Childbirth is a miraculous journey, but modern American maternity care has introduced trends that can alter this natural process. One of these trends is known as the "cascade of interventions," a sequence of medical interventions that often start with a single, routine procedure. Let's explore why it's crucial to avoid these unnecessary interventions and how understanding your options can lead to a more empowering birthing experience.

The cascade of interventions resembles a snowball effect — once it begins, it becomes challenging to stop. Often, it starts with a seemingly small decision, such as agreeing to a routine or unnecessary medical intervention. This can lead to a series of additional interventions, sometimes culminating in outcomes like a C-section.

Consider the story of "Mama Mia," a fictional but typical representation of childbirth influenced by the cascade of interventions. Her journey started with an ultrasound depicting a "big baby" and "low fluid levels," prompting her doctor — due for vacation — to suggest induction. Trusting her doctor, Mama Mia agreed.
​What followed was a series of interventions, from membrane stripping to administering CytoTEC and Pitocin, each step creating a need for the next. Exhaustion from contractions and fear of complications led to a C-section, highlighting how initial decisions set the stage for this outcome.

Mama Mia's story underscores the influence of fear and routine in childbirth decisions. The medical system often implements interventions based on protocols rather than individual needs. Fear — of potential complications, disappointing providers, or facing the unknown — can inadvertently guide these choices.

It's critical to recognize when interventions are medically necessary and when they are not. Understanding your rights and seeking informed consent are paramount. It's your right to ask questions, challenge routine procedures, and ensure you receive complete information on potential risks, benefits, and alternatives.

By educating yourself and leaning into faith in your body's God-given ability, you can face childbirth with confidence rather than fear. Informed decisions lead to empowered experiences, aligning your birth plan with what feels right for you and your baby.

If Mama Mia's story resonates with your concerns, consider seeking personalized guidance through a Midwife and Me Power Hour. Here, you'll receive one-on-one support to develop a birth plan tailored to avoid unnecessary interventions, putting faith and informed decisions at the forefront.