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  • Navigating Maternity Care: Decision Making, Declining Care and Saying No

Navigating Maternity Care: Decision Making, Declining Care and Saying No

by Fiona Brotherton / Wednesday, 06 December 2023 / Published in Antenatal, Home Birth, Midwife
pregnant mums

Pregnancy for some is an incredible time filled with anticipation, excitement, and a touch of nervousness. It can also be a filled with a vast amount of information and recommendations, these might include choosing where to give birth, navigating screening tests offered to you and nutrition considerations etc. Having all of these options can feel empowering to some, but it may also lead to some feeling uncertainty and anxiety around decision making.

What is the BRAIN Tool?

The BRAIN decision-making tool is a simple and effective framework designed to help you to make informed choices that align with your personal values and preferences. This acronym stands for:

  • Benefits: Consider the positive outcomes associated with each option. What are the potential advantages for you and your baby?
  • Risks: Weigh the potential downsides of each option. What are the potential risks or complications that may arise?
  • Alternatives: Explore other available choices. Are there different approaches or strategies that could yield similar outcomes?
  • Intuition: Listen to your inner voice and gut feelings. What does your intuition tell you is the right path to take?
  • Nothing: Consider the potential consequences of inaction. What happens if you don’t make a decision at this time?

By using this tool for each option, you can gain clarity and make informed decisions that align with your unique circumstances and preferences. This tool empowers you to become an active participant in your care, fostering a sense of control and confidence throughout your pregnancy journey. While many recommendations from others are well-intentioned, some may not align with your personal preferences or beliefs. In such instances, it’s crucial for you to feel empowered to say no and make informed decisions about your own body and baby.

Our Top Tips for Saying No in Pregnancy

Be clear and direct: Express your wishes clearly and directly to your Midwife.  Don’t be afraid to ask questions and seek clarification if needed.

Educate yourself: Do your own research and gather information about the different options available. This will help you feel more confident in your choices as they were informed. Your midwife can provide you with information from reputable sources.

Don’t feel pressured: Don’t let anyone pressure you into making decisions that you don’t feel comfortable with. Unless faced with an emergency situation, there is always time to consider and discuss. It’s your body and your baby, and you have the right to make the best choices for yourself.

Discuss with your partner/supporters: Make sure your team around you are aware of your choices so they can advocate for you if you are unable to.

How to say no:

Here are some examples for saying no to interventions or procedures during pregnancy and childbirth:

  • “No”
  • “I’m not comfortable with this intervention, and I am making an informed decision to decline.”
  • “I would prefer to try a different approach first.”
  • “I would like to discuss the risks and benefits of this procedure further.”
  • “I would like to have a second opinion.”

Remember, saying no is a complete sentence and does not make you difficult or uncooperative. It’s about taking control of your own body and your experience. By advocating for yourself and making informed decisions.

You can head to our supporting your choices leaflet for specific information on what opting out of certain care elements may look like. It’s important to remember that you have the right to decline any aspect of maternity care that you do not feel comfortable with. Here at Private Midwives, we will respect your decisions and endeavour to provide you with all of the information you need to make informed choices.

If you would like to know more about your pregnancy and birth options feel free to call us on 0800 3800 579

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Fiona Brotherton

About Fiona Brotherton

Following a life-long fascination with pregnancy and the human body, in particular the development from embryo to baby, Fiona commenced her Midwifery degree at The University of East Anglia in 2017 and graduated in 2020 during the peak of the Covid Pandemic. Joining the NHS workforce during this difficult time boosted her resilience and her colleagues found her to be a calming force in those stressful moments. Fiona is NIPE trained, and has worked as a Fertility Midwife, she’s truly passionate about empowering women to learn about their bodies and reproductive health. Fiona joined Private Midwives in September 2022 and is proud of the spectrum of care that she provides throughout pregnancy, birth and postnatal period. She says that no two days are the same and that she loves the spontaneity of Private Midwife life.

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