Using the BRAIN Model to Make Decisions in birth
Making decisions during pregnancy and birth can feel overwhelming, especially when it comes to interventions. Whether you're considering an induction, an epidural, or other medical procedures, it's important to feel informed and empowered in your choices. The BRAIN model is a simple yet effective tool that can help you evaluate your options and make decisions with confidence. Here's how to use it:
What Is the BRAIN Model?
BRAIN is an acronym that stands for:
Benefits
Risks
Alternatives
Intuition
Nothing (or Next Steps)
This model provides a framework to help you assess the pros and cons of any medical intervention, ensuring that your choices align with your values and goals for birth.
Breaking Down the BRAIN Model
Benefits
Start by asking, “What are the benefits of this intervention?”
How will this procedure help me or my baby?
What problem is it addressing or preventing?
Are the benefits backed by evidence?
For example, if your healthcare provider suggests an induction, you might learn that it’s recommended due to a medical condition, such as preeclampsia, which could benefit both you and your baby by reducing potential complications.
Risks
Next, ask, “What are the risks associated with this intervention?”
Are there side effects for me or my baby?
What are the chances of those risks occurring?
Are there any long-term implications?
Understanding the risks allows you to weigh them against the potential benefits. For instance, an epidural might effectively manage pain but could come with risks like a drop in blood pressure or challenges while pushing.
Alternatives
Consider, “What are the alternatives to this intervention?”
Are there non-medical options?
Could waiting and monitoring be an option?
Are there other techniques or tools to achieve the same outcome?
For example, if your provider suggests breaking your water to speed up labor, you might ask whether trying movement, hydration, or changing positions could help instead.
Intuition
Reflect on your own feelings: “What does my intuition tell me?”
Does this decision feel right for me and my baby?
Do I feel pressured, or do I feel comfortable?
Your gut feeling matters. You know your body and your values best. If something doesn’t sit right, it’s worth discussing further or seeking a second opinion.
Nothing (or Next Steps)
Finally, ask, “What happens if we do nothing or wait?”
Is this intervention urgent, or can it be delayed?
What are the risks and benefits of waiting?
Sometimes, doing nothing or taking a “wait and see” approach is a valid choice. For example, if labor isn’t progressing as expected but both you and your baby are healthy, you might choose to wait a little longer before intervening.
Tips for Using the BRAIN Model in the Moment
Practice Ahead of Time: Discuss hypothetical scenarios with your partner, healthcare provider, or birth coach during pregnancy so you feel prepared to use the model during labor.
Ask for Time: If a decision isn’t urgent, ask for a few minutes to think it over. Take that time to use the BRAIN model and consult your support team.
Involve Your Support Team: Share the BRAIN model with your partner or support person so they can help advocate for you when you’re in the thick of labor.
Why the BRAIN Model Matters
Using the BRAIN model helps ensure that decisions are made collaboratively and thoughtfully, rather than out of fear or pressure. It empowers you to ask questions, weigh your options, and choose what feels best for you and your baby. Pregnancy and birth are deeply personal experiences, and the BRAIN model is a powerful tool to help you navigate them with confidence.
By keeping this model in your mental toolkit, you can approach any decision in pregnancy or labor with clarity. Remember, you are the ultimate decision-maker in your birth experience, and the BRAIN model is a great way to help you feel more confident in your choices.
