A Complete Guide to OB-GYN EHRs for Practices in 2025 👩‍⚕️

The right EHR (electronic health record) should support OB-GYN workflows like prenatal planning, surgical documentation, and communication across care teams. 

However, many practices still rely on EMRs (electronic medical records) designed for smaller clinics. These systems often lack the flexibility and interoperability needed for long-term, complex treatment plans. 

This article will help you find an EHR built for the clinical and operational demands of modern OB-GYN care.

Read on to learn more about: 

• Why obstetrics and gynecology practices need specialty EHR workflows
• Key obstetrics EHR features for managing prenatal care, maternal, and postnatal care
• Common issues with traditional OB-GYN EHR systems
• How Blaze supports scalable, compliant OB practice operations

Why OB-GYN Practices Need EHRs Built for Clinical Complexity

Modern OB-GYN practices need EHRs because generic systems can’t support their specialized workflows and clinical requirements. A purpose-built OB-GYN EHR organizes complex workflows lasting over a year for each patient. Oftentimes, these cases have unique attributes that traditional EMRs just can’t address

This includes automated visit scheduling, fetal growth charting, gestational calculators, and essential care tools. Gynecology software also improves communication between maternal-fetal medicine, primary care, and delivery teams. It allows for sharing lab results and ultrasound images, ensuring patients stay informed and engaged in the long term. 

Core EHR Features for OBGYN Workflows

Core features in OB-GYN EHR software must go beyond basic charting. They should include tools like automated prenatal visit schedules, gestational age calculators, and real-time fetal growth charting. A modern obstetrics EHR should also aid communication between OBs, maternal-fetal specialists, and hospital delivery teams. 

Here’s a list of must-have features for any obstetrics EHR:

1. Prenatal Timeline Tracking and Gestational Age Calculators

A strong obstetrics EHR should map out prenatal timelines using due dates. This ensures accurate visit scheduling and timely screenings. Gestational age calculators update in real-time. This helps providers tailor care to each patient’s trimester-specific needs.

These tools effectively flag potential issues like growth restriction or delayed prenatal milestones. They refine documentation structure and reduce mental burden for busy providers. That’s especially useful when managing dozens of concurrent pregnancies.

 2. GYN-Specific Documentation Templates

Gynecology software should include customizable templates tailored to each visit, annual exam, contraception consult, and surgical follow-up. These templates must support structured data capture for pelvic exams, menstrual histories, Pap results, and symptom-based assessments.

OB-GYN templates ensure clean, searchable records and billing-ready documentation by reducing free-text input and aligning with best practice workflows.

3. Role-Based Access for Nurses, Midwives, and Physicians

OB-GYN EHR software must include role-based access. Nurses, midwives, and physicians should have permissions aligned with their scope of practice. This ensures that sensitive actions like final diagnoses, surgical orders, or narcotic prescriptions are handled only by authorized personnel.

It also supports team workflows: Midwives can complete prenatal notes, nurses can prep vitals and labs, while physicians focus on important medical decisions. 

4. Surgical Consent Form Workflows and Pre-op Notes

OB-GYN clinics often manage procedures like hysterectomies, laparoscopies, and C-sections, which require wide-spanning surgical documentation. EHRs need built-in workflows for digital consent forms, pre-op assessments, anesthesia planning, and discharge instructions.

5. Prescription Management and OB Bundle Billing Support

OB-GYN EHR platforms must simplify medication management by integrating e-prescribing tools, allergy checks, and pregnancy-safe medication lists. OB practices also benefit from support for bundled billing structures, where services like prenatal care, labs, and delivery are grouped into a single billing process.

Automated workflows, like claim coding based on documented milestones for first prenatal visits or third-trimester labs, reduce underbilling risk. When EHRs manage both prescriptions and OB bundles within one interface, it lightens the administrative burden on the front desk and billing staff.

6. Integrated Scheduling and Multi-Provider Coordination

OB-GYN EHR scheduling should support multi-provider calendars and recurring appointments. It must also enable coordination among OBs, MFMs, and ultrasonographers. Patients often require multiple software touchpoints with different providers in one care cycle, and disconnected scheduling systems create gaps.

