MidwifeLedger
About the author

Jimenez Julien, the person accountable for MidwifeLedger

Founder and product lead. He answers the support inbox, he sits in on the transfer debriefs, and his name is on the record standards this platform holds itself to.

Portrait of Jimenez Julien

Jimenez Julien, founder of MidwifeLedger, published by MLJ, SASU.

Why he built a chart for community midwives

The first version of this product was a spreadsheet that a licensed midwife in Vermont asked for on a Sunday. She had transferred a client the night before, and she had spent nineteen minutes at the labor and delivery desk reciting a history she had already written down four times. She did not want software. She wanted the four copies to be one copy. That conversation is still the whole design brief.

Julien spent the following two years doing the least glamorous part of product work: sitting quietly in the corner of prenatal visits, with consent, in nine practices across six states. He watched where the pen paused. He learned that a midwife checks fundal height and blood pressure in a rhythm that a hospital intake form actively fights, that the words in a home birth record are not the words in a clinic record, and that the single most stressful document in the entire trade is the one nobody has time to write: the handover at the moment of transfer.

He also learned what he is not. He is not a clinician, he does not write clinical guidance, and he has never told a midwife what her thresholds should be. Every risk flag in MidwifeLedger is configurable because the protocols that govern practice differ by state, by licensing body and by the consulting physician who signed the agreement. The platform enforces nothing. It notices, it records, and it refuses to let a value disappear between two pieces of paper. That boundary is deliberate and it is not going to move.

The way he works with practices is straightforward. New features come from recorded calls with paying customers, not from a roadmap written in advance. When a midwife in Oregon asked for offline visit entry because her clients live past the end of cell coverage, that became the next quarter of engineering work. When three separate birth centers said the transfer summary was half a line too long for their receiving hospital's intake folder, the layout was rebuilt rather than argued about. Roughly one in four requests gets declined, and he says so directly instead of parking it politely.

What he is accountable for is narrow and specific. He is accountable for the record surviving: encrypted, exportable, and readable by a family a decade from now. He is accountable for the amendment history never being quietly overwritten. He is accountable for the price staying the price, for the business associate agreement being included at every tier rather than sold as an upgrade, and for a real person answering the inbox within one business day. If any of those slips, the person to write to is him, at the address at the bottom of this page.

He is based in Paris and works with practices across the United States on their clock, not his. The platform is published by MLJ, SASU, a French company he owns outright. There are no investors setting growth targets, which is the main reason the pricing has not moved since the first paying practice signed up.

Experience and expertise

  • Twelve years building record keeping and documentation software for small, regulated, owner operated businesses.
  • Two years of observational fieldwork in nine United States midwifery practices before the first release, all with client consent.
  • Direct work with certified professional midwives, certified nurse midwives and birth center clinical directors on flag design and transfer layout.
  • Hands on responsibility for the platform's data handling: encryption, audit trails, export, retention and the business associate agreement.
  • Ongoing review of state licensing report requirements so annual statistics keep matching what boards ask for.

How this product is built and maintained

MidwifeLedger ships small changes often and never ships a change to the clinical record without a practicing midwife reading it first. Anything that touches the flowsheet, the flag logic or the transfer summary goes to a review group of five clinicians who are paid for their time, and their objections block the release. Copy on this site is written by Julien and checked against the actual behavior of the product before it is published; if a sentence here promises something the platform does not do today, that is a defect and it gets fixed like one.

Numbers on this site come from platform telemetry and from customer interviews, and they are refreshed when they drift. The editorial standard is simple: no invented statistics, no borrowed logos, no testimonial that the named person has not read and approved in writing. Support is handled by Julien and one colleague, both of whom have watched a real transfer happen, which is why the answers tend to be specific rather than scripted.

Published articles

Julien writes every article in The Birth Room Ledger, the MidwifeLedger magazine, and these nine reports are the ones published so far.

Contact the author

Write directly to jimenezjulien42@gmail.com with a product question, a records concern, a press request, or a disagreement about something written on this site. Replies come within one business day, from him. If you would rather see the chart than read about it, the demo request form is the fastest route.