NARRATIVES OF A STRUGGLE: THE EXPERIENCE OF ASSISTED REPRODUCTIVE MEDICINE IN ONLINE INFERTILITY COMMUNITIES

Authors

  • Gabriela GLĂVAN West University of Timișoara, Romania. Email: gabriela.glavan@e-uvt.ro

DOI:

https://doi.org/10.24193/subbphilo.2022.4.05

Keywords:

assisted reproduction, infertility, loss, online communities, support groups, trauma

Abstract

Narratives of a Struggle: The Experience of Assisted Reproductive Medicine in Online Infertility Communities. Although ART (assisted reproductive technology) has become a well-established field in modern medicine, the subject is still taboo in many modern societies. This prompted infertility patients (roughly 15-20% of the general adult population) to find online platforms to discuss options, treatments, experiences and create virtual communities – mainly forums and Facebook groups. I shall focus on aspects concerning the narratives of trauma, loss and empowerment in two online communities - Infertilitate. Fertilizare in vitro. Sustinem Asociatia SOS Infertilitatea (Infertility. In vitro fertilization. We support the SOS Infertility Association) and Fertility Friends, from two different geographical areas – the UK and Romania, in order to reveal the dynamics of advice giving, information sharing, experience narratives and patient support. Communication is paramount to infertility treatment, yet specialized clinics often underestimate the importance of this aspect. Online forums and social media have provided patients with opportunities to connect, shaping particular jargons and textual strategies with regard to the medical journey of ART. I intend to outline the structure and relevance of these verbal constructs, in order to explore the specific manner in which online platforms offer a valid environment for a positive exchange of information among ART patients while also creating a medium of emotional support. My interdisciplinary focus will involve methods specific to medical humanities, text and discourse analysis and linguistic commentary.

Article history: Received 10 August 2022; Revised 17 October 2022; Accepted 5 November 2022; Available online 20 December 2022; Available print 30 December 2022.

REZUMAT. Narațiunile unei lupte: experiența reproducerii asistate medical în comunitățile online despre infertilitate. Cu toate că tehnicile RUAM (reproducere umană asistată medical) au evoluat spre coagularea unui domeniu bine stabilit în medicina modernă, subiectul este încă tabu în multe societăți contemporane. Acest fapt determină pacienții infertili (aproximativ 15-20% din populația generală adultă) să caute platforme online unde să își discute opțiunile, tratamentele, experiențele și să creeze comunități virtuale – în principal forumuri și grupuri Facebook. În studiul de față mă voi concentra asupra unor aspecte ce vizează narațiunile traumei, pierderii și ale susținerii, în două comunități online - Infertilitate. Fertilizare in vitro. Sustinem Asociatia SOS Infertilitatea și Fertility Friends, din două spații geografice diferite - Marea Britanie și România, pentru a revela dinamica schimbului de sfaturi și informații, a narațiunilor despre experiențe și a susținerii între pacienți. Comunicarea e esențială în tratamentul infertilității, deși clinicile de specialitate adesea subestimează acest aspect. Forumurile online și rețelele sociale le-au oferit pacienților oportunități de a se conecta, generând o serie de jargoane și strategii textuale legate de experiența medicală a RUAM. Intenția mea, în acest studiu, este de a delimita structura și relevanța acestor constructe verbale, pentru a putea explora maniera specifică în care platformele online oferă un mediu viabil pentru un schimb pozitiv de informații între pacienții RUAM, creând în același timp un mediu de susținere emoțională. Interesul meu interdisciplinar va viza metode specifice științelor umaniste medicale, a analizei de text și discurs, precum și comentariului lingvistic.  

Cuvinte-cheie: comunități online, grupuri de suport, infertilitate, reproducere asistată, pierdere, traumă

Author Biography

Gabriela GLĂVAN, West University of Timișoara, Romania. Email: gabriela.glavan@e-uvt.ro

Gabriela GLĂVAN is an Associate Professor at The West University of Timișoara, Romania, where she teaches Comparative Literature. She is the author of a book on Romanian modernism (2014), a critical essay on Franz Kafka’s short stories (2017) and on Max Blecher’s novels (2020). She has published numerous academic studies on Modernism, the Avant-garde and Post-communism and is a contributor to several cultural magazines. Email: gabriela.glavan@e-uvt.ro

References

ESHRE 2022. file:///C:/Users/admin/Downloads/ESHRE_ARTFactSheet_2022.pdf. World Health Organization. https://www.who.int/health-topics/infertility#tab=tab_1.

Aiyenigba, Abiola O., Andrew D. Weeks, and Atif Rahman. 2019. “Managing Psychological Trauma of Infertility.” African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive 23 (2) (June): 76-91.

Aarts, Johanna W.M. et al. 2015. “Communication at an online infertility expert forum: provider responses to patient’s emotional and informational cues”. Journal of Psychosomatic Obstetrics and Gynaecology, 36 (2) (June): 66 – 741.

