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.
How will this help labor/birth? Why is this being proposed? What is the intended outcome?
What risks are there to this procedure? What does the procedure involve? Does it lead to/require other procedures? Are there side effects?
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.