Hi guys. This is Jana. I am a doula with Yema Mamas and I'm here to teach you
about the decision making process called brain. Using your brain
B-R-A-I-N. I'm gonna walk you through that process today. You can use this for
childbirth and your process. Also you can use it for any medical decision you have to make.
It's a great way to think through all of your possibilities and what decision you want to make.
Informed decision making really comes down to
asking good questions. Sometimes, though, in the moment when you are in labor and
there's a lot going on and you don't know what's going on and all of a sudden
something is presented to you or is said that they're going to do to you, you
don't really have the brain processes to come up with a question. So this tool, the
using your brain tool, is actually a way that you and your partner can remember
what questions you need to ask when the moment is present. Alright, so let's
walk through this. B R A I N... this is a mnemonic device to remember
what questions to ask. The first question you're going to ask
is about the benefits. This is a way that you can understand why the
medication, the procedure, the policy, the test, whatever it is, is beneficial to you.
What you will want to ask is, okay, how is this going to help me? my baby? or my
labor? And once you understand that, it will be really helpful. After that
you're gonna ask about the risks. Once you know how this procedure is
going to help you, it's important to know what are the possible things that this
could cause. If a procedure or medication you know maybe it could cause
some adverse effects or maybe it could cause another intervention to happen
after that. Once you have these two pieces of information,
this is a great way to think through the benefits and the risks for you and your
labor and your family and your body. You can decide do the benefits outweigh
the risks for me? or do the risks outweigh the benefits for me? And
different people are going to feel differently. You actually might feel
differently than your care provider. Even your care provider your doctor or
your Midwife might feel like the benefit outweighs the risk for you but you might
feel like the risk outweighs the benefit and that you would like to not do that
thing. In that case you can talk through that information and you need
help. Usually in labor you're gonna need help from your
support partner, whether it be your husband, boyfriend, mother, friend, whoever
it is, to help you to ask those questions and state what you want. Next,
after you understand the benefits and the risks, if you're still not sure about
what decision you want to make, then you want to ask about alternatives. And often
you might be surprised to find that there are alternatives. There are other
options. So you can find out, "what other options do I have
besides doing this one particular medication, procedure, or test?" Then
you can talk through the risks and benefits of those alternatives.
And maybe you would prefer one of those other options. Next, 'I' is for intuition.
One thing you need to check in on before you make a decision is, "How do
I feel about this?" Is my gut telling me, "no I don't need this"
or "yes, I need to move forward, and this is the best thing right now for
me". If you're not feeling quite right about it then you might need to ask some
more questions or have some time with your partner to pray and really
center yourself and maybe listen to if you talk to God about it. Or
however you go about really figuring out what's going on in your
mind and in your heart to come to peace with whatever decision is made.
Sometimes that just might mean that you need to have a little conversation, a
heart-to-heart, and come to peace with that decision.
Other times you might want to have the peace of mind not to go
forward with it. But taking that moment to really check in with yourself
emotionally and spiritually is really important for feeling good about the
decision you make. Lastly, 'N' is for nothing. That means, "what if we do
nothing?" This is a really important question and this is my favorite
question in childbirth, because this really will reveal to you the urgency or
non-urgency of a particular intervention or medication or procedure. When you
ask "what happens if we do nothing right now?" or "what if we wait an hour?" or
"what if we wait a day?" and then you can see the response by the doctor or the
nurse when you ask that. Then sometimes they'll just say, "well it's just
going to take more time. Then we'll just have to wait and we'll check back with
you in an hour and see how things are going."
If you get that kind of response then it's
like, "Well, this isn't medically necessary right now.
It's not really urgent. It's not something that's life-or-death." And you can
understand that this was just a procedure that they want to do, but if I
don't want to do it, it's not that significant to my health, my labor, or my
baby. Then you can feel good about if you want to not do that, you can
just wait and do nothing. However if you say, "Well, what if we do nothing? or what
if we wait an hour?" and you see this concern or all of the sudden your
doctor is really worried and they start talking about all these serious problems
that are gonna happen and this is how they really feel, then you can really
weigh that in your decision. Okay, "It seems like this is a really serious
medical problem. They feel really strongly that this is what I need to do."
And then you can really consider that as you pray and think through it or are making
your decision if you're gonna move forward with that. Then you can
feel more confident knowing how your medical care providers feel about it.
This is my favorite question because it really gives you a clear
vision of the seriousness of the condition or if it's just something
that's not necessarily indicated but they want to do. Or maybe there's a
reason for it but it's not necessary. And then you can really have a say in that
which is great. It helps you feel good about it. So this is the process of
BRAIN: benefits, risks, alternatives, intuition, and what if we do nothing.
Remember those and you can make really great decisions for yourself in
childbirth and through any medical decision you need to make. I'm going to
post a a great poster for you to be able to remember these. You can
keep it you can print it put it in your wallet so that when you get to that
moment then you can remember what questions you need to ask. Thanks guys
Bye! See you next time.
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