AI Scribe for OB/GYNs
Prenatal visits, postpartum checks, annual well-woman exams, contraception counseling, and menopause management — documented in seconds. PatientNotes captures GTPAL, fundal height, fetal heart tones, and ASCCP-aligned screening intervals, then maps them to the right CPT and ICD-10 codes.
Documentation for Every OB/GYN Visit
From a 10-minute postpartum check to a full new-OB intake, PatientNotes uses the right structure for the visit.
Prenatal Visit
Captures GTPAL, gestational age by LMP and dating ultrasound, BP, weight gain, fundal height in cm, fetal heart rate by Doppler, fetal movement, and trimester-specific labs (1-hour GCT, GBS, antibody screen, Tdap).
Postpartum Visit
Six-week and extended postpartum checks: incision/laceration healing, lochia, fundal involution, breastfeeding, mood (EPDS screen), contraception choice, and return-to-activity counseling.
Annual GYN Exam
Well-woman visit with cervical cytology, HPV co-testing per ASCCP intervals, breast exam, contraception review, STI screening, and age-appropriate preventive care (mammogram, bone density).
Contraception Counseling
Method-specific counseling for combined OCP, POP, DMPA, etonogestrel implant, copper and LNG IUDs, with discussion of efficacy, side effects, return-to-fertility, and Quick Start protocols.
Infertility Workup
Initial workup with day-3 FSH/E2/AMH, semen analysis review, HSG findings, BBT/ovulation tracking, and decision-making around clomiphene/letrozole/IUI before referral to REI.
Menopause Management
Vasomotor symptom assessment, GSM (genitourinary syndrome of menopause), menopause hormone therapy candidacy, bone health, and shared decision-making on systemic vs vaginal estrogen.
OB/GYN-Specific Features
Built around the language a working OB/GYN actually uses — not generic medical English.
GTPAL Auto-Formatting
Captures gravida, para, and the four-digit obstetric history (term, preterm, abortions, living) in correct format. Carries forward across visits and updates after delivery without re-asking the patient.
Gestational Age & EDC
Calculates gestational age and estimated date of delivery from LMP, dating ultrasound, or assisted-reproductive cycle date, and reconciles when sonographic dating differs from LMP by more than 7 days in the first trimester.
Fetal Surveillance Language
Documents fundal height in cm, estimated fetal weight in grams from Hadlock formula or sonographer report, FHR baseline 110-160 bpm, NST reactivity, and biophysical profile (BPP) score 0-10 with subcategory breakdown.
Antepartum Med Reconciliation
Knows the prenatal medication landscape: prenatal vitamins with at least 27 mg iron and 600 mcg folate, low-dose aspirin 81 mg starting at 12 weeks for preeclampsia risk, glyburide vs insulin for GDM, oxytocin protocols for induction, and category B/C labeling caveats.
Contraception & ASCCP Logic
Tracks Pap and HPV results across the 5-year ASCCP cycle, surfaces contraception choices that match the patient (history of migraines with aura, VTE, smoking >35), and documents Quick Start vs Sunday Start vs first-day-of-menses initiation.
CPT 59425 / 59426 / 99396
Suggests antepartum visit codes (59425 for 4-6 visits, 59426 for 7+ when not part of global), preventive E&M (99396 for 40-64), problem-oriented add-ons with modifier 25, and procedure codes (58300 IUD, 57454 colposcopy with biopsy).
A real day in the OB/GYN clinic, before and after
A typical outpatient OB/GYN sees 28-35 patients in an 8-hour clinic day. The visit mix is unforgiving — a 10-minute postpartum check followed by a new-OB intake followed by a colposcopy follow-up followed by a perimenopausal patient who has read about MHT and wants to talk through risks. Documentation in OB/GYN also has to handle the global maternity package, where antepartum visits are bundled into 59400 but problem-oriented visits are separately billable with modifier 25 — a billing distinction that gets lost when you are dictating between rooms.
With PatientNotes running in the background, the visit looks the same to the patient. You measure fundal height, listen for fetal heart tones, talk through the 1-hour GCT result, and counsel on preeclampsia warning signs. The conversation is the documentation. By the time the patient leaves the room, the prenatal SOAP note is drafted with GTPAL, gestational age, BP, weight, fundal height, FHR, and a defensible third-trimester plan. The model knows that ASA 81 mg started at 12w0d for HDP risk reduction should appear in the medication list, not buried in the assessment.
The model is tuned for OB/GYN. It knows that "G2P1001" is a real obstetric history and not a typo, that "28 cm fundal height at 28w3d" is appropriate, and that "EFW 750 g at 24w" is the 50th percentile by Hadlock. Notes are typically ready 30-90 seconds after the visit ends, which is fast enough to review, sign, and copy into Epic Stork or athenahealth before the next patient is roomed.
