situates motherhood in a critical global health analysis of maternal health inequalities and interventions in the southeast state of Chiapas.

The global trend of declining fertility rates and an increasingly ageing population has serious implications for individuals and institutions alike. Childless men are mostly excluded from ageing, social science and reproduction scholarship and almost completely absent from most national statistics. This book examines the lived experiences of a hidden and disenfranchised population: men who wanted to be fathers.

The concept of “Waithood” was developed by political scientist Diane Singerman to describe the expanding period of time between adolescence and full adulthood as young people wait to secure steady employment and marry. The contributors to this volume employ the waithood concept as a frame for richly detailed ethnographic studies of “youth in waiting” from a variety of world areas.

After the revolution of 2011, the electoral victory of the Islamist party ‘Ennahdha’ allowed previously silenced religious and conservative ideas about women’s right to abortion. This book explores the changes and continuity in the local discourses and practices related to the body in Tunisia during this time.

This collected volume explores miscarriage in diverse historical and cultural settings with contributions from anthropologists, historians and medical professionals. The book considers meanings attached to miscarriage and how religious, cultural, medical and legal forces impact the way miscarriage is experienced and perceived.

Focussing ethnographically on private sector maternity care in South Africa, Privileges of birth attends to the ways healthcare and childbirth are shaped by South Africa’s racialised history. Examining the ethics of care in midwife-attended birth, the author offers a unique account of birthing care in the context of elite care services.

Despite France and Belgium sharing and interacting constantly, access to Assisted Reproductive Technologies are strikingly different. The contributors to this volume are social scientists from France, Belgium, England and the United States and represent different disciplines. Each author has attempted, through the prism of their specialties, to demonstrate and analyse how and why this striking difference in access to ART exists.

Minority populations are often regarded as being ‘hard to reach’ and evading state expectations of health protection. This ethnographic and archival study analyses how devout Jews in Britain negotiate healthcare services to preserve the reproduction of culture and continuity. This book demonstrates how the transformative and transgressive possibilities of technology reveal multiple pursuits of protection between this religious minority and the state. Making Bodies Kosher advances theoretical perspectives of immunity, and sits at the intersection of medical anthropology, social history and the study of religions.

An ethnography of elite polygamy in urban Malaysia, this volume explores the impact this growing practice has on Malay gender relations, examining the varied and often-conflicted polygamy narratives of elite Malay women, who manage their lives and loves under the “threat” of husbands able to marry another woman without their knowledge or consent.

Through ethnographic explorations of the everyday lives of Danish sperm donors, Being a Sperm Donor explores how masculinity and sexuality are reconfigured in a time in which the norms and logics of (reproductive) biomedicine have become ordinary, and examines how the latter’s socio-cultural and political dimensions become intertwined with men’s intimate sense of self.

Embedded in feminist communication, sociological, and anthropological scholarship, Global Fluids examines the ways in which women’s body products (such as urine, eggs, and placentas) become valuable ingredients in the fertility and cosmetics industries, and develops cultural politics of reusability and extensibility to discuss the moral limits of their global distribution.

Through anthropological accounts of Muslim men’s everyday lives in the Middle East, Asia, Africa, and diasporic settings, Reconceiving Muslim Men explores the creative ways in which Muslim men care for and nurture their families and communities. By focusing on reproduction, love, and care, this volume showcases Muslim men’s humanity.

As a biological, cultural, and social entity, the human fetus is a multifaceted subject which calls for equally diverse perspectives to fully understand. Anthropology of the Fetus seeks to achieve this by bringing together specialists in biological anthropology, archaeology, and cultural anthropology, all with the ultimate goal of developing a holistic anthropology of the fetus.

In the last forty years anthropologists have made major contributions to understanding the heterogeneity of reproductive trends and processes underlying them. Fertility transition, rather than the story of the triumphant spread of Western birth control rationality, family forms, and modern technology to the whole world, reveals a diversity of reproductive means and ends continuing before, during, and after transition.

