Dr. Ann Peralta, founder of Partner to Decide, and Kari Radoff, a certified nurse midwife at Boston Medical Center, tackle the importance of informed decision-making in labor induction. They delve into the creation of a multilingual decision aid that empowers families by providing balanced information. Ann shares how her own birthing experience shaped this initiative, while Kari discusses its impact on clinician-patient conversations, aiming to foster equity and reduce bias in maternity care. Their insights highlight the transformative power of accessible information in perinatal choices.
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Ann's Birth Decision Experience
Ann Peralta shared her personal experience deciding against induction despite her providers' push after her due date.
Her access to research and education allowed her to advocate for her unmedicated birth that felt empowering.
insights INSIGHT
Reality of Shared Decision-Making
Kari Radoff noted that shared decision-making is often taught but rarely achieved fully in practice.
Patient reports, especially from people of color, confirm many are told what to do instead of being offered real choices.
insights INSIGHT
Values Shape Induction Decisions
The decision aid tool incorporates personal values and preferences to guide labor induction decisions.
It acknowledges all reasons for or against induction as valid, emphasizing individualized risk tolerance.
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Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their 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
Evidence Based Birth®