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 37 - Relaxation

EBB 37 - Relaxation

Is relaxation for pain relief effective? Learn techniques that can be used during labor and find out which (if any) are supported by evidence. To learn more about the EBB Professional Membership, visi...

1 Aug 201814min

EBB 35 - Music

EBB 35 - Music

In this podcast, we look at the evidence for listening to music during labor. Does it help with pain relief? What is the best music for relaxation? To learn more about the EBB Professional Membership,...

18 Juli 201813min

EBB 34 - Massage

EBB 34 - Massage

We discuss the evidence on using massage for pain relief during labor and for pain in general. What benefits does massage provide? What types of massage might be helpful during labor? To learn more ab...

11 Juli 201816min

EBB 33- What's next for EBB

EBB 33- What's next for EBB

In this podcast, Rebecca gives you a sneak peek into what's coming for Evidence Based Birth® in the second half of 2018 and early 2019! Learn about the Signature Articles we're creating, the workshops...

3 Juli 201813min

EBB 32 - About EBB Signature Articles

EBB 32 - About EBB Signature Articles

In this podcast, Rebecca shares how the Evidence Based Birth® Signature Articles are created, and some important updates that were made to the Group B Strep and Erythromycin Eye Ointment article. Reso...

27 Juni 201822min

EBB 31 - Hypnosis

EBB 31 - Hypnosis

What hypnosis is and how hypnotherapy might work to provide pain relief during labor? Whether people who have used hypnosis during childbirth found it to be beneficial? What the evidence from randomiz...

20 Juni 201826min

EBB 30 - Fetal Monitoring

EBB 30 - Fetal Monitoring

Did you know there are different ways to monitor the baby's heartbeat during labor and birth? Continuous electronic fetal monitoring (EFM) is common but not without its drawbacks. We discuss the pros ...

13 Juni 201826min

EBB 29 - Sterile Water Injections

EBB 29 - Sterile Water Injections

In today's podcast, we'll learn what sterile water injections are and how they might help to provide pain relief during labor. We'll discuss the evidence on their effectiveness and the latest clinical...

6 Juni 201814min

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