Labor and Delivery Nurse Salary By State for 2025
Co-Founder and Chief Data Scientist
In 2023, registered nurses earned a median wage of $86,070, well above the national average. Obtaining specialized certifications, such as in labor and delivery, can further increase this income. This article explores the labor and delivery nurse salary across various states and examines the key factors that influence their earnings. Whether you're considering this specialization or looking to understand regional pay differences, we'll provide insights to help you navigate your labor and delivery nursing career effectively.
Key Things You Should Know About Labor and Delivery Nurse Salary
- Labor and delivery nurse salary varies significantly by state and region. Urban centers, which typically have higher costs of living or a greater demand for healthcare professionals, typically offer higher wages.
- More experienced nurses or those with advanced degrees often earn higher salaries. Continuous professional development and years in the field can lead to increased pay and better job opportunities.
- Certification in areas like neonatal care or maternal-fetal medicine can enhance a nurse’s qualifications, leading to higher salaries and specialized roles within healthcare facilities.
Table of Contents
- What is the average labor and delivery nurse salary by state?
- What factors affect labor and delivery nurse salaries by state?
- How does experience level impact labor and delivery nurse pay?
- How does the cost of living affect labor and delivery nurse salaries in different states?
- How does the type of healthcare facility influence labor and delivery nurse pay?
- How do benefits packages vary for labor and delivery nurses by state?
- Do certifications increase labor and delivery nurse salaries?
- What opportunities for salary growth exist for labor and delivery nurses?
- Can non-nurses transition into a labor and delivery nursing career?
- Which states have the highest demand for labor and delivery nurses?
- Can affordable RN to BSN programs drive career growth in labor and delivery nursing?
- What are the future salary trends for labor and delivery nurses?
- What impact does selecting the right nursing school have on long-term career success?
- Can obtaining a Doctor of Nursing Practice degree elevate labor and delivery nursing careers?
- How does continuous professional development boost long-term career success for labor and delivery nurses?
- How can advanced education boost career advancement for labor and delivery nurses?
- How can labor and delivery nurses negotiate their compensation?
- Can online advanced nursing programs drive significant career growth for labor and delivery nurses?
- Other Things You Should Know About Labor and Delivery Nurse Salary
What is the average labor and delivery nurse salary by state?
According to Salary.com, the average labor and delivery nurse salary in the United States is $82,500 per year. Salaries typically range from $75,100 to $93,400, with some professionals earning as high as $103,324 per year. However, pay varies by location. Below is the labor and delivery nurse salary by state as of December 2024:
What factors affect labor and delivery nurse salaries by state?
Labor and delivery nurse salaries can vary widely across different states due to several key factors:
- Cost of Living: States with a higher cost of living, such as California and New York, tend to offer higher salaries to compensate for increased living expenses.
- Demand for Healthcare Professionals: Regions experiencing a shortage of nurses or a high demand for maternity care services often provide higher wages to attract qualified professionals.
- State Regulations and Licensing Requirements: States with stringent licensing or additional certifications may offer higher pay to nurses meeting these criteria.
- Type and Size of Healthcare Facilities: Larger hospitals and specialized maternity centers typically offer higher salaries compared to smaller clinics or non-profit organizations.
- Experience and Education Levels: Nurses with advanced degrees, extensive experience, or specialized certifications in labor and delivery can command higher salaries regardless of the state. As such, look into accelerated nursing programs to upgrade your education level much quicker.
- Unionization and Labor Agreements: States with strong nursing unions may have negotiated higher wages and better benefits for labor and delivery nurses.
How does experience level impact labor and delivery nurse pay?
Experience level plays a crucial role in determining the pay of labor and delivery nurses. Entry-level nurses, even those who have taken the fastest way to become a nurse, typically earn around $79,700 annually. At this stage, nurses are building their foundational skills, gaining hands-on experience, and becoming proficient in managing the demands of labor and delivery units. While the starting salary is competitive, it reflects the initial phase of their careers where extensive expertise and specialized knowledge are still developing. Employers recognize the growth potential and often provide opportunities for further training and professional development, which can lead to salary increases as nurses gain more experience.
