{"title":"IVF Doctors as Moral Pioneers and Moral Guardians in Pronatalist China.","authors":"Ziqi Xie","doi":"10.1080/01459740.2026.2619424","DOIUrl":null,"url":null,"abstract":"<p><p>In this article I examine the roles of IVF doctors in two state-owned hospitals amid China's shift to pronatalism. Rather than simply promoting infertility treatment, some doctors act paternalistically as \"moral pioneers\" and \"moral guardians,\" reappropriating moral authority granted by biomedical expertise to persuade many women of \"advanced maternal age\" seeking a second child through ART to reconsider or discontinue treatment. Their reasoning arises from navigating contradictory reproductive governance while drawing on personal moral values. While reinforcing state narratives on declining fertility, they also provide medical justifications for forgoing treatment, offering some women an alternative model of femininity.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"34-51"},"PeriodicalIF":1.3000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Anthropology","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1080/01459740.2026.2619424","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
In this article I examine the roles of IVF doctors in two state-owned hospitals amid China's shift to pronatalism. Rather than simply promoting infertility treatment, some doctors act paternalistically as "moral pioneers" and "moral guardians," reappropriating moral authority granted by biomedical expertise to persuade many women of "advanced maternal age" seeking a second child through ART to reconsider or discontinue treatment. Their reasoning arises from navigating contradictory reproductive governance while drawing on personal moral values. While reinforcing state narratives on declining fertility, they also provide medical justifications for forgoing treatment, offering some women an alternative model of femininity.
期刊介绍:
Medical Anthropology provides a global forum for scholarly articles on the social patterns of ill-health and disease transmission, and experiences of and knowledge about health, illness and wellbeing. These include the nature, organization and movement of peoples, technologies and treatments, and how inequalities pattern access to these. Articles published in the journal showcase the theoretical sophistication, methodological soundness and ethnographic richness of contemporary medical anthropology. Through the publication of empirical articles and editorials, we encourage our authors and readers to engage critically with the key debates of our time. Medical Anthropology invites manuscripts on a wide range of topics, reflecting the diversity and the expanding interests and concerns of researchers in the field.