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Managing Reproduction

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Abstract

Building on the idea that contraception and assisted reproduction are two sides of a coin, Managing Reproduction looks at the influence the “population problem” discourse had on the medical field of assisted reproduction. This discourse claimed that certain countries urgently needed to implement family planning programmes to halt their population growth. This materialised in the creation of government and non-government research institutions and projects focused on researching the biological bases of reproduction and the perception and social implications of managing reproduction, as well as on offering family planning services. Eventually, this discourse pushed the association for an epistemic shift, transforming the field, and continuing the establishment of the epistemic and material infrastructure upon which the assisted reproductive system was being built.

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Notes

  1. 1.

    In the program, it was Celerino Cano who was named as the speaker representing this ministry, but it turn out to be Rabell who gave the talk.

  2. 2.

    Alvarez Lezama added to this point that socialist countries also welcome a large population because it means a large work force which in turn make the economy grow. The relationship between population size and socialism was feared by the USA.

  3. 3.

    Historians have pointed out that there was a clear critique to the birth-rate decrease solution within other segments of the population. For more on this, see Turner (1974), Nagel (1978), Valdés (1980), de Márquez (1984), and Welti-Chanes (2011).

  4. 4.

    Regarding the export of meat, Loredo said that many Mexicans could not afford to pay for the meat that was produced so they had to export it.

  5. 5.

    An active researcher in the contraceptive field, she was the head researcher in the clinical trials to test the pill in Puerto Rico and Mexico.

  6. 6.

    An example of the work done at this time by Colegio de México is the international meeting they held in 1970 that then became the book Dinámica de la Población de México.

  7. 7.

    Syntex was able to achieve such an important place within the hormone industry worldwide due to several factors. First, Emeric Somlo (a Hungarian lawyer and businessman) and Federico Lehmann’s (German chemist and physician) appreciated the advantages that Marker’s method of synthesis entailed. When Marker began his work on the syntheses of steroid hormones in the 1930s, it was a very expensive process dominated by the technology developed in Europe (one gram of progesterone could cost up to 80 dollars). This might have been what led him to decided to focus on the source of the compounds, turning his attention away from animals and towards plants, and developing what is now known as the “Marker Degradation”. Using plants and his synthesis method brought prices down. Somlo, Lehmann, and Marker founded Syntex in 1944. Second, the high academic standards of the Chemistry school a the UNAM. After a year of having founded Syntex, Marker left. Somlo and Lehmann hired George Rosenkranz, together with a team of Mexican chemists. Soon they were able to develop a similar process and continue the production of hormones. A few years later, in 1949, Carl Djerassi also joined the team followed by a young chemist Luis E. Miramontes . By this stage, Mexico’s hormone production was overtaking the monopoly held by Europe and then the USA. As a young chemist, Luis E. Miramontes had been searching for a way to avoid miscarriages when he found a way to avoid conception. In 1951, Djerassi, Miramontes, and Rosenkranz were able to synthesise 19-nor-progesterone, from which Miramontes was then able to produce 19-noretindrona which became the base for the oral contraceptive pill. Due to the importance of this work, Djerassi considers that “Syntex as a company, and Mexico as a country, deserve full credit as the institutional site for the chemical synthesis of an oral contraceptive steroid”; however, this recognition was not given to any of them back then (and still is not fully). Djerassi’s statement makes sense if we remember that the American scientist John Rock chose Envoid, the oral contraceptive formula developed by Searle Pharmaceuticals, over the one developed by Syntex (norethindrone), guaranteeing with this that it was the USA and not Mexico who received the credited as the birthplace of the Pill. Third, to the protectionist policies which favoured Syntex in terms of applying extremely high taxes in exportation to foreign labs, delaying or rejecting their permits to exploit the natural resources needed; and finally, because their research interests had extremely practical applications that were in need during the first years of Syntex. For more on the development of the pill, Syntex, and the research on hormones carried out at that time, see Soto Laveaga (2007, 2009) and Léon Olivares (2001).

  8. 8.

    Article 4 “Todos los individuos tienen derecho de decidir, de manera libre, responsable e informada, acerca del número y espaciamiento de sus hijos” Every individual has the right to decide, freely, responsibly and well informed, about the number and spacing of their children. With this, the use of contraceptives becomes part of women’s right and part of the Human Rights movement.

  9. 9.

    This strategy was used in many places. For example, in 1968 Walt Disney together with the Population Council put out short cartoons explaining the problem of overpopulation, how we came to have it, what can be done by using family planning methods , and how we should measure “manhood” in terms of how well he takes care of his children and not on how many he has.

  10. 10.

    “¿Piensa en el gasto? Entonces piense que con una familia bien planeada se puede balancear adecuadamente su presupuesto. Y recuerde que la familia pequeña vive mejor”.

  11. 11.

    ¿Piensa tener más familia? Entonces piense en que todos tengan cuanto necesiten. Y recuerde que la familia pequeña vive mejor”.

  12. 12.

    Soto Laveaga (2007), in her very detailed analysis of these campaigns, suggests that these campaigns were targeted to a wider audience. However, her focus when saying this is on the campaigns promoting certain gender and civic roles not reproduction. I agree that these gender and civic messages could have been targeted to a larger audience, but not so the case of the reproductive messages. One instance to support my point is the images used, seldom do you see stereotypes of the economically affluent segment of the population.

  13. 13.

    Televisa was and is the largest television network in the country. For more on the role of television in Mexican politics and culture, see Beard (2003), Pearson (2005), Orozco Gómez (2006), Tate (2007), González de Bustamante (2009, 2010), Allende (2012), Franco Migues (2012), and Lewkowicz (2014).

  14. 14.

    Barbasco is the name given to diosgenin-rich Mexican yams, Discorea mexicana and Discorea composita, from which a number of substances (such as steroids) useful in the pharmaceutical industry can be synthesised.

  15. 15.

    Endocrine Disturbances in Chronic Human Malnutrition. (1953). Vitamins and Hormones, Vol. 11, pp. 97–132.

  16. 16.

    Robert Greenblatt (1906–1987) was a Canadian endocrinologist who worked at the Medical College of Georgia. He was involved in the development of the sequential oral contraceptive pill and in the discovery of clomiphene citrate as a drug to induce ovulation.

  17. 17.

    President Manuel Avila Camacho (1940–1946) developed the National Hospital Plan as a way to increase the number of hospitals and expand their reach to cover larger sectors of the population. Both the National Nutrition Institute and the National Medical Centre were part of this project. For more on the National Medical Centre, see the work of Fajardo Ortiz, a researcher at UNAM who has done extensive work on this institution.

  18. 18.

    Sixth president of the AMEE (1959–1961) and the first that was not a founding member, responsible for the work on sterility carried out at the Gineco1 of the IMSS, where three of the authors worked.

  19. 19.

    LRH is the luteinising-releasing hormone, GnRH is the gonadotropin-releasing hormone.

  20. 20.

    A novel banned in many countries until roughly the 1960s because of its explicit descriptions of sexual activity between a working-class man and an upper-class-married woman and the use of words considered unprintable.

  21. 21.

    They sometimes use the term Fertilización Extracorporea (FEC) or out-of-body-fertilisation to talk about IVF.

  22. 22.

    It is important to remember the basic premises of legal kinship are both biological and marital, the woman who gives birth is the mother and her husband is the father. Kinship is based on the biological link which is the result of copulation. It is assumed that for every birth there was the previous act of coitus.

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González-Santos, S.P. (2020). Managing Reproduction. In: A Portrait of Assisted Reproduction in Mexico. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-23041-8_3

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