On individualisation…

Individualised care is so important.

I discuss this in one of my books, What’s Right For Me? Making decisions in pregnancy and childbirth.

One of the paragraphs in the book got so much attention and positive feedback when I shared it on social media that I decided I would offer the whole quote here on my website as well. So here it is; a paragraph offering some thoughts on individualisation, along with the picture, which you are welcome to share**.


“It can also be helpful to find out whether you’re being offered an intervention because your care provider thinks there is a specific and individualised reason to offer it in your unique personal circumstances, or whether the intervention is offered to all women or babies at a certain time or under a certain set of circumstances.

In other words, is this a routine intervention, which might warrant a bit more thinking about (because it may or may not be useful in your specific circumstances), or is the suggestion that intervention might be warranted already specifically tailored to your situation? There can be a huge difference. Some women, of course, are very happy to have the standard package of care that is offered to everyone, but others aren’t. 

The decisions that we make about our pregnancy and childbirth journeys can shape our experiences, health and lives, as well as those of our families. But those decisions can be complex. This book is a guide to the different perspectives and approaches that exist, and it offers tips, tools and ways of thinking which will help you make the decisions that are right for you.

Do be aware that some tests and interventions are offered to certain groups of women or babies, for instance small babies, women who have a particular blood type, older women, larger-than-average women or women who have had fertility treatment. This doesn’t mean that they are being offered on an individual basis. It means that they are being offered to everyone who falls into a particular group or category.

When systems of care are trying to help thousands of women to have babies every year, it is understandable that they need to develop policies based on what might be good across the whole population, but that still doesn’t necessarily mean that their suggestion will point to the path that is right for you. On the other hand, it might be the perfect path for you, but it doesn’t hurt to ask a few questions so you can be sure of that before you agree.”

Sara Wickham

What’s Right For Me? Making decisions in pregnancy and childbirth.


** Please give credit and encourage others to support people whose work you love. More on that here if you need info 🙂