In those months when a new addition to the family is expected, future parents worry about how to properly go through the pregnancy period, when to register, when to take tests. And this is not surprising, because the health and well-being of the unborn baby depends on the correct behavior of a pregnant woman. Only a specialist in this field can give the necessary advice and recommendations. Therefore, you should not delay visiting the clinic and registering.

Modern medicine offers a choice of institutions where experienced specialists will monitor the health of the pregnant woman and her unborn baby. These are antenatal clinics, perinatal centers and commercial medical clinics. The final word remains with the expectant mother, and is also determined by the financial capabilities of the family.

Register your pregnancy at the antenatal clinic

The most accessible option is to contact an antenatal clinic at your place of residence. As a rule, this medical facility is not too far from home. This is an undoubted advantage, because you will have to attend consultations quite often, take tests, and see specialists. And if the clinic is located nearby, you can simply walk there, which will bring additional benefits.

To register for pregnancy, the expectant mother will need a personal passport and a compulsory health insurance policy. If these documents are available, the patient is guaranteed free medical care. If there is no compulsory insurance, only emergency care will be free, and diagnostics, tests and other medical procedures will be paid.

You can register with a local women's doctor who serves the area. But you can choose another gynecologist from the antenatal clinic, in whom the pregnant woman has more confidence. It is most convenient to register for pregnancy by registration in the clinic where the woman was previously treated. This has its advantages. The outpatient card contains all the information about vaccinations and previous diseases. This allows the gynecologist to consider the health status of the expectant mother as a whole. The woman is in a familiar environment, familiar with the routine of the medical facility, and sometimes with the staff.

The antenatal clinic provides monitoring of the health of the expectant mother throughout pregnancy, and also prepares documents that will be required for childbirth: an exchange card and a birth certificate. The gynecologist prescribes dates for attendance at the clinic at a certain frequency. At the appointment, she examines the condition of the expectant mother and refers her for tests and examinations. If situations arise that threaten the health of the mother and baby, the pregnant woman is referred for consultation with specialists or for treatment in a hospital.

Register for pregnancy at the perinatal center

It is best to be observed in a perinatal center. This is a modern maternity hospital, equipped with the latest medical equipment and highly professional staff. Monitoring pregnancy in a perinatal center has the following advantages:

• availability of modern diagnostic equipment;
• highly qualified specialists;
• if problems arise during pregnancy, hospitalization is carried out at the place of observation;
• childbirth is carried out in the comfortable conditions of the perinatal center; for this you do not need to choose a maternity hospital.

If the expectant mother has already had problematic pregnancies, it is more convenient for her to monitor her condition in the perinatal center. Modern diagnostic methods make it possible to detect abnormalities in a timely manner and maintain the desired pregnancy.

The only disadvantage of perinatal centers is their distance from the pregnant woman’s home. Most often, medical centers are formed in large cities or regional centers, which is not very comfortable for a woman living in a small town or rural area. After all, shaking on a bus for 30-50 minutes in the late stages of pregnancy is not a very useful event. Therefore, when registering, you need to sensibly consider all the pros and cons.

Register for pregnancy in a private clinic

Some commercial clinics offer health monitoring services for the expectant mother. The range of services provided depends on the profile of the clinic. The cost of services can be found there; you should be prepared for the fact that in a private clinic all examinations and tests are paid. Most private clinics offer 2 options for pregnancy management: contract observation and service without a contract.

Contract pregnancy management includes all examinations, consultations with a gynecologist, tests up to the 36th week of pregnancy. An agreement is concluded on the terms of an insurance company that is a partner of the clinic. Its cost is quite high, it is determined by the list of services provided and the level of the clinic. After 36 weeks, a private clinic offers to conclude a contract for childbirth.

Among the advantages of monitoring pregnancy in a private clinic are the polite attitude of the staff, the absence of queues, and the professionalism of the specialists. Although sometimes all this can be obtained in a public clinic, and completely free of charge. Maternity clinics also differ from one another in the organization of their activities and attitude towards the patient.

