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

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:
$70,040

Sources: Bureau of Labor Statistics Payscale, November 2022

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 (1)

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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

Featured Online MSN Programs

Learn about start dates, transferring credits, availability of financial aid, and more by contacting the universities below.

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.


Related Pages

Page last reviewed on December 13, 2022

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

FAQs

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 to answer why you 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 is the role of a labor and delivery charge nurse? ›

This includes tracking contractions, checking dilation, monitoring vital signs, and interpreting fetal heart rate patterns. Administering medications and treatments: Labor and delivery nurses administer pain medications, including epidurals, and other necessary treatments.

What is the best thing about being a labor and delivery nurse? ›

Emotional fulfillment and Joy

One of the most rewarding aspects of being a Labor & Delivery nurse is the unparalleled sense of joy and fulfillment that comes from assisting mothers as they bring new life into the world.

What is the definition of labor in nursing? ›

Definition of Labor

Labor is a series of continuous, progressive contractions of the uterus that help the cervix dilate and efface (thin out).

What is a nurse in simple words? ›

A nurse is a person who is trained to give care to people who are sick or injured. Nurses work with doctors and other health care workers to make patients well and to keep them fit and healthy.

Why would someone want to be a labor and delivery nurse? ›

Playing a part in a life-changing event

L&D nurses are involved in one of a woman's most memorable life events, whether the patient is becoming a mother for the first time or adding to a family. Helping parents through this amazing experience is one of the greatest benefits of being a labor and delivery nurse.

Why do you want to work in L&D? ›

As an L&D professional, you'll be supporting people development every day by attracting and retaining talent, motivating and inspiring employees through continuous learning, and building on their existing skills and capabilities.

What is the hardest part of being a labor and delivery nurse? ›

Being a labor and delivery nurse comes with some incredibly challenging moments on the job, such as experiencing the loss of a birthing patient or baby.

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

L&D nurses generally work 12-hour shifts. But because of the bond they form with the laboring patient, it's not unusual for nurses to stay past their shift change to be there when the baby is born. Things change quickly during labor, and the unexpected can happen. So, the work can be stressful and intense.

What is the role of the nurse in delivering care? ›

Nurses are responsible for recognizing patients' symptoms, taking measures within their scope of practice to administer medications, providing other measures for symptom alleviation, and collaborating with other professionals to optimize patients' comfort and families' understanding and adaptation.

What is a typical day in the life of a labor and delivery nurse? ›

As a labor and delivery nurse, you can go from taking vitals during a pregnancy wellness checkup to assisting with active labor. Other daily responsibilities can include: Administering medications and immunizations.

Why are you interested in labor and delivery? ›

What is it about labor and delivery that makes it such an attractive career choice? For many, it's the competitive salary and in-demand job opportunities, while for others it's witnessing the miracle of life and advocating for mothers and their babies.

What is the role of the nurse in labor and delivery? ›

L&D Nurses are relied upon to communicate the mental and physical changes that coincide with childbirth, validating the trauma that both body and mind have just been put through, and supplying or sourcing necessary support, such as lactation consultants or mental health providers.

What is labor and delivery care? ›

All women during labour and delivery need individualised care. Pregnant women should be encouraged to seek support from a skilled birth attendant. Provide physical and psychological support to the woman in labour and the trusted support person who is with her.

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

These include neonatal nurses, who care for mothers immediately before, during, and after labor; and labor and delivery nurses, who focus on providing care during delivery. Unlike those specialists, an OB nurse provides care starting during the early stages of pregnancy or even when a woman is trying to conceive.

What is delivery nursing care? ›

It defines nursing care delivery as combining nursing services to meet patient needs across care settings. The key elements include clinical decision making, work allocation, communication, and management.

What is an OB nurse? ›

An obstetrics (OB) nurse is a registered nurse who helps care for female patients during pregnancy, labor, and childbirth. Obstetricians and OB nurses play an integral and unquestionably important role during this time in a woman's life.

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