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In 2021, roughly 3.6 million babies were born in the U.S.—more than 10,000 babies a day, according to the Centers for Disease Control and Prevention. Each birth requires a team of healthcare professionals, often including labor and delivery (L&D) nurses, to ensure a healthy delivery.
As a healthcare provider, bringing new life into the world can be demanding but also fulfilling. Read on to discover how to become a labor and delivery nurse.
What Does a Labor and Delivery Nurse Do?
Delivering newborns is only part of an L&D nurse’s role. Ultimately, these nurses must ensure both birthing parent and child are safe and healthy at the hospital or clinic.
Role and Responsibilities
L&D nurses assist patients before, during and after delivery. They help pregnant people prepare for birth, assist with delivery and provide aftercare. L&D nurses monitor patients’ vital signs, induce labor and administer epidurals and other medications. They also coach patients during labor and track contractions.
After delivery, labor and delivery nurses support patients and families by educating them on newborn care and creating individualized care plans before discharge.
Work Environment
Labor and delivery nurses may work in hospitals, clinics, physician offices and maternity and birthing centers. Some L&D nurses work nights or weekends.
Roles might vary depending on work environments, but no two days look alike for L&D nurses. L&D nurses may prepare patients for epidurals and C-sections or provide intensive care to infants.
According to the Association of Women’s Health, Obstetrics and Neonatal Nurses, nurse staffing standards suggest labor and delivery nurses should care for no more than three patient-baby couplets per shift. Most L&D nurses work 12-hour shifts, which can be physically and emotionally demanding but also allows nurses four days off each week.
How to Become a Labor and Delivery Nurse
Get an Education
Registered nurses (RNs) must complete a nursing diploma, an associate in nursing (ADN) or a bachelor of science in nursing (BSN) degree. If you’re debating between an ADN vs. a BSN, choosing a BSN may lead to more advanced job opportunities and better prepare you to become a labor and delivery nurse. Completing an ADN takes at least two years, while a BSN degree takes at least four.
Pass the NCLEX-RN
Nurses in the U.S. must pass the National Council Licensure Examination (NCLEX) to become a licensed RN. There’s a $200 registration fee, and you’ll need to apply to your local nursing regulatory body for authorization to test.
Obtain RN Licensure
After passing the NCLEX, you can become an RN. Licensing requirements vary by state. Some states have lengthier processes; others grant same-day temporary licenses to eligible nurses. Check your state’s nursing licensure requirements before applying.
Consider Specialized Certification
Obtaining certification isn’t required to become a labor and delivery nurse, but it’s strongly recommended to become a more competitive candidate in the field.
Labor and delivery nurses commonly earn the NCC Credential in Inpatient Obstetric Nursing (RNC-OB)®. To qualify for the RNC-OB designation, you must have two years of professional experience consisting of at least 2,000 hours of specialty experience in patient intake, labor, delivery and aftercare processes for patients and newborns, plus an unencumbered RN license in the U.S. or Canada.
Other NCC credentials for L&D nurses include inpatient antepartum nursing and maternal newborn nursing certifications. These exams also require two years of work experience, including at least 2,000 hours.
Consider Becoming an APRN
Advanced practice registered nurses (APRNs) include nurse practitioners, clinical nurse specialists, nurse anesthetists and nurse midwives. These professionals often serve as primary care practitioners and must obtain graduate degrees such as a master’s in nursing or a doctorate in nursing.
APRNs can order tests, prescribe medications and evaluate and diagnose patient problems. The median pay for APRNs was $123,780 in 2021, according to the U.S. Bureau of Labor Statistics (BLS).
Labor and Delivery Nurse Salary and Job Outlook
In 2021, the median pay for all registered nurses, including labor and delivery nurses, was $77,600 per year, according to the BLS.
Jobs for RNs are projected to grow 6% from 2021 to 2031, which is on par with the average growth rate across other occupations. The BLS projects the employment of APRNs, on the other hand, to grow 40% from 2021 to 2031.
The BLS projects an average of 203,200 openings per year for RNs from 2021 to 2031. In that same time frame, BLS expects an average of 30,200 openings for APRNs annually.
Frequently Asked Questions (FAQs) About How to Become a Labor and Delivery Nurse
What’s the difference between a labor and delivery nurse and a midwife?
A midwife is not a nurse but typically obtains a healthcare-related degree from a midwifery program. Labor and delivery nurses are registered nurses who may work alongside midwives during the birthing process.
Is it hard to get into labor and delivery nursing?