Disadvantages of a private clinic when managing pregnancy:

• a private clinic is not authorized to issue a birth certificate;
• for childbirth, you must choose a maternity hospital yourself;
• diagnostics and other manipulations not specified in the contract are paid separately.

When drawing up a contract, carefully study all provisions and notes. To do this, it is better to take the help of your husband or relatives who understand the preparation of documents. As a rule, the contract includes clauses that stipulate in which cases it becomes invalid, as well as a list of services not included in the contract package.

Registration in early pregnancy

In all cases of a 2-3 week delay in menstruation, you must contact an antenatal clinic. There are quite a few reasons for this condition, and only a doctor can help you understand them correctly. In addition to pregnancy, such symptoms occur with hormonal disorders and gynecological diseases. If the gynecologist has diagnosed pregnancy, he will advise what examinations need to be done and when to attend the consultation next time.

If you have been waiting for and planning your pregnancy for a long time, you and your husband have probably undergone the necessary examinations. Now you need to go to the clinic to establish the fact of pregnancy. During this visit, the doctor can simply conduct an examination and set an approximate date for registration.

Why is early pregnancy registration necessary? In the event of an unplanned pregnancy, it is important to undergo a timely examination, find out in detail about the state of women's health, and the possibility of giving birth to a healthy baby. It is necessary to undergo the recommended examination as soon as possible in order to determine whether the child has severe pathologies and hereditary diseases. If such abnormalities are detected, the doctor recommends surgery to terminate the pregnancy. Early pregnancy registration is necessary:

• women who have had miscarriages;
• future parents have diseases that affect the development and health of the baby.

An early visit to the doctor will make it possible to determine the gestational age as accurately as possible. After all, if a woman’s doctor has documented a pregnancy of 5-6 weeks, then the further period is set based on these data.

The optimal period for registration is considered to be 8-10 weeks. Some expectant mothers try to delay a visit to the gynecologist in order to avoid endless tests and examinations. Do not be afraid that you will have to attend consultations very often, because all this is done for the benefit of the birth of a healthy child. Throughout the civilized world, it is customary to monitor the intrauterine development of the baby. Therefore, it is necessary to donate blood, urine, undergo an ultrasound, and consult with specialists within clearly designated periods.

How to register for pregnancy: first visit

During registration, the gynecologist collects anamnesis. This is the name of the information that the doctor establishes by interviewing the patient. Therefore, be prepared to answer the following points:

• what infectious diseases have you had?
• what kind of operations and injuries were there;
• the presence of allergic reactions;
• the course of previous pregnancies (if any);
• miscarriages and abortions.

When registering, and then during each visit to the doctor, the pregnant woman is weighed. This is carried out in order to determine the dynamics of pregnancy development, and then find out the weight gain over 9 months. A very sharp increase in weight over a short period may indicate a pathology that has arisen, for example, gestosis in a pregnant woman. Therefore, it is in the interests of every woman to adhere to proper nutrition and monitor her weight during pregnancy. These activities will help the child develop properly, and the mother will not gain excess weight during pregnancy.

The doctor then performs a gynecological examination and takes swabs from the vagina and cervix. If there are no female diseases, a gynecological examination of the pregnant woman is not performed at subsequent visits. Therefore, you can relax, in the future there will be no procedure on a gynecological chair. The doctor measures the size of the uterus, these changes will be recorded at each appointment. They reflect the baby's constant growth.

When registering, the woman's pelvis is measured. During this procedure, attention is paid to the shape of the pelvis and the symmetry of anatomical points. The examination is carried out with a special device - a pelvis meter. But with its help you can only measure the bones of the large pelvis, and the size of the small pelvis is important for labor. Most of these indicators are not available for measurement, so they are established tentatively. The basis for this is the size of the large pelvis.

