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Labor and Delivery Nurse Career Overview

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Labor and delivery (L&D) nurses assist women with childbirth. L&D nurse jobs can be very emotionally rewarding and, like most nurse salaries, L&D nurse salaries are above the U.S. average.

Labor and Delivery Nurse Career in Brief

A L&D nurse cares for mothers during labor and birth and provides the infant’s initial postpartum care under the supervision of a nurse midwife or physician. They must be especially good at communication and understanding the parent’s psychological and medical needs.

ADN or BSN required
certification option
Key Responsibilities
  • Care for the mother and infant throughout labor, birth, and immediate postpartum phase
  • Provide psychological and emotional support
  • Monitor the mother’s condition and escalate treatment as necessary

Certification Options: Inpatient Obstetric Nursing

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

Where Do Labor and Delivery Nurses Work?

Most L&D nurse jobs are in hospitals or stand-alone birthing centers.

Delivery Room
Assisting and encouraging the mother, monitoring labor progress, calling in specialists or otherwise escalating care as needed
Maternity Ward
Tending to mothers and newborns, monitoring vital signs, educating family 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 mother during initial postpartum period

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

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

Labor and Delivery Nurse

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

Certified Nurse Midwife

  • May work with multiple mothers at once during labor
  • May care for mother 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

Graduate with a bachelor of science in nursing (BSN) or associate degree in nursing (ADN)
A BSN takes four years to complete and is the prerequisite for more advanced degrees and positions. An ADN takes two years.

Pass the NCLEX-RN Exam To Receive RN Licensure
The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a national exam that takes up to six hours and is required for state licensure.

Gain experience and improve job prospects through certifications
Workplaces require advanced cardiac life support and basic life support certifications. Other valuable certifications include becoming RN certified in inpatient obstetric nursing (RNC-OB) and becoming certified in neonatal resuscitation.

Advance your career with a graduate degree
An MSN or DNP is valuable for advancement and required for the next level of education as a nurse practitioner or certified nurse midwife.

How Much Do Labor and Delivery Nurses Make?

Because of the high demand for nurses, L&D nurse salaries are higher than the average national annual salary of $51,920 and considerably above the national median salary of $34,250.

The average annual L&D nurse salary is $65,410. Advanced certification, such as the RNC-OB, significantly increases compensation. For those with the RNC-OB, the average annual L&D nurse salary is $80,330.

Find State-Specific Salary Data Here

Frequently Asked Questions

  • How long do you have to attend school to be 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 a L&D nurse, you can work in a hospital, birthing center, or other healthcare setting assisting women giving birth and caring for their 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 L&D 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 newborns, and many neonatal nurses tend only to infants with health problems. A L&D nurse’s primary responsibility is delivery and labor and initial care of the infant. For births without complications, the L&D nurse may care for both mother 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

Reviewed by:

Elizabeth Clarke

Nicole Galan, RN, MSN
Nicole Galan, RN, MSN is a registered nurse who started in a general medical/surgical care unit and then moved to infertility care where she worked for almost 10 years. She has also worked for over 13 years as a freelance writer specializing in consumer health sites and educational materials for nursing students. Galan currently works as a full-time freelancer and recently earned her master’s degree in nursing education from Capella University.

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