the labor and delivery nursing challenges

Nursing is a profession that seeks to provide quality medical care to patients irrespective of race, tribe and economic status. The nurses work jointly with other doctors including professional nursing organization to meet the needs of the patients. The nursing profession has various specialties, and labor and delivery are one of such specialties. The labor and delivery as part of nursing profession ensure that expectant women are cared for and monitored throughout the pregnancy period to ensure safe delivery of the young ones. Therefore, this literature review examines the scope of the labor and delivery nursing challenges and solutions as addressed by the professional affiliations such as the American College of Nurse‐Midwives Core (ACNM), American Academy of Nursing (AAN) and Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)

According to Phillippi et al. (2014), the women in labor still face significant challenges such as inadequate accommodation of patient’s needs, inability to deal with the complex case during pregnancy, a slow adoption of the use of IT by the nursing fraternity and workforce shortage among others. Additionally, Berg et al. (2013) add that such problems experienced by the women must be dealt with continuously to facilitate safe delivery to the mothers to eliminate danger to both the infant and the mother. The professional affiliations within the nursing profession ensure that the clinical policies are followed, and affordable, quality and safety goals are achieved.

According to Simpson and Creehan (2014), the AWHONN is a nonprofit membership organization that ensures that the health of women is achieved across all the states. Additionally, improving the health of both the newborns and the mothers is another goal of AWHONN. Simpson and Creehan (2014) add that by meeting their targets, the AWHONN strengthens the nursing profession by delivering support education and research to the labor and delivery nursing units. The AWHONN organization equally collaborate with other agencies in nursing to ensure quality care such as Coalition for Quality Care they implemented.

Berg et al. (2013) on the other hand, explores the mandate of American Academy of Nursing (AAN). According to Berg et al. (2013), the AAN is characterized by nursing leaders in practice who engage in research, management, education and policy making to assist the nursing practitioners to deliver quality and safe medical care to the mother and the infants before and after delivery process. Berg et al. (2013) also say that the rich scientific research carried out by the AAN keeps to the labor and delivery nursing as the skills required by the nurses are well explained during the policies development.

Additionally, according to Phillippi et al. (2014), the American College of Nurse‐Midwives Core (ACNM) collaborate with the nursing professionals to work on new maternal safety bundles. Phillippi et al. (2014), furthers that the ACNM set standards of excellence in care to the expectant mothers. The organization has the health of women as their goal, but much emphasis is during the childbirth, reproductive health, and gynecology. Nurses working with ACNM have opportunities to be trained and educated on the requirements of effective care to the women regarding labor and delivery.


Labor and delivery are crucial stages in pregnancy period of women. Therefore, extra care monitoring systems within the medical facilities should be functional to deliver quality and safe medical procedure by the nurse. The professional affiliations such as the ACNM, AAN, and AWHONN play a central part in ensuring health or women is a priority to the nurses hence aims at saving the life of the expectant mothers.

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