For midwives + doulas + birth centers
Midwifery + doula collectives, birth centers, perinatal practices, lactation consultants. Labor calls ("my water broke," contractions, decreased fetal movement) get same-urgency-as-ER routing. Preeclampsia + HELLP + postpartum-hemorrhage symptoms flagged with extra vigilance for Black callers (CDC 2.6x maternal mortality disparity). Doula vs midwife scope distinctions preserved.
What your callers hear
“Thanks for calling. Are you in labor right now, calling about prenatal or postpartum care, or about a consultation?”
"My water broke," timing contractions, decreased fetal movement (>2hr), preeclampsia symptoms (severe headache + vision changes + epigastric pain), HELLP signs, heavy bleeding, preterm labor (<37 weeks), postpartum hemorrhage — all trigger immediate 911 + midwife page. The AI does NOT minimize even when the caller herself sounds calm. Black-callers + Black-led midwifery: the safety net of fast triage matters more than for any other demographic.
Doulas don't catch babies, don't give meds, don't perform clinical assessment — they provide labor support + advocacy. Midwives (CPM, CNM scopes vary by state) have clinical scope including catching, suturing, prescribing within state-specific authority. The AI never collapses the two; intake captures which role the caller is calling about + routes to the right team member.
Many birth-center clients use Medicaid (state expansion + emergency Medicaid for undocumented immigrant clients) or sliding-scale (uninsured / underinsured). The AI surfaces these options proactively (not as a stigmatized checkbox) — "we accept Medicaid + offer sliding scale + grant-funded slots; tell me what works for your family."
Midwifery scope varies wildly by state: GA + AL + KY are CPM-restrictive (no statutory license); CA + WA + OR + AZ + NM have full CPM licensure; CNM has a different scope. Your state's framework is encoded in your knowledge base; the AI quotes accurately about what you can / can't do for a caller in your state.
Postpartum depression with self-harm risk, postpartum psychosis with command hallucinations or psychotic features — both trigger 911 + 988 (women's behavioral health) + Postpartum Support International 1-800-944-4773 + clinician page per safety.ts rule 12. Real-world: the AI catches this from "I haven't slept in 4 days, I can't stop crying, I keep having thoughts about hurting the baby" — most missed PPP presentations.
Out-of-hospital midwifery + birth-center transfers happen ~10-15% of low-risk births. Captures transfer reason, hospital destination, current vital signs + EFW, gravida/para. Communicates with the receiving hospital via your established channels.
Round 4-shipped: AAE-native voice is available for Black-led birth collectives. Per-caller-language routing means Spanish-speaking clients hear Spanish, English-speaking clients hear your default (Jessica Cashay if that's your pick), all from call one.
“You're booked, Maria — Carlos will be there tomorrow at 9 with parts for a copper pinhole leak.”
$129/mo if you go month-to-month. Three plans (Starter / Professional / Enterprise), voice cloning included with any active plan, BYO phone number. Most midwives + doulas + birth centers start on Professional for multi-staff routing.
See pricing →Yes. Per safety.ts rule 11b, labor calls trigger immediate 911 + midwife on-call paging, with a real-time triage script: water-broken status, contraction timing (frequency / duration / intensity), bleeding (light spotting vs heavy), decreased fetal movement, preeclampsia symptoms. Bypasses all after-hours rules. Critical: never "we'll call you back" for active labor.
Real. Safety rule 11b explicitly notes the CDC 2.6x disparity and instructs the AI to flag preeclampsia / HELLP / PPH symptoms without minimizing even when the caller sounds calm. The AAE voice (Jessica Cashay) is real and available for Black-led collectives. We've audited this with Black birth workers specifically (persona audit Round 10, Aisha Thompson). Honest gap: we don't yet have GA-CPM-restrictive-state-specific intake templates pre-built — you encode your state's framework in your knowledge base.
Yes. The AI never tells a caller a doula can "catch the baby" or that a doula can give medication. Intake captures which role the caller is asking about (doula-only labor support, midwife clinical care, both) + routes to the right team member with the right scope.
Yes. Surfaced proactively: "we accept [your state Medicaid program] + offer sliding scale + grant-funded slots; tell me what works for your family." Not buried under "insurance carrier — please specify." The dignity-first framing matters.
Yes. PPD with self-harm risk triggers 988 + Postpartum Support International (1-800-944-4773) + clinician page. PPP (postpartum psychosis) — command hallucinations, paranoia, agitation, "I can't stop having thoughts about hurting the baby" — triggers 911 immediately. Both bypass after-hours rules. This is one of the highest-stakes intakes you'll receive.
Pick your midwifery services, hours, and voice. Your AI is answering test calls inside 10 minutes.
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