Terms of service for MidwifeLedger

1. Acceptance

These terms form a contract between you, the practice or clinician subscribing to MidwifeLedger, and MLJ, SASU, the publisher named on the legal notice. You accept them when you create an account, when you submit a request that leads to a paid subscription, or when you use the service in any way. If you are accepting on behalf of a practice or a birth center, you confirm that you are authorized to bind that organization. If you do not accept these terms, do not use the service.

2. What the service is

MidwifeLedger is a web based prenatal record for licensed community midwives. It provides a ruled prenatal flowsheet, visit and consult notes, configurable risk flags, screening window tracking, postpartum and newborn records, chart and caseload export, superbill export, annual statistics reporting, and generation of a one page hospital transfer summary drawn from the record. The service is documentation software. It does not diagnose, does not recommend a course of care, and does not replace clinical judgment, your practice guidelines, your consultation agreements or the regulations of your state licensing body. Every risk flag operates on thresholds you configure and confirm.

3. Eligibility and accounts

Accounts are for licensed midwives, birth centers and the apprentices and staff they supervise, practicing in the United States. You are responsible for the accuracy of the account details, for keeping credentials confidential, and for everything done under a seat you have issued. Seats are personal to a named clinician and must not be shared, because the audit trail is only meaningful if a name in it means one person. Tell us promptly at jimenezjulien42@gmail.com if you believe an account has been accessed by someone who should not have it.

4. Acceptable use

You agree not to use the service to store records you have no lawful right to hold, to attempt to reach another practice's data, to probe or interfere with the platform's security, to resell access, to scrape the service in bulk, or to reverse engineer the software. Uploading malicious files, sending unlawful content through the platform, or using it to harass anyone will end the subscription immediately. We may suspend an account without notice where continued use presents a clear risk to other customers or to the integrity of stored records, and we will explain the suspension in writing on the same day.

5. Subscriptions and billing

The plans are Solo Midwife at $49 per month, Practice at $109 per month and Birth Center at $229 per month, in United States dollars. Prices are exclusive of any tax that applies where your practice is established. Every plan is billed monthly in advance on the anniversary of the day you started, by card or by bank transfer where agreed. There is no setup fee, no minimum term and no annual commitment. Plan limits relate to the number of clinician seats and the depth of reporting; the flowsheet, the risk flags and the transfer summary are included at every level. Upgrades take effect immediately and are prorated for the remainder of the month. Downgrades take effect at the start of the next billing period. If a payment fails we will write to you and retry over ten days before the account is suspended, and a suspended account keeps its data intact.

6. Cancellation

You can cancel at any time from your account settings. Cancellation stops the next charge and the service remains available until the end of the period you have already paid for. We do not prorate refunds for a partial month, and we do not require notice, a phone call or a reason. Before the account closes, export your records; the export includes full chart PDFs per client, a CSV of the caseload and the original attachments. Cancelled accounts stay recoverable for thirty days, after which the data is permanently deleted. We may terminate an account for a serious breach of section 4, in which case we will give you a reasonable window to export your records first, unless the law prevents it.

7. Your records

Client records entered into MidwifeLedger belong to your practice and to your clients. MLJ, SASU claims no ownership over them and processes them only to operate the service on your instructions, under the data processing agreement and the business associate agreement included with every plan. We do not sell records, do not mine them for advertising, and do not use them to train machine learning systems. You are the party responsible for obtaining any consent your clients must give, for retaining records for the period your state requires, and for responding to records requests directed to your practice.

8. Availability and support

We aim for the service to be reachable at all times and we schedule maintenance outside United States clinical hours where possible, with advance notice for anything that will interrupt access. We do not promise uninterrupted availability, and no service level credit is offered on these plans. The transfer summary renders locally and visits can be entered offline precisely because a birth does not wait for a connection. Support is by email at jimenezjulien42@gmail.com, answered within one business day, with same day answers on the Practice and Birth Center plans.

9. Warranty disclaimer

The service is provided as it stands and as it is available. To the fullest extent the law permits, MLJ, SASU disclaims all implied warranties, including merchantability, fitness for a particular purpose, accuracy of content, and non infringement. We do not warrant that the software is free of defects, that the risk flags will catch every clinically significant value, or that the service will meet a specific regulatory requirement in your state. You remain responsible for reviewing what the record contains before you rely on it.

10. Limitation of liability

To the extent permitted by law, MLJ, SASU is not liable for indirect or consequential loss, including lost revenue, lost clients, loss of goodwill or clinical outcomes attributed to the use or unavailability of the software. Our total aggregate liability arising from the service is limited to the subscription fees you paid in the twelve months before the event giving rise to the claim. Nothing in these terms excludes liability that cannot lawfully be excluded, including liability for fraud or for death or personal injury caused by negligence.

11. Indemnity

You agree to indemnify MLJ, SASU against third party claims arising from your use of the service in breach of these terms, from records you were not entitled to hold, or from your failure to meet a legal or professional obligation that rests with your practice. We will tell you promptly about any such claim and will not settle it without consulting you.

12. Changes to these terms

We may update these terms as the service develops or the law changes. Material changes are announced by email to the account contact at least thirty days before they take effect, and the date at the top of this page is updated. If a change is unacceptable to you, cancel before it takes effect and the change will not apply to you.

13. Governing law and contact

These terms are governed by French law. Any dispute that cannot be resolved amicably will be brought before the competent courts of Paris, France. Nothing here removes a mandatory protection available to you under the law of the United States state in which your practice operates. Questions about this agreement go to MLJ, SASU, publication director Jimenez Julien, at jimenezjulien42@gmail.com.