Using Your B.R.A.I.N.

B.R.A.I.N. is an acronym that can help parents to gather information from a care provider or birth attendant when a procedure or intervention has been proposed.

B: BENEFITS
How will this help labor/birth? Why is this being proposed? What is the intended outcome?

R: RISKS
What risks are there to this procedure? What does the procedure involve? Does it lead to/require other procedures? Are there side effects?

A: ALTERNATIVES
What are some other things we can try first? What have other people tried that might work? Is there any medical reason we couldn’t try X first? Is there any medical reason we can’t wait another (time period)?
Don’t say: “Could we…?”, that allows them to give you a yes/no answer.

I: INTERVAL and INTUITION
We need to have some time privately to discuss what you’re telling us and make a decision, thank you.
What is your gut telling you? Are you making a decision from fear, or awareness?

N: NEXT BEST THING
Looking at the information, what is our next best step?
We are going to wait for (time period), then revisit your recommendation.
We want to try X for 30 minutes, then we’ll try your recommendation.
We would like a second opinion.
We are consenting to the procedure.
We are choosing to decline the procedure.