Working document
The hospital transfer packet checklist
Everything a receiving labor and delivery team needs from you, in the order they will ask for it, so nobody is copying dates onto a legal pad at three in the morning.
Free resources
Resources for community midwives
Calculators, comparisons and a transfer packet checklist you can use tonight, whether or not you ever open MidwifeLedger.
Everything on this page came out of questions midwives ask before they ask about software. What does my fee really pay per hour. How many clients can I carry before the call schedule stops working. What has to be on the page I hand a hospital. None of those questions has a vendor answer, so these pages give you the arithmetic and the field lists instead.
Use them free and use them without us. The comparisons name the other systems community midwives actually evaluate and say honestly which practice each one fits, including the cases where MidwifeLedger is the wrong choice. If the resources are useful and the product is not, that is a fine outcome.
Free tools
Midwifery practice calculators
Two calculators for the numbers a community midwife has to get right, built from the way home birth practice actually consumes hours.
Comparisons
How MidwifeLedger compares
A straight answer about which system should hold your prenatal record and produce the page you hand a receiving labor and delivery team.
Main guide
What exactly belongs on a hospital transfer summary when I call ahead from a home birth?
It settles, field by field, what a receiving hospital needs from a community midwife at handoff, and how to have that page finished before you leave the house.
Magazine
The Birth Room Ledger
Practical reporting on the clinical craft, licensing rules, and economics of running a solo or small community midwifery practice.
About
Who writes all of this
The author page, on who writes The Birth Room Ledger, the community midwifery practice behind the charting advice here, and why the hospital transfer summary gets more attention on this site than any other page in the record.
When the chart is the part that is breaking
Everything here works with a paper flow sheet, a birth bag and a pen, and plenty of solo practices run that way for years. It gets harder at twenty-six active clients, when a rising blood pressure at 34 weeks lives in a note you have not opened since. Bring one client to a walkthrough and see the prenatal record, the risk flags and the one page transfer summary working together before you decide anything.