RESEARCH AGENDA FOR THE FUTURERoutine Obstetrical Interventions Research Agenda for the Next DecadeJames, Dotti C. PhD, RNC-OB, C-EFM Author Information Center of Nursing Excellence, St John's Mercy Medical Center, St Louis, Missouri. Corresponding Author: Dotti C. James, PhD, RNC-OB, C-EFM, Center of Nursing Excellence, St John's Mercy Medical Center, 615 S New Ballas Rd, St Louis, MO 63141 ([email protected]). Submitted for publication: January 10, 2011; Accepted for publication: January 20, 2011 The Journal of Perinatal & Neonatal Nursing: April/June 2011 - Volume 25 - Issue 2 - p 148-152 doi: 10.1097/JPN.0b013e3182116e69 Buy Metrics Abstract There are many interventions performed as a part of the active management of labor and birth that have remained unchanged over the years. Separating ritual from beneficial nursing care can guide the development of a research agenda. The agenda for the next 10 years can address some of the gaps remaining in the evidence-based foundation for routine interventions used during labor and birth. The gaps identify areas where unanswered questions prevent optimal care from occurring. These unanswered questions include optimal time for epidural administration; management of maternal movement during labor when routine interventions make this difficult; changing the practice of immediate, closed glottis coached pushing at 10 cm; continuous electronic fetal monitoring; routine administration of intravenous fluids; and finally, the use of oxytocin as augmentation or induction of labor. © 2011 Lippincott Williams & Wilkins, Inc.