Sample AI-Generated OB/GYN Note
An actual 28w3d prenatal visit the model would produce. Real GTPAL, real labs, real CPT/ICD mapping.
PRENATAL VISIT — 28w3d
Date: 04/22/2026 | CPT: 99213 (problem visit, separate from global) | Routine antepartum
SUBJECTIVE:
29-year-old G2P1001 at 28 weeks 3 days by 12-week dating ultrasound
(consistent with LMP). Returns for routine third-trimester prenatal visit
following her 1-hour glucose challenge test. Reports good fetal movement,
≥10 kicks in 2 hours daily. Denies vaginal bleeding, leakage of fluid,
contractions, headache, vision changes, RUQ pain, or epigastric pain.
Mild lower back ache, improved with rest. Slept 6-7 hours last night.
OB History: G2P1001
- 2023: SVD at 39w2d, 3,180 g female, no complications.
- Current pregnancy: spontaneous, IVF #2 not used.
PMH: Mild chronic HTN diagnosed pre-pregnancy (baseline 132/84 off
medication). No diabetes, thyroid disease, or prior preeclampsia.
PSurgHx: None. Allergies: NKDA.
Medications:
- Prenatal vitamin with 27 mg iron, 800 mcg folate — daily.
- Low-dose aspirin 81 mg daily — started at 12w0d for preeclampsia
risk reduction (chronic HTN + nulliparity history before this preg).
- No additional supplements. Tylenol PRN headache.
Labs reviewed today:
- 1-hour glucose challenge test: 128 mg/dL — normal (<140). No 3-hr GTT.
- CBC: Hgb 11.4 g/dL (mild physiologic anemia), Plt 198k.
- Antibody screen: negative. Patient is O+ (RhoGAM not indicated).
- HIV, RPR, HBsAg: all repeat-negative at intake.
- GBS: not yet done (scheduled at 36w).
OBJECTIVE:
Vitals: BP 128/78 (manual, seated, x2), HR 84, weight 152 lb
(cumulative gain 22 lb, BMI 26 → 29.5).
General: Well-appearing, no acute distress.
HEENT: No facial edema, no scleral icterus.
Cardiopulmonary: RRR, S1S2 normal, no murmur. Lungs CTA bilaterally.
Abdomen:
- Fundal height: 28 cm — appropriate for dates (28w3d, +/- 2 cm).
- Fetal heart tones: 145 bpm by Doppler, regular, no decelerations
auscultated over 60 seconds.
- Presentation: cephalic by Leopold maneuvers (head palpable in
lower uterine segment, back on patient's left).
- Estimated fetal weight: not formally measured today; sonographic
EFW at 24w was 750 g (50th percentile, Hadlock).
- No tenderness, no contractions palpated during 5-minute exam.
Extremities: Trace pretibial edema bilaterally, no calf tenderness,
no Homans sign.
DTRs: 2+ patellar bilaterally, no clonus.
Urine dipstick (in office): protein negative, glucose negative,
ketones negative, leukocytes negative.
ASSESSMENT:
1. Intrauterine pregnancy at 28w3d, cephalic presentation, growth
appropriate for dates by fundal height. (Z34.83)
2. Mild physiologic anemia of pregnancy, Hgb 11.4. (O99.013)
3. Normal 1-hour GCT — no GDM. (Z36.81 ruled out)
4. Pre-existing chronic hypertension, well controlled off
medication, on aspirin prophylaxis. (O10.013)
5. Routine third-trimester care — no signs of preeclampsia today.
PLAN:
1. Continue prenatal vitamin with iron. Continue ASA 81 mg daily
through 36w0d (per USPSTF/ACOG guidance for HDP prevention).
2. Tdap administered today — patient counseled on injection-site
soreness and low-grade fever as expected side effects. (CPT 90715)
3. RhoGAM not indicated (O+).
4. BP self-monitoring at home: cuff calibrated, log entries reviewed,
threshold 140/90 to call office, 160/110 to go to L&D.
5. Counseled on preeclampsia warning signs (headache not relieved by
acetaminophen, vision changes, RUQ pain, swelling face/hands,
reduced fetal movement) — verbalized understanding.
6. Kick count instructions reviewed: 10 movements in 2 hours,
call if not met after rest and snack.
7. Group B Strep culture scheduled at 36w visit.
8. Childbirth class enrollment confirmed; pediatrician selected.
9. Follow-up: 2 weeks (30w0d) for routine antepartum visit, then
weekly from 36w. NST not indicated at this time.
Suggested ICD-10: Z34.83 (supervision of normal preg, T3),
O10.013 (pre-existing HTN, T3),
O99.013 (anemia complicating preg, T3).
