Built at the bedside,
for the bedside.
Hospital obstetric protocols, outpatient management topics, and clinical calculators. Grounded in leading professional and clinical guideline bodies, in one searchable app.
Everything you need at the bedside
An expanding library of bedside references, calculators, and surveillance guides. Built for APRNs.
Hospital Reference
Inpatient obstetrics
Antepartum, intrapartum, postpartum, and triage. Every condition structured with 10 clinical blocks including diagnostic criteria, risk stratification, management protocols, and delivery considerations.
Antepartum
Preeclampsia with Severe Features
+ 8 more clinical sections
Clinic Reference
Outpatient practice
Outpatient OB and gynecology management for advanced practice providers. Each topic structured with the same clinical block format as Hospital Reference, including diagnostic criteria, workup, management, and follow-up. New conditions added monthly.
Clinical Calculators
Clinical calculators
EDD (3 modes), EPDS, PHQ-9, Bishop Score, LRINEC, BWPS, and more. Built for quick bedside use.
How it works
From signup to bedside in three steps.
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Access everything
A growing library of clinical conditions, outpatient topics, and calculators. New content added monthly.
Built by a working CNM
Not a textbook reprint. Written and maintained by a practicing clinician.
Sandra Golaszewski
DNP, APRN, CNM
Founder of Birth Science Unpacked. Practicing certified nurse-midwife with a Doctor of Nursing Practice from Frontier Nursing University and hospital-based laborist experience. Every condition is sourced from leading professional and clinical guideline bodies, then translated into bedside-ready clinical decision support.
About the methodology →DNP
Frontier Nursing University
CNM
Practicing Clinician
What a condition looks like
Every condition follows the same structured protocol format.
Preeclampsia with Severe Features
Updated 2022Per ACOG Practice Bulletin No. 222, preeclampsia with severe features requires hypertension after 20 weeks' gestation plus any one of the following:
Blood pressure:
SBP ≥160 mm Hg or DBP ≥110 mm Hg on two occasions at least 4 hours apart (severe hypertension can be confirmed within minutes to facilitate timely treatment).
End-organ dysfunction (any one sufficient for diagnosis, even without proteinuria):
- Thrombocytopenia: Platelet count <100,000 × 10⁹/L.
- Renal insufficiency: Serum creatinine >1.1 mg/dL or doubling of baseline (in absence of other renal disease).
- Impaired liver function: Transaminases >2× upper limit of normal, or severe persistent RUQ/epigastric pain unresponsive to medications.
- Pulmonary edema.
- New-onset headache unresponsive to acetaminophen and not explained by alternative diagnoses.
- Visual disturbances.
Proteinuria (≥300 mg/24h, protein/creatinine ratio ≥0.3, or dipstick ≥2+) supports the diagnosis but is not required if severe features are present. Notably, the degree of proteinuria does not itself constitute a severe feature.
Table 1. Diagnostic Criteria for Hypertensive Disorders of Pregnancy. Hypertensive Disorders of Pregnancy. Am Fam Physician, February 29, 2024. Used under license from the American Academy of Family Physicians. (Table not embedded in this reference.)
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Birth Science Unpacked
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