Biomedical imaging technologies, professional and lay visions

Category: News

Nordic STS conference 2021

We were very pleased that two papers from the project were presented at the Nordic Science and Technology Studies conference on 20-21 May, which was hosted (online) by Copenhagen Business School. I presented a paper on IVF treatment ‘add-ons’ from the perspectives of IVF patients and partners, fertility professionals, and the UK regulator. This paper explored the category of add-ons as something that exists ‘outside’ or on the boundary of what is considered ‘routine’ IVF. It considered how such a category works differently across national regulation, professional practice and patient experiences of treatment. Manuela presented a paper on ‘the travel of reproductive imaging from the lab to the social world’, drawing on material from patient interviews to explore what happens when images of embryos are encountered outside of the lab or clinic setting.

Now that all of our fieldwork is completed, we are excited to be able to start thinking across all the elements of our research. We will be sharing more of these findings over the course of the next months.

New publication

The first RHB article is now out in Social Science & Medicine! The publication, entitled “The trouble with IVF and randomised control trials: Professional legitimation narratives on time-lapse imaging and evidence-informed care,” highlights how IVF professionals navigate the complex landscape of add-ons and evidence when it comes to using time-lapse imaging in embryology labs across the UK. Drawing from our interview data, we show that clinic staff see several benefits in the use of imaging technologies. These benefits are diverse and not always captured in current public conversations on add-ons. The main contribution of the article is to highlight how professionals think about the benefits of time-lapse more widely. In light of our findings, we suggest that it is worth thinking about a more nuanced understanding of evidence-based-medicine as it relates to the IVF sector specifically. Read the full (open access) article here: https://doi.org/10.1016/j.socscimed.2020.113115

Planning. . .

In response to the COVID-19 pandemic and all the uncertainties involved going forward, we are in the midst of significantly and carefully rethinking our planned activities, especially those relating to public engagement. We look forward to sharing the new details of our events as soon as we can. 

In the meantime we will keep updating the blog with other news and short reflections from the project.

The IVF Experience event

Update (31 March 2020): We have decided to also postpone our three May workshops. We plan to re-schedule all of our events for the autumn.

Update (14 March 2020): Following careful consideration of the current COVID-19 pandemic, we have decided to postpone our March workshops. We will evaluate whether our May events can go ahead in due course. Please check back for updates and we hope to see you on a future date!

We invite you to a workshop where all will have a chance to participate in a conversation about infertility, fertility treatment, scientific knowledge, embryo/medical imaging and patient decision-making. You will have the opportunity to hear more about our ongoing research in the area.

There will be snacks and drinks and lots of space for sharing ideas, opinions and experiences.

The workshop will take place in London on five dates across March and May 2020. For more information and to book your place, follow the links to our eventbrite pages:

CANCELLED 14 March 2020. Timber Lodge café, 1A, Timber Lodge Queen Elizabeth Olympic Park, Honour Lea Ave, London E20 1DY. Starts at 2.30pm. SIGN UP HERE.

CANCELLED 17 March 2020. The Vagina Museum, Unit 7&18 Stables Market, Chalk Farm Road, London, NW1 8AH. Starts at 6.30pm. SIGN UP HERE.

CANCELLED 13 May 2020. Yurt café, St. Katharine’s Precinct, 2 Butcher Row, London E14 8DS. Starts at 6.30pm. SIGN UP HERE.

CANCELLED 16 May 2020. Poplar Union, E5 Roasthouse, 2 Cotall St, Poplar, London E14 6TL. Starts at 2.30pm. SIGN UP HERE.

CANCELLED 28 May 2020. The Canvas: Café & Creative Venue, 42 Hanbury St, Spitalfields, London E1 5JL. Starts at 6.30pm. SIGN UP HERE.

These events are funded by the Wellcome Trust and supported by Fertility Network UK.

Researching reproductive technologies: Notes on our summer and progress so far

The RHB team had a productive summer with amazing conferences and manuscript writing. Having received so much useful feedback as of late, we are ready to publish some of the first project findings. The conferences we attended in the past months have really helped us contextualize our research and hone our arguments.

In August, RHB was at the annual meeting of the American Sociological Association, where we were part of one of the five (!) Sociology of Reproduction panels. Given that RHB is UK-based, we were able to assess how the issues raised in our research relate to wider concerns regarding technology, medicine, and reproduction. Although the UK IVF conversation has lately involved a sustained critique of commercialisation, audiences have remarked that the industry here is quite tightly regulated when compared to other countries (the U.S. especially), where healthcare is largely driven by a strong consumer logic. This is particularly true of fertility treatment, where multiple IVF cycles can cost tens of thousands of US dollars. As reproduction researchers, however, we strongly feel that fertility care should be an integral part of public healthcare services for all.

The ethics of new biomedical technologies was the focus of the first of our two panels at the 4S (Society for Social Studies of Science) meeting in late summer. Here, scholars raised excellent questions about the introduction of new medical technologies and the value they add to practice. As we have grappled with the role of time-lapse in IVF, we have found that the meanings of this technology can be different depending on one’s position and perspective.  For example, time-lapse can be a great lab tool for embryologists, while also a reassuring technology for patients who want to know that their embryos are kept in a stable environment 24/7. This is an aspect of time-lapse that our audience has found incredibly interesting.

We have also recognized in our presentations that efficiency evidence is currently an important criteria for assessing new IVF technologies, especially in the UK add-on conversation. Based on our findings so far, this is one of the most salient themes that arises when talking to professionals about the value of new treatments. In the near future, we aim to publish our data on how fertility professionals in the NHS conceptualise evidence and its relation to time-lapse tools. In the meantime, we are also working on finishing up data collection, so that we can share findings on patient perspectives as well in the coming year. Last but not least, planning for public engagement activities in underway, with several events that will take place in 2020. Stay tuned!

Advisory Board Meeting

On 27 November the research team hosted an advisory board lunch and meeting where we discussed the progress of the project so far. Manuela Perrotta introduced the background to the research framing and design, followed by short presentations on the fieldwork completed. I summarised the interviews with IVF patients and Alina Geampana talked about the professional interviews and lab observation work. The advisory board consists of individuals with a wide range of multidisciplinary expertise, which elicited lots of constructive questions, comments and recommendations that we will take forward. We are excited to further explore the opportunities that come with being exposed to – and challenged by – perspectives, methods and literature from other disciplines and fields of research.

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