Background: Increasing women’s access to and use of facilities for childbirth is a critical national strategy to improve maternal health outcomes Aim: The aim of this study was to assess maternity nurses' knowledge and practices regarding emergency obstetric care and identify the obstacles to providing such care among maternity nurses. Setting: The study was conducted atthe maternity department at El Fayoum University hospital and El Fayoum Nabawy El Mohandes (public hospital in Fayoum) at El Fayoum city. Design: Descriptive design study was utilized. Sampling: A convenient sample included 47 maternity nurses was included in the study. Tools of data collection: Self-administered questionnaire, an observational checklist, and an obstacles assessment sheet to collect data. Results: The results indicated that slightly less than half of the sample had incomplete satisfactory knowledge regarding obstetrical emergencies. Moreover, more than half of the studied nurses demonstrated incompetent practice in handling obstetrical emergencies. Additionally, more than three-quarters of the sample agreed that administrative support was the main obstacle to providing emergency obstetric care. The study found a highly statistically significant and positive correlation between knowledge and practice, indicating that better knowledge was associated with improved practice. Furthermore, there was a highly statistically significant and negative correlation between obstacles and both knowledge and practice, suggesting that increased obstacles were associated with decreased knowledge and practice. Recommendation: Based on the findings, it is recommended to develop awareness programs for nurses to enhance their knowledge regarding obstetrical emergencies.