7. Chart Access Across Visits and Locations

OB-GYN care frequently spans multiple physical sites, like outpatient clinics, surgery centers, and delivery hospitals. A high-functioning obstetrics EHR must support unified chart access across locations. This allows authorized providers to view the latest labs, notes, and fetal assessments instantly.

8. Secure Staff-To-Staff Messaging and Task Routing

Internal communication is essential in OB-GYN workflows — one missed message can delay a time-sensitive order or result follow-up. EHRs with secure, HIPAA-compliant staff messaging and task routing improve interdisciplinary coordination.

For example, a provider can assign a task to nursing staff to call a patient with test results or escalate an issue to a maternal-fetal specialist. These features reduce errors and make sure critical steps don’t fall through the cracks.

9. Reporting Tools for Birth Outcomes and Quality Audits

Gynecology software should include reporting for procedures like cesarean rates and preterm births to support quality improvement and regulatory compliance. Tracking trends allows clinics to compare performance and prepare for audits with minimal manual data pulling.

Dashboards also support strategic planning. They help OB-GYN leaders identify gaps in care or operational inefficiencies. With accurate, real-time insights, practices can improve maternal outcomes and demonstrate value to payers and partners.

Common Pain Points of Traditional OB-GYN EHR Software

Traditional OB-GYN EHR systems often fall short. Many aren’t built to support the complex workflows needed in maternal care. Generic systems also fail to support coordination between OBs, MFMs, and delivery teams. Here are some of the pain points of traditional OB-GYN EHR software:  

• Built for hospital systems, not outpatient clinical flow: Most legacy EHRs are designed around inpatient workflows. Legacy systems often overwhelm outpatient staff with cumbersome modules and non-customizable structures. These don’t reflect daily realities like same-day appointments, remote monitoring, or outpatient diagnostics.

• Inflexible templates: Many EHRs rely on static templates that fail to accommodate the evolving needs of OB-GYN patients. Clinicians are forced to manually enter redundant information or bypass templates entirely as patient journeys change. This is especially pertinent to OB-GYN EHRs, as they track patient care from early pregnancy through postpartum stages.

• Poor task visibility: Tasks buried in individual charts or not syncing across departments can result in a cascade of issues. Missed follow-ups, duplicate work, and unclear responsibilities can negatively impact patient safety and clinic efficiency.

• Limited documentation management: Traditional EHRs often lack dedicated pathways to track surgical clearances, consent forms, pre-op checklists, or post-op outcomes. Instead, they require clinicians to rely on external spreadsheets or manual reminders, which can delay care or lead to compliance gaps.

• Challenges integrating with labs, imaging, or billing tools: Legacy systems frequently struggle with real-time integrations. These force staff to re-enter data or log into multiple platforms to retrieve lab results, imaging reports, or manage billing.

Without connected tools, clinical teams resort to workarounds. These take time and reduce care quality. Let’s examine a modern platform that avoids the pain points of traditional ones. 

How Does Blaze Simplify OB-GYN EHR Operations?

Blaze simplifies OB-GYN practice management by delivering a customizable, no-code platform built for maternal care. Unlike generic systems, Blaze lets you tailor your obstetrics EHR system to your unique workflow. And you can do so without any programming.

The platform also strengthens coordination between specialists, hospitals, and primary care through integrated communication channels and shared documentation. Patients benefit from simple appointment scheduling, access to ultrasound images and labs, and secure messaging.

Blaze was founded by Nanxi Liu and Justyna Wójcik, two women recognized by 100 Women in AI. Nanxi and Justyna built Blaze to be HIPAA-compliant and SOC 2 certified. This means your OB-GYN practice will get top-tier data security and privacy for managing sensitive patient records. 

Do I Need a Developer to Customize Blaze?

No. Blaze is a no-code platform for customizing your own EHR software without writing a single line of code. OB-GYN administrators, IT specialists, doctors, and nurses can use the platform. Blaze explicitly encourages customers not to involve developers or engineers in the build process.

