EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide

EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide

Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings—bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care. (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why "Routine" Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools Resources

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 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...

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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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