EBB 393 - Evidence on Inducing at 41 Weeks or Later

EBB 393 - Evidence on Inducing at 41 Weeks or Later

At the 41-week mark in pregnancy, conversations and decisions about induction can start to feel more urgent and complex. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share why the 41st week has become such a focus in maternity care and what the evidence actually says about induction at this milestone. They discuss elective induction versus expectant management and key findings from major studies like the INDEX and SWEPIS trials. They also talk through potential benefits and risks, including changes in stillbirth risk, newborn outcomes, and maternal experiences. Content Warning: This episode contains discussion of stillbirth. Please take care while listening. (00:05:58) How common is labor induction? U.S. rates and challenges with data accuracy (00:09:25) Medically indicated vs. elective induction (00:15:24) The limits of research on induction vs. expectant management (00:20:18) The INDEX trial (00:28:36) Follow-up observational study to INDEX: preferences, Cesarean rates, and outcomes (00:32:51) The SWEPIS trial (00:41:59) Impact of SWEPIS on guidelines and outcomes in Sweden (00:44:40) Benefits of elective induction at 41 weeks (00:46:34) Risks and potential downsides of induction (00:49:18) FAQ: Induction and VBAC considerations For a full list of resources and references, visit ebbirth.com/inducingduedates. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

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EBB 3 - Why Is It So Hard to Get Evidence Based Care?

EBB 3 - Why Is It So Hard to Get Evidence Based Care?

In this episode, Dr. Rebecca Dekker dives into the evidence-practice gap, the disconnect between what research tells us is best during childbirth and what is actually happening in labor and delivery u...

17 Joulu 202529min

EBB 380b - Combating Birth Trauma in Mexico with Sofía Herrera, Psychologist and EBB Instructor

EBB 380b - Combating Birth Trauma in Mexico with Sofía Herrera, Psychologist and EBB Instructor

After what should have been a joyful birth, Sofía Herrera (childbirth educator, EBB Instructor, Hypnobirthing instructor, and social & clinical psychologist) spent nearly 20 years believing she had po...

10 Joulu 202538min

EBB 380a - Combatiendo el trauma del parto en México con Sofía Herrera, psicóloga e instructora de EBB

EBB 380a - Combatiendo el trauma del parto en México con Sofía Herrera, psicóloga e instructora de EBB

Tras lo que debería haber sido un parto feliz, Sofía Herrera, (educadora perinatal, instructora de EBB, instructora de Hipnoparto y psicóloga social y clínica) pasó casi 20 años creyendo que padecía d...

10 Joulu 202550min

REPLAY: EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

REPLAY: EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

In this episode, Dr. Rebecca Dekker explores the research on birthing positions and tried-and-true midwifery practices for protecting the perineum during childbirth. She explains why the flat-on-your-...

3 Joulu 202548min

EBB 379 - A Challenging Birth Story with GBS, Prolonged PROM, Pitocin, and an Epidural, with EBB Childbirth Class Graduate Erica Wright and EBB Instructor Tara Thompson

EBB 379 - A Challenging Birth Story with GBS, Prolonged PROM, Pitocin, and an Epidural, with EBB Childbirth Class Graduate Erica Wright and EBB Instructor Tara Thompson

After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thomp...

26 Marras 20251h 7min

EBB 378 - Embracing the Dual Calling of Doula Work + Midwifery with Chanté Perryman and Elder Charlotte Shilo-Goudeau

EBB 378 - Embracing the Dual Calling of Doula Work + Midwifery with Chanté Perryman and Elder Charlotte Shilo-Goudeau

Across generations, birth workers have held space for families with skill, love, and deep purpose. In this episode, Dr. Rebecca Dekker talks with Elder Midwife Charlotte Shilo-Goudeau, a licensed Cert...

19 Marras 202552min

Bonus Announcement: Surprise Project for Doulas

Bonus Announcement: Surprise Project for Doulas

Introducing the My Doula Visit Workbook by Evidence Based Birth®. A tangible, interactive, and evidence-based guide designed to facilitate conversations, strengthen the doula-client relationship, and ...

17 Marras 20258min

EBB 377 - Medicaid Coverage for Doula Care with Amy Chen, Senior Attorney at the National Health Law Program

EBB 377 - Medicaid Coverage for Doula Care with Amy Chen, Senior Attorney at the National Health Law Program

What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement ...

12 Marras 202550min

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