Nurses’ Knowledge and Practices Regarding Oxytocin Administration in the First Stage of Labor in Maternity Teaching Hospital in Sulaimaniyah City


  • Gona Othman Faris Maternal Neonate Nursing Department, College of Nursing, University of Sulaimani, Kurdistan Region, Iraq. Author



Assessment, Oxytocin administration, Nurses, Knowledge and practice


Background: Oxytocic refers to a group of drugs that cause contraction of uterine muscles, resulting in the delivery of the placenta or fetus. As an oxytocic agent, oxytocin is a serious and significant medication that is broadly utilized in clinical practice to help with the initiation and continuation of labor. Failure to use oxytocin properly can lead to serious adverse impacts on both mother and baby; therefore, health professionals need to pay close attention during its administration.

Materials and Methods: Through a descriptive analytical study conducted at  the labor and delivery unit in Maternity Teaching Hospital in Sulaimani city, the nurses’ knowledge and practice regarding oxytocin administration during the 1st stage of labor were assessed. A convenient sampling method was employed to all (70) nurses working in the labor room from 5th January to 20th February 2022. Data collection was carried out through 3 tools, including a structured interview questionnaire which was aimed at gathering the nurses’ general characteristics, a nurses’ knowledge questionnaire, and an observational checklist to assess the nurses’ practices regarding oxytocin administration. Statistical Package for the Social Sciences version (version 22.0) was used to analyze the collected data. Results: The results indicated that the nurses’ level of knowledge and oxytocin administration practice was below average in 60.0% and 45.7% of them, respectively. It was also seen that the knowledge and practice were poor in half of the nurses. Moreover, there was a positive correlation between total knowledge and practice scores.

Conclusion: Based on the findings of the present study, it is recommended that periodic in-services training programs should be conducted for the nurses who administer oxytocin drugs in order to constantly improve their knowledge and practice of safe administration and to reduce the adverse impacts of this drug.


Sathiya L.S., & Semmalar S. (2015). Complications of Oxytocin Induction of Labor. Journal of Nursing and Health Science. 4(2), 29-32.

World health organization (WHO). Recommendations for Augmentation of Labor (2014), p.1-4.

Özata M., & Altunkan H. (2010). Frequency of medical errors in hospitals, determination of medical error types and medical errors konya Sample. Medical Research Journal. 8(2),100-111.

Sara W. (2015). Synthetic oxytocin looking beyond the benefits. Practising Midwife. 18(1), 34-35.

Shiny S. (2017). Assessment of the knowledge and practice on use of oxytocin among nurses working in selected hospitals in Chennai. Doctoral dissertation, Faculty of Nursing, Chennai University, Chennai.

Wing D., & Farinelli C. (2012). Abnormal labor and induction of labor Obstetrics Normal and problem pregnancies (5th ed.). Philadelphia: Elsevier Saunders. DOI:

Megan J.L., (2012). An Investigation of the Effects of Pitocin for Labor Induction and Augmentation on Breastfeeding Success. Scripps Senior Theses, Claremont Colleges, USA.

Poudyal A.K., Shrestha B., & Onta S.R. (2014). Availability and use of oxytocin in health facilities in Nepal. Journal of Institute of Medicine. 36(1), 3-8.

Suellen C. (2000). The nurse's role during oxytocin administration. MCN American Journal of Maternal Child Nursing. 25(2), 80-85. DOI:

Thamer H., & Iqbal A., (2014). Assessment of Nurses’ Knowledge Regarding Oxytocin Administration during Labor at Maternity Hospitals in Al-Kut City. Iraqi National Journal of Nursing Specialties. 27(1), 1-10. DOI:

Steven C., Kathleen R.S., Eric K.G., & Thomas G., (2011). Oxytocin: new perspectives on an old drug. American Journal of Obstetrics Gynecology. 200(1), 35-42. DOI:

Susan D. (2018). Oxytocin Use in Labor. Journal of Perinatal Neonate Nursing. 32(1), 34-42. DOI:

Nancy P. (2011). Oxytocin safety: legal implication for perinatal. Nursing for Women’s Health Journal. 15(2), 110-117. DOI:

Krening C., Anthony K., & Garko C. (2012). Oxytocin Administration the Transition to a Safer Model of Care. Journal of Perinatal Neonate Nursing. 26(1), 15-24. DOI:

Carol J.G.C. (2016). Maternal Newborn Nursing Care Plans (3rd ed.) USA: Ascend learning company. Publisher.

