4 Steps to Becoming a Labor and Delivery Nurse


    GUIDE
    August 18, 2020
    Nurse holding the hand of a newborn baby

    Labor and delivery (L&D) nurses are unique among the different types of nurses because they have a very specific job: to help deliver healthy babies and get moms through the process safely. In essence, they are doing what some might consider the most important nursing job of all — bringing new lives into this world.

    For anyone who's interested in becoming a labor and delivery nurse, the good news is that position will always be in demand, whether it's in a hospital, birthing center, or clinic. By gaining experience as a Registered Nurse and then specializing in L&D, you can choose this fulfilling and gratifying career track. 

    Part One What is a Labor and Delivery Nurse?

    L&D nurses begin as Registered Nurses (RN) and may become Advanced Practice Registered Nurses (APRN) such as OB/GYN Nurse Practitioners, but ultimately, they pursue some level of specialty training to help women deliver babies. Some of the primary responsibilities of an L&D nurse include:

    1. Monitoring both the baby’s and mother’s vital signs, including heart rate and blood pressure
    2. Timing contractions
    3. Identifying and assisting with handling complications
    4. Helping to administer medications and epidurals
    5. Aiding in inducing labor
    6. Coaching new mothers throughout the duration of the labor and delivery
    7. And, of course, there’s also a lot of hand-holding, encouragement, and comforting going on in birthing rooms as well.

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    Part Two What Does a Labor and Delivery Nurse Do?

    Unlike many general staff RN jobs, where the kind of patient care you administer runs the gamut, labor and delivery nurses have a very specific function – to work with women who are about to give birth.

    L&D nurses work with just a few patients per day, monitoring their progress, and handling whatever new development comes there way.

    After birth, they continue to care for the mothers until they are released from the hospital. This care is more complex for mothers who give birth via C-section, or who have some other medical complication.

    While most labor and delivery nurses work in hospitals, there are more and more birthing centers opening throughout the country.

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    Part Three Labor and Delivery Nurse Salary

    The median annual salary for all RNs is $73,300, or $35.24 per hour according to the Bureau of Labor Statistics, as of May 2019, though conditions vary by area. Labor and Delivery nurses will typically earn around that salary, with some earning more, depending on the location and type of institution. Those with advanced skills and experience can earn more as well.

    Highest Paying States for Labor and Delivery Nurses

    California

    $113,240/yr or $54.44/hr

    Hawaii

    $104,060/yr or $50.03/hr

    Washington DC

    $94,820/yr or $45.59/hr

    Massachusetts

    $93,160/yr or $44.79/hr

    Oregon

    $92,960/yr or $44.69/hr

    Source: BLS

    Part Four How To Become a Labor and Delivery Nurse

    1. Become a Registered Nurse

      Before you can specialize or choose to remain in a particular hospital unit like L&D, you must first become a Registered Nurse. To do so, you have to graduate from a program of study that is approved by your State Nursing Board, either a bachelor’s degree or associate degree program.

    2. Pass the NCLEX

      Upon completion, you have to pass the NCLEX-RN. From there, you can begin practicing and look for opportunities to gain experience in L&D units.

    3. Advance Your Education

      To advance in this career, additional education is required beyond the RN degree program. Some choose to become Nurse Practitioners in Obstetrics and Gynecology. These highly specialized nurses are needed to handle very high-risk patients and special circumstances and complications.

      Another route L&D nurses can take is to become Certified Nurse-Midwives. That requires earning the Certified Nurse-Midwife and Certified Midwife designations through the American Midwifery Certification Board.

    4. Earn Certifications

      Another way to bolster your credentials as an RN is to earn a certification in your field of interest. For L&D nurses, that would usually be the Inpatient Obstetric Nursing (RNC-OB) certification through the National Certification Corporation. Becoming a Certified Labor and Delivery Nurse can give you an edge and make you more marketable.

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    Part Five What is the Career Outlook for Labor and Delivery Nurses?

    With so many nurses coming into retirement age in the next decade, the nursing shortage is here to stay for a long time. And because L&D nursing is physically demanding, requiring long shifts, it’s particularly suited for new nurses who have to, in a sense, labor right alongside their patients.

    In other words, as far as job prospects go, specializing in L&D will help power up your job security even more. To get an idea of just how many nurses will be needed, consider that the Bureau of Labor Statistics predicts the field to grow at a rate of 12 percent from 2018 2028, which is much faster than the average for all occupations.

    Part Six What are the Best Labor and Deliver Nurse Programs?

    Top 10 Labor and Delivery Nurse Programs

    Methodology

    This list is based on a number of factors including:

    • Reputation
    • NCLEX pass rate
    • Tuition
    • Acceptance rate, when available
    • Only ACEN or CCNE accredited schools are eligible

    Labor and delivery nurses complete various levels of education, so this list takes into account all degree levels. 

    Nurse Panel

    Our selection panel is made up of 3 Registered Nurses with years of experience and multiple degrees:

    • Tracy Everhart, MSN, RN, CNS
    • Tyler Faust, MSN, RN
    • Kathleen Gaines, MSN, BSN, RN, BA, CBC

    There are numerous labor and delivery nursing programs and our panel of nurses ranked them based on factors mentioned in the methodology. Because individual nursing pathways and careers take various forms, the top 10 labor and delivery nurse programs are ranked in no particular order. 

