Introduction: The Path to Earning the Highest Salaries in Labor and Delivery Nursing
Labor and delivery nursing is both challenging and deeply fulfilling. However, for nurses looking to earn top-tier salaries, understanding which roles and specializations offer the highest compensation is crucial. Not all labor and delivery nursing positions pay the same, and factors like experience, certifications, and the type of healthcare facility you work for can make a huge difference in salary.
In this article, we’ll explore four types of labor and delivery nurses that earn the highest salaries. From specialized certifications to leadership roles, you’ll learn which paths can help you reach the upper salary limits in 2024 and beyond.

1. Certified Nurse Midwives (CNM)
Why Certified Nurse Midwives Earn Top Salaries
Certified Nurse Midwives (CNMs) are among the highest-paid labor and delivery nurses due to their advanced education and ability to provide a wide range of obstetric care. CNMs are trained to deliver babies, provide prenatal and postnatal care, and manage women’s reproductive health, often working autonomously or in collaboration with physicians. This level of responsibility allows CNMs to command significantly higher salaries than traditional labor and delivery nurses.
- Average Salary: According to the U.S. Bureau of Labor Statistics (BLS), CNMs earn an average salary of around $115,000 annually, with the potential for six-figure earnings in high-demand areas.
How to Become a Certified Nurse Midwife
- Education: Becoming a CNM requires earning a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP), followed by specialized training in midwifery.
- Certification: After completing your degree, you must pass the American Midwifery Certification Board (AMCB) exam to practice as a CNM.
The demand for nurse midwives is expected to grow in the coming years, particularly in rural areas where access to healthcare professionals is limited.

2. Labor and Delivery Nurse Managers
The Role of a Labor and Delivery Nurse Manager
Labor and delivery nurse managers oversee nursing teams in hospitals or birthing centers, ensuring the smooth operation of the department. They are responsible for staffing, training, and managing budgets, as well as maintaining high standards of patient care. Because of the leadership and administrative responsibilities involved, nurse managers are compensated at a much higher rate than staff nurses.
- Average Salary: Nurse managers in labor and delivery can earn between $90,000 and $130,000 annually, with salaries varying depending on the size and location of the facility.
Steps to Becoming a Labor and Delivery Nurse Manager
- Experience: To become a nurse manager, you typically need several years of experience working as a labor and delivery nurse.
- Education: Many nurse managers hold advanced degrees, such as an MSN or a Master’s in Healthcare Administration (MHA).
- Leadership Skills: Nurse managers must have strong leadership and organizational skills to manage teams and complex workflows.
Taking on a managerial role is an excellent way to significantly boost your salary while making a broader impact on patient care.
3. Neonatal Intensive Care Unit (NICU) Nurses
Why NICU Nurses Earn High Salaries
Neonatal Intensive Care Unit (NICU) nurses are trained to care for premature or critically ill newborns. This specialized skill set commands a higher salary, as the role requires extensive knowledge of neonatal care and the ability to work in high-pressure situations. NICU nurses often work in hospitals with advanced medical technology, and their expertise is essential for ensuring the health and survival of at-risk infants.
- Average Salary: NICU nurses can earn between $75,000 and $120,000 per year, with higher salaries in metropolitan hospitals and facilities with high patient volumes.
How to Become a NICU Nurse
- Experience and Education: NICU nurses typically start as registered nurses (RNs) with a Bachelor of Science in Nursing (BSN) before gaining experience in neonatal care.
- Certification: Nurses can pursue specialized certifications, such as the Neonatal Resuscitation Program (NRP) or Neonatal Intensive Care Nursing (RNC-NIC), to increase their expertise and earning potential.
The demand for NICU nurses is expected to rise as advances in neonatal care lead to better outcomes for premature and critically ill newborns.

4. Travel Labor and Delivery Nurses
How Travel Nurses Earn Premium Salaries
Travel nurses are in high demand due to nursing shortages in various regions, particularly in labor and delivery. Travel labor and delivery nurses work short-term contracts in different locations, often earning significantly higher hourly wages than permanent staff nurses. In addition to higher base pay, travel nurses frequently receive benefits like housing allowances, travel stipends, and sign-on bonuses.
- Average Salary: Travel labor and delivery nurses can earn between $90,000 and $140,000 annually, depending on the assignment and location.
Becoming a Travel Labor and Delivery Nurse
- Flexibility: Travel nursing is ideal for nurses who are flexible and willing to relocate for short periods.
- Experience: Most travel nursing agencies require at least 1-2 years of experience in labor and delivery.
- Benefits: Travel nurses often receive free housing, travel reimbursements, and bonuses, making it an attractive option for those looking to maximize earnings quickly.
If you enjoy new environments and the freedom to choose assignments, travel nursing can be a fast track to earning a six-figure salary.
Maximize Your Salary with Additional Certifications and Education
Beyond choosing a high-paying role, one of the most effective ways to increase your labor and delivery nurse salary is by pursuing additional certifications and furthering your education. Specializations and advanced degrees not only improve patient outcomes but also give you leverage when negotiating salaries.
Certifications to Boost Your Salary
- Inpatient Obstetric Nursing (RNC-OB): This certification demonstrates advanced knowledge in obstetrics and is highly valued by employers.
- Electronic Fetal Monitoring (C-EFM): Specializing in fetal monitoring can make you an invaluable asset in the delivery room.
By continuously expanding your skill set, you can open doors to higher-paying positions and advance in your career.

Conclusion: Choose the Path to Higher Earnings in Labor and Delivery Nursing
Labor and delivery nurses have numerous opportunities to earn top salaries, especially when pursuing specialized roles like nurse midwifery, NICU care, management, or travel nursing. The key to maximizing your salary lies in identifying the right career path, gaining relevant experience, and pursuing additional education and certifications.
As the demand for skilled labor and delivery nurses continues to rise, now is the perfect time to take control of your career and start earning the salary you deserve. Whether you’re new to the field or looking to advance, these four types of labor and delivery nurses provide the best opportunities for high pay and career satisfaction.