NestWell

About · in development · Ohio

The twelve weeks after birth are when care falls through. We are building the part that holds.

NestWell is a defined postpartum follow-through program for OB practices, built by an operator and an OB‑GYN. It is in development, recruiting pilot practices in Ohio, and it has no outcomes to cite yet. This page is who we are, what we believe, and why we think the direction is right.

Talk to the founders Meet the founders

Why NestWell

A visit gets scheduled for six weeks out. Then she goes home.

Pregnancy is the most scheduled stretch of care most women will ever have. Then the baby arrives, and the schedule stops. A discharge sheet, a phone number, an appointment weeks away, and a stretch of nights in between that nobody’s job description covers.

The guidance has been clear for years. The American College of Obstetricians and Gynecologists describes postpartum care as an ongoing process rather than a single visit: initial contact within three weeks of birth, a comprehensive visit by twelve weeks, and mental-health screening that connects to assessment, treatment and follow-up. Few clinicians would argue with any of it. The difficulty was never knowing what to do. It is doing it for every patient, with the staff a practice actually has, and being able to show that it happened.

That is the part we are building: the follow-through. Short check-ins that ask little. A named person at the practice who owns each thing that comes up, with hours and a clock. A referral that counts when the appointment was kept, not when a link was sent. A summary for the clinician that a person reviews and signs. Connected to the practice, not in place of it.

What the review told us

Early on, we asked for an independent review of the business case. It was candid. The care gap is real, but a general AI companion for pregnancy and new motherhood would overlap heavily with products that already exist, and none of that overlap is a promise a practice can act on.

Its finding shaped everything since: the credible positioning is a testable service promise. Women complete the next step in their care, and the practice can verify it happened. Every feature is a step toward that or a verification of it, and anything that is neither does not get built.

What we will not claim

The same review listed the claims a company like ours should never make. We turned that list into a test: the website’s build fails if any of those phrases appears in a page. We cite no outcomes because we have none yet, and we will publish what the pilot measures whether or not it flatters us.

Founders

An operator and an OB‑GYN. One owns the workflow, the other owns safety.

Neither role is delegated to a model. Facts marked [confirm] are being confirmed with the founders before launch.

AS

Amber Siddiqui

Co-founder · operations owner [confirm] title

Amber owns operations, partnerships and the practice workflow: the queues, the owners, the coverage hours, and the question of what a pilot asks of a practice’s staff. Her background is in supply-chain transformation and large-scale planning programs at Deloitte.

  • Supply-chain transformation and large-scale planning programs at Deloitte
  • Greater Chicago area · Northern Illinois University
  • Fluent in Spanish
owns: operations · partnerships · practice workflow · pilot structure
SN

Sarah Nazir, MD

Co-founder · OB‑GYN · clinical safety owner [confirm] board certification, practice affiliation

Sarah is the clinical safety owner. She sets NestWell’s clinical safety standards, and every default check-in question, screening threshold, escalation rule and patient-facing sentence is hers to approve; each practice’s named clinical owner then approves them for their own patients. That is what “clinician-approved” is meant to mean here.

  • Obstetrician-gynecologist [confirm] board certification
  • Practice affiliation [confirm]
owns: content · screening thresholds · escalation rules · emergency text · summaries

Principles

Five things we hold to, in the order we hold them.

  1. Safety before anything else

    The emergency instruction, the crisis line and the named contact are on every screen where a woman can type, before she types. A rule is not safe because it is simple; rules are tested like code, reviewed by the clinical safety owner, and approved by each practice’s clinical owner. If nobody at the practice has answered in time, the screen is designed to say so and to tell her not to wait for the practice’s reply, and to call now.

    owner: clinical safety · emergency text: locked

  2. Privacy by design

    A woman chooses who sees her mood answers, including “nobody yet,” and is told before she answers which single item is shared regardless. Sharing is designed to be enforced where the data lives, not just in the interface, and every staff view of her answers is designed to be recorded in a list she can see.

    sharing: patient-controlled · views: recorded · visible to her

  3. AI explains and drafts. People decide.

    AI explains approved material and drafts summaries for a clinician to review. It also groups the questions a woman saved so her visit covers them. It never triages, diagnoses, reassures, ranks a symptom or holds a therapy-style conversation, and every call it makes is logged with the approved source it drew from.

    model: explain · draft · organise — never decide

  4. Honest about evidence

    Improved access and reduced staff workload are goals we will measure in the pilot, not results we have. We describe what the program does, its relationship to the woman’s care team, and the practical help it provides. We do not describe competitors and we do not borrow other people’s outcomes.

    status: goals until measured · outcomes cited: none

  5. Built with practices, not around them

    Every owner in the program is a practice role, with an employer, coverage hours and a backup. Thresholds, wording and targets are the practice’s configuration, visible and versioned. Clinical services stay with the practice; NestWell supplies the program and the software that makes follow-through visible.

    owners: practice roles · config: visible, versioned, approved

How the principles show up

  • Every patient-facing sentence carries an approval, and unapproved text renders with a visible marker.
  • Queue owners, hours and targets are printed on a sheet the practice signs before a pilot starts.
  • A check-in ends with what the practice will do and by when, never with a verdict on her answers.
  • The pilot’s measures are listed on For practices now, before any pilot begins, so the goalposts cannot move.

See how the program works

The evidence base

What the evidence supports, and where it stops.

Two sources set the direction. We read them as a case for a defined follow-up workflow with a specific next step, not as a case for a general-purpose companion, and we say so in every conversation with a practice.

Professional guidance

ACOG postpartum care guidance

The American College of Obstetricians and Gynecologists recommends that postpartum care be an ongoing process, tailored to each woman, rather than a single encounter: initial contact within three weeks of birth and a comprehensive visit by twelve weeks. Its screening guidance adds that a mental-health screen is not complete until it connects to assessment, treatment and follow-up.

supports
The shape of the twelve weeks, the day-21 contact, the week-12 visit, and screening that leads somewhere.
does not
Say anything about NestWell. It is guidance we build toward, not a result we can claim.

Published trial

Text-based postpartum follow-up

In a randomized trial [confirm] citation and link of women with pregnancy-related high blood pressure, those followed by text after discharge were more likely to complete the blood-pressure check than those asked to return for an office visit. The workflow was narrow and specific: one measurement, one channel, one clear next step. The result is about that workflow, not about NestWell.

supports
That a defined remote follow-up workflow, tied to an existing practice, can get a next step completed.
does not
Show that a general AI companion improves outcomes. A separate trial of a postpartum chatbot found mixed results, which we read as feasibility and caution, not licence.

What we do not have

Outcomes of our own. NestWell has not been used with patients, so there is no completion rate, no time-to-assessment and no staff-minutes figure to show you. The pilot exists to produce those numbers. Until it does, they are goals we will measure, and this site will not say otherwise.

Ohio

Built in Ohio, with Ohio practices, one pilot at a time.

NestWell is being built in Ohio and is recruiting its pilot practices here. Where the practice, the patients and the clinicians are matters for how a program like this must be run, so we are starting where we are, with people we can sit across a table from.

Talk to the founders How a pilot is structured

hello@hellonestwell.com · Ohio, United States

Who we want to hear from

  • OB practices, groups and health systems in Ohio considering a pilot
  • Care coordinators and nurses who own the follow-up today and know where it breaks
  • Behavioral-health partners who take postpartum referrals and can say whether they have capacity
  • Advisors and partners with experience in maternal health, practice operations or digital-health review
  • Women and families who want to be told when a practice near them offers it

We reply from hello@hellonestwell.com. Please do not send health information through this site.