Suggested CPT: 99213-25 (problem visit for chronic HTN management,
separate from global maternity package),
90715 (Tdap administration),
99000 (specimen handling, if GBS done in office).Intelligent ICD-10 Suggestions
The codes most OB/GYN practices bill on a daily basis — surfaced from the documentation, not guessed.
O09.90Supervision of high-risk pregnancy, unspecified, unspecified trimesterZ34.83Encounter for supervision of normal pregnancy, third trimesterZ01.419Encounter for gynecological examination without abnormal findingsN92.0Excessive and frequent menstruation with regular cycleO24.419Gestational diabetes mellitus in pregnancy, unspecified controlZ30.014Encounter for initial prescription of intrauterine contraceptiveN95.1Menopausal and female climacteric statesO14.93Unspecified pre-eclampsia, third trimesterThe AI suggests relevant codes based on what you actually documented. You review and confirm — there is no auto-billing.
OB/GYNs using PatientNotes today
Three composite stories drawn from real onboarding interviews. Names changed, details preserved.
Dr. Priya Sharma
Solo OB/GYN, Asheville NC — 4-day clinic, 2 days L&D coverage
Priya delivers her own patients and runs a one-physician practice. Before PatientNotes she was finishing prenatal notes between feedings of her own infant at 11 PM. She runs PatientNotes on her iPad in the exam room, and the GTPAL plus gestational age are pulled forward correctly across visits. Her favorite feature is the postpartum template — it captures the EPDS score and contraception choice in one pass so she does not have to switch tabs in athenahealth.
Dr. Renee Holloway
Mid-size group, 5 OB/GYNs and 2 CNMs, Tampa FL
Renee's group was quoted around $4,500 per clinician per year by Suki. They piloted PatientNotes for a month and the entire group, including the certified nurse-midwives, voted to keep it. They built a shared "annual GYN" template that always lists Pap/HPV interval, contraception, and STI screening in the same order so the MAs can prep results before the visit. The two CNMs use a custom prenatal template with their own counseling phrasing.
Dr. Tomás Rivera
Hospital-employed, large academic system, Chicago IL
Tomás's system has Nuance DAX for primary care but had not extended it to women's health when he started. He uses PatientNotes for his GYN-only clinic afternoons (colposcopy, IUDs, menopause) where the visits are short and structured. He pastes the procedure note into Epic Stork and saves about 75 minutes a day. His department now lets new fellows trial PatientNotes during their continuity clinic.
Coming from Microsoft Dragon Medical One?
Dragon Medical One has been the dictation standard in OB/GYN for two decades, and many older clinicians are extremely fast with it. The newer Microsoft Dragon Copilot adds ambient capture on top. Both are real products — but the workflow is different from PatientNotes.
Dragon Medical One
- •Dictation: you talk to the microphone, the words appear in the EHR.
- •Mature voice profile — 99% accuracy after a few weeks of training.
- •$99-$200/month per clinician for Dragon Medical One; Dragon Copilot adds ambient at higher tiers.
- •Strong Epic Stork / Cerner OB integration via the Dragon plug-in.
- •You still write the note structure; Dragon just types it for you.
PatientNotes
- •Ambient: you talk to the patient, the note writes itself.
- •No voice training. Works on day one.
- •$50/month flat — no per-encounter fees, no enterprise minimums.
- •No EHR integration required — copy/paste workflow, ready in hours.
- •Generates the prenatal SOAP, postpartum check, and procedure-note structure for you.
How to switch in three steps
Sign up and run a parallel day
For one full clinic day, record encounters in PatientNotes while still using Dragon as your primary. Compare the two notes side by side at the end of the day — most OB/GYNs pick a Tuesday with a mix of prenatal and well-woman visits.
Customize one OB/GYN template
Pick your highest-volume visit type (most OB/GYNs pick the routine prenatal or the annual GYN) and customize the template so the assessment/plan section matches your dictation style.
Cancel Dragon when you are ready
Most OB/GYNs are off Dragon within 5-7 days. Keep it as a backup for the first month if you want — they do not conflict and you can run them side by side.
PatientNotes vs Suki.ai
Suki is the enterprise AI scribe most often pitched to OB/GYN groups, especially in mid-sized health systems. We have lost deals to Suki and we have won deals against Suki. Here is the honest read.
| Feature | PatientNotes | Suki.ai |
|---|---|---|
| Monthly price (per clinician) | $50 | $250-$400 |
| Setup time | Same day | 4-12 weeks |
| Contract | Month-to-month | Typically 12-month minimum |
| OB/GYN templates | Prenatal, postpartum, annual GYN, contraception, infertility, menopause | Available, often custom-built per practice |
| GTPAL carry-forward | Yes | Yes |
| Global maternity package logic | Yes (59425/59426 separation) | Yes |
| Epic Stork write-back integration | Copy/paste | Direct (App Orchard) |
| Best fit | Solo, small/mid group, 1-25 clinicians | Large health system already in Epic ecosystem |
If your hospital has already paid for Suki and integrated it into Epic Stork, use that — the marginal benefit of switching is small. If you are independent or in a group of 1-25 OB/GYNs, PatientNotes is almost always the right answer. The price difference alone funds a part-time MA, which in OB/GYN often matters more than another piece of software.
