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La décision médicale dans le champ de l'Assistance Médicale à la Procréation. Une analyse sociologique des pratiques et des représentations des spécialistes de la reproduction

Abstract : The in vitro fertilization is a recent biomedical innovation, dating from 1978. Nevertheless, the use of Assisted Reproductive Technologies (ARTs) become widely accepted, to the point where these technics contribute today to more than three per cent of French childbirth. Clinical practitioners and biologists play a key-role in this field. They are in charge of the gametes meeting and they are also the main decision makers on the access and the pursuit of infertility treatments. However, their decisional power has been less studied than the consequences of their intervention in terms of infertility experience, kinship, filiation and gender. This is precisely what this research aims to overcome. At the crossroads of health sociology, sociology of professions, of organizations and of action, the goal of this study is to highlight, through the prism of medical decisions, the multiplicity of practices and the diversity of representations of infertility specialists. This research is build on a two years of qualitative study lead in several ART centres in the Parisian region, including observations of consultations, multidisciplinary staff meetings, and interviews with patients and infertility specialists. Based on this data, and constantly trying to articulate micro and macro sociological dimensions, this investigation is firstly devoted to report the local and global contexts where the professionals’ choices are taken, and then to analyse decisions about ARTs access and medical technics. In fine, this research points out that the patients’ selection and the medical strategies, each different depending on the specific ART centers’ cultures, appear as a compromise made between the different actors, who have to compose with a set of constraints to, in the end, start off practices in adequacy with their own values and representations.
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Submitted on : Wednesday, April 25, 2018 - 11:14:30 AM
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Constance Schuller. La décision médicale dans le champ de l'Assistance Médicale à la Procréation. Une analyse sociologique des pratiques et des représentations des spécialistes de la reproduction. Sociologie. Université Paris 13, 2018. Français. ⟨tel-01777930⟩

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