9 AI Prompts for Labor and Delivery

Compare my pain relief options for labor: [OPTIONS, FOR EXAMPLE EPIDURAL, NITROUS OXIDE, IV OPIOIDS, WATER IMMERSION, NON-DRUG METHODS]. My situation: [FIRST OR LATER BIRTH, MEDICAL CONDITIONS]. For each option: 1. how well it relieves pain; 2. the absolute risks for me and for the baby; 3. the effect on labor length, assisted delivery, and cesarean rate, according to the best trials; 4. the effect on breastfeeding and on moving around; 5. when it can be started and when it is too late; 6. which common beliefs about it are myths. Tell me what the evidence shows, not hospital habit.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

In labor I may be offered [INTERVENTION, FOR EXAMPLE BREAKING THE WATERS, OXYTOCIN, CONTINUOUS MONITORING, IV FLUIDS, ASSISTED DELIVERY]. My situation: [FIRST OR LATER BIRTH, RISK FACTORS]. 1. What does it do, and why is it offered? 2. What are the absolute benefit and the absolute risk? 3. Is routine use evidence-based, or habit? 4. When is it truly needed? 5. What can I decline, and what happens if I do? Use plain language.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

I was told I may need a cesarean for [REASON]. My situation: [WEEKS, FIRST OR LATER BIRTH, HOW LABOR IS GOING]. 1. Is this reason usually urgent, or does it allow time to discuss options? 2. What are the absolute benefit and risk of cesarean compared with continuing labor, for me and for the baby? 3. What does recovery involve? 4. How does it affect future pregnancies (repeat cesarean, placenta problems, the chance of a later vaginal birth)? 5. What are the alternatives, if any? 6. List the questions to ask first, short enough to use during labor.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

Explain fetal monitoring in labor: continuous electronic monitoring versus intermittent listening (intermittent auscultation). My situation: [LOW RISK, OR MY RISK FACTORS]. 1. What does each method detect? 2. How often does continuous monitoring give false alarms? 3. According to the trials, how does continuous monitoring affect cesarean and assisted delivery rates in absolute numbers, and does it improve newborn outcomes? 4. What does the evidence support for a low-risk labor? 5. When is continuous monitoring clearly appropriate? 6. How can I ask for intermittent monitoring, and what does the hospital need in order to provide it?How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

Explain the stages of labor in plain language. My situation: [DETAILS, FOR EXAMPLE FIRST BIRTH, EPIDURAL PLANNED, INDUCTION]. 1. What happens in each stage? 2. How long does each usually last for a first birth compared with a later birth, based on modern data? 3. What counts as too slow, and how have the definitions changed? 4. Where is intervention truly needed, and where is it simply offered? 5. What can I do to help each stage?How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

My labor is being started or sped up with [METHOD, FOR EXAMPLE PROSTAGLANDIN, BALLOON CATHETER, OXYTOCIN, BREAKING THE WATERS]. Reason: [REASON]. 1. How does this method work, and how long does it usually take? 2. How is induced labor different from labor that starts on its own? 3. What is the absolute risk of complications, such as contractions that come too often? 4. What are the signs that it is or is not working? 5. What are the next steps if it is not working, and when is a cesarean reasonable? 6. List the questions to ask at each step.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

Give me a short script to use during labor before any intervention. My birth preferences: [PLAN]. The script should ask: what is the benefit, what is the risk in real numbers, is it urgent, what happens if we wait, and what are the alternatives. 1. Keep it brief enough to use mid-labor, ideally five short questions. 2. Write a version my partner or support person can ask on my behalf. 3. Explain how to recognize a true emergency, when there is no time for questions, and how to respond then. 4. Give respectful wording to ask for a few minutes to decide.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

Explain perineal tearing and the pushing stage. My situation: [FIRST OR LATER BIRTH, EPIDURAL OR NOT]. 1. What is the absolute chance of each degree of tear? 2. What reduces the risk, with real evidence (perineal massage in late pregnancy, warm compresses, controlled delivery of the head, position)? 3. Why is routine episiotomy no longer recommended? 4. What does the evidence show about pushing positions, and about pushing right away versus waiting when I have an epidural? 5. How are tears repaired, and what is recovery like? Give numbers.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.

Explain the third stage of labor and the first hour after birth. My plans: [PLANS]. 1. Delivering the placenta: active versus physiological management, and the effect on bleeding. 2. Delayed cord clamping: how long, and the benefits for the baby. 3. Skin-to-skin contact and the first feed. 4. Routine newborn steps: vitamin K, eye ointment, the hepatitis B vaccine, and newborn screening. For each, give the evidence behind it and what happens if it is declined. 5. What I can request or decline. 6. Warning signs of a problem for me and for the baby in the first hours.How to answer: - Use the best available evidence (major clinical guidelines, systematic reviews, large studies) and name your main sources so I can check them. - Give absolute numbers (per 100 or per 1,000) next to any relative risk. - Separate what is well established from what is uncertain or debated, and say how certain you are. - If the evidence is limited or you do not know, say so plainly. Do not guess or invent numbers or references. - Tell me what extra information about me would change your answer. - Use plain language, and end with a short list of questions I can take to my doctor, midwife, or care team.