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Dirty Work and Intimacy: Creating an Abortion Worker.

Kelly Marie Ward1

  • 1University of Wisconsin-Madison, Madison, WI, USA.

Journal of Health and Social Behavior
|May 21, 2021
PubMed
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Surgical abortion work involves specialized tasks, blending intimate and "dirty work." This study analyzes how these roles are divided among clinic staff, revealing distinct worker types based on intimacy and dirtiness levels.

Keywords:
abortiondirty workhealth careintimate workmedical assistants

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Area of Science:

  • Sociology of Health and Illness
  • Medical Anthropology
  • Reproductive Health Services Research

Background:

  • Abortion care has evolved since Roe v. Wade, with increased specialization driven by efficiency and cost reduction.
  • Existing research on abortion work often overlooks the roles of medical assistants, focusing primarily on physicians and nurses.

Purpose of the Study:

  • To examine the organization and allocation of surgical abortion work among health staff.
  • To analyze how intimacy and "dirty work" theories apply to the division of labor in an abortion clinic.
  • To compare the experiences of medical assistants with those of doctors and nurses in abortion care.

Main Methods:

  • 18 months of ethnographic fieldwork conducted at a surgical abortion clinic in southern California.
  • Application of theories of "dirty work" and "intimate work" to understand labor division.
  • Comparative analysis of experiences across different occupational roles within the clinic.

Main Results:

  • Abortion work within the clinic is best understood as existing on intersecting spectrums of intimacy and dirtiness.
  • The study includes the experiences of medical assistants, offering a broader perspective than previous research.
  • Distinct types of abortion workers emerge based on the frequency, intensity, and purpose of their intimate and dirty work.

Conclusions:

  • The division of labor in abortion care is shaped by the unique interplay of intimate and dirty work.
  • Understanding these intersecting spectrums is crucial for comprehending the varied roles and experiences of abortion providers.
  • This research highlights the need to consider all staff members, including medical assistants, when analyzing the dynamics of abortion work.