AI Scribe for OB/GYN
Document prenatal visits, deliveries, and gynecologic care in seconds. PatientNotes captures gestational age, fetal monitoring, and generates complete obstetric and gynecologic notes.
Documentation for Every OB/GYN Visit
From prenatal care to gynecologic procedures, PatientNotes handles all OB/GYN documentation needs
Prenatal Visits
Complete documentation of routine and high-risk prenatal care with fundal height, FHTs, labs, and ultrasound findings.
Labor & Delivery
Comprehensive delivery notes with labor progression, fetal monitoring, delivery details, and APGAR scores.
Annual GYN Exams
Well-woman visits with pap smears, breast exams, contraception counseling, and preventive care.
Postpartum Visits
Postpartum check-ups with wound healing assessment, mental health screening, and contraception planning.
Gynecologic Procedures
IUD insertions, colposcopies, endometrial biopsies, and hysteroscopies with procedure notes.
Ultrasound Exams
Dating scans, anatomy surveys, growth assessments, and diagnostic ultrasounds with measurements.
OB/GYN-Specific Features
Built for the unique documentation needs of obstetrics and gynecology
Gravida/Para Tracking
Automatic calculation and formatting of obstetric history using GTPAL notation. Tracks all pregnancies, deliveries, and outcomes.
Gestational Age Calculator
Automatic EDC calculation from LMP or dating ultrasound. Real-time gestational age for every visit.
Fetal Monitoring
Document fetal heart tones, variability, accelerations, and decelerations. Integration with NST and BPP results.
Labor Progression
Track cervical dilation, effacement, station, and contractions. Document labor stages and interventions.
Pelvic Exam Findings
Structured documentation of bimanual exams, cervical findings, and adnexal masses with standardized terminology.
High-Risk Monitoring
Track complications like gestational diabetes, preeclampsia, and growth restriction with trending labs and measurements.
Sample AI-Generated OB/GYN Note
See how PatientNotes documents a routine prenatal visit
SUBJECTIVE: 28-year-old G2P1001 at 28 weeks 3 days by 12-week ultrasound presents for routine prenatal visit. No contractions, vaginal bleeding, or leakage of fluid. Fetal movement present and normal. Patient reports passing her 1-hour glucose challenge test. No headaches, vision changes, or epigastric pain. OBJECTIVE: Vitals: BP 118/72, Weight 145 lbs (+18 lbs total), Pulse 78 Fundal Height: 28 cm (appropriate for dates) Fetal Heart Tones: 145 bpm by Doppler, regular rhythm Presentation: Cephalic by Leopold's maneuvers Edema: Trace bilateral lower extremities DTRs: 2+ and symmetric Labs reviewed: - 1-hour glucose challenge: 128 mg/dL (normal) - Hemoglobin: 11.8 g/dL (mild anemia) - Antibody screen: Negative - Tdap administered today ASSESSMENT: 1. Intrauterine pregnancy at 28 weeks 3 days, appropriate growth 2. Mild physiologic anemia of pregnancy 3. Normal glucose tolerance test PLAN: 1. Continue prenatal vitamins with iron supplementation 2. Tdap vaccine administered today - patient counseled on expected side effects 3. RhoGAM 300 mcg IM administered today (patient is Rh negative) 4. Next visit in 2 weeks for routine prenatal care 5. Patient to call with any warning signs: bleeding, contractions, decreased fetal movement, headache, vision changes 6. Discussed kick counts and when to call 7. Begin planning for delivery preferences and pediatrician selection
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in OB/GYN
Z34.90Encounter for supervision of normal pregnancy, unspecified trimesterO80Encounter for full-term uncomplicated deliveryZ01.419Encounter for gynecological examination without abnormal findingsN92.0Excessive and frequent menstruation with regular cycleO24.419Gestational diabetes mellitus, unspecified trimesterZ30.430Encounter for insertion of intrauterine contraceptive deviceN87.9Dysplasia of cervix uteri, unspecifiedO14.90Unspecified pre-eclampsia, unspecified trimesterAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes document prenatal visits with all required measurements?
Yes. PatientNotes captures all standard prenatal visit components including fundal height, fetal heart tones, blood pressure, weight gain, gestational age calculations, and review of labs. The AI automatically calculates EDC and documents gravida/para status.
Does PatientNotes handle labor and delivery documentation?
Yes. PatientNotes creates comprehensive delivery notes including labor progression, fetal monitoring strips interpretation, interventions, delivery details (time, method, complications), APGAR scores, and postpartum hemorrhage quantification.
How does PatientNotes document gynecological procedures?
PatientNotes has specialized templates for GYN procedures including colposcopies, IUD insertions, hysteroscopies, and biopsies. Documentation includes indication, findings, specimens collected, complications, and post-procedure instructions.
Can PatientNotes track high-risk pregnancy complications?
Yes. PatientNotes helps document high-risk conditions including gestational diabetes, preeclampsia, placenta previa, and multiple gestations. It tracks relevant labs, growth parameters, and specialist consultations throughout pregnancy.
See More Patients, Document Less
Join obstetricians and gynecologists saving 2+ hours daily on documentation. PatientNotes handles the charting so you can focus on your patients.
No credit card required. $50/month after trial.