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.

Episoder(419)

EBB 376 - How to Find and Interview a Doula with Team EBB Members Julie Fors and Chanté Perryman

EBB 376 - How to Find and Interview a Doula with Team EBB Members Julie Fors and Chanté Perryman

Hiring a doula can be one of the most impactful choices you make during pregnancy, but how do you actually find the right one? In this episode, Dr. Rebecca Dekker talks with Team EBB members and exper...

5 Nov 202547min

REPLAY: EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker

REPLAY: EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker

Can perineal massage during the pushing phase of labor really prevent tears? In this episode, Dr. Rebecca Dekker takes a close look at the research to uncover whether this technique truly helps reduce...

29 Okt 202539min

EBB 375 - A Rainbow Baby and Preeclampsia Birth Story with Dr. Sara Ailshire and Dr. Siavash Samei

EBB 375 - A Rainbow Baby and Preeclampsia Birth Story with Dr. Sara Ailshire and Dr. Siavash Samei

Dr. Sara Ailshire, an anthropologist and Evidence Based Birth® Research Team member, and her husband, Dr. Siavash Samei, an environmental archaeologist, share the story of welcoming their rainbow baby...

22 Okt 202558min

EBB 374 - Educating the Public about Stillbirth Prevention with Ingrid Haas, Director of the Short Film "PUSH"

EBB 374 - Educating the Public about Stillbirth Prevention with Ingrid Haas, Director of the Short Film "PUSH"

Filmmaker Ingrid Haas is the writer and director of PUSH, a short film created in partnership with PUSH for Empowered Pregnancy to raise awareness about stillbirth prevention. In this episode, Ingrid ...

15 Okt 202533min

Signature Training Announcement - Unpacking New Research on Big Babies

Signature Training Announcement - Unpacking New Research on Big Babies

What does the newest research on Big Babies say? We'll be unpacking it all during our live 90-minute Signature Training + Q & A on Wednesday, October 15 at 7 PM EDT, exclusively for EBB Pro Members. I...

13 Okt 20252min

EBB 2 - What is Evidence Based Care?

EBB 2 - What is Evidence Based Care?

Evidence based care is a term you hear often in medicine, but what does it really mean—especially when it comes to pregnancy and birth? In this episode, Dr. Rebecca Dekker takes you inside the foundat...

8 Okt 202532min

EBB 373 - How to Confront Tokophobia and Clear Fears about Childbirth with Alexia Leachman, Author and Podcast Host of "Fear Free Childbirth"

EBB 373 - How to Confront Tokophobia and Clear Fears about Childbirth with Alexia Leachman, Author and Podcast Host of "Fear Free Childbirth"

For some, the thought of pregnancy and birth fills them with a visceral panic they can't explain. In this episode, Dr. Rebecca Dekker's talking tokophobia—the fear of pregnancy and birth—with Alexia L...

1 Okt 202552min

EBB 372 - Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates

EBB 372 - Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates

At 41 weeks, Hopey Fink and Ben Levin's birth plans shifted after elevated blood pressure readings led to an induction conversation. But, with the support of their doula, care team, and each other, th...

24 Sep 202546min

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