The gynecologist then draws up a pregnancy management plan. If there are pathologies, the woman is included in the risk group. While waiting for the child, 10-12 visits to the antenatal doctor are planned. Initially, their frequency is once every 4 weeks, and from the second half of pregnancy - once every 2 weeks. From the 30th week, depending on the course of pregnancy, visits may become more frequent - up to 1 time per week.

How to register for pregnancy: tests

All women who are found to be pregnant are asked to undergo a list of tests.

1. A general blood test and a blood sugar test will impartially show your health status. If there are deviations from the norm and they can be corrected during pregnancy, treatment is prescribed.
2. General urine analysis. This analysis tells us how well the excretory system works and whether there are acute diseases in the kidneys and bladder. During pregnancy, this is the most “popular” test; it must be taken before every doctor’s appointment.
3. A blood biochemistry test will tell your doctor what kind of metabolism you have, how your liver and gallbladder work.
4. Mandatory blood tests: test for RW, Rh factor, blood group. If a woman has a negative Rh factor, and her partner has a positive Rh factor, the pregnant woman is placed at risk. She will be asked to monitor her blood antibody levels throughout her pregnancy. This will require a monthly blood test for antibodies.
5. Test for sexually transmitted infections. Currently, the list of these infections is constantly growing. Pregnant women are encouraged to be examined for chlamydia, ureaplasmosis, papilloma virus and herpes virus.

How to register for pregnancy: examinations

At 11-12 weeks, all pregnant women are recommended to undergo an ultrasound of the fetus. This is a very important procedure, which is recommended to be performed within this period. To do this, it is good to contact qualified specialists and undergo an ultrasound scan using modern equipment. An examination at this time will help identify abnormalities in fetal development and hereditary genetic diseases.

If you notice the first signs of pregnancy, do not put off visiting the clinic. Believe me, the number of tests will not increase if you consult a doctor early. But problems that arise during pregnancy can be prevented or eliminated altogether.

Registration for pregnancy. Video

Where to register for pregnancy: a private clinic or an antenatal clinic? The video shows the benefits of pregnancy monitoring in these facilities.

Pregnancy is a wonderful and at the same time anxious time for every expectant mother. A woman worries about herself and her baby, listens to the state of her body. It is very important for a pregnant woman to register in a timely manner at the right institution and complete all the necessary examinations, because they are designed to identify possible problems or hidden problems. Timely completion of all necessary tests will reassure the expectant mother and give her the opportunity to happily immerse herself in the state of bearing a new life.

To get tested when registering for pregnancy, you need to see a doctor during the first trimester, that is, before the end of 12 weeks. This is due to the fact that it is in the first three months of pregnancy that the main organs and systems are formed. The sooner a woman goes to a medical facility, the sooner she can make sure that everything is completely fine with her unborn baby.

And if troubles or serious pathologies are detected in the shortest possible time, it will make it possible to take adequate measures to begin the necessary treatment or to terminate the pregnancy in a timely manner if disorders are identified that are incompatible with life or cause dangerous consequences for the fetus.

A pregnant woman has the opportunity to go to the antenatal clinic at her place of registration or residence, or choose a private clinic and a gynecologist.

The legislation does not regulate this choice, focusing only on mandatory tests and examinations.

Before taking tests when registering for pregnancy, a woman must complete the necessary documents. Most often these are the following official papers:

• A woman's valid passport.
• Compulsory health insurance policy.
• Insurance number of the individual personal account of the insured person SNILS (pension insurance card).

After registration, two main documents will be issued for the woman:

1. Individual card for pregnant and postpartum women. It remains with the obstetrician-gynecologist and will be filled out as each pregnant woman visits the clinic and undergoes various tests and examinations.
2. Exchange card. This is the main document for a pregnant woman, which she will receive in her hands at 23 weeks. It is recommended to always have this important document with you, since in case of sudden need, a woman will not be admitted to the maternity hospital without this paper.

The completed documents save all the necessary information about the state of health of the expectant mother and fetus, the timing of her consultation, the results of all examinations and tests performed.