Zsuzsa Berend presents a methodologically innovative ethnography of the surrogacy support website in the United States. The Online World of Surrogacy documents collective meaning-making practices that unfold online, and explores their practical, emotional, and moral implications.

The book examines the causes and consequences of infertility and the rapid proliferation of new reproductive technologies in ‘modern India’. The book emerges from an ethnographic inquiry that explains how assisted conception, as a means of bypassing infertility, is being accommodated, understood and used in India today.

This book places the patient-centred practices of a single clinic in a national context where ARTs are highly regulated (‘Dutch IVF’) and examines how this form of medicine co-shapes the experiences, views and decisions of the women and men using these technologies.

Recent literature has identified modern “parenting” as an expert-led practice—one which begins with pre-pregnancy decisions, entails distinct types of intimate relationships, places intense burdens on mothers and increasingly on fathers too. Exploring within diverse historical and global contexts how men and women make—and break—relations between generations when becoming parents, this volume brings together innovative qualitative research by anthropologists, historians, and sociologists. The chapters focus tightly on inter-generational transmission and demonstrate its importance for understanding how people become parents and rear children.

The “First Phase” of Assisted Reproductive Technologies followed the first “test-tube baby” birth, when treatments were available only to the wealthy. In the “Second Phase,” these treatments became available to a wider, but still elite, population. This volume explores the “Third Phase,” as ARTs are becoming a standard part of reproductive healthcare.

In Thailand, infertility remains a source of stigma for couples using assisted reproductive technologies in the quest for a child. This ethnographic account of public and private clinics explores this experience of infertility and the pursuit of assisted reproductive technologies by Thai couples.

Managing social relationships for childless couples in pro-natalist societies can be a difficult art to master. With ethnographic research gathered in northwestern Turkey, this book explores infertility and assisted reproductive technologies within a secular Muslim population and how social experience leads to a decision for — or against — having an IVF.

Juxtaposing contributions from geneticists and anthropologists, this volume provides a contemporary overview of cousin marriage, presenting a reflective, interdisciplinary analysis of the social and ethical issues raised by both the discourse of risk in cousin marriage, as well as existing and potential interventions to promote “healthy consanguinity.”

Looking through a twenty-first century lens, anthropologists, sociologists, and cultural geographers consider fatherhood from Peru to India to Vietnam. The volume highlights the globally emergent, transnationally inflected transformations in fathering, fatherhood, and family life, suggesting that men throughout the world are responding to globalization as fathers in creative and unprecedented ways.

In this updated edition, the author describes shifting medical guidance that increasingly supports breastfeeding yet remains largely separated from infant sleep guidance. The volume also provides a path towards more equitable approaches to nighttime infant care grounded in reproductive justice.

Babies are not simply born—they are made through cultural and social practices. Based on rich empirical work, this book examines the everyday experiences that mark pregnancy in the US today, such as reading pregnancy advice books, showing ultrasound “baby pictures” to friends and co-workers, and decorating the nursery in anticipation of the new arrival. These ordinary practices of pregnancy, the author argues, are significant and revealing creative activities that produce babies. They are the activities through which babies are made important and meaningful in the lives of the women and men awaiting the child’s birth. This book brings into focus a topic that has been overlooked in the scholarship on reproduction and will be of interest to professionals and expectant parents alike.

Following networks of mothers in London and Paris, the author profiles the narratives of women who breastfeed their children to full term, typically a period of several years, as part of an 'attachment parenting' philosophy. These mothers talk about their decision to continue breastfeeding as 'the natural thing to do': 'evolutionarily appropriate', 'scientifically best' and 'what feels right in their hearts'. Through a theoretical focus on knowledge claims and accountability, the author frames these accounts within a wider context of 'intensive parenting', arguing that parenting practices – infant feeding in particular – have become a highly moralized affair for mothers, practices which they feel are a critical aspect of their 'identity work'. The book investigates why, how and with what implications some of these mothers describe themselves as 'militant lactivists' and reflects on wider parenting culture in the UK and France. Discussing gender, feminism and activism, this study contributes to kinship and family studies by exploring how relatedness is enacted in conjunction to constructions of the self.

