WIGWAM - Childbirth Internationalchildbirthinternational.com/resources/WIGWAM.pdf · to keep my...

WIGWAM

Really hearing what your clients are saying

© Childbirth International 2005 All Rights Reserved

I really want a VBAC! Chooses a doctor with a policy of induction at 39 weeks for VBAC

I want a drug free labor! Books a hospital where epidurals are routinely offered to all women

I really want breastfeeding to be successful!

Buys bottles “just in case” and follows nurses advice to express from day 1 to avoid engorgement

I don’t want to be diagnosed with gestational diabetes!

Continues to eat high sugar foods and does not do any exercise

HER WORDS HER ACTIONS

PROBLEM: Define the problem


What client says she wants is different from what she is prepared to do (work)

PROBLEM:

PROBLEM: Define the problem


what she says she wants

what she is prepared to do

W I G W A M

Women’s

Incentives &

Goals

Women’s

Attitudes &

Motivations

TM

PROBLEM: What she wants is different from what she is prepared to doPROBLEM: What she wants is different from what she is prepared to do


W A MWomen’s Attitudes & Motivations

I want …

W I GWomen’s Incentives & Goals

mybirth,

myway!

nothingwithout my consent

to enjoy giving birth

to feel supported

to keep my baby safe


to keep my baby safenothingwithout my consent


to feel supported


I want …



mybirth,

myway!

The only focus is

the health and

wellbeing of the

baby


to feel supportednothingwithout my consent


to feel supported


I want …



mybirth,

myway!

As well as safety,

focusing on their own

emotional needs


to enjoy giving birthnothingwithout my consent


to feel supported


I want …



mybirth,

myway!

The experience

begins to become

significant


nothing without my consent nothing

without my consent


to feel supported


I want …



mybirth,

myway!

Wants to be an active

participant

in decision making


my birth, my way!nothingwithout my consent


to feel supported


I want …



mybirth,

myway!

Wants an experience

where she is in control

of decision making

entirely


mybirth,

myway!



to feel supported


I will …

standby mydecision

negotiate& challenge

ask my doctor “why?”

ask my doctor “what?”

trust my doctor to make the best decisions on my behalf




trust my doctor to make decisions on my behalf



to feel supported


I will …

mybirth,

myway!

Comfortable with doctor making all

decisions



standby mydecision









to feel supported


I will …

mybirth,

myway!

Wants to know what is

happening or what to do next



standby mydecision









to feel supported


I will …

mybirth,

myway!

Wants to know why doctor is suggesting

certain things



standby mydecision






negotiate & challengenothingwithout my consent


to feel supported


I will …

mybirth,

myway!

Prepared to discuss

options and

compromise with

doctor



standby mydecision






stand by my decisions



to feel supported


I will …

mybirth,

myway!

Prepared to see

doctor’s view but makes final decision



standby mydecision








THE PROBLEM?


When what she wants is on a different level…

… to what she is prepared to do (work)










and is unlikely to

feel satisfied

with her

experience!

She is not in

EQUILIBRIUM…






She can either …






Readjust Goals





Readjust Goals


to feel supported




Readjust Goals







Readjust Goals

OR


™





Readjust Goals

Learn Skills






Readjust Goals






Readjusting goals means having realistic

expectations of what she can achieve






Learn Skills






Learning skills means being assertive, exploring options and possibly seeking alternative care


THE GOAL?




To achieve EQUILIBRIUM






mybirth,

myway!



to feel supported


standby mydecision






How WIGWAM helps you

Helps you to identify clients who may not be in equilibrium

Can use for yourself to determine what a client seems to really want

Can use with a client to highlight issues to them and help them identify how they want to approach them


PROBLEM: What she wants is different from what she is prepared to do

WIGWAMThere is no right or wrong place to be

Women can move up and down at different times

The aim is for equilibrium, at whatever level the woman is most comfortable with


PROBLEM: What she wants is different from what she is prepared to do

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