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 54 - The Wide-Reaching Effects of Birth Trauma with Krysta Dancy

EBB 54 - The Wide-Reaching Effects of Birth Trauma with Krysta Dancy

In this episode I interview Krysta Dancy, licensed marriage and family therapist, certified birth doula, and Evidence Based Birth Instructor. Krysta has over 15 years of experience in the field of psy...

28 Nov 201837min

EBB 53 - Reaching Underserved Populations with Education and Doula Support

EBB 53 - Reaching Underserved Populations with Education and Doula Support

In this episode, I interview certified birth doula, postpartum doula, parent educator and breastfeeding counselor Nubia Jones. Nubia is a mother of five, and her journey of supporting women and famili...

21 Nov 201830min

EBB 52 - What role should men play in birth?

EBB 52 - What role should men play in birth?

Lisa Marie Sanchez Oxenham has been a birth worker for over 25 years, serving the last 10 as a licensed midwife. She works full time with her husband, Richard, who is currently pursuing his CPM. They ...

14 Nov 201826min

EBB 51 - How accurate are due dates and what impact do they have?

EBB 51 - How accurate are due dates and what impact do they have?

This week, I discuss the concept of due dates - as well as the free webinar I am hosting soon, the Evidence on Induction at 39 Weeks! I want to provide an overview on this topic so you can be prepped ...

7 Nov 201819min

EBB 50 - How does maternal age affect pregnancy and birth?

EBB 50 - How does maternal age affect pregnancy and birth?

In this podcast we discuss inducing labor in someone who is 35 and older. Over time in the United States, for the past four decades, there has been a dramatic increase in the number of people who are ...

31 Okt 201812min

EBB 49 - What are the birth implications for a suspected big baby?

EBB 49 - What are the birth implications for a suspected big baby?

This week, we talk about the evidence on induction for having a suspected big baby. I discuss the assumptions that lead to high rates of cesarean and induction for big babies, and whether the research...

24 Okt 201820min

EBB 48 - Induction When Your Water Breaks at Term

EBB 48 - Induction When Your Water Breaks at Term

This week, we cover the evidence on inducing labor versus waiting for labor to start on its own, when water has broken before the start of labor. For this podcast, we focus on when water breaks at 37 ...

17 Okt 201833min

EBB 47 -  Creating a Listening Birth Circle with Jenn D'Jamoos

EBB 47 - Creating a Listening Birth Circle with Jenn D'Jamoos

Jenn D'Jamoos is a CAPPA-certified childbirth educator and Evidence Based Birth Instructor, human rights activist and mom of four who lives in Michigan. She founded the Livingston County Birth Circle ...

10 Okt 201833min

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