As labor and delivery nurses advance in their careers, their salaries tend to rise in recognition of their enhanced skills and greater responsibility. Senior-level professionals with five to eight years of experience earn approximately $87,500 per year. This pay increase is attributed to their comprehensive understanding of complex childbirth scenarios, ability to handle high-pressure situations, and leadership roles within healthcare teams. Experienced nurses are also more likely to pursue specialized certifications and advanced education, further boosting their earning potential. Additionally, their proven track record and expertise make them valuable assets to healthcare facilities, justifying higher compensation. Overall, the progression from entry-level to senior positions highlights the significant impact that experience has on the financial rewards and career advancement of labor and delivery nurses.
Education also plays a huge part in your ability to earn more and to advance in your role. That is why, take advantage of accelerated or bridge nursing programs, such as RN to BSN online in 6 months.
How does the cost of living affect labor and delivery nurse salaries in different states?
The cost of living is a crucial factor influencing labor and delivery nurse salaries in different states. In larger cities, wages tend to be higher to offset the increased expenses associated with urban living, such as housing, transportation, and general goods and services. However, even among cities of similar sizes, there can be significant income disparities. This variation means that nurses in some metropolitan areas may earn more, but their higher salaries are often balanced by the higher costs they must bear.
A National Bureau of Economic Research working paper titled “Location, Location, Location” by David Card, Jesse Rothstein, and Moises Yi explores how location-based factors impact wages. The researchers found that mean wages differ across various commuting zones due to variations in worker ability and place effects—how the characteristics of a neighborhood influence individual outcomes. Additionally, the study highlights that college-educated workers, such as labor and delivery nurses, receive greater financial benefits from residing in higher-wage or larger cities. This means that while nurses in these areas may face higher living costs, their advanced qualifications and the demand for their expertise allow them to achieve higher earnings, making these locations more financially rewarding despite the elevated expenses.
How does the type of healthcare facility influence labor and delivery nurse pay?
The type of healthcare facility plays a significant role in determining labor and delivery nurse salaries. In 2023, registered nurses working in government facilities earned the highest salaries, with annual earnings exceeding $99,800. Government-run hospitals and public health institutions often have larger budgets and more comprehensive benefits packages, allowing them to offer higher wages. Additionally, these facilities may handle a higher volume of patients and more complex cases, necessitating experienced nurses and justifying the increased compensation.
Conversely, nurses employed in educational facilities, such as university hospitals and teaching clinics, earned around $71,500 annually, according to the U.S. Bureau of Labor Statistics. Educational institutions typically operate under tighter budget constraints, prioritizing funding towards research and academic programs over higher nurse salaries. Furthermore, the focus in educational settings is often on training and teaching, which may result in lower pay compared to government facilities. This disparity underscores the importance of considering the type of employer when evaluating potential earnings and career opportunities as a labor and delivery nurse.
How do benefits packages vary for labor and delivery nurses by state?
Benefits packages for labor and delivery nurses can differ significantly across states, influenced by regional preferences and the generational makeup of the nursing workforce. Millennials, who constitute a large portion of today’s nurses, typically seek benefits such as affordable, high-quality healthcare, paid sick leave, remote work options, and flexible scheduling. In contrast, Baby Boomers prioritize retirement planning assistance, investment advice, and long-term care insurance. Generation Z nurses, the newest entrants to the workforce, often value loan repayment programs and tuition reimbursement to support their educational expenses. Employers in different states tailor their benefits offerings to meet these diverse needs, ensuring they attract and retain talent across all age groups.
According to the 2024 employee benefits survey by the Society for Human Resource Management (SHRM), over 80% of HR professionals identified health-related benefits, retirement savings and planning, and leave benefits as the most crucial categories for employees. This emphasis reflects the varying priorities of nurses depending on their stage in life and career. For instance, states with a higher concentration of younger nurses may offer more flexible work arrangements and educational incentives, while those with an older workforce might focus on robust retirement plans and comprehensive healthcare coverage. Additionally, the cost of living and regional economic conditions play a role in shaping benefits packages. States with higher living costs may provide enhanced healthcare and higher retirement contributions to compensate, whereas those with lower costs might emphasize other benefits like flexible schedules or professional development opportunities. By aligning benefits with the preferences of their nursing staff and regional demands, healthcare employers can effectively support their workforce and enhance job satisfaction across different states.