How and to what extent have Islamic legal scholars and Middle Eastern lawmakers, as well as Middle Eastern Muslim physicians and patients, grappled with the complex bioethical, legal, and social issues that are raised in the process of attempting to conceive life in the face of infertility? This path-breaking volume explores the influence of Islamic attitudes on Assisted Reproductive Technologies (ARTs) and reveals the variations in both the Islamic jurisprudence and the cultural responses to ARTs.

Obesity is a rising global health problem. On the one hand a clearly defined medical condition, it is at the same time a corporeal state embedded in the social and cultural perception of fatness, body shape and size. Focusing specifically on the maternal body, contributors to the volume examine how the language and notions of obesity connect with, or stand apart from, wider societal values and moralities to do with the body, fatness, reproduction and what is considered ‘natural’. A focus on fatness in the context of human reproduction and motherhood offers instructive insights into the global circulation and authority of biomedical facts on fatness (as ‘risky’ anti-fit, for example). As with other social and cultural studies critical of health policy discourse, this volume challenges the spontaneous connection being made in scientific and popular understanding between fatness and ill health.

“[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general.”—Social Anthropology

Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Sololá, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women.

The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally.

From the Introduction:
An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women’s survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.

The issue of abortion forces a confrontation with the effects of poverty and economic inequalities, local moral worlds, and the cultural and social perceptions of the female body, gender, and reproduction. Based on extensive original field research, this provocative collection presents case studies from Thailand, Cambodia, Burma, Vietnam, Bangladesh, Indonesia, and India. It includes powerful insight into the conditions and hard choices faced by women and the circumstances surrounding unplanned pregnancies. It explores the connections among poverty, violence, barriers to access, and the politics and strategies involved in abortion law reform. The contributors analyze these issues within the broader conflicts surrounding women's status, gender roles, religion, nationalism and modernity, as well as the global politics of reproductive health.

Israel is the only country in the world that offers free fertility treatments to nearly any woman who requires medical assistance. It also has the world's highest per capita usage of in-vitro fertilization. Examining state policies and the application of reproductive technologies among Jewish Israelis, this volume explores the role of tradition and politics in the construction of families within local Jewish populations. The contributors—anthropologists, bioethicists, jurists, physicians and biologists—highlight the complexities surrounding these treatments and show how biological relatedness is being construed as a technology of power; how genetics is woven into the production of identities; how reproductive technologies enhance the policing of boundaries. Donor insemination, IVF and surrogacy, as well as abortion, pre-implantation genetic diagnosis and human embryonic stem cell research, are explored within local and global contexts to convey an informed perspective on the wider Jewish Israeli environment.

Following the routinization of assisted reproduction in the industrialized world, technologies such as in vitro fertilization, preimplantation genetic diagnosis, and DNA-based paternity testing have traveled globally and are now being offered to couples in numerous non-Western countries. This volume explores the application and impact of these advanced reproductive and genetic technologies in societies across the globe. By highlighting both the cross-cultural similarities and diverse meanings that technologies may assume as they enter multiple contexts, the book aims to foster understanding of both the technologies and the settings. Enhanced by cross-cultural perspectives, the book addresses the challenges that globalization presents to local understandings of science, technology, and medicine.

All cultures are concerned with the business of childbirth, so much so that it can never be described as a purely physiological or even psychological event. This volume draws together work from a range of anthropologists and midwives who have found anthropological approaches useful in their work. Using case studies from a variety of cultural settings, the writers explore the centrality of the way time is conceptualized, marked and measured to the ways of perceiving and managing childbirth: how women, midwives and other birth attendants are affected by issues of power and control, but also actively attempt to change established forms of thinking and practice. The stories are engaging as well as critical and invite the reader to think afresh about time, and about reproduction.

