EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team

EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team

Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips for managing pressure to induce and delve into how the ARRIVE trial impacts outcomes like breastfeeding, epidurals, and costs. Tune in to hear this Q&A session originally broadcast to listeners worldwide. (03:38) How often are we seeing pressure from obstetricians to induce? (07:20) How can you manage pressure from an obstetrician to get an induction at 39 weeks? (12:00) What are the geographic trends in induction rates? (15:30) What are the statistics on infant death and mortality? (19:56) What happens if a midwife or obstetrician refuses a 39-week elective induction requested by a birthing person? (21:50) Why did the ARRIVE trial report such high rates of preeclampsia and hypertension? (32:16) Is induction considered to be more cost-effective? (34:54) Are inductions affecting breastfeeding and epidural rates? (36:54) Is there research around maternal satisfaction and birthing experience? (40:11) Why are IVF and advanced maternal age clients often pressured or offered induction? (41:24) What strategies can doulas use to support clients facing discussions about 39-week induction with their provider? For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! 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 20 - Water immersion

EBB 20 - Water immersion

What hydrotherapy is and how often it is used for pain relief during labor and birth. What studies have found about the effectiveness of water immersion during labor for pain relief. What several prof...

4 Huhti 201813min

EBB 19 -  Childbirth Class

EBB 19 - Childbirth Class

Learn from the comfort of your own home Flexibility of online learning + Support of in-person connections Watch online videos of Dr. Rebecca Dekker and other professionals Learn directly from an expe...

28 Maalis 201818min

EBB 18 - Painless Birth

EBB 18 - Painless Birth

If research evidence tells us how often painless birth occurs. How labor pain can be interpreted as positive or negative. How pain perception can be influenced by state of mind, environmental stress, ...

21 Maalis 201815min

EBB 17 - The Evidence on: Birthing Positions

EBB 17 - The Evidence on: Birthing Positions

How could upright birthing positions benefit mothers and babies? How common are upright birthing positions? For people without epidurals, which birthing positions are best supported by evidence? For p...

14 Maalis 201817min

EBB 16 - Movement and Positions

EBB 16 - Movement and Positions

Why researchers think that upright positions during labor may benefit normal, physiologic childbirth. What studies have found about the effectiveness of movement and upright positions during labor for...

12 Maalis 201812min

EBB 15 - Nitrous oxide

EBB 15 - Nitrous oxide

What nitrous oxide gas is and how it is used during labor for pain relief. What studies have found about the safety and effectiveness of nitrous oxide during labor. The potential pros and cons of usin...

7 Maalis 201813min

EBB 14 - Injectable Opioids

EBB 14 - Injectable Opioids

Which IV opioids during labor are most commonly used. What studies have found about the safety and effectiveness of IV opioids during labor. The potential pros and cons of using IV opioids during labo...

28 Helmi 20189min

EBB 13 - Epidurals and 2nd stage

EBB 13 - Epidurals and 2nd stage

How epidurals could potentially slow the pushing phase of labor. What randomized, controlled trials and large observational studies have found about the effects of epidurals on the second stage of lab...

21 Helmi 20188min

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