    1. University of Pennsylvania

    Annual Tuition: $60,042

    Online: Yes

    Program Length: 4 years

    Founded in 1740, the University of Pennsylvania is among the oldest and most well-respected universities in the nation. With a low student to faculty ratio of 6:1, Penn students get a high level of one-on-one time with professors. Future labor and delivery nurses should consider the undergraduate BSN, a four-year degree with good NCLEX outcomes. Those looking to further their education should consider Penn's top-notch nurse-midwifery or women's health MSN programs. 

    2. University of Michigan Ann Arbor

    Annual In-State Tuition: $15,230 Annual Out-of-State Tuition: $50,872

    Online: No

    Program Length: 4 years

    While probably best known for its sports, the University of Michigan at Ann Arbor is also one of the best public universities. U-M boasts one of the best undergraduate nursing programs, a four-year BSN that's particularly affordable for Michigan residents. The university also offers several nurse-midwifery MSN options, so labor and delivery nurses can specialize in their education and career even further. U-M graduates also join an extensive alumni network which could make it easier to gain labor and delivery experience early on in your career.

    3. Columbia University

    Annual Tuition: $15,045 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 15 months

    Located in New York City, Columbia University is known for regularly producing high-caliber graduates who become experts in their field. Those interested in becoming labor and delivery nurses through Columbia take a non-traditional route. The university offers a pre-licensure MSN for those with non-nursing undergraduate degrees. Earning an MSN could make it easier to land in labor and delivery early on. Columbia also offers a DNP in nurse-midwifery for those who want to earn the highest level of education possible. 

    4. University of Texas at Austin

    Annual In-State Tuition: $11,734 Annual Out-of-State Tuition: $42,358

    Online: No

    Program Length: 4 years

    With over 51,000 students, the University of Texas at Austin is one of the larger schools that future labor and delivery nurses might attend. As with other schools on this list, the University of Texas at Austin boasts a solid BSN program, and the school's connection with the extensive University of Texas system means students could gain clinical experience at some of the top hospitals in the region. Similarly, local Texas hospitals might prefer to hire a recent Texas graduate, making this an excellent choice for anyone interested in labor and delivery nursing in Texas. 

    5. University of North Carolina

    Annual In-State Tuition: $12,082 Annual Out-of-State Tuition: $29,808

    Online: Yes

    Program Length: 4 years

    The University of North Carolina is among the top public schools. Great for research and healthcare, nearly every type of nurse can succeed with a degree from UNC. The BSN, available in a traditional four-year or an accelerated four-semester option, prepares students for success in any field. Those who can take advantage of UNC's low in-state tuition should definitely consider this top-ranked program.

    6. Emory University

    Annual Tuition: $71,752

    Online: Yes

    Program Length: 4 years

    Emory University is a private school best known for its incredible healthcare system. Like other great programs, a nursing degree from Emory essentially prepares you for any nursing career. Aside from the BSN, Emory also offers graduate degrees in nurse-midwifery and women's health, two great options for labor and delivery nurses. While the costs are steep, Emory notes that students do not pay the cost of attendance. Instead, this high cost is used as a bar before determining financial aid, and most students pay a lower rate than what's listed. 

    7. Yale University

    Annual Tuition: $48,795

    Online: Yes

    Program Length: 2 years

    An Ivy School located in New Haven, Connecticut, Yale University regularly offers financial aid to students who struggle with tuition, making this a surprisingly affordable option for many students -- assuming they get through the highly competitive admissions process. While Yale doesn't have an undergraduate program for nurses, its nurse-midwifery and women's health NP program rank among the best graduate degrees in the labor and delivery field. 

    8. University of Washington

    Annual In-State Tuition: $11,214 Annual Out-of-State Tuition: $37,914 

    Online: No

    Program Length: 4 years

    The only West Coast school to make this list, the University of Washington is a regional leader in healthcare, and nursing students gain valuable clinical experience at the school's healthcare facilities. Aspiring labor and delivery nurses without a nursing license should enroll in the BSN, one of the best undergraduate programs in the region. Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. As a public school, Washington residents get a low in-state tuition rate, too. 

    9. New York University

    Annual Tuition: $54,880

    Online: No

    Program Length: 4 years

    Created in 1831, New York University is among the best research universities worldwide, great for any labor and delivery nurses looking to advance their careers and earn graduate degrees. Of course, labor and delivery nurses must first earn an undergraduate degree and gain experience. Through NYU's BSN, students complete an excellent nursing program, gain clinical experience at some of the best hospitals in New York, and graduate with connections to local healthcare facilities. 

    10. Aspen University

    Annual Tuition: $10,550

    Online: Yes

    Program Length: 1 year

    Aspen University is a primarily online school, so only licensed nurses with an associate degree should consider this option. However, Aspen's online RN-BSN is among the best out there, perfect for RNs with an associate degree looking to increase their earning potential. This flexible program also makes it easy to keep working while earning the degree, and the program cost is incredibly low. Completing an RN-BSN program could prove to be an excellent long-term move for labor and delivery nurses. 

    Part Seven Where Can I Learn More About Labor and Delivery Nursing Careers?

    To learn more about L&D nursing careers, take advantage of the resources available through the professional associations related to this field. The leading group for L&D nurses is:

    The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) - This organization aims to improve and promote the health of women and newborns and to strengthen the nursing profession through advocacy, research, and education.

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