Skills required include IV starts, foley insertion, cervical checks, amnio infusions, fetal monitoring strip interpretation, circulating c-sections, baby catching/receiving, couplet care, APGAR scoring, breastfeeding education, and OB triage. Supported by charge nurse (typically without patient assignment), phlebotomy, IV/VAT team, 24/7 respiratory therapy, 24/7 hospitalist coverage including peds hospitalist, responsive OBGYNs, midwives, anesthesia, and lactation consultants (CLCs and IBCLCs).