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 28 - Childbirth Education

EBB 28 - Childbirth Education

This podcast covers the evidence on childbirth education for pain relief during labor. How many people take childbirth classes and what material do they cover? We discuss the challenges of studying ch...

30 Touko 201818min

EBB 27 - TENS

EBB 27 - TENS

What is TENS and how is it used for pain relief during labor? In today's video, we'll share all about the evidence for using TENS during labor and how researchers think it might work. We'll also discu...

23 Touko 201815min

EBB 26 - Aromatherapy

EBB 26 - Aromatherapy

What aromatherapy is. How aromatherapy during labor might work to provide pain relief. What the evidence shows about using aromatherapy during labor for pain relief To learn more about the EBB Profess...

16 Touko 201814min

EBB 25 - Acupuncture and acupressure

EBB 25 - Acupuncture and acupressure

What acupuncture and acupressure are? How acupuncture and acupressure might work to provide pain relief during labor. What the evidence shows about using acupuncture and acupressure for pain relief du...

9 Touko 201811min

EBB 24 - Behind the Scenes

EBB 24 - Behind the Scenes

In today's podcast, Rebecca shares the story of how Evidence Based Birth® went from a tiny blog to a worldwide movement. Learn what kept crashing the website, what Rebecca's famous "surprise project" ...

2 Touko 201820min

EBB 23 - Home Birth Midwives

EBB 23 - Home Birth Midwives

In today's podcast, we talk about the types of different home birth midwives in the U.S. This podcast will prep you to attend the free public webinar all about the evidence on home birth. To register ...

25 Huhti 201818min

EBB 22 - Rise of Home Birth in the U.S.

EBB 22 - Rise of Home Birth in the U.S.

Recently, rates of home birth have nearly doubled in the U.S., from 0.56% to 1% today. Where is this increase in home birth coming from? How many women desire home birth, and why are they interested i...

18 Huhti 201813min

EBB 21 - Doula

EBB 21 - Doula

What a birth doula is and how a doula provides pain relief during childbirth. What the evidence shows about using a doula for pain relief. If continuous support from a doula is more effective for impr...

11 Huhti 201812min

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