Do certifications increase labor and delivery nurse salaries?
Obtaining specialized certifications can significantly enhance the salaries of labor and delivery nurses. Certifications such as the Inpatient Obstetric Nursing Certification (RNC-OB) or the Neonatal Resuscitation Program (NRP) demonstrate advanced knowledge and expertise in specific areas of maternity care. Employers recognize the value of these certifications as they indicate a nurse's commitment to professional development and ability to handle complex clinical situations. As a result, certified labor and delivery nurses often command higher wages compared to their non-certified counterparts. According to a study by the American Association of Colleges of Nursing, nurses with specialized certifications can earn up to 15% more annually than those without additional credentials.
Furthermore, certifications, even those obtained through fast track schools, open up opportunities for career advancement and leadership roles within healthcare facilities. Certified nurses are more likely to be considered for positions such as charge nurse, nurse educator, or clinical specialist, all of which typically offer higher salaries and additional benefits. Additionally, hospitals and maternity centers may offer financial incentives, such as signing bonuses or salary increases, to attract and retain certified professionals. By investing in certifications, labor and delivery nurses not only enhance their earning potential but also expand their career prospects, ensuring long-term growth and job satisfaction in the competitive healthcare landscape.
What is the easiest nursing job that pays well? Check out our article on the topic if you want to look into other practice areas that are not as hectic as labor and delivery.
What opportunities for salary growth exist for labor and delivery nurses?
Labor and delivery nurses play a crucial role in maternal and neonatal care, and there are multiple avenues for salary growth within this specialized field. Here are several opportunities that can lead to increased earnings:
1. Advanced Education and Certifications
Obstetric Nurse Practitioner (OBNP): By enrolling in easy nurse practitioner programs and pursuing a nurse practitioner role with a focus on obstetrics, nurses can significantly increase their earning potential. These accessible programs provide the necessary education and training to specialize in maternal and neonatal care, enabling nurses to take on advanced responsibilities and leadership positions. As an Obstetric Nurse Practitioner, individuals can expect not only higher salaries but also expanded career opportunities within the healthcare field.
- Certified Nurse Midwife (CNM): Becoming a CNM involves additional education and certification, leading to higher salaries.
- Specialized Certifications: Obtaining certifications such as Inpatient Obstetric Nursing (RNC-OB) can enhance qualifications and salary prospects.
2. Experience and Tenure
- Years of Experience: Accumulating more years of experience in labor and delivery can lead to higher pay scales.
- Expertise in High-Risk Deliveries: Gaining experience in managing high-risk pregnancies and deliveries can make a nurse more valuable.
3. Advanced Roles and Leadership Positions
- Nurse Manager or Supervisor: Transitioning into leadership roles within the labor and delivery unit often comes with salary increases.
- Clinical Educator or Trainer: Taking on roles that involve training new nurses or educating staff can offer higher compensation.
- Charge Nurse: Acting as a charge nurse with additional responsibilities can lead to pay raises.
4. Specialization and Sub-Specialties
- Neonatal Intensive Care Unit (NICU) Collaboration: Working closely with NICUs and gaining specialized skills can enhance salary opportunities.
- Perinatal Mental Health Specialist: Specializing in the mental health aspects of perinatal care can open niche, higher-paying roles.
5. Geographic Location
- High-Demand Areas: Working in regions with a higher demand for labor and delivery nurses, such as urban centers or underserved areas, can lead to better salaries.
- Cost of Living Adjustments: Positions in areas with a higher cost of living often offer higher wages to compensate.
6. Shift Differentials and Overtime
- Night and Weekend Shifts: Taking on less desirable shifts can result in additional pay through shift differentials.