Frequently Asked Questions
Real questions from OB/GYN onboarding calls.
Does PatientNotes work for OB/GYN?
Yes. PatientNotes is used by general OB/GYNs, MFM (maternal-fetal medicine) specialists, and gynecology-only practices. The model is tuned for OB/GYN language, so it correctly captures GTPAL (gravida, term, preterm, abortions, living children), fundal height in centimeters, estimated fetal weight in grams, fetal heart rate by Doppler, Bishop score, and contraception counseling. It outputs prenatal SOAP notes, postpartum checks, well-woman exams, and procedure notes for IUD insertion and colposcopy.
How much does an AI scribe cost for OB/GYN?
PatientNotes is $50 per clinician per month, billed monthly with no per-encounter fees. Suki and Nuance DAX (now part of Microsoft Dragon Copilot) typically run $250-$400 per clinician per month for OB/GYN, often with a 12-month enterprise contract and an implementation fee. For an OB/GYN seeing 28-35 patients per day, the difference is roughly $2,400-$4,200 per year per clinician.
Is Suki.ai better than PatientNotes for OB/GYN?
Suki is a mature product with deep Epic integration, which matters if your hospital mandates a specific EHR workflow. PatientNotes is materially cheaper, deploys in hours instead of weeks, and produces equivalent-quality OB/GYN notes including the global maternity package billing structure (59400/59510/59610). If you are independent or in a small group, PatientNotes is usually the better fit. If you are employed by a large health system that has already paid for Suki, use what your system pays for.
Can OB/GYN-specific notes be auto-generated?
Yes. PatientNotes ships with OB/GYN templates for routine prenatal visits, antepartum testing visits, postpartum checks (6-week and extended), annual well-woman exams, contraception counseling, infertility workups, and menopause management. You can also build custom templates that mirror your dictation style — for example, a structured prenatal template that always lists weight gain, BP, fundal height, FHR, and patient concerns in the same order.
Does it integrate with Epic and athenahealth for OB/GYN?
PatientNotes works alongside Epic (including Epic Stork for L&D), Cerner, athenahealth, eClinicalWorks, and OB-specific modules like eClinicalWorks OB. The note is generated in PatientNotes and pasted or copied into your EHR using a one-click copy. We do not require a write-back integration, which is what lets us deploy in a day instead of the 6-8 weeks an Epic App Orchard integration takes for OB modules with custom growth-chart fields.
Will it help me bill OB/GYN CPT correctly?
PatientNotes suggests E&M codes (99213-99215) and surfaces commonly missed OB/GYN codes including 59425 (4-6 antepartum visits, separate from global), 59426 (7+ antepartum visits), 59409/59514 (vaginal/cesarean delivery only), 99396 (preventive 40-64), 58300 (IUD insertion), 57454 (colposcopy with biopsy), and 99213 with modifier 25 for problem visits separate from preventive. It does not auto-bill — you review and confirm each code, which is the safe and audit-defensible pattern, especially with the OB global package.
How do I switch from Dragon Medical One to PatientNotes?
Three steps. First, sign up at patientnotes.ai and complete the 5-minute clinician onboarding. Second, run PatientNotes in parallel with Dragon for one clinic day — record the encounter in PatientNotes, then dictate with Dragon as you normally would. Compare the notes and decide which feels closer to your style. Third, when ready, retire Dragon. Most OB/GYNs make the switch in under a week. Dragon is dictation; PatientNotes is ambient — you stop talking to a microphone and just talk to the patient, which matters in OB visits where the patient often has questions about kick counts, labor signs, or contraception.
Is it HIPAA compliant for OB/GYN?
Yes. PatientNotes is HIPAA compliant, signs a Business Associate Agreement (BAA) with every practice on request, and encrypts audio and notes at rest and in transit. Audio is processed and discarded — we do not retain recordings beyond the time needed to generate the note. Patient identifiers are minimized in the prompt sent to the language model. We do not train models on your data. This matters in OB/GYN where charts include sensitive information about pregnancy loss, contraception, and reproductive history.
See more patients. Finish notes before you leave the clinic.
OB/GYNs on PatientNotes save 90 minutes to two hours of charting per day, which is the difference between making it home for dinner and signing notes after the kids are in bed.
No credit card required. $50/month after trial. Cancel anytime.