What Is A Labor And Delivery Nurse? | NurseJournal.org (2024)

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What Is A Labor And Delivery Nurse? | NurseJournal.org (10)


Updated August 1, 2023

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  • Career Overview
  • Work Settings
  • L&D Nurse vs. Certified Nurse Midwife
  • How to Become
  • Salary
  • FAQ

Learn about labor and delivery nurse jobs and salaries and how to become a labor and delivery nurse.

What Is A Labor And Delivery Nurse? | NurseJournal.org (11)

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A labor and delivery (L&D) nurse supports patients during and after birth under the supervision of a nurse midwife or physician. They also care for infants immediately after delivery. These registered nurses (RNs) often work in birthing centers, delivery rooms, and hospital maternity units.

Labor and delivery nurses must have excellent communication, assessment, and teaching skills. They excel in providing supportive services to help new parents navigate the birthing process. Learn more about how to become an L&D nurse, what they do, and where they work.

How Long to Become:
2-4 years

Job Outlook:
6% growth from 2021-2031

Average Annual Salary:

What Does a Labor and Delivery Nurse Do?

Diploma, ADN, or BSN Required

Certification Recommended

An L&D nurse closely monitors the condition of patients during every step of labor and birth, providing intervention when needed. These nurses care for the newborn during the postpartum period (i.e., immediately after birth). Labor and delivery nurses also administer medication, closely monitor vital signs, and educate patients and their spouses/partners and other family members.

The L&D unit is faced-paced, and nurses must respond to obstetric emergencies when they occur. The labor and delivery environment combines emergency nursing, critical care, surgical (if the patient requires a c-section), and recovery. This environment can be very exciting and challenging to work in as a nurse.

What Is A Labor And Delivery Nurse? | NurseJournal.org (13)

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Key Responsibilities

  • Care for the patient and infant throughout labor, birth, and immediate postpartum phase
  • Provide psychological and emotional support
  • Monitor the patient and newborn’s condition and escalate treatment as necessary

Career Traits

  • Empathy
  • Communication with patients and other caregivers
  • Ability to make quick decisions

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Where Do Labor and Delivery Nurses Work?

Labor and delivery nurses typically work in acute care centers on maternity units, in delivery rooms, and in birthing centers. They can also assist patients during home births.

Delivery Room

Assisting and encouraging the patient, monitoring labor progress, calling in specialists or otherwise escalating care as needed.

Maternity Ward

Tending to patients and newborns, monitoring vital signs, and educating families on infant care.

Birthing Center

Assisting during labor and postpartum, monitoring progress and vital signs, referring to hospital care if needed, caring for the newborn and patient during the initial postpartum period.

What Is the Difference Between an L&D Nurse and a Certified Nurse Midwife?

L&D nurses and nurse midwives are RNs, but a nurse midwife has more advanced training and certification. Nurse midwives may also work with patients throughout pregnancy—not just labor and delivery.

Labor and Delivery Nurse

  • Works with one patient in active labor at a time
  • Cares for patient throughout the birthing process
  • Has RN license
  • Carries out nurse midwife’s or physician’s orders, such as inducing labor

Certified Nurse Midwife

  • May work with multiple patients at once during labor
  • May care for patients throughout pregnancy
  • Has RN license, nurse midwife certification, and master of science in nursing (MSN) or doctor of nursing practice (DNP)
  • Makes critical decisions

How to Become a Labor and Delivery Nurse

The minimum requirement to become a labor and delivery nurse is an associate’s degree in nursing (ADN) or a bachelor of science in nursing (BSN) and an RN license, including a passing score on the NCLEX exam.

Experience in the obstetrics field and certification in obstetric nursing (RNC-OB) gives nurse candidates a competitive edge in the job market. Employers often require L&D nurses to get certification in neonatal resuscitation.

How Much Do Labor and Delivery Nurses Make?

The average salary for labor and delivery nurses is $70,040 as of December 2022, according to Payscale. Payscale also reports that the average base salary for RNC-OB certified nurses is $84K annually.

Many factors influence labor and delivery nurses’ salaries, including their geographic area, level of education, experience level, and whether they are RNC-OB certified.

The job outlook for L&D nurses is good. The BLS projects a 6% growth rate for all RNs in 2021-2031, which is about as fast as average.

Frequently Asked Questions About Labor and Delivery Nurses

How long does it take to become a labor and delivery nurse?

It takes at least two years to earn an ADN plus the required certifications to become a L&D nurse. However, acquiring a four-year BSN leads to higher salaries and more opportunities for advancement.

What can you do as a labor and delivery nurse?

As an L&D nurse, you can work in a hospital, birthing center, or other healthcare setting assisting patients giving birth and caring for newborns. You can also use the position as a stepping-stone to a nurse midwife position, which entails more responsibility and higher compensation.

What career advancement opportunities are available for labor and delivery nurses?

Advancement opportunities for labor and delivery nurses include becoming a nurse midwife or pursuing certification in inpatient obstetric care. Nurse midwives can supervise other L&D nurses and have sole medical oversight over a birth.

