Labor and Delivery Nurse Career Guide

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Overview

With newborns crying and parents beaming with joy, the labor and delivery (L&D) unit is one of the happiest units in the hospital. L&D registered nurses (RNs) welcome newborns into this world at all hours of the night and day, providing warmhearted care to mothers and their newborn babies. This job perk makes L&D nursing jobs a fulfilling and gratifying career path.

Labor and delivery nurses monitor the mother and child throughout the birthing process, ensuring the utmost safety. Since they provide comprehensive mother and newborn care, L&D nurses typically only care for two to three patients maximum during a shift. If the patient is in active labor, sometimes the nurse cares for just one patient.

L&D nurses usually work in the labor and delivery unit of the hospital but can also work at outpatient birthing centers or doctors' offices. Most L&D nurses are generalists, working in the prepartum, intrapartum

Education

The initial step to becoming an L&D nurse is earning your undergraduate degree from an accredited nursing program and obtaining a nursing degree, such as an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). The length of study for an ADN program is typically two to three years, while a BSN program generally takes four years to complete.

During their nursing education, students gain knowledge and skills in various areas of nursing practice, including maternal and child health. They learn about antepartum, intrapartum and postpartum care, as well as newborn care and breastfeeding support. They also receive training in assessing fetal well-being, assisting with childbirth, managing complications and providing emotional support to expectant mothers and their families.

Individuals can enroll in nursing programs offered by accredited institutions, such as community colleges, universities or nursing schools, to obtain the necessary education. These programs provide

A stethoscope held in one hand

Related certifications

After completing their nursing degree, individuals must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become licensed as an RN. Nurse licensure requirements vary by state, so aspiring Labor and Delivery RNs should consult the appropriate licensing authority for their jurisdiction. However, it usually involves fingerprinting and a background check.

Continuing education and professional development opportunities are also available for Labor and Delivery RNs who wish to deepen their knowledge and enhance their skills in this specialized area. These opportunities include attending workshops, seminars and conferences focused on obstetric and neonatal care, as well as pursuing professional certifications such as the Registered Nurse Certified in Inpatient Obstetrics (RNC-OB) or the Registered Nurse Certified in Inpatient Antepartum Nursing (RNC-IAP) or the Registered Nurse Certified in Maternal Newborn Nursing (RNC-MNN) credential offered by the National Certification Corporation.

What’s great about L&D

State licenses process and requirements

All 50 states require state licensure to become a professional nurse. Review the step-by-step process to obtain or renew your RN license in each one.
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A stethoscope held in one hand

Skills

A labor and delivery RN supports mothers throughout their delivery while ensuring their newborn’s safety. L&D is a nursing specialty that requires a friendly yet knowledgeable nurse. Additional essential skills include:

  • Teamwork and ability to communicate effectively

  • Exceptional critical thinking and problem-solving skills

  • Close attention to detail with strong organization and prioritization skills

  • Empathy and compassion for new parents and their families

Another vital skill is educating parents and families on newborn care and breastfeeding. Since emergency situations sometimes arise, you must recognize them and act quickly while remaining calm.

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Responsibilities

Your labor and delivery RN responsibilities revolve around providing specialized care to women during pregnancy, childbirth and the postpartum period. Your primary role is to ensure the safety and well-being of both the mother and the newborn. You closely monitor the progress of labor, assess vital signs and provide pain management interventions as necessary. You assist with labor induction, augmentation and the delivery process, providing emotional support and coaching to the mother. Monitoring the fetal heart rate and uterine contractions, as well as identifying and addressing any signs of distress or complications, are also critical aspects of your role.

After delivery, you provide postpartum care to both the mother and the newborn, including monitoring for any postpartum complications, providing breastfeeding support and educating new parents on newborn care. In addition, you collaborate with the healthcare team, including obstetricians, pediatricians and midwives, to ensure comprehensive and coordinated care. Documenting patient assessments, interventions

Salary Insights

Compare your pay with the most up-to-date job market data using our comprehensive salary calculator.
Labor and Delivery Nurse
$1,809-2,969/week

The average salary for a Labor and Delivery Nurse is $2,366.46 per week.

Last updated on March 13, 2025. Based on active jobs on Vivian.com.

Pros & Cons

Your job is welcoming newborns into the world, bringing joy to your patients’ lives and yours. Since it’s typically a more joyous place to work in the hospital, many nurses want to work in the L&D unit. Besides this initial perk, being an L&D nurse has many unique benefits, including the following.

Job Security: According to the Centers for Disease Control and Prevention, the United States had over 3.6 million births in 2021, with a birth rate of 11 per 1,000 people. You’re guaranteed to have a job, whether you regularly work in staff or travel L&D nurse jobs.

Competitive Salary: L&D nursing is a unique specialty, and L&D nurses are highly regarded and sought after by healthcare systems. According to Vivian Health’s salary data, the average pay for staff L&D nurses was $47.53 per hour in late June 2023, which was 10% higher than the national staff

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Labor and Delivery Nurse Jobs


View job details for Travel Nurse RN - Labor and Delivery
Travel Contract

Travel Nurse RN - Labor and Delivery

  • Suffolk County, NY
  • FlexStaff
  • 4x12 hrs, Nights

$4,843/week

Estimated pay package
View job details for Travel Nurse RN - Labor and Delivery
Travel Contract

Travel Nurse RN - Labor and Delivery

  • Modesto, CA
  • Genie Healthcare
  • 4x12 hrs, Nights

$4,500/week

Estimated pay package
Posted 5 days ago
View job details for Travel Nurse RN - Labor and Delivery
Travel Contract

Travel Nurse RN - Labor and Delivery

  • Modesto, CA
  • Genie Healthcare
  • 4x12 hrs, Nights

$4,500/week

Estimated pay package
Posted Today
View job details for Travel Nurse RN - Labor and Delivery
Travel Contract

Travel Nurse RN - Labor and Delivery

  • Modesto, CA
  • Genie Healthcare
  • 4x12 hrs, Nights

$4,500/week

Estimated pay package
Posted 2 days ago

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