Assisted reproductive technologies such as in vitro fertilization have provoked global controversy and ethical debate. This book provides a groundbreaking investigation into those debates in the Islamic Middle East, simultaneously documenting changing ideas of kinship and the evolving role of religious authority in the region through a combination of in-depth field research in Lebanon and an exhaustive survey of the Islamic legal literature. Lebanon, home to both Sunni and Shiite Muslim communities, provides a valuable site through which to explore the overall dynamism and diversity of global Islamic debate. As this book shows, Muslim perspectives focus on the moral propriety of such controversial procedures as the use of donor sperm and eggs as well as surrogacy arrangements, which are allowed by some authorities using surprising and innovative legal arguments. These arguments challenge common stereotypes of the rigidity and conservatism of Islamic law and compel us to question conventional contrasts between ‘liberal’ and Islamic notions of moral freedom, as well as the epistemological assumptions of anthropology’s own ‘new kinship studies’. This book will be essential reading for anyone interested in contemporary Islam and the impact of reproductive technology on the global social imaginary.

The genealogical model has a long-standing history in Western thought. The contributors to this volume consider the ways in which assumptions about the genealogical model—in particular, ideas concerning sequence, essence, and transmission—structure other modes of practice and knowledge-making in domains well beyond what is normally labeled “kinship.” The detailed ethnographic work and analysis included in this text explores how these assumptions have been built into our understandings of race, personhood, ethnicity, property relations, and the relationship between human beings and non-human species. The authors explore the influences of the genealogical model of kinship in wider social theory and examine anthropology’s ability to provide a unique framework capable of bridging the “social” and “natural” sciences. In doing so, this volume brings fresh new perspectives to bear on contemporary theories concerning biotechnology and its effect upon social life.

Interest in the study of kinship, a key area of anthropological enquiry, has recently reemerged. Dubbed ‘the new kinship’, this interest was stimulated by the ‘new genetics’ and revived interest in kinship and family patterns. This volume investigates the impact of biotechnology on contemporary understandings of kinship, of family and ‘belonging’ in a variety of European settings and reveals similarities and differences in how kinship is conceived. What constitutes kinship for different publics? How significant are biogenetic links? What does family resemblance tell us? Why is genetically modified food an issue? Are ‘genes’ and ‘blood’ interchangeable? It has been argued that the recent prominence of genetic science and genetic technologies has resulted in a ‘geneticization’ of social life; the ethnographic examples presented here do show shifts occurring in notions of ‘nature’ and of what is ‘natural’. But, they also illustrate the complexity of contemporary kinship thinking in Europe and the continued interconnectedness of biological and sociological understandings of relatedness and the relationship between nature and nurture.

Sex is often regarded as a dangerous business that must be rigorously controlled, regulated, and subjected to rules. Sexual acts that defy acceptable practices may be seen as variously defiling, immoral, and even unnatural. They may challenge and subvert both cultural preconceptions and the social order in a politics of sexual transgression that threatens to transform permissible boundaries and restructure bodily engagements. This collection of essays explores acts of sexual transgression that have the power to reconfigure perceptions of bodily intimacy and the social norms of interaction. Considering issues such as domestic violence, child prostitution, health and sex, teenage sex, and sex with animals across a range of settings from contemporary Oceania, the Pacific, South Africa, and southeast Asia to Euro-America, this book should interest all those who question the "naturalness" of sex, including public health workers, clinical practitioners and students of sex, sexuality, and gender in the humanities and social sciences.

Extensive social science research, particularly by anthropologists, has explored women’s reproductive lives, their use of reproductive technologies, and their experiences as mothers and nurturers of children. Meanwhile, few if any volumes have explored men’s reproductive concerns or contributions to women’s reproductive health: Men are clearly viewed as the “second sex” in reproduction. This volume argues that the marginalization of men is an oversight of considerable proportions. It sheds new light on male reproduction from a cross-cultural, global perspective, focusing not only upon men in Europe and America but also those in the Middle East, Asia, and Latin America. Both heterosexual and homosexual, married and unmarried men are featured in this volume, which assesses concerns ranging from masculinity and sexuality to childbirth and fatherhood.

