Who Decides Women’s Best Interests? Examining patient-provider power relations in counselling on long-acting reversible contraception

By Tracy Morison

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Long-acting reversible contraception (LARC) is widely accepted in most public health and family planning approaches. However, power imbalances between healthcare providers and patients make many women feel as though they are coerced into taking LARC. There is little research that considers the nature and quality of patient-provider interactions, including issues of power and women’s agency, as most scholarship in the field focuses on access. Concerns about the potential for coercion, lack of patient-centeredness, or uncritical LARC promotion are therefore under-explored, especially among ‘high-risk’ women who experience poor health and social outcomes. This study takes a much-needed look at how providers’ perspectives influence their recommendations to patients and the changes that must be implemented to help patients regain autonomy over their reproductive choices.

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Reframing Online Sperm Donation through the lens of Reproductive Justice

By Francesca Taylor

When I first started my PhD- an exploration of recipient experiences of online, unregulated sperm donation- I became fixated on trying to understand why people would choose this route to parenthood. Most of the things I’d read about online sperm donation were fairly sensationalist news articles which portrayed a ‘black market’ and an online ‘underworld’ where people were going to search for and donate sperm. I felt that in order to design a study where I could encourage people to tell their stories free from stigma and shame, I needed to first have some idea of the context of donor insemination in the UK, including who was choosing online sperm donation and their reasons for doing so. Why weren’t people choosing, for example, donor insemination at a fertility clinic? What were the benefits and drawbacks of online sperm donation? How did the social, cultural, and economic context of donor insemination in the UK inform what was happening online?

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