Women who register before the end of the first trimester of pregnancy receive a one-time benefit. According to the laws adopted in the Russian Federation, standard examinations necessary for pregnancy management are free for pregnant women. Additional tests and examinations that are not included in this group of mandatory ones are paid by the woman at the rates of the institutions that perform them.

Useful video - When is the best time to register:

When registering, a woman should openly talk with a doctor, without concealing cases of family diseases that are hereditary in nature, especially genetic disorders, for example, hemophilia, dwarfism, schizophrenia and much more. It is important to tell about previous pregnancies, abortions, miscarriages, ectopic pregnancies, possible diseases of existing children and how their birth went.

It is also necessary to talk about your menstrual cycle, the health of your husband and his family, and existing negative health habits. Complete answers will help the doctor create an accurate picture of what a woman can expect during pregnancy, and prevent the possibility of developing diseases and conditions dangerous to the fetus and the pregnant woman.

Analyzes and examinations during registration

If a woman is healthy, then she will be prescribed the following tests when registering for pregnancy:

• And .
• - blood clotting test.
• Research on and.
• Blood samples for,.
• And also for a number of infections, the presence of which can cause a number of dangerous pathologies in the fetus. These are the following diseases or pathogens (they are often collectively called TORCH infections):, , , and others.
• Biochemical screening (“double test”) - a blood test for human chorionic gonadotropin and pregnancy-associated plasma protein A (PAPP-A). It is carried out at 10 - 12 weeks of pregnancy.
• A smear of vaginal flora to identify problems that can harm the unborn child. The most common test is for chlamydia.
• - electrocardiogram.
• Examinations by specialized doctors, in addition to a gynecologist: therapist, ophthalmologist, ENT specialist, dentist.
• for early detection of pathologies in the formation and development of the fetus, its organs and systems.

Some of the examinations that are prescribed during registration will need to be repeated several times during pregnancy to obtain more complete “up-to-date” results and information.

Throughout pregnancy, a woman will have to visit her gynecologist at least 10 times. It is recommended to contact a therapist and dentist three times, and an ophthalmologist and otolaryngologist at least twice. It is necessary to visit other specialized specialists according to indications and recommendations of the observing obstetrician-gynecologist.

Unscheduled examinations

If there are any deviations in the development of pregnancy, or the woman feels unwell, gets sick while carrying a child, or has a condition, the doctor may prescribe a number of additional procedures and tests.

Also, additional research may be necessary if in the family of the expectant mother or her husband there were cases of various pathologies and severe hereditary diseases, if the future parents are related or both have pathologies, the combination of which may lead to the birth of a sick child.Most often, the doctor refers the pregnant woman for a genetic examination, designed to exclude or confirm the presence of various pathologies in the fetus. If they are detected, doctors may recommend emergency termination of pregnancy.

An obstacle to this may be the pregnant woman’s narrow pelvis, a large fetus or multiple pregnancy, malpresentation, as well as the woman’s poor vision, the presence of pathologies of the cardiovascular system, kidneys and other vital organs.

In addition to the basic tests and studies that are necessary for registration and further monitoring of pregnancy, additional procedures are not mandatory. A woman has the opportunity to refuse to undergo them, but if a pathology is detected, the doctor will not be held responsible, except in the case of emergency medical care.

Timely completion of all tests and strict adherence to medical advice will help a woman endure pregnancy more easily without worrying about trifles. If she knows exactly what is happening to her body, she will be calm and confident, and this will certainly affect the condition of the fetus. It is necessary to take all measures to ensure that pregnancy is the easiest and most enjoyable time in a woman’s life.

Every pregnant woman should register with a gynecologist when pregnancy is confirmed. Pregnancy is a very exciting and joyful time. But the expectant mother has a huge responsibility for the health of her child. She should receive only positive impressions, adhere to a healthy lifestyle and eat right. But this is not enough; during the entire period of gestation, the woman must be under the supervision of doctors. In particular, she monitors her condition and the baby’s development. For this you definitely need register for pregnancy.

