There are times when labor progresses so rapidly that the nurse is faced with the task of delivering the baby even within the confines of a hospital setting.

And, in addition, there are times when a woman begins labor in a variety of physical settings and during a variety of climatic disturbances away from a medical facility.

During these situations is when the nurse has the primary responsibility for providing a physically and psychologically safe experience for the woman and her baby. It is important that the nurse maintains composure and keeps calm. Whenever possible, the patient should be told what to anticipate and what she can do to cooperate effectively. Working as a team is essential and can be accomplished if confidence is instilled by competence in both the physical and emotional aspects of care.