Without waiting on IT backlogs, you can create tailored intake forms, update charting templates, and manage interdisciplinary workflows between laboratory, primary care, and labor and delivery teams. 

Use Case: How a Mid-Size OB Clinic Built Its Ideal EHR Layer

A mid-sized OB-GYN clinic serving over 200 patients weekly needed a better way to handle charting, prenatal visit planning, and clinical coordination. Their EHR was slow, making it hard to track pregnancy and post-partum milestones or assign care tasks.

The clinic launched a system that alleviated its pain points by building a fully customized EHR layer on Blaze. Here’s how they did it:

Define Requirements and Map the Prenatal Workflow

The clinic gathered input from OB providers, nurses, and administrative leads to address issues head-on. Top priorities included:

• Faster chart access during visits
• Custom prenatal planning tools that adjust by gestational age
• Clear role-based task assignment for handoffs across care teams

Blaze’s implementation team showed the clinic how to create workflows to execute these requirements on the drag-and-drop interface. This enabled the OB-GYN team to understand how the platform worked so they could build their EHR smoothly. 

Structure the Data Without Writing Code

Using Blaze’s no-code database builder, the clinic created a relational data schema. This allowed them to track patient demographics, pregnancy histories, ultrasound results, labs, and prenatal milestones. 

They also defined relationships between scheduled visits, prenatal tasks, and provider notes, ensuring continuity of care across trimesters.

Design the Frontend for Clinical Flow

The clinic used Blaze’s drag-and-drop interface to create tailored user portals gated by role-based permissions. Physicians saw a streamlined dashboard with real-time patient updates, prenatal visit plans, and gestational calculators. 

Nurses had their own views on intake tasks, charting vitals, and flagging abnormal results. Administrative staff used scheduling and messaging modules.

During this entire phase, no developers were needed. The clinical leads could configure and launch their own forms and modules with Blaze’s visual drag-and-drop interface.

Launch, Iterate, and Scale

The Blaze team supported the clinic through launch, providing testing environments, documentation tips, and quick-turn responses to feedback. Within weeks, the new EHR layer was live across 3 locations.

The outcome? Charting time per visit dropped by 30%. Clinical handoffs became faster and more accurate. Fewer errors were reported in documentation, and staff spent less time toggling between platforms. As one OB-GYN said, “This finally feels like an EHR built for how we actually deliver care.”

Frequently Asked Questions

How Does Blaze Support Pregnancy Tracking?

Blaze provides tools to create features like gestational age calculators, trimester-specific visit templates, and week-by-week prenatal scheduling. Providers can build workflows that automatically adjust based on due dates or goals. This helps clinicians track fetal growth, flag milestones, and maintain continuity of care without manual effort.

Is Blaze HIPAA-Compliant for Women’s Health?

Yes. Blaze is fully HIPAA-compliant and SOC 2 certified, offering enterprise-grade security for sensitive OB-GYN patient data. The platform can manage prenatal records, surgical documentation, and patient messaging. All information across your organization will remain protected and audit-ready.

Can Blaze Integrate With Lab and Ultrasound Systems?

Yes. Blaze supports real-time integrations with lab systems, ultrasound imaging platforms, and external healthcare data tools via API and HL7/FHIR standards. This allows practices to pull results into patient records automatically. You’ll eliminate double entry and improve coordination across maternal-fetal medicine, radiology, and primary care.

Create a Custom OB-GYN EHR System for Your Team with Blaze

Blaze offers more advantages than just being a no-code platform that doesn’t require any technical expertise. When you make your obstetrics EHR with Blaze, you’ll get the following: 

• Enterprise security out of the box: You’ll be able to easily implement features like role-based permissions and audit logs because Blaze is HIPAA-compliant and SOC 2 certified.

• Scalability: Blaze is engineered to grow with your company — you won’t need to worry about bandwidth or storage space.

• A team to help you every step of the way: As soon as you onboard, Blaze’s team will ensure you know how the platform works. They even help you publish and maintain your software throughout. 

Ready to create a customized OB-GYN EHR? Schedule a Demo with Blaze Today.