Labor & Delivery Nurses (L/D Nurses), also called perinatal nurses, provide care and support for women before, during and after delivery of the baby. They are responsible for making sure that the medical as well as the emotional needs of the patient are adequately met throughout the entire birthing process.


L/D Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of L/D Nurses include (but are not limited to):

  • Recommend for medical consultation or referral for those women or newborns with significant deviations from normality.
  • Provide individual, family, and group education about obstetrical processes, associated disease or complications, the therapeutic regimen including, diet, healthy lifestyles and general wellbeing.
  • Provide emergency care as required: provides definitive management in all medical categories for cases that do not require referral.
  • Independently manage routine low risk pregnant patients and take direction in a close professional relationship with consulting Obstetrician in the management of high risk pregnant patients
  • Works in close partnership with nursing and other clinical leadership to insure high quality services
  • Monitor Vital signs, report and intervene if and when necessary.
  • Care for and assisting women in Labour
  • Monitoring the fetus, administering medication, injections and intravenous infusions during Labour
  • Advising about and supporting parents in the daily care of their newborn babies
  • Helping parents to  ope with miscarriage, termination, stillbirth and neonatal death
  • Take all the prevention measures for post-delivery bleeding
  • Ensure correct labeling pregnant mothers and their born babies by two persons onduty.
  • Adhere to laid down policies and procedures on bedside etiquette.
  • Sits with and monitors patient throughout (before/during/after) the labor
  • Monitors contractions and helps patient with breathing techniques
  • Performs basic IV and central line skills
  • Performs phlebotomy skills
  • Knowledge of hemodynamics
  • Administers pain medication as ordered; administers other meds to address specific medical conditions, such as hypertension and diabetes
  • Takes and records patient’s vital signs, ascertains if problematic
  • Reads fetal monitor & ascertains if there is a problem with baby’s heart rate
  • Identifies & manages life-sustaining physiological functions in unstable patients
  • Checks patient’s cervix periodically to monitor progression/lack of dilation
  • Ensures patient’s bed is kept dry & clean; cleans up bodily fluids expelled before & after the birthing process
  • Contacts anesthesia when/if patient is ready for epidural; contacts deliveringphysician at appropriate time, ascertains proper time
  • Cares for patients on Pitocin, MgSO4 & continuous lumbar epidural
  • Ensures patient is in proper position for delivery & all monitoring equipment is functioning properly
  • Aids doctor with drapes, gloves, gowns, etc.; hands doctor delivery instruments as needed during birthing process
  • Encourages patient to push at proper time(s)
  • Records time of birth
  • Immediate care of newborn (clean, weigh, etc.)
  • Gives Apgar scores
  • Keeps any family informed of progression of birth
  • Performs other position-related duties as assigned, depending on assignment setting



  • Minimum of five (5) years’ experience as a Labor & Delivery Nurse (Midwife) is required
  • Strong organisational skills
  • Strong oral and written communication skills
  • Ability to speak and write in English is required



  • Bachelor’s degree in Nursing – Midwife
  • Current national license is required

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