Nominated for the 2007 Book Prize by the Council on Anthropology and Reproduction (AAA)

Reproductive disruptions, such as infertility, pregnancy loss, adoption, and childhood disability, are among the most distressing experiences in people’s lives. Based on research by leading medical anthropologists from around the world, this book examines such issues as local practices detrimental to safe pregnancy and birth; conflicting reproductive goals between women and men; miscommunications between pregnant women and their genetic counselors; cultural anxieties over gamete donation and adoption; the contested meanings of abortion; cultural critiques of hormone replacement therapy; and the globalization of new pharmaceutical and assisted reproductive technologies. This breadth - with its explicit move from the “local” to the “global,” from the realm of everyday reproductive practice to international programs and policies - illuminates most effectively the workings of power, the tensions between women’s and men’s reproductive agency, and various cultural and structural inequalities in reproductive health.

In the Sitapurdistrict of Uttar Pradesh, an agricultural region with high rates of infant mortality, maternal health services are poor while family planning efforts are intensive. By following the daily lives of women in this setting, the author considers the women’s own experiences of birth and infant death, their ways of making-do, and the hierarchies they create and contend with. This book develops an approach to the care that focuses on emotion, domestic spaces, illicit and extra-institutional biomedicine, and household and neighborly relations that these women are able to access. It shows that, as part of the concatenation of affect and access, globalized moralities about reproduction are dependent on ambiguous ideas about caste. Through the unfolding of birth and death, a new vision of "untouchability" emerges that is integral to visions of progress.

Conceiving Kinship is an in-depth journey, the first of its kind, into how heterosexual, lesbian and gay couples using programmes of gamete donation conceptualize and make Italian kinship. It explores the provision of treatment in clinical and non-clinical settings at a time when Italy was considered the 'Wild-West' of assisted conception. This compelling study provides a new perspective on hotly debated issues in kinship studies and the modern medical technologies; it offers fresh insights into longstanding questions of cultural continuities and discontinuities in European kinship.

Human biological fertility was considered a important issue to anthropologists and colonial administrators in the first part of the 20th century, as a dramatic decline in population was observed in many regions. However, the total demise of Melanesian populations predicted by some never happened; on the contrary, a rapid population increase took place for the second part of the 20th century. This volume explores relationships between human fertility and reproduction, subsistence systems, the symbolic use of ideas of fertility and reproduction in linking landscape to individuals and populations, in Melanesian societies, past and present. It thus offers an important contribution to our understanding of the implications of social and economic change for reproduction and fertility in the broadest sense.

Rapid fertility declines and improved longevity are now shifting the overall balance of population towards older ages in many parts of the world. Within this growing population of older people there are many groups with particular needs about which relatively little is known. This collection focuses on one such sub-population, the elderly without children. Few would deny that childlessness poses potential human and welfare problems for older people without them. What is less well known is that comparative anthropological and historical demographic research indicates that childlessness is a recurring social phenomenon that has affected 1 in 5 older women in many cultures and historical periods. High levels of childlessness arise not solely or primarily from biological factors like primary sterility, but from a combination of actors. Many, like non-marriage, delayed childbearing , and pathological sterility, reflect the interaction of social and biological influences.

Also of major importance are factors that remove the support of children from elders' lives: migration, mortality, divorce, remarriage, family enmity, social mobility, and the pressing demands of family and career on younger generations. The papers collected in this volume employ a mixture of quantitative and qualitative methods to define and characterize the experience of ageing without children.

Whereas in western countries breastfeeding is an uncontroversial, purely personal issue, in most parts of the world mother and baby form part of a network of interpersonal relations with its own rules and expectations. In this study, the author examines the cultural and social context of breastfeeding among the Gogo women of the Cigongwe's village in Tanzania, as part of the Paediatric Programme of Doctors with Africa, based in Padua. The focus is on mothers' behaviour and post partum taboos as key elements in Gogo understanding of the vicissitudes of the breast feeding process. This nutritional period is subject to many different events both physical and social that may upset the natural and intense link between mother and child. Any violation of cultural norms, particularly those dealing with sexual behaviour, marriage and reproduction, can, in the eyes of the Gogo, put at risk the correct development of an infant with serious consequences both for the baby's health as well as for the woman's image as mother and wife.