Linda S.R. (2015). Mosby’s’ Nursing Drug Reference Text Book (28th ed.). Netherlands: Elseiver.

Esmaeil M.N., Seyyedeh R.E., Mohammad A.C., Amir N., Amir S., & Ayeshe H.E. (2013). Medication Errors of Nurses in the Emergency Department. Journal of Medical Ethics and History of Medicine. 6(11), 2-7.

Eman S.M.S., Nadia M.F., Aziza I.M., & Somaya O.A. (2020). Nurses’ Knowledge and Practices Regarding Oxytocin Infusion Care for Women during Labor. Journal of Nursing Science Benha University. 1(1), 85-97. DOI:

Muzeya F. (2015). Knowledge, attitudes and practices of nurse-midwives related to obstetric care. Master Dessertation, University of South Africa.

Azza A.E., Abdel F.A., Galal A.E., Soad A.E.R., Somaya O. (2017). Assessment of nurse's practical skills regarding avoidance of post-partum hemorrhage. Egyptian Journal of Health Care. 8(3), 219-233. DOI:

Raja M.E. (2015). Assessment of nurse’s midwives knowledge regarding nursing care of a woman who receiving oxytocin drug during labor. Master Dissertation, National Ribat University, Sudan.

Naglaa Z.H.R., Jilan A.I.A., & Nevertity H.Z. (2014). Nurses' Compliance with oxytocic administration guidelines during labor. Alexandria Scientific nursing Journal. 16(2), 55-72. DOI:

Rania R.E.S., Seham S.I., Amal M.G., & Fatma Z.F. (2020). Assessment of nurses’ compliance with oxytocin administration protocol during labor at Dammita city. Port Said Scientific Journal of Nursing. 7(3), 42-65. DOI:

Rina S. (2017). The effectiveness of self-instructional module on knowledge regarding maternal and neonatal outcome of induction of labor among staff nurses in selected hospital Bangalore. India Journal of Advanced Academic Research. 4(2), 79-91. DOI:

Biju S., Keerthana W., Joseph G.N., Priyadarshini J., & Jasna A. (2019). Are the Maternity Nurses Knowledgeable on Oxytocin Induction During Labor; A Protocol Development for Hospitals in South India. Indian Journal of Public Health Research & Development. 10(8), 792-797. DOI:

Lohani B. (2020). Nurses knowledge and practice regarding oxytocin administration during first stage labor in maternity ward of teaching hospital. Journal of Patan Academy of Health Sciences. 7(2),103-111. DOI:

Hanan M.S.M., Mervat M.A.M.D., & Amany H.G.M. (2019). Effect of educational program on improving nursing knowledge and practice regarding administration of oxytocin during labor. Journal of Nursing and Health Science. 8(5), 44-53.

Heba M.A.W., Om Hashim M.M.S., & Hanan E.M.E. (2021). Assessment of Nurses' Knowledge and Skills Regarding Oxytocin Administration. Mansoura Nursing Journal. 8, 27-37. DOI:

Reda S., Warda Y., & Nahla S.A. (2014). Critical Care Nurses’ Knowledge and Practice Regarding Administration of Selected Positive Inotropics at Cairo University Hospitals. Journal of Natural Sciences Research. 4(2), 90-100.



How to Cite

Nurses’ Knowledge and Practices Regarding Oxytocin Administration in the First Stage of Labor in Maternity Teaching Hospital in Sulaimaniyah City. (2022). Journal of Zankoy Sulaimani - Part A, 24(2), 88-96.