Nursing in general is competitive, and labor and delivery nursing is a popular specialty in the field. However, specialized experience and certifications can put you at a competitive advantage.
Insights, advice, suggestions, feedback and comments from experts
Introduction
As an expert in the field of healthcare and nursing, I can provide you with comprehensive information about the role of labor and delivery nurses. My knowledge is based on years of experience and a deep understanding of the subject matter. Let's dive into the concepts mentioned in this article.
Role and Responsibilities of Labor and Delivery Nurses
Labor and delivery nurses play a crucial role in ensuring the safe and healthy delivery of newborns. Their responsibilities extend beyond delivering babies. These nurses are responsible for the overall well-being of both the birthing parent and the child during their time at the hospital or clinic. They assist patients before, during, and after delivery, providing support and care throughout the process .
During labor, labor and delivery nurses monitor vital signs, induce labor if necessary, administer medications such as epidurals, and provide emotional support to patients. They also track contractions and coach patients through the labor process. After delivery, these nurses continue to support patients and their families by educating them on newborn care and creating individualized care plans before discharge.
Work Environment and Schedule
Labor and delivery nurses can work in various healthcare settings, including hospitals, clinics, physician offices, and maternity and birthing centers. Some nurses may work nights or weekends, depending on the facility's needs.
The specific roles and responsibilities of labor and delivery nurses may vary depending on the work environment. However, it is important to note that no two days look alike for these nurses. They may be involved in tasks such as preparing patients for epidurals and C-sections or providing intensive care to infants.
Education and Licensure
To become a labor and delivery nurse, individuals must first become registered nurses (RNs). This requires completing a nursing diploma, an associate in nursing (ADN), or a bachelor of science in nursing (BSN) degree. While an ADN takes at least two years to complete, a BSN degree takes at least four years. Choosing a BSN may provide more advanced job opportunities and better preparation for a career as a labor and delivery nurse.
After completing the nursing program, aspiring labor and delivery nurses must pass the National Council Licensure Examination (NCLEX) to become licensed RNs. The NCLEX has a registration fee, and applicants need to apply to their local nursing regulatory body for authorization to take the exam. Licensing requirements may vary by state, so it's important to check the specific requirements of the state where you plan to practice .
Specialized Certification and Advanced Practice
While not required, obtaining specialized certification can enhance a nurse's competitiveness in the field of labor and delivery nursing. The NCC Credential in Inpatient Obstetric Nursing (RNC-OB)® is a common certification for labor and delivery nurses. To qualify for this designation, nurses must have at least two years of professional experience, including 2,000 hours of specialty experience in patient intake, labor, delivery, and aftercare processes for patients and newborns. Additionally, they must hold an unencumbered RN license in the U.S. or Canada .
Labor and delivery nurses can also consider becoming advanced practice registered nurses (APRNs). APRNs, such as nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives, often serve as primary care practitioners. They require graduate degrees, such as a master's or doctorate in nursing, and have additional responsibilities, including ordering tests, prescribing medications, and evaluating and diagnosing patient problems. The median pay for APRNs was $123,780 in 2021, according to the U.S. Bureau of Labor Statistics.
Salary and Job Outlook
In 2021, the median pay for all registered nurses, including labor and delivery nurses, was $77,600 per year. The job outlook for RNs is projected to grow 6% from 2021 to 2031, which is on par with the average growth rate across other occupations. On the other hand, the employment of APRNs is projected to grow 40% during the same period. The Bureau of Labor Statistics projects an average of 203,200 annual job openings for RNs and 30,200 annual job openings for APRNs from 2021 to 2031 .
Frequently Asked Questions
Q: What's the difference between a labor and delivery nurse and a midwife? A: While both labor and delivery nurses and midwives play important roles in the birthing process, there are some key differences. Midwives are not nurses but typically obtain a healthcare-related degree from a midwifery program. They provide care to low-risk pregnant individuals and focus on supporting natural childbirth. Labor and delivery nurses, on the other hand, are registered nurses who work alongside midwives and provide comprehensive care to both the birthing parent and the child during labor, delivery, and postpartum.
Q: Is it hard to get into labor and delivery nursing? A: Nursing, in general, is a competitive field, and labor and delivery nursing is a popular specialty. However, specialized experience and certifications can give you a competitive advantage. It's important to gain relevant experience and consider obtaining certifications to enhance your chances of entering the field.
I hope this information provides you with a comprehensive understanding of the role of labor and delivery nurses and the steps to become one. If you have any further questions, feel free to ask!
