Augmentation of Labor: Women's Attitude and Nurses' Practices .

Document Type : Original Article

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Womans Health & Midwifery nursing Faculty of nursing Mansoura university

Abstract

Oxytocin is used to induce uterine contractions. It is crucial that nurses know how to utilize oxytocin to induce labor and recognize areas that need improvement in order to improve mother satisfaction and maternity care. Aim: Study aimed to evaluate nurses' practices and women's attitude toward labor augmentation. Design: Descriptive design was used. Setting: This study was conducted at Mansoura University Hospitals' labor and delivery unit. Type of sample: A convenient sample was used. Study sample: All (20) nurses who were working in Labor Unit and one hundred sixty seven parturient women attended to predetermined setting. Tools: Three tools were used; a structured interview questionnaire, an observational checklist for nurses' practices regarding oxytocin administration and likert's scale for women's attitude towards augmentation of labor. The results: Less than one third of nurses didn't explain procedure for women. Most of them completely started oxytocin according to hospital protocol, the majority of them recorded intake & output and half of them completed partogram data. Most of the studied women reported that labor augmentation is more painful than normal labor and more than three quarters weren't satisfied globally about the augmentation. Conclusion: More than two thirds of the studied women had a negative attitude regarding labor augmentation, and more than half of the studied nurses had good practices regarding administering oxytocin. Recommendation: Performing continous periodic in-services training for maternity nurses to improve their practice regarding oxytocin administration and improving women attitude towards augmentation through increasing their awareness & enhancing the shared decision making.

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