- Overtime Opportunities: Volunteering for overtime work can boost overall earnings.
7. Continuing Education and Professional Development
- Ongoing Training: Engaging in continuous professional development can make a nurse eligible for raises and promotions.
- Pursuing Higher Degrees: Obtaining what can be considered the easiest college degree in the nursing field, such as a Bachelor of Science in Nursing (BSN), or advancing to a Master of Science in Nursing (MSN), can qualify nurses for higher-paying positions.
8. Employment Setting
- Private Hospitals vs. Public Hospitals: Private healthcare facilities may offer higher salaries compared to public institutions.
- Travel Nursing: Working as a travel labor and delivery nurse can provide higher hourly rates and bonuses.
9. Performance and Recognition
- Exemplary Performance: Demonstrating outstanding clinical skills and patient care can lead to merit-based raises.
- Awards and Recognitions: Receiving professional awards can strengthen the case for salary increases.
If you are a licensed practical nurse and would want a career as a labor and delivery nurse, you can pursue an LPN to RN bridge program and complete it in less than two years.
Can non-nurses transition into a labor and delivery nursing career?
Individuals without a traditional nursing background can access specialized pathways to enter the labor and delivery field. Programs designed for career changers focus on intensive clinical training and expedited coursework that build the necessary competencies for maternal and neonatal care. Aspiring professionals are encouraged to consider accredited options such as the direct-entry MSN program online, which efficiently integrates foundational nursing education with targeted obstetric practice. These programs offer structured mentoring, hands-on simulation, and established clinical rotations to ensure a smooth transition into high-demand healthcare settings.
Which states have the highest demand for labor and delivery nurses?
California is one of the highest paying states for nurses and stands out with the highest demand for labor and delivery nurses, projecting an impressive increase of 43,200 registered nurse positions from 2022 to 2032. This substantial growth reflects California’s large and continuously expanding population, as well as its extensive healthcare infrastructure that supports a diverse and aging demographic. The high number of projected job openings in California indicates a robust need for skilled labor and delivery nurses to meet the demands of its numerous hospitals, birthing centers, and specialized healthcare facilities. Additionally, the state’s emphasis on advanced maternal and neonatal care further amplifies the requirement for specialized nursing professionals in this field.
New York and Texas also exhibit significant demand for labor and delivery nurses, albeit in different contexts. New York is expected to see an average of 5,200 annual job openings for RNs, including those specializing in labor and delivery, over the next decade. This steady demand is driven by the state’s dense population centers and the continuous need for comprehensive maternal healthcare services. Meanwhile, Texas presents a unique scenario with its existing large RN workforce of nearly 234,000, projected to grow by 14.6% by 2032. This growth rate suggests a healthy increase in healthcare employment opportunities, driven by Texas’s expanding population and economic development. The combination of a growing RN base and the rising demand for labor and delivery services positions Texas as a promising state for nurses seeking career advancement and stable employment in maternal healthcare.
Can affordable RN to BSN programs drive career growth in labor and delivery nursing?
Pursuing an online BSN through cost-effective pathways can offer labor and delivery nurses a strategic advantage. Affordable programs, such as the cheapest online RN to BSN programs, not only provide an efficient route to acquiring advanced clinical competencies but also facilitate access to leadership roles and specialized career opportunities. This targeted educational investment enhances decision-making skills and contributes positively to long-term salary prospects while minimizing financial pressures.
What are the future salary trends for labor and delivery nurses?
The future salary trends for labor and delivery nurses are influenced by a combination of factors, including increasing demand for healthcare services, advancements in medical technology, and evolving educational requirements. As the population grows and ages, the need for specialized maternal and neonatal care continues to rise, driving up wages in this field. Additionally, economic conditions such as inflation and cost of living adjustments play a significant role in shaping salary trends. Advances in healthcare practices and the push for higher education and certifications, often pursued through reputable online colleges, also contribute to upward salary movements. This ensures that labor and delivery nurses remain well-compensated for their essential roles in the evolving healthcare landscape.
