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Decision Free Birthing

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Decision Free Birthing (DF Birthing) is a method to empower soon-to-be mothers to have the birthing experience they want for themselves. DF Birthing consists out of two parts and helps the expectant woman:

  • By helping the expectant woman to define her personal birthing aim.
  • By helping the expectant woman to identify caregivers whose expertise can help her achieve her personal birthing aim.
  • By instructing caregivers how to optimally utilise their expertise in support of the expectant mother.
  • By helping the expectant mother to understand how she can actively contribute to achieving her personal birthing aim.
  • By helping the expectant mother and the birthing partner to prepare for delivery where communication is no longer possible and expectations must be clear in order for them to be met
  • By helping the birthing partner understand how to actively support the expectant mother.
  • By directing new policies and protocols towards achieving the aim of the expectant mother.
  • By providing a rationale to counter the further medicalisation of the birthing process for as far as it is not in line with the expectant mother’s personal birthing aim.

For more information on DF Birthing you can read this case description and this article.


We at Decision Free Solutions are currently developing the method of DF Birthing and are reaching out to both organisations and “birthing professionals” to co-develop the method. This concerns both the scientific substantiation of the various aspects of “nature’s birthing aim” as well as how to present (and share) the method with the caregiving community. If you are willing to contribute please send an email to jorn@decisionfreesolutions.com

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Explaining the Fundamentals of Decision Free Solutions

Understanding that decisions increase risk impacts all.

Decisions are unsubstantiated choices. Once you realise a decision may not contribute to achieving a goal you want to avoid them. The approach of DFS, using four steps and five principles, does so in a systematic way.

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Everybody can manage risk, only few can minimise it.

In every organisation there are both identified and unidentified risks. To manage identified risks is straightforward. Everybody can manage identified risks. Which leaves the unidentified risks. Who will minimise these? Not everybody can.

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The alternative to decision making is transparency.

Decisions are conclusions reached after consideration. When something needs to be considered it means it is not transparent. Create transparency and what follows are not decisions but approvals (e.g. Decision Free Management).

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That decisions increase risk is not semantics, it is logic.

That decisions increase risk follows from the dictionary definition and use of logic. Few experience decisions in this way, for various obvious reasons. These reasons don't take anything away from decisions increasing risk. The risk is for real.

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All explanations >
Understanding that decisions increase risk impacts all.

Decisions are conclusions or resolutions reached after consideration. When something needs to be considered it is not transparent. When a decision is made when something isn’t transparent risk increases. With every decision it becomes less likely the aim will be achieved. How do decisions manifest themselves, what types of decision making are there? How will the approach of Decision Free Solutions avoid them?

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That decisions increase risk is not semantics, it is logic.

That decisions increase risk follows from the dictionary definition and use of logic. Few experience decisions in this way, for various obvious reasons. Many unsubstantiated choices are made based on experience or are educated guesses. We get a lot of decisions right. When the risk does occur, usually much later, we often fail to make the link with the decision. What is more, making decisions often makes us feel good. But the risk is still for real.

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Everybody can manage risk, only few can minimise it.

In every organisation there are both identified and unidentified risks. Unidentified risks occur e.g. when aims are not clearly understood, when it is unclear whether the right expertise is available, or used appropriately. All of which results in decision making. To manage identified risks is straightforward, to minimise risk you must avoid decision making. Which is what an expert does. But what does it take to become an expert?

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Decision Free Birthing empowers expectant women.

Decision Free Solutions is a generic approach. It can be applied in any field. As a demonstration of this Decision Free Birthing has been developed. DF Birthing is a method to empower expectant women to get the birthing experience they want. For this to happen today’s prevalent practices need to be changed. For example, a woman should not write her own birth plan, an expert should. Until the woman fully understands and approves it. Decision Free Birthing has been put in practice too.

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The alternative to decision making is transparency.

Decisions are conclusions or resolutions reached after consideration (the Oxford dictionary definition of ‘decision’). When something needs to be considered it means it is not transparent. Create transparency and what follows are not decisions but ‘the logical next step’. When something is transparent you don’t have to think. Transparency allows decisions to be replaced by approvals.

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Decision Free Solutions will save the world.

What if everyone, every organisation, will have his aim achieved? What if you are allowed to do what you excel at – as long as you can explain what you are going to do, and only have to tell them that all is going well, not having to share the details of what it is you are doing right now? What if expertise really matters –  always? What would politics be like? How if healthcare worked that way? Hard to imagine, but easy to start contributing to today. Let us explain how.

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