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 354 - When Your OB Says "I Don't Know How to Support Upright Birth!" with EBB Childbirth Class Graduate Camilla Costa Goetz

EBB 354 - When Your OB Says "I Don't Know How to Support Upright Birth!" with EBB Childbirth Class Graduate Camilla Costa Goetz

Dr. Rebecca Dekker is joined by Camilla Costa Goetz, a graduate of the EBB Childbirth Class, to share her story of advocating for herself during labor. Camilla, a former fashion student turned full-ti...

9 Huhti 202554min

EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER

EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active la...

2 Huhti 202523min

EBB 352 - Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist

EBB 352 - Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist

Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar sha...

26 Maalis 202544min

EBB 351 -"Home Birth is a National Heritage!" and other Surprising Features of the Dutch Healthcare System with Doula Madi van Tonder

EBB 351 -"Home Birth is a National Heritage!" and other Surprising Features of the Dutch Healthcare System with Doula Madi van Tonder

Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work,...

19 Maalis 202532min

EBB 350 - Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate

EBB 350 - Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate

EBB Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, a...

12 Maalis 202558min

EBB 349 - An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama

EBB 349 - An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama

In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing ...

5 Maalis 202546min

EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth

EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth

Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodi...

26 Helmi 202556min

EBB 347 - Updated Evidence on Vitamin K

EBB 347 - Updated Evidence on Vitamin K

In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lea...

19 Helmi 202546min

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