Key factors influencing future salary trends for labor and delivery nurses include:
1. Increasing Demand for Healthcare Services
- Population Growth: Rising birth rates and an aging population contribute to a higher need for labor and delivery nurses.
- Healthcare Expansion: Expansion of healthcare facilities and services, particularly in underserved areas, boosts demand for specialized nurses.
2. Economic Factors
- Inflation: General economic inflation may lead to higher nominal salaries to maintain purchasing power.
- Healthcare Funding: Increased funding and investment in healthcare can result in better compensation packages for nurses.
3. Policy and Healthcare Reforms
- Legislative Changes: Healthcare policies and reforms can impact funding and salary structures for nurses.
- Unionization: Increased unionization efforts can lead to better-negotiated wages and benefits for labor and delivery nurses.
4. Technological Advancements
- Medical Technology: Proficiency in new medical technologies and electronic health records can enhance a nurse’s value and salary.
- Telehealth Opportunities: Growth in telehealth services may create new roles with competitive salaries.
What impact does selecting the right nursing school have on long-term career success?
A strong foundational program not only equips nurses with essential clinical competencies but also influences future specialization opportunities and leadership roles. Evaluating nursing schools on key factors—such as accreditation status, curriculum rigor, and clinical partnerships—can result in a smoother transition to advanced certifications and ultimately, enhanced earning potential. In addition, selecting a program that emphasizes evidence-based practices and offers robust networking opportunities can drive long-term career growth in labor and delivery nursing. For insights into accessible options, review our guide to the easiest nursing schools to get into New York.
Can obtaining a Doctor of Nursing Practice degree elevate labor and delivery nursing careers?
Labor and delivery nurses seeking to transition into clinical leadership roles and drive innovative patient care may find that a Doctor of Nursing Practice (DNP) degree offers a significant competitive edge. By engaging in advanced practice research, system-level improvements, and evidence-based decision making, professionals not only bolster clinical competencies but also prepare for managerial or academic positions in a rapidly evolving healthcare landscape. Pursuing a DNP enables nurses to integrate advanced clinical skills with strategic leadership, thereby aligning educational investments with long-term career growth. Explore flexible, cost-effective pathways such as the most affordable online doctor of nursing practice program to ensure your advanced training meets both accreditation standards and your professional objectives.
How does continuous professional development boost long-term career success for labor and delivery nurses?
Continuous professional development initiatives—such as specialized training modules, leadership workshops, and interdisciplinary mentorship programs—play a vital role in maintaining cutting-edge clinical skills and fostering innovation in patient care. These programs help labor and delivery nurses stay current with evolving medical standards while promoting research engagement and professional networking. Investing in lifelong learning through structured programs, including the most affordable online BSN to DNP programs, not only secures sustained career growth but also reinforces adaptability and excellence in a dynamic healthcare environment.
How can advanced education boost career advancement for labor and delivery nurses?
Advanced education equips labor and delivery nurses with enhanced clinical competencies and leadership skills that pave the way for exclusive roles and research opportunities. Pursuing specialized graduate studies enables professionals to integrate evidence-based practices directly into patient care and streamline operational efficiencies within healthcare teams. For example, enrolling in an online DNP program offers a flexible route to obtain a doctoral degree that adds significant value to existing clinical credentials. This advanced academic preparation is linked to improved job security, increased earning potential, and a competitive edge in an evolving healthcare landscape.
What do graduates say about their labor and delivery nurse salary?
- Choosing a career in labor and delivery has been incredibly rewarding. Every day, I support families through one of the most important moments of their lives, which brings immense job satisfaction. The comprehensive benefits package and opportunities for professional growth make it an ideal path. Charley
- The financial rewards in labor and delivery nursing are impressive, with competitive salaries and ample overtime opportunities that really add up. Additionally, the high demand for skilled L&D nurses ensures job security and excellent benefits, allowing me to provide a comfortable life for my family. Andreas
- My journey in labor and delivery has been filled with unforgettable experiences, from witnessing the miracle of birth to building strong bonds with patients. The emotional fulfillment I receive from helping bring new life into the world is unmatched, making every challenging shift worthwhile. Denise
How can labor and delivery nurses negotiate their compensation?
