RN, Obstetrics, Healthcare Nursing

What does a Nurse-Midwife do?

Under medical direction, provides care to mothers and babies throughout the maternity cycle—antepartum, intrapartum, postpartum, and neonatal—while delivering gynecological services including family planning.

• Review patient charts to identify abnormalities that may indicate non‑normal birth trajectories.
• Obtain medical history and perform a comprehensive obstetric examination, including vital signs, neurological reflexes, fetal heart rate, uterine measurements, fetal position, and breast inspection.
• Conduct internal pelvic examinations to assess dilation, station, fetal position, and membrane conditions.
• Interpret examination results, recognize normal ranges, and determine when physician consultation is warranted.
• Draw blood, complete laboratory request forms, and perform hematocrit analysis using centrifugation and microscopy.
• Place patients on standing orders for delivery admissions, manage labor by starting IVs, administering medications, preparing patients, providing instruction, offering emotional support, monitoring labor progress, and updating physicians on key developments.
• Notify physicians of impending delivery and facilitate patient transfer to the delivery room.
• Assist in the delivery room by offering emotional support and performing delivery procedures, including pudendal block, episiotomy, newborn resuscitation, and repair.
• Conduct periodic postpartum visits to evaluate mother and newborn, instruct on recovery and infant care.
• Participate in informal training of nurses, students, and the nurse‑midwife refresher program.
• Provide gynecological care to healthy women, perform pelvic examinations for cancer screening, and refer cases to physicians.
• Offer direct family‑planning services—fitting diaphragms and intrauterine devices—and dispense oral contraceptives.
• Counsel patients on family‑planning options and provide referrals as needed.

• Valid current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
• Active certificate to practice as a Nurse‑Midwife issued by the California Board of Registered Nursing.
• Current Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association.
• All licenses and certifications must be active, unrestricted, and valid at the time of appointment.

• Experience as a Certified Nurse‑Midwife.

The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non‑discrimination in the County workforce, regardless of age, ancestry, color, ethnicity, religious creed, protected family or medical leave status, disability, marital status, medical condition, genetic information, military and veteran status, national origin, race, sex, gender, sexual orientation, or any other characteristic protected by State or federal law.

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