When do you need to register for pregnancy?

According to doctors, it is necessary to register for pregnancy as early as possible. There are 3 reasons for this:

1. The main systems and organs in the child’s body are formed in the first weeks of gestation. This is a very risky time for him. The expectant mother is prohibited from taking medications, drinking alcoholic beverages and smoking. The need for vitamins increases. Therefore, when you see 2 stripes on, you should immediately contact your gynecologist for the necessary recommendations.
2. From the beginning of pregnancy, a woman's immune system is greatly weakened. Because of this, chronic diseases may worsen. Any ailment in a woman can be dangerous for the fetus.
3. If you start before 12 weeks, an officially employed woman receives a one-time benefit equal to half her salary.

At what stage is pregnancy registered?

If you feel well and have no complaints, you can begin to see a specialist from 7-10 weeks. If you experience any pain in the lower abdomen or other concerns, you should immediately consult a doctor. But in any case, you should register before the 12th week, because from this moment important examinations begin. The maximum period has not been established; you can come to the gynecologist for the first time and just before childbirth. But in this situation he is unlikely to undertake observation. In addition, you shouldn’t be so irresponsible about the life of your unborn child and your health.

Where to register for pregnancy?

Organizations that can manage pregnancy include:

• maternity hospital;
• antenatal clinics;
• private medical institutions.

As a rule, a newly pregnant woman is sent to a local gynecologist. He opens an exchange card for her, examines her, and sends her for examinations and tests. In antenatal clinics, all this is carried out free of charge.

You can register at your place of registration, or you can be observed at your place of residence. In this situation, a corresponding statement is written to the chief physician or the head of the clinic. The application must indicate the insurance policy number. According to the health insurance law, you can register even in a hospital located in another area. There are no restrictions in terms of choosing a medical organization and doctor.

Some maternity hospitals also provide pregnancy support; all examinations are free.

If desired and financially possible, you can contact private centers. If they have a license in the specialty “obstetrics and gynecology,” then they even issue an exchange card and issue a birth certificate. If there is no license, parallel pregnancy registration in the antenatal clinic. Without a certificate, a woman in labor will not be admitted to the maternity hospital, except in emergency cases.

When registering, the following documents are required:

• passport;
• insurance policy;
• SNILS;
• results of medical examinations carried out over the past year.

You should not rush when choosing an organization. The reputation and experience of the doctor, the location of the clinic from home, financial capabilities, etc. are of great importance.

To get started, read reviews online, ask your friends and acquaintances about gynecologists. Having made your choice and collected all the documents, you can go to the doctor.

What do you need to know at your first appointment with a doctor?

At the first appointment, the doctor takes a look at the pregnant woman’s medical history. An exchange card is immediately created, where various data are entered: age, height, weight, test results, blood pressure and pulse, features of the course of pregnancy at different stages. This card is needed upon admission to the maternity hospital.

The following information is also entered into the card:

1. Features of the menstrual cycle (duration and regularity); how many abortions and pregnancies there were in the past, the intervals between them, their duration and outcome; what complications arose during childbirth, as well as in the postpartum period.
2. Weight and height of other children, features of their development and health.
3. The presence of sexually transmitted infections (hepatitis, AIDS, HIV, herpes, gonorrhea, chlamydia, syphilis, etc.); what contraceptives were used.
4. Information about my husband: age, heredity, blood type and Rh, bad habits.
5. Past diseases of the pregnant woman: toxoplasmosis and other infectious viral diseases, chronic diseases, mental disorders, endocrine disorders, gynecological problems. If there are bad habits - drug and alcohol abuse, smoking.
6. Diseases of relatives: are there genetic problems in the family, systemic disorders, mental disorders, certain ailments (hypertension, diabetes, tuberculosis), whether there have been cases of cancer.

A chairside obstetric examination is also performed. During this, the gynecologist will confirm the fact of pregnancy and will be able to determine the estimated period. The condition of the vagina and cervix is ​​immediately assessed, and smears are taken for research. The width of the pelvis is measured.

