– Prioritize their feelings and instincts BRAN helps families to gather information, and Buckley specifically recommends that families: When we begin to interfere with the hormones and processes of labor and birth, we risk more than the life of the baby we risk the emotional well-being of the family. In this environment, it is easy for the emotional needs of attachment, breastfeeding and early bonding to get side-lined. “The obstetric concept of risk is based almost exclusively on measures of perinatal mortality: the chance of a baby dying around the time of birth,” (Buckley, 41). It is still your right, not the doctor’s. You have the right to make informed choices and to make informed refusals, even when the path you’re on could be considered life-threatening for your baby.
You are the one who will live with the decisions you make, so you are the one who has to feel comfortable with them. It’s important to remember that it is your baby, your body and your choice. And, there is always the alternative of doing nothing (which is often overlooked). But, if you keep digging, alternatives are generally available. For example, obstetrics rely so much on technology that they might not be aware of any alternatives to a high-technology approach.
Sometimes alternatives may be hard to find, because most practitioners will have one path in mind given their biases. Midwives will have one set of biases, and OBGYNs will have another. Your care providers will have opinions about what is best given your situation, and they often will try to sway you to make the decision they support.
Benefits/Risks/Alternatives/Nothing) is designed to help you make informed choices. As explained by Buckley, “When you are offered a test or intervention, BRAN reminds you to ask about and consider the Benefits, Risks, and Alternatives and to also consider the effects of doing Nothing in this situation.” I will try to summarize Buckley’s key points (and I am copying the key ideas directly from her book). The BRAN model is a simple formula for parents-to-be to use when faced with any decision (and it is specifically helpful with medical ones). It doesn’t help that “everyone is an expert” and has an opinion about how you should birth and raise your child. Women and couples are asked to make many decisions about their pregnancy and birth, and this responsibility can become very overwhelming. While I discussed it with a pregnant friend of mine, she was very interested in learning more about it. The BRAN model is a great decision making tool that I gleaned from reading Gentle Birth, Gentle Mothering by Sarah J.
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