Effective salary negotiation requires thorough market research and a clear demonstration of value. Labor and delivery nurses should gather data on regional pay scales and leverage industry certifications and advanced training to support their requests. Presenting documented achievements and aligning compensation discussions with the institution’s performance metrics can strengthen negotiation efforts. Additionally, building expertise through programs such as 1 year nurse practitioner programs further validates one’s qualifications during these discussions.
Can online advanced nursing programs drive significant career growth for labor and delivery nurses?
Labor and delivery nurses seeking robust career growth can benefit from flexible, cost-effective online advanced education. Such programs deliver specialized curricula tailored to meet modern healthcare demands while accommodating busy professional schedules. Enrollment in programs like AGPCNP online programs offers pathways to advanced clinical roles by enhancing technical competencies and leadership skills. These targeted programs are recognized by healthcare institutions for their academic rigor and practical relevance, positioning them as strategic investments in long-term career advancement.
Key Findings
- Entry-level labor and delivery nurses earn around $79,700 annually, while senior-level nurses with five to eight years of experience earn approximately $87,500 per year.
- Nurses who obtain specialized certifications can earn up to 15% more annually than those without additional credentials.
- California is expected to add 43,200 registered nurse positions, including labor and delivery nurses, from 2022 to 2032, the highest growth among the states discussed.
- New York anticipates an average of 5,200 annual job openings for RNs, including labor and delivery nurses, over the next decade.
- In 2023, nurses working in government facilities earned salaries exceeding $99,800 annually, whereas those in educational institutions earned around $71,500 per year.
Other Things You Should Know About Labor and Delivery Nurse Salary
What is the highest-paid labor and delivery nurse?
The highest-paid labor and delivery nurses typically hold advanced certifications and possess extensive experience in specialized areas such as neonatal intensive care or high-risk pregnancies. Geographic location also plays a significant role, with nurses in states like California, New York, and Texas often earning higher salaries due to the increased cost of living and higher demand for specialized care. Additionally, labor and delivery nurses who take on leadership roles, such as nurse managers or clinical educators, tend to receive higher compensation. Advanced education, such as obtaining a nurse practitioner degree, can further elevate earnings in this field.
What type of nurse makes the most money?
Nurse practitioners generally make the most money in nursing roles, particularly those specializing in areas like anesthesiology, acute care, and psychiatric-mental health. Advanced practice nurses, such as Certified Registered Nurse Anesthetists, often top the salary charts due to the high level of expertise and responsibility required in their roles. Additionally, nurses working in specialized fields like oncology, cardiology, and emergency medicine also tend to earn higher salaries compared to their peers in general nursing positions. Geographic location and the type of healthcare facility further influence earning potential, with urban areas and private institutions typically offering higher wages.
Can I be a labor and delivery nurse with a BSN?
You can become a labor and delivery nurse with a BSN. A BSN provides a comprehensive education that includes advanced clinical skills, leadership training, and a deeper understanding of patient care, all of which are valuable in the labor and delivery setting. Many employers prefer or require a BSN for labor and delivery positions due to the complex nature of maternal and neonatal care. Additionally, holding a BSN can open up opportunities for further specialization and career advancement within the field of labor and delivery nursing.
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- Lake, E. T., French, R., O'Rourke, K., Sanders, J., & Srinivas, S. K. (2019). "Linking the work environment to missed nursing care in labour and delivery." Journal of Nursing Management, 28(8), 1901-1908.
- Salary.com. (2024, December 1). Labor and delivery nurse salary, hourly rate (December, 2024) in the United States. Salary.com. Retrieved December 21, 2024.
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- Stewart, C. (2024, December 10). Distribution of interest in unified digital platforms to manage healthcare needs and activities in the United States, 2022, by generation. Statista. Retrieved December 23, 2024.
- U.S. BLS. (2024, August 29). Occupational outlook handbook: Registered nurses. U.S. Bureau of Labor Statistics. Retrieved December 21, 2024.
