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(422)

EBB 65 - Navigating the Hospital Birth System with Midwife Afua Hassan

EBB 65 - Navigating the Hospital Birth System with Midwife Afua Hassan

In this episode, I interview midwife and Evidence Based Birth Professional member Afua Hassan. Afua has practiced as a midwife since 1984. In 2011, she expanded her home birth practice and founded The...

13 Feb 201934min

EBB 64 - Building trust during birth with parent Caley O'Brien

EBB 64 - Building trust during birth with parent Caley O'Brien

In this episode, I interview Caley O'Brien about her empowering birth experience and being one of the first parents to take the Evidence Based Birth Childbirth Class. Caley has been married to her hus...

6 Feb 201956min

EBB 63 - Unexpectedly Easy Birth with New Parents Nichole and Todd

EBB 63 - Unexpectedly Easy Birth with New Parents Nichole and Todd

In this episode, I interview Nichole Croft and Todd Jackson of New Jersey. Their first baby was born in the summer of 2018, and they were among the first parents to take the Evidence Based Birth Child...

30 Jan 201928min

EBB 62 - Facing an unplanned Cesarean with parent Michelle Wilson

EBB 62 - Facing an unplanned Cesarean with parent Michelle Wilson

In this episode, I interview Michelle Wilson, one of the first parents to take the Evidence Based Birth Childbirth Class. Michelle has one son, Matthew, and is a stay-at-home mom in Berea, Kentucky. M...

23 Jan 201938min

EBB 61 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

EBB 61 - 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...

16 Jan 201927min

EBB 60 - Get to Know the New Evidence Based Birth® Childbirth Class!

EBB 60 - Get to Know the New Evidence Based Birth® Childbirth Class!

In this episode, I interview EBB Instructors Cat LaPlante, Mary Kury, and Cindy Calvano about their experiences being among the first to teach the Evidence Based Birth Childbirth Class. Cat is a certi...

9 Jan 201938min

EBB 59 - Diagnosing Gestational Diabetes

EBB 59 - Diagnosing Gestational Diabetes

In this episode, we discuss the evidence on diagnosing gestational diabetes, and the use of the Glucola test. Evidence Based Birth just released a new Signature Article on this topic, and it is a subj...

7 Jan 201928min

EBB 58 - Sneak Peek of EBB in 2019!

EBB 58 - Sneak Peek of EBB in 2019!

In this episode I review all the projects completed at Evidence Based Birth in 2018 - and what a year it was! From launching this podcast and an extensive series and workshop on Comfort Measures, to r...

2 Jan 201921min

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