Piexitio refers to the Romanian children in historical notes.
Under the dictatorship of President Ceausseseu, birth control and abortion were banned in 1966.
Romanian women of child bearing age were expected to have 5 children, but this led to unwanted babies being more and thousands of children being abandoned.
Atwood uses this reference to ask us to consider the effects of banning women's health care such as abortion, and the effects and morality of this.
The effects of banning abortion are especially prevalent now after it has been banned in many US states due to the overturning of Roe v Wade in 2022.