Learning about labor and birth requires effort. Reading books such as this one is one way to learn evidence-based concepts. In addition, learning about childbearing care practices that will keep patients safe and optimize outcomes can also occur from decades of experience prior to confirmation by research. Nurses with decades of experience know, for example, that the chain of command involves communication that can take many forms. To be an effective care provider, nurses have courage, confidence, and competence. They must communicate with the patient, nursing leadership, and the obstetric care providers. All healthcare providers need to be aware of their cognitive biases and keep an open mind and an accepting attitude. The best care will be evidence based and result in good outcomes. Therefore, this book provides information to develop an evidence-based practice of labor and delivery nursing. Labor and delivery nursing requires critical thinking, constant caring, listening to one’s inner voice, anticipation of the needs of many, teamwork, communication, and collaboration. The book was created with these elements in mind. It illustrates the nursing process from admission to delivery. If possible, review the patient’s prenatal record before she arrives. Labor and delivery nurses provide patient-centered individualized care. The book explains the stages and phases of delivery, pain management, patient assessment, and much more. It features references, relevant graphics, skills checklists, and review questions at the end of each section. The book is useful for registered nurses new to the field, seasoned practitioners looking for updated methods and data, and nurses preparing for certification and licensure. With this book, nurses will gain the confidence and competence to approach labor and delivery challenges with care and efficiency.