How are pregnancy records kept?

The frequency of visits to different specialists depends on the course of pregnancy. If everything is good, then inspections are carried out:

1. Obstetrician-gynecologist - at least 10 times. After the first visit, the next visit should be in a week with all the tests and expert opinions. Next, you need to visit the doctor once a month until the 28th week, once every 2 weeks until the 37th week, and every week until delivery.
2. Therapist and dentist – 1 time every trimester.
3. ENT and ophthalmologist - at least 2 times.
4. Other specialists – the frequency of visits depends on the pathology.

All laboratory and diagnostic tests are provided to pregnant women free of charge.

Examinations during pregnancy

A woman who is pregnant will have to undergo some tests. These include.

When should you register during pregnancy?, where to go for this and what documents to take with you? Let's talk about this, as well as about situations when it is necessary to register for pregnancy as early as possible, although this opportunity exists for a woman throughout her pregnancy.

Why register for pregnancy?

The main reason for registering for pregnancy is, of course, concern for the health of the mother and child. As soon as a pregnant woman comes to the antenatal clinic for the first time, she is given an exchange card, in which the doctor writes down an anamnesis and records the current condition of the pregnant woman, and prescribes tests and examinations. From this moment on, doctors take care of the health of the expectant mother and baby.

Of course, if necessary, medical assistance will be provided to a pregnant woman even if she is not registered at the antenatal clinic, since doctors are required to provide emergency medical care even if the patient does not have a compulsory medical insurance policy. But the reason for visiting an antenatal clinic is not only the desire to ensure a healthy pregnancy.

Pregnant women are entitled to privileges guaranteed by labor legislation. For pregnant women, if there are medical indications, the employer is obliged to provide easier working conditions, for example, to reduce production. She also cannot be involved in overtime work, sent on business trips, and she is prohibited from working on weekends and holidays.

Important! Full guarantees for working pregnant women are listed in the Labor Code of the Russian Federation in Articles 93, 253, 254, 255, 256, 259, 260, 261.

Dismissal of a pregnant woman is permitted in limited cases. To obtain guaranteed working conditions, a pregnant woman must present at her place of work a certificate from the medical institution where she is registered for pregnancy.

When to register for pregnancy?

Thus, a woman, when deciding when to register for pregnancy, evaluates a number of circumstances that have developed in her life. In the absence of serious illnesses, good health and comfortable working conditions, it is quite possible to postpone going to the consultation.

Don't know your rights?

Doctors, for a number of reasons, advise women, if there are no complaints, to seek consultation at 8-10 weeks of pregnancy. But in any case, according to doctors, it is best to register before 12 weeks of pregnancy, because it is from 11-12 weeks that important examinations are prescribed that will help the expectant mother be confident in the health of her baby.

However, the registration period is not limited by the minimum limit, so it is quite possible that a pregnant woman is registered at 5-6 weeks. It is worth thinking about going to a consultation earlier if a pregnant woman has health conditions, complaints about her health, or working conditions at the workplace pose a threat to the smooth course of pregnancy.

The maximum period is also not limited. Only working mothers need to register before maternity leave, since it is the medical institution that issues sick leave for its registration.

When deciding when to register for pregnancy, it is also worth considering that when registering early, a woman is entitled to a small lump sum payment, which is indexed every year. Also, according to the birth certificate, pregnant women are given free vitamins and iodine and calcium supplements.

Where can I go to register for pregnancy?

Before registering for pregnancy, it is necessary to clarify the list of organizations in the locality that can manage a woman’s pregnancy. These may include:

• antenatal clinics;
• maternity hospital;
• non-state medical institutions.

In antenatal clinics, observation will be carried out free of charge, and it is not necessary to contact the medical organization to which the pregnant woman belongs by registration or place of stay. The legislation on health insurance does not limit women in this choice, and you can register even in another region, if necessary.