Following the detection of the first HIV infections in the early 1980s, by the 1990s Thailand was routinely depicted as having the world’s fastest moving HIV/AIDS epidemic. However, by the early 2000’s the bulk of scholarly and medical AIDS literature portrayed the epidemic as being largely under control, and claimed that Thai AIDS prevention efforts during the 1990s had been successful. Based on long-term ethnographic research conducted in Northern Thailand this book makes an in-depth study of the social construction of Thailand’s HIV/AIDS epidemic over this period. In addition to his own field research the author draws on an extensive corpus of English and Thai language social science and medical HIV/AIDS literature to examine the modeling of Thailand’s AIDS epidemic, and addresses concepts and issues such as risk groups, risk behaviour, alcohol use, gender and class, masculinity, the scapegoating of female prostitutes and men in the underclass, the reporting of the HIV/AIDS epidemic in Thailand’s indigenous Thai language media, and sexual activity amongst Thai youth. The analysis demonstrates the contribution of anthropology as an interpretative social science, and the use of anthropological theory and research methods, to finding alternative ways of framing the problems of Thai AIDS and of posing new questions that will lead to more effective points of intervention. It emphasises the necessity for critically reflexive approaches that question the ‘taken for granted’ and demonstrates how qualitative research techniques guided by social theory have the potential to take account of local meanings in complex social contexts where traditional values and cultural practices are rapidly transforming due to economic and social change. The book offers a sustained and powerful criticism of the limitations of the normative model of the Thai AIDS epidemic and, in its aim of promoting critically reflexive AIDS research techniques in order to produce a better understanding of issues ‘on the ground’ and hence better health policy and more effective AIDS interventions, speaks not only to the Thai AIDS epidemic but to AIDS epidemics throughout Southeast Asia and elsewhere.

This is the only English language study of Thailand’s HIV/AIDS epidemic to draw on long-term qualitative research in Northern Thailand as well as on a broad range of Thai (and some Khmer language) materials. Its contextualised and subtly nuanced analysis of the AIDS epidemic and of the impact of AIDS control initiatives, in concert with the theoretical and methodological contributions it makes to AIDS research and policy and behavioural interventions, makes it a timely publication of vital interest to scholars in the social sciences, as well as to the members of non-governmental organisations and international organisations working in the HIV/AIDS, health and development fields.

Recent years have seen many changes in human reproduction resulting from state and medical interventions in childbearing processes. Based on empirical work in a variety of societies and countries, this volume considers the relationship between reproductive processes (of fertility, pregnancy, childbirth and the postpartum period) on the one hand and attitudes, medical technologies and state health policies in diverse cultural contexts on the other.

Child prostitution became one of the key concerns of the international community in the 1990s. World congresses were held, international and national laws were changed and concern over "cemmercially sexually exploited children" rose dramatically. Rarely, however, were the children who worked as prostitutes consulted of questioned in this process, and the voices of these children brought into focus. This book is the first to address the children directly, to examine their daily lives, their motivations and their perceptions of what they do. Based on 15 months of fieldwork in a Thai tourist community that survived through child prostitution, this book draws on anthropological theories on childhood and kinship to contextualize the experiences of this group of Thai child prostitutes and to contrast these with the stereotypes held of them by those outside their community.

Throughout history human societies have sought to manage their reproductive lives to make them fit in with their social, economic and biological conditions. But the different ways communities regulate their fertility, penetrating every aspect of their social life, are so varied and specific that they are often incomprehensible to outsiders. In this book a group of anthropologists set out to throw new light on the dynamics of human reproduction in the world today, looking at the intricate ways that people manage their reproductive life across different cultures, and highlighting the wider meaning of human reproduction and its impact on social organization. The importance of human agency, ethnic boundaries, the regulation of gender relations, issues of fertility and infertility, the significance of children and motherhood and the problems of two large vulnerable social groups, youth and refugees, are all considered in their broader social contexts.