As far as being relevant in the here and now:
Is abortion still an issue, today?
Are gay rights still an issue, today?
Do certain religious groups still seek to "outlaw" these practices? One could argue that conservative religious extremists see these as abominations of God's laws, and these then become their platforms for political action.
The novel is a commentary about what happens to a society when religious ideology fuses with a government's mandate to solve social issues.
And in this novel, the government is a totalitarian regime controlled by men, with reproduction as the core locus of control.