Managing Labor and Delivery among Impoverished Populations in Mexico: Cervical Examinations as Bureaucratic Practice

Birthing experiences for low-income and marginalized women have frequently been framed within explanatory models of authoritative knowledge and power dynamics. Many of these explanatory models have pointed out the structural violence inherent in the biomedical model of birth. The research on which this article is based suggests that clinicians' stressful work environment and class-based stereotypes of low-income women resulted in the routinizing of inhumane medical practices. Hospital overcrowding due to health reforms led to clinicians being primarily concerned with moving patients swiftly through the system. Clinicians increasingly relied on the cervical examination as a marker for labor's progress and a shorthand method to track cervical dilation. Using ethnographic data collected in the obstetrics ward of a public hospital in Mexico, in this article I explore the emergence of a bureaucratic routinizing of obstetricians' everyday practice. I provide a new understanding of the encoding and entrenching of everyday medical practices and their effect on the reproductive rights of women.