B.O.T Birth Oriented Thinking

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B.O.T (Birth Oriented Thinking) is a professional field that focuses on the emotional aspects of the pre- and post- partum period and labor itself and offers unique training programs for birth professionals. 

B.O.T has evolved from the needs of pregnant and birthing women (and their families) who lacked adequate response to the emotional challenges typical of this period.
Medical examinations, processing a traumatic birth, pregnancy loss, miscarriage, etc. require knowledgeable support and attention.  B.O.T aims to provide practical tools for caregivers to enable them to optimally address those specific situations.

The B.O.T center offers knowledge and training to professionals in various fields, such as healthcare providers, psychotherapists, delivery unit personnel, birth workers, lactation consultants and doulas.  

Keren Fridman-Gadassi is the founder of B.O.T (Birth Oriented Thinking), an organization that promotes mindful communication around birth through education and training.  Keren has been working with hundreds of professionals such as family physicians, midwives, psychotherapists, nurses, doulas and social workers. In her clinic she has over 20 years of experience meeting women and couples affected by pregnancy loss and birth trauma, as well as with professionals affected by the same events. The practical approach developed by Keren aims to address the needs of all involved.

Training Program

The B.O.T program ​is aimed to offer hands-on practical tools for pregnancy & birth caregivers to address emotional aspects in short-term encounters within medical setting (medical examinations, fertility treatments, stillbirth etc.) or while providing breastfeeding counseling or processing a traumatic birth. At the same time, the B.O.T training provide the caregiver applicable ways to relate to her own inner state within the same setting

The B.O.T Program Leading Topics


  • Emotional first-aid tools 

  • Addressing emotional difficulties during or following emergency medical procedures 

  • How to approach sensitive issues such as a past trauma or pregnancy loss. 

  • The caregiver somatic awareness as a vital communicating tool 

  • Partnership model for collegial support 

  • Unique themes such as: sexual trauma/abuse, vulvovaginitis, birth trauma, IUFD and the emotional challenges that can manifest at birth and at the postpartum period

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Core questions we would like to explore
# How do we create a meaningful interaction in a limited setting such as a medical examination?

# How do we encourage an intimate conversation where there is no privacy (like in a labor ward)?
# Is it possible to invite an open dialogue about emotional aspects when you are a doctor and not a psychotherapist and working within the time constrains of a hospital checkup?