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 12 - Epidurals and Breastfeeding

EBB 12 - Epidurals and Breastfeeding

How epidurals and spinals could potentially harm breastfeeding success. If the relationship between epidurals during labor and breastfeeding success has been studied—and what they found! Visit our of...

14 Helmi 201811min

EBB 10 - ARRIVE study

EBB 10 - ARRIVE study

This podcast is all about the ARRIVE study, a Randomized Trial of Induction versus Expectant Management, was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Developme...

5 Helmi 201825min

EBB 9 - Epidural during Labor for Pain Management

EBB 9 - Epidural during Labor for Pain Management

How often epidurals during labor are used, and the difference between epidurals, spinals, and combined spinal epidurals (CSEs). The benefits of epidurals, spinals, and CSEs. The potential risks and si...

31 Tammi 201842min

EBB 8 - Overview of pain management during labor

EBB 8 - Overview of pain management during labor

The difference between "pain" and "suffering". The two different approaches in pain management during labor and birth—"pain relief" versus "working with pain". Types of pain management strategies Vi...

24 Tammi 201811min

EBB 58 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

EBB 58 - 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...

23 Tammi 201827min

EBB 7: Evidence on placenta encapsulation

EBB 7: Evidence on placenta encapsulation

Frequently marketed claims about placenta encapsulation How many experimental trials have ever been done with placenta encapsulation Results from the newest randomized, placebo-controlled trial on pla...

12 Tammi 20188min

EBB 5: Evidence on prenatal vaginal exams

EBB 5: Evidence on prenatal vaginal exams

The results from the two randomized trials on cervical checks at the end of pregnancy. The potential benefits and potential harms of prenatal cervical checks. How to handle a situation if your doctor ...

12 Tammi 20189min

EBB 4:  Waterbirth and the newborn microbiome

EBB 4: Waterbirth and the newborn microbiome

How much research do we have on the microbiome and waterbirth? What does "normal flora" mean, and why is it important? What does the existing research say about waterbirth and the bacteria on a baby's...

12 Tammi 20185min

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