How to Automate Maternity Neighborhood

Maternity Neighborhood was built by midwives for the way midwives work

Maternity Neighborhood is an electronic health record written for midwifery rather than adapted to it, and the difference shows in the vocabulary. The people in it are clients, not patients. The care is full-scope perinatal: prenatal visits, labor, birth, postpartum and wellness, delivered in a birth center, at home, or in a hospital when a transfer happens.

Solo midwives use it. So do birth centers with a team of midwives, students and doulas sharing a call rotation.

The practice it supports is small and the stakes are not. A single midwife may be carrying dozens of active pregnancies at different gestational weeks, each with its own schedule of visits, labs and decisions, and each capable of turning into a middle-of-the-night phone call. The record is the only thing holding all of that in one place, and it is also the thing an insurer, a licensing board or a reviewer will read afterwards.

Every birth generates a week of paperwork somewhere else

The chart gets finished. The paperwork around it takes longer, because most of it lives outside the practice entirely.

A birth has to be registered with the state, and the confirmation that the registration was accepted comes back on the state's own system, not in an email. The newborn screening goes to a state lab and the result returns on a portal somebody has to remember to open. Labs that never interfaced hold results the midwife needs before the next visit. A consulting obstetrician's office has a note from a referral three weeks ago.

Meanwhile a birth center has the same obligations as any small clinic. Licenses and certifications for every midwife and student, each renewed on a different body's site with a different window. Insurance verifications. Supply and medication orders placed with distributors who confirm nothing unless asked.

In most practices one person holds all of this, and that person is usually also a clinician who was on call last night.

Maternity Neighborhood

Filings confirmed, not assumed Every birth from the last month checked against what the state actually accepted, so a rejected record is found in days.

Results back in the right chart Lab and screening results collected from portals that never interfaced and put in front of the midwife who ordered them.

Credentials the practice can prove License, certification and skills renewals for every midwife and student, read from the bodies that issue them.

The chart covers the care, not the agencies that ask about it

Maternity Neighborhood does more inside the practice than most people configure, and the built-in tools are worth exhausting first.

Charting covers full-scope perinatal and wellness visits, and labor forms track birth progress across the settings a midwife actually attends. Lab requests are submitted from inside the record rather than on a paper slip. The Educate module delivers educational resources to clients week by week through the pregnancy, without anyone remembering which week they are in. Streamline handles custom to-do lists, recurring appointments and templates, which is where most of the repetitive typing in a small practice goes.

All of that runs on the practice's own record and on channels the software was built to carry.

The state's vital records system is not one of them. Nor is the screening lab, the outside lab that returns a PDF, the licensing board, or the distributor that ships the supplies. Each of those holds something the practice depends on and offers exactly one route in: a person with a login and twenty minutes.

Filings, results and renewals that arrive already sorted

The route in does not change. The twenty minutes stop belonging to a midwife.

Every birth from the last month checked against the state's system to confirm the registration was accepted rather than sitting rejected over a mistyped name. Newborn screening results collected as they post, with the babies still outstanding past their window named rather than assumed fine.

Lab results pulled from portals that never interfaced and put in front of the midwife who ordered them, attached to the right client. Referrals to a consulting obstetrician tracked out and back, so a report that never returned is visible. License, certification and skills renewals for every midwife and student, read off the issuing bodies' sites and sorted by which closes first. Supply and medication orders checked for whether they actually shipped.

A midwifery practice cannot be flexible about this. Gathering and checking runs unattended. Anything that changes a client's chart, or that reaches a client or her family, is prepared for a midwife to review and send, because a message about a pregnancy is not a thing to automate away from a clinician.

A midwife on hold is a midwife not at a birth

The scarcest thing in a birth center is a qualified clinician who is awake. Spending part of that person's day refreshing a state portal is the worst possible use of it.

WebRun is an AI agent that works a real Chrome browser, signed in the way your practice signs in. It opens the vital records site, the screening portal, the lab or the licensing board, reads what is there, and brings the answers back attached to the right client or the right clinician.

It runs on your schedule in your own private environment, sessions are not shared between tools, and a workflow can be restricted to an explicit list of sites. You can watch a run and stop it at any point.

The workflows below are already built, and each one names what it opens.