Discourses of Childlessness in Bangladesh

2021 ◽  
pp. 285-307
Author(s):  
Mirza Taslima Sultana
Keyword(s):  
Middle Class ◽  
Maternal Mortality ◽  
Assisted Reproductive Technology ◽  
Reproductive Technology ◽  
Alternative Treatments ◽  
Policy Documents ◽  
Fertility Reduction ◽  
Prime Problem ◽  
Recent Policy ◽  
Technological Options

This chapter explores the discourses around medical and alternative treatments that emerged in the accounts of 11 middle-class Bengali women who sought treatment for their childlessness. Fertility has been considered a prime problem for Bangladesh since the 1980s, and policy documents still focus on fertility reduction, along with reducing maternal mortality. Yet, no recent policy documents considered childlessness as a problem. This investigation informs of the links between biomedical power and childlessness as they are emerging in urban Bangladesh. The sections of this chapter discuss the concepts of biopower and agency, illustrate the different trajectories interviewees pursued in dealing with childlessness, focus on the issue of the so-called perfect age for assisted reproductive technology (ART) treatments, and explore interviewees’ stories of their experiences of IVF. The concluding section discusses these women’s accounts of the beliefs according to which they actively decide their technological options.

The role of inflammatory cytokines in the pathogenesis of premature labor in multiple pregnancy as a result of ART

2016 ◽  
pp. 73-76
Author(s):  
B.M. Ventskivskiy ◽  
◽  
I.V. Poladych ◽  
S.O. Avramenko ◽  
◽  
...  
Keyword(s):  
Assisted Reproductive Technology ◽  
Inflammatory Cytokines ◽  
Proinflammatory Cytokines ◽  
Local Level ◽  
Multiple Pregnancy ◽  
Reproductive Technology ◽  
System Level ◽  
Premature Labor ◽  
Pro Inflammatory Cytokines

In recent years there has been an increase in the frequency of multiple pregnancies and the associated perinatal losses. It is a result of multiple pregnancy in ART refers to a high-risk gestation, at which premature births occur in 2 times more often than in singleton pregnancies. The objective: to determine the role of pro-inflammatory cytokines in the pathogenesis of premature labor in multiple pregnancy, as a result of assisted reproductive technology. Patients and methods. to determine the pro-inflammatory cytokines that all pregnant with bagtopliddyam held immunosorbent assay, defined concentrations of interleukin (IL) in serum and cervical mucus. Results. The analysis of the levels of pro-inflammatory cytokines (IL-1, IL-8) in the test environment, found high concentrations in the surveyed women with multiple pregnancy, due to the use of ART, compared with spontaneous multiple and singleton pregnancy. Increased concentration of proinflammatory cytokines in patients with multiple pregnancy by ART is associated with their synthesis at the system level, it stimulated foci of inflammation in the female genitals and extragenital localization. This correlates with the clinical data and statistical analysis, patients with multiple pregnancy as a result of ART had weighed infectious-inflammatory history. Conclusion. The study showed that elevated levels of proinflammatory cytokines in the systemic and local level in patients with multiple pregnancy due to ART, typical for women with miscarriage, because of the physiological course of pregnancy characterized by the predominance of anti-inflammatory cytokines that prevent rejection of the fetus as a foreign factor. Based on the data obtained proved the role of systemic inflammatory factors in the genesis of preterm labor in women with a multiple pregnancy, as a result of assisted reproductive technology. Key words: multiple pregnancy, assisted reproductive technology, premature birth, interleukine-1, interleukine-8.

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