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 62 - Facing an unplanned Cesarean with parent Michelle Wilson

EBB 62 - Facing an unplanned Cesarean with parent Michelle Wilson

In this episode, I interview Michelle Wilson, one of the first parents to take the Evidence Based Birth Childbirth Class. Michelle has one son, Matthew, and is a stay-at-home mom in Berea, Kentucky. M...

23 Tammi 201938min

EBB 61 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

EBB 61 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

In this episode, I interview AnnaMarie and Drew Stoudenmire of Greenville, South Carolina. They are parents to Otto - their first baby - who at the time of recording was only seven weeks old. AnnaMari...

16 Tammi 201927min

EBB 60 - Get to Know the New Evidence Based Birth® Childbirth Class!

EBB 60 - Get to Know the New Evidence Based Birth® Childbirth Class!

In this episode, I interview EBB Instructors Cat LaPlante, Mary Kury, and Cindy Calvano about their experiences being among the first to teach the Evidence Based Birth Childbirth Class. Cat is a certi...

9 Tammi 201938min

EBB 59 - Diagnosing Gestational Diabetes

EBB 59 - Diagnosing Gestational Diabetes

In this episode, we discuss the evidence on diagnosing gestational diabetes, and the use of the Glucola test. Evidence Based Birth just released a new Signature Article on this topic, and it is a subj...

7 Tammi 201928min

EBB 58 - Sneak Peek of EBB in 2019!

EBB 58 - Sneak Peek of EBB in 2019!

In this episode I review all the projects completed at Evidence Based Birth in 2018 - and what a year it was! From launching this podcast and an extensive series and workshop on Comfort Measures, to r...

2 Tammi 201921min

EBB 57 - Connecting the birth community in Hawai'i with Courtney Carangian

EBB 57 - Connecting the birth community in Hawai'i with Courtney Carangian

In this episode I interview Courtney Carangian, a native to the Hawai'ian island of O'ahu. Courtney is an Evidence Based Birth Instructor, and is currently undergoing the DONA certification process to...

19 Joulu 201831min

EBB 56 - Listening to Black Midwives: Ms. Charlotte Shilo-Goudeau

EBB 56 - Listening to Black Midwives: Ms. Charlotte Shilo-Goudeau

In this episode I interview Ms. Charlotte Marie Shilo-Goudeau, one of three African American women in the state of Louisiana to hold the title of Licensed Certified Professional Midwife. She is the fo...

12 Joulu 20181h 7min

EBB 55 - Advocating for Evidence Based Care with Carissa Hipsher

EBB 55 - Advocating for Evidence Based Care with Carissa Hipsher

In this episode, I interview Carissa Hipsher, a parent who was pressured into a cesarean for breech positioning. Carissa lives with her husband and three month old baby in Columbus, Ohio, and is worki...

5 Joulu 201830min

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