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.

Both of these exist because the same two conversations keep happening. The first is a midwife who has not raised her global fee in four years working out, on the back of an intake form, that she is clearing less per hour than her birth assistant. The second is a midwife deciding whether to take a fifth client due in the same week, with no way to see what that does to her month.

Neither calculator asks for your email and neither of them needs MidwifeLedger. Change the defaults to your own numbers, write down the result, and run it again in six months. If the figures argue for a fee change or a caseload cap, that argument is yours to use with whoever needs convincing, including yourself.

Why the caseload arithmetic is open to anyone

Every licensed midwife already runs these numbers, usually on the back of an intake form at eleven at night after a prenatal that ran long. A global maternity fee divided by twelve prenatals, a birth that went fourteen hours, the day one and day three postpartum visits, the assistant fee, the newborn screening kit, and the driving that never gets counted. That is arithmetic, not a product, so both calculators run in the browser, ask for no email address and keep nothing you type.

They are worth something on their own even if you never open a chart here. Push last year through the global fee calculator and you usually find the leak is door to door travel time or the six administrative hours per client nobody bills for. Push your current caseload through the hours calculator and you get a defensible cap on intakes per due month instead of a vague sense that four births is too many. Write both figures down and look at them again the next time someone due in a crowded week asks whether you have room.

From an honest number to a shorter paperwork column

These calculators will hand you an effective hourly rate and a weekly clinical hours figure you can act on. What they cannot do is take the administrative hours back out, because that means charting a prenatal once and having the transfer summary generated from it rather than rebuilt at two in the morning. Ask for a walkthrough and we will run it with your own visit lengths and your own drive times.