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 46 - Creating a Supportive Birth Community with Kelsi Kennedy

EBB 46 - Creating a Supportive Birth Community with Kelsi Kennedy

Kelsi Kennedy is a birth doula serving women in the New York City and Westchester, NY area, and is also a grant writer for non-profit called The Birthing Circle in the greater Washington D.C. area. Sh...

3 Okt 201832min

EBB 45 - How do peanut balls support labor?

EBB 45 - How do peanut balls support labor?

In this week's podcast I interview Cheri Grant RN, ICCE, CLC, ICD, CLD, CD BDT(DONA), known in the birth world as "the peanut ball lady." She is the founder, chief contributor and inspiration for Prem...

26 Sep 201832min

EBB 44 - Doula support for adolescent parents

EBB 44 - Doula support for adolescent parents

Amber Ginn is a birth and postpartum doula in Puerto Rico. She had her first child at 15, and is dedicated to providing essential support to pregnant adolescents. Amber's first birth was a traumatic e...

19 Sep 201826min

EBB 43 - Interview April Oglesby

EBB 43 - Interview April Oglesby

April Oglesby is a nurse and monitrice in Amarilo, Texas. She has been a nurse for 13 years, specializing in all types of care for mothers and babies. Recently, she left hospital work to start her own...

12 Sep 201830min

EBB 42 - Interview Katie Rachanow

EBB 42 - Interview Katie Rachanow

Katie Rachanow leads the Military Birth Resource Network at the largest overseas installment in Europe, and has specialized knowledge of the military birth system. Katie is a doula, yoga instructor, a...

5 Sep 201830min

EBB 41 - Interview with Juliet Swedlund

EBB 41 - Interview with Juliet Swedlund

Juliet Swedlund is the director of the Topeka Doula Project, a nonprofit offering evidence based doula support to teen mothers, incarcerated and reintegrating mothers, and low-income mothers and their...

29 Aug 201832min

EBB 39 - Wrap Up

EBB 39 - Wrap Up

This wrap-up of pain management series covers the many different drug and non-drug comfort measures during labor. Learn our overall takeaway. To learn more about the EBB Professional Membership, visit...

15 Aug 201830min

EBB 38 - Breathing

EBB 38 - Breathing

Many childbirth classes teach breathing for pain relief during labor. But is there evidence that this is effective? Which breathing techniques work best? To learn more about the EBB Professional Membe...

8 Aug 201815min

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