Baron, Naomi, S. 2008. Always On. Language in an Online and Mobile World. Oxford: Oxford University Press.

Baym, Nancy. 2015. Personal Connections in the Digital Age. 2nd edition. City: Polity Press.

Bell, Ann V. 2016. “The margins of medicalization: Diversity and context through the case of infertility.” Social Science & Medicine, May, 156: 39-46.

Billett, Paulina, and Anne-Maree Sawyer. 2019. Infertility and Intimacy in an Online Community. London: Palgrave Macmillan.

Boivin, Jacky. 2003. “A review of psychosocial interventions in infertility.” Social Science and Medicine, 57: 2325-2341.

Chocano, Carina. 2020. “‘Graduating’ From an Infertility Support Group?.” The New York Times, April 17 2020, Updated September 13. https://www.nytimes.com/2020/04/17/parenting/fertility/infertility-support-group.html.

Dănilă, Ingrid, and Adriana Băban. 2018. “Representations of infertility as reflected in on-line discussion forums in Romania.” Cognition, Brain, Behavior, 22(2): 85-98.

Gomez, Virginie Rozée, and Elise de la Rochebrochard. 2013. “Cross-border reproductive care among French patients: experiences in Greece, Spain and Belgium.” Human Reproduction, 28 (11): 3103-3110.

Hanna, Esmée, and Brendan Gough. 2016. “Emoting infertility online: A qualitative analysis of men’s forum posts.” Health, 20 (4) (July): 363-382.

Hirsch, Anne M., and Stephen M. Hirsch. 1995. “The long-term psychosocial effects of infertility.” Journal of Obstetric, Gynecologic and Neonatal Nursing, 24: 517-522.

Jaworska, Sylvia. 2018. “‘Bad’ mums tell the ‘untellable’: Narrative practices and agency in online stories about postnatal depression on Mumsnet.” Discourse, Context & Media, 25, October: 25-33.

Jirka, Jean, Sharon Schuett, and Martha J. Foxhall. 1996. “Loneliness and social support in infertile couples.” Journal of Obstetric, Gynecologic and Neonatal Nursing, 25: 55-60.

Joja, Oltea D., Dana Dinu, and Diana Păun. 2015. “Psychological aspects of male infertility. An overview.” Procedia – Social and Behavioral Sciences, 187: 359-363.

Laruelle, Chantal, and Yvon Englert. 1995. “Psychological study of in vitro fertilization-embryo transfer participants’ attitudes toward the destiny of their supernumerary embryos.” Fertility and Sterility, 63 (5), May: 1047-1050.

Malik, Sumaira, and Neil Coulson. 2008. “Computer-mediated infertility support groups: An exploratory study of online experiences.” Patient Education and Counseling, 73 (1) October: 105-113.

Nahman, Michal Rachel. 2016. “Romanian IVF: a brief history through the ‘lens’ of labour, migration and global egg donation markets.” Reproductive Biomedicine & Society Online, July: 79-87.

Provoost, Veerle et al. 2010. “Reflections by patients who undergo IVF on the use of their supernumerary embryos for science.” Reproductive Biomedicine Online, 20: 880-891.

Richburg, Caroline E. et al. 2022. “Laboring to Conceive: Reducing Barriers to Fertility Care for Same-Sex Mothers Pursuing Parenthood.” Women 2: 44-55.

Romanski, Philip et al. 2018. “The association between quality of supernumerary embryos in a cohort and implantation potential of the transferred blastocyst.” Journal of Assisted Reproduction and Genetics, 35(9): 1651-1656.

Salha, Osama et al. 2000. “The Influence of Supernumerary Embryos on the Clinical Outcome of IVF Cycles.” Journal of Assisted Reproduction and Genetics, 17: 335-343.

Todorova, Irina et al. 2017. “Becoming a mother through egg donation: women’s reflections in on-line discussion forums in Bulgaria.” The European Health Psychologist, 19 Supp. https://www.ehps.net/ehp/index.php/contents/article/view/2499.

Vander Borght, Mélodie, and Christine Wyns. 2018. “Fertility and infertility: definition and epidemiology.” Clinical Biochemistry. 62: 2-10.

Zappavigna, Michele. 2012. Discourse of Twitter and Social Media: How We Use Language to Create Affiliation on the Web. London: Bloomsbury.

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Published

2022-12-20

How to Cite

GLĂVAN, G. (2022). NARRATIVES OF A STRUGGLE: THE EXPERIENCE OF ASSISTED REPRODUCTIVE MEDICINE IN ONLINE INFERTILITY COMMUNITIES. Studia Universitatis Babeș-Bolyai Philologia, 67(4), 105–124. https://doi.org/10.24193/subbphilo.2022.4.05

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