Advocacy During Pregnancy and Birth

Understanding Your Rights, Your Options, and Your Voice

Pregnancy and birth are deeply personal experiences. While healthcare providers bring valuable expertise, you remain the expert on your own body, values, and preferences.

Advocacy is not about conflict or refusing care—it is about understanding your options, asking questions, and making informed decisions that align with your needs and goals.

What Does Advocacy Actually Mean?

Many people hear "advocacy" and imagine confrontation.

In reality, advocacy often looks like:

  • Asking questions

  • Seeking clarification

  • Requesting time

  • Sharing your preferences

  • Participating actively in your care

Advocacy is simply using your voice as a partner in the decision-making process.

Understanding Informed Consent (Using C.U.S.S.)

Every recommendation, procedure, medication, or intervention should be discussed with as much information needed for you to fully understand the scope of your options and how a decision may impact your experience.

By using C.U.S.S. as a helpful tool to gain information and voice your concerns, you will be able to make decisions with greater confidence and clarity.

Building Your Support Team

Advocacy becomes easier when you feel supported.

Consider:

  • Choosing providers who respect your preferences

  • Bringing a supportive partner to appointments

  • Working with a birth doula

  • Discussing preferences long before labor begins

A strong support team by your side helps ensure you feel heard and respected throughout your journey.

Advocacy During Labor

Labor can feel overwhelming, which is why preparation is so important.

Advocacy during labor may look like:

  • Asking for information

  • Requesting time to decide

  • Trying position changes and comfort measures first

  • Clarifying your preferences

  • Asking your support team to help communicate your wishes

Remember: You do not need to have every answer!

You just need enough information to make an informed decision that's right for you and your baby.

Helpful Scripts for Advocating During Labor

When Plans Change

Every birth story is unique.

Sometimes birth takes an unexpected turn and strays from your birth plan, and that's okay!

Advocacy isn't about achieving a specific birth outcome.

It's about being confident in your birth decisions by remaining informed, involved, and respected throughout the process, even when plans need to change.

Always ask questions and remember that you are the boss of your body and your birth.

Your Voice Matters!

You deserve care that respects your questions, honors your preferences, and supports informed decision-making.

Advocacy is not about having all the answers—it's about understanding your options and feeling empowered to participate in your care every step of the way.

The goal isn't perfection.

The goal is helping you feel calm, confident, and in control as you welcome your baby into the world.

Helpful Resources

The Great Birth Rebellion on YouTube

Melanie the Midwife has a wonderful podcast episode (Episode 204: Advocating for yourself in the maternity care system) that explores advocacy within the maternity care system, understanding your options, and communicating confidently with your care team.

Watch on YouTube

The Great Birth Rebellion Podcast

Interested in tuning in to The Great Birth Rebellion's advocacy episode on the go?

Listen on Spotify