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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
© Childbirth International 2005 All Rights Reserved
What client says she wants is different from what she is prepared to do (work)
PROBLEM:
PROBLEM: Define the problem
© Childbirth International 2005 All Rights Reserved
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
© Childbirth International 2005 All Rights Reserved
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
© Childbirth International 2005 All Rights Reserved
to keep my baby safenothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I want …
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
The only focus is
the health and
wellbeing of the
baby
© Childbirth International 2005 All Rights Reserved
to feel supportednothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I want …
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
As well as safety,
focusing on their own
emotional needs
© Childbirth International 2005 All Rights Reserved
to enjoy giving birthnothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I want …
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
The experience
begins to become
significant
© Childbirth International 2005 All Rights Reserved
nothing without my consent nothing
without my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I want …
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
Wants to be an active
participant
in decision making
© Childbirth International 2005 All Rights Reserved
my birth, my way!nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I want …
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
Wants an experience
where she is in control
of decision making
entirely
© Childbirth International 2005 All Rights Reserved
mybirth,
myway!
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
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
W A MWomen’s Attitudes & Motivations
W I GWomen’s Incentives & Goals
© Childbirth International 2005 All Rights Reserved
trust my doctor to make decisions on my behalf
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I will …
mybirth,
myway!
Comfortable with doctor making all
decisions
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
ask my doctor “what?”
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I will …
mybirth,
myway!
Wants to know what is
happening or what to do next
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
ask my doctor “why?”
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I will …
mybirth,
myway!
Wants to know why doctor is suggesting
certain things
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
negotiate & challengenothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I will …
mybirth,
myway!
Prepared to discuss
options and
compromise with
doctor
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
stand by my decisions
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
I will …
mybirth,
myway!
Prepared to see
doctor’s view but makes final decision
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
THE PROBLEM?
© Childbirth International 2005 All Rights Reserved
When what she wants is on a different level…
… to what she is prepared to do (work)
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
and is unlikely to
feel satisfied
with her
experience!
She is not in
EQUILIBRIUM…
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
She can either …
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
Readjust Goals
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
trust my doctor to make the best decisions on my behalf
Readjust Goals
© Childbirth International 2005 All Rights Reserved
to feel supported
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
trust my doctor to make the best decisions on my behalf
Readjust Goals
to keep my baby safe
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
Readjust Goals
OR
© Childbirth International 2005 All Rights Reserved
™
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
Readjust Goals
Learn Skills
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
Readjust Goals
Learn Skills
© Childbirth International 2005 All Rights Reserved
ask my doctor “what?”
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
Readjust Goals
Learn Skills
ask my doctor “why?”
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
Readjust Goals
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
trust my doctor to make the best decisions on my behalf
to keep my baby safe
Readjusting goals means having realistic
expectations of what she can achieve
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
trust my doctor to make the best decisions on my behalf
Learn Skills
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
to enjoy giving birth
ask my doctor “why?”
Learning skills means being assertive, exploring options and possibly seeking alternative care
© Childbirth International 2005 All Rights Reserved
THE GOAL?
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
© Childbirth International 2005 All Rights Reserved
To achieve EQUILIBRIUM
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
© Childbirth International 2005 All Rights Reserved
W I GWomen’s Incentives & Goals
W A MWomen’s Attitudes & Motivations
mybirth,
myway!
nothingwithout my consent
to enjoy giving birth
to feel supported
to keep my baby safe
standby mydecision
negotiate& challenge
ask my doctor “why?”
ask my doctor “what?”
trust my doctor to make the best decisions on my behalf
© Childbirth International 2005 All Rights Reserved
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
© Childbirth International 2005 All Rights Reserved
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
© Childbirth International 2005 All Rights Reserved
PROBLEM: What she wants is different from what she is prepared to do
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