Home-birth midwife, two-midwife team

Aisha

Two midwives. One practice. Built for the 3 a.m. labor and the 9 a.m. superbill that follows.

The shape of the practice

Aisha and her practice partner Robin share a home-birth caseload of around forty active prenatal clients. Either midwife is on call for any client. Their old system was a shared cloud folder, a spreadsheet of phone numbers, and whichever of them remembered to text the other when something changed.

On Ordani the same forty clients live in a shared care-team roster. Either midwife can pull up any prenatal chart, contraction history, or birth plan. Notes are stamped with who wrote them. The phone-number spreadsheet is retired.

Prenatal care, shared

A client books her 36-week visit on Aisha’s calendar — Robin takes the call when Aisha is in another birth. Robin opens the client’s chart, sees the last three prenatal notes Aisha wrote, the herbal preparation Aisha started her on at 30 weeks, the lab results from 28 weeks. There is no “catching up” step. The chart is the catch-up.

3 a.m.

Sarah’s contractions are five minutes apart at 2:48 a.m. Aisha is on call. She drives. By the time she arrives at Sarah’s house, she has Labor Mode open: dark theme, big timer, contractions logging with one thumb. Sarah’s prenatal history, her birth plan, her allergies, and her chosen birth team are all one swipe away.

Aisha logs contractions, vitals, fetal heart tones. At 5:12 a.m. she shares the session view with Robin — Robin watches from home, ready to back up.

Backup handoff

Around 7 a.m. Aisha needs a break. She taps “hand off to Robin,” Robin accepts on her phone, and the active labor session moves to Robin’s view. Every contraction Aisha logged is there. The birth plan is there. The clinical timeline is there. Robin picks up where Aisha left off.

After

Baby is born at 8:36 a.m. Robin exits Labor Mode; the clinical summary auto-generates. Aisha drives home, sleeps, and at 4 p.m. opens the birth-story draft. She edits one paragraph, sends it to Sarah’s portal, and moves on.

Superbill, the next morning

Ordani knows Aisha’s NPI, her taxonomy code, and her state’s billing rules. The labor session’s superbill auto-generates with the right ICD-10 codes and the right place-of-service modifier for a home birth in her state. Aisha reviews it for thirty seconds, marks it final, and submits it through her own clearinghouse — Ordani prepared the codes; she handles the submission. No spreadsheet, no template document, no manual code lookup. (Electronic claim submission from inside Ordani is on the roadmap; not in V1.)

What changed

The practice didn’t change. The births didn’t change. What changed is that the system around the births finally matches what midwives actually do — two clinicians, one client, shared care, real handoff, clean billing. The Sunday-night catch-up call between Aisha and Robin is shorter now. Most Sundays they don’t need it at all.