What is the difference between a labor and delivery nurse and a neonatal nurse?

A neonatal nurse‘s primary responsibility is care for newborns with various health problems. An L&D nurse’s primary responsibility is assisting the patient through delivery and labor and initial care of the infant. For births without complications, the L&D nurse may care for both the patient and infant until their release from the hospital.

Resources for Labor and Delivery Nurses

Association of Women’s Health, Obstetric and Neonatal Nurses

AWHONN serves nurses through advocacy, networking, and offering professional continuing education, including courses for L&D nurses such as fetal heart monitoring. Membership is open to nurses and any other interested parties, but only RNs can vote or hold office.

American College of Nurse-Midwives

ACNM provides professional education for certified nurse midwives and certified midwives and advocates for the profession. Certified midwives and nurse midwives can be full members, but others can join as nonvoting members.

National Association of Neonatal Nurses

NANN develops and delivers continuing education and development (including an annual conference), publishes a journal and newsletters, and offers fellowships. Membership is open to nursing students as well as RNs.

Nurse Practitioners in Women’s Health

The NPWH provides continuing professional education, conducts research, and advocates for policies that advance both women’s health and nurse practitioners. The majority of members are practitioners, but there are membership categories for other women’s health specialists and students.

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What Is A Labor And Delivery Nurse? | NurseJournal.org (2024)


What Is A Labor And Delivery Nurse? | NurseJournal.org? ›

Labor and delivery nurses have specialized clinical duties such as monitoring fetal heart tones, identifying risks for pregnant individuals and newborns, and assessing the progress of labor. They also might assist in the operating room during cesarean sections, administer medications, and provide emotional support.

What is a labor and delivery nurse simple definition? ›

Labor and delivery (L&D) nurses are licensed medical professionals who support obstetricians, midwives, expectant parents, and newborns. A labor and delivery nurse may administer medication, provide patient education, and monitor a patient's vital signs both during and after childbirth.

How do I answer why I want to be a labor and delivery nurse? ›

I'm passionate about empowering mothers and helping them through the challenges of pregnancy and childbirth, so entering a career in labor and delivery has helped me work more toward this mission."

What makes a great labor and delivery nurse? ›

L&D nurses must quickly assess patients' needs and determine who needs what and who needs assistance first, Little said. “Multitasking, time management and organizational skills are needed,” Little added. 5. Fetal monitoring, based on the patient's plan of care.

Why do I want to be a L&D nurse? ›

You get to help people

Many pregnant women depend on the care of their labor and delivery nurse to have a successful and safe delivery. Nurses can monitor for complications, provide valuable education for new parents and support delivering women during a significant and life-changing experience.

Is labor and delivery hard as a nurse? ›

Working as a labor and delivery nurse certainly has its challenges—from being in a fast pace work environment where you need to constantly monitor patients and help make quick decisions to dealing with a tragic loss. It can be challenging, hard, and stressful.

What are some interesting facts about labor and delivery nurses? ›

During labor, these nurse specialists will be monitoring both the baby's heartbeat and the mother's vitals. They will be the first responder to any complications. And when the physician is called in, they are second in command and act as the primary advocate for the mother.

What is a labor and delivery nurse called? ›

One registered nurse (RN) specialty in the hospital setting is labor and delivery (L&D). A career in L&D nursing is often considered to be fast-paced, patient-centric and multifaceted. L&D nurses care for women who are laboring, have complications of pregnancy or have recently given birth.

Where do L&D nurses make the most money? ›

Highest paying cities for Labor and Delivery Nurses near California
  • Panorama City, CA. $4,006 per week. 39 salaries reported.
  • Sacramento, CA. $3,390 per week. 54 salaries reported.
  • Bakersfield, CA. $3,137 per week. 336 salaries reported.
  • Modesto, CA. $2,910 per week. ...
  • Torrance, CA. $2,759 per week. ...
  • Show more nearby cities.

What is the definition of delivery in nursing? ›

DEFINITION The nursing care delivery system means “the process of delivering care to the client by combining various aspects of nursing service which will fit to various patient care settings to produce a common outcome of delivering quality care and meeting the needs of clients”.

What is the difference between labor and delivery nurse? ›

Labor and delivery nurses provide care to mothers during childbirth, monitoring them and the baby, assisting in labor pains, and preparing for emergencies. On the other hand, postpartum nurses focus on the mother's recovery after delivery.

What is the difference between a maternity nurse and a labor and delivery nurse? ›

For example, they may work in an obstetrician's office, offering maternity care to mothers-to-be. Labor and delivery nurses, however, focus specifically on labor, birthing, and the immediate postpartum process. In addition, they're involved in active and post-labor recovery stages, infant nursing, and neonatal care.

What is the difference between mother baby and labor and delivery nursing? ›

A labor and delivery nurse is actively involved in the laboring and birthing process. A mother baby nurse is actively involved immediately after birth to monitor for any immediate postpartum needs. Labor and delivery nurses are often involved in monitoring and assisting the patient in labor.


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