Every pregnant person deserves the information and support they need to make truly informed decisions about labor induction. In this encore episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, the co-creators of Partner to Decide, a nonprofit improving decision-making in perinatal care. They discuss their free, multilingual decision aid that helps families understand their options around routine induction of labor and empowers them to advocate for their own values, preferences, and autonomy.

Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings, bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care.

(03:02) What Is a Decision Aid and Why It Matters

(07:12) Ann's Birth Story and the Origins of Partner to Decide

(11:09) Gaps in Shared Decision-Making from a Provider's Perspective

(14:24) Personal Values, Intuition, and Cultural Differences

(18:19) Designing the Decision Aid with Equity and Accessibility

(23:49) The Power of Absolute vs. Relative Risk in Birth Conversations

(25:01) Surprising Patient Feedback: From Access to Empowerment

(30:31) Provider Reflections and Challenging Bias

(36:11) Why "Routine" Induction Language Matters

(43:59) How to Respond to Pressure or Coercion Around Induction

(46:16) How to Access the Free Decision Aid and Support New Tools

Resources

Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org
Learn more about the nonprofit: www.partnertodecide.org

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! Want more resources? Check out our Signature Articles 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.

REPLAY: EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide

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