Observation of a pregnant woman at a maternity hospital or in a private medical center is also possible, but in the latter case the observation will be paid. If you have the appropriate license (for the specialization “obstetrics and gynecology”), a private institution can even issue an exchange card and issue a birth certificate.

Important! If a non-state medical institution does not have a license that allows you to register a woman for pregnancy and issue a birth certificate, you must simultaneously register with the antenatal clinic.

Once an institution suitable for pregnancy management has been selected, you must go there with your passport, medical insurance policy, and insurance certificate from the Pension Fund of the Russian Federation. A pregnant woman can choose the doctor with whom she wants to be observed, or contact her local doctor.

Instructions

If you suspect that you are pregnant, or are absolutely sure that you will soon become a mother, contact an antenatal clinic or one of the private medical clinics. The doctor will examine you and, if your assumptions are confirmed, will offer you to register. Please note that observation in a public medical institution, unlike a private one, will be completely free for you.

You can register for pregnancy not only at the antenatal clinic at your place of residence, but also at a clinic in another district or even at a medical institution in another city. Modern legislation allows them to be observed wherever they wish. Please note that it is better to choose exactly the same antenatal clinic that you visited before, since important information is stored in your medical record.

In order to be registered at the medical institution of your choice, take with you your passport and compulsory health insurance policy. Without these documents, the doctor will not even be able to see you. According to existing legislation, in the absence of a medical insurance policy, a patient can only receive emergency care.

Make sure that the compulsory health insurance policy is valid and that your registration address is correctly indicated. Change the document if necessary. It won't be difficult to do this.

If you have photocopies of the medical records of those institutions in which you were previously observed, take them with you. Your doctor may need this information. Be sure to take a coupon with the results of fluorography, if available. The doctor will paste it into the exchange card or write down all the necessary data there.

If your pregnancy was planned, and before its onset you took some tests, take extracts with their results to your doctor's appointment. If the studies were carried out very recently, the doctor will count them. In this case, you will not need to take tests again.

To your appointment, be sure to bring a clean diaper, shoe covers or slippers, and sterile disposable gloves with you. Before registering you, the doctor will have to examine you and take a swab for tests.

note

If you consult a gynecologist, and the doctor is in no hurry to issue an exchange card for you, although the fact of pregnancy has already been established, you have the right to demand immediate registration from him.

Helpful advice

The sooner you see a doctor, the better. Remember that if you register for up to 12 weeks, you are entitled to a benefit payment. You can receive it when you go on maternity leave.

Tip 2: How to register with a antenatal clinic without registration

According to the current legislation of Russia and the order of the Ministry of Health, every pregnant woman has the inalienable right to be observed free of charge in any antenatal clinic in the country, regardless of place of registration and citizenship.

You will need

• - statement;
• - health insurance policy;
• - extract from the outpatient card;
• - certificate of deregistration at the consultation at the place of residence;
• - identification document.

Instructions

Despite this, many expectant mothers have problems registering if they are not registered in the same city or region. To complete this task, you need to have a passport (or other identification document - for example, a birth certificate) and an unexpired health insurance policy. It is illegal for any other representative to refuse your request to register you.

Go to your local clinic and ask for an extract from the outpatient medical observation card, which should contain information about previously suffered and possible hereditary diseases, general health, vaccinations, etc. Take a certificate from the antenatal clinic at your place of registration stating that you are not registered with them.

Armed with the necessary documents (passport and insurance policy, if any), come to the consultation at your location. Write an application addressed to the chief physician of the clinic or the head of the antenatal clinic. If you do not have medical insurance, in the event of injury or illness you will only be able to receive emergency medical care. If a pregnant woman suffers from diseases that require material costs (for example, diseases of the cardiovascular system, gastrointestinal tract, etc.), then the clinic (consultation) where she is currently being observed may request financial support from the place of her permanent registration, or send for a paid examination.

If you are refused: - file a complaint with the Ministry of Health; - call the department's hotline for your district (the number can be found at the information desk or via the Internet).

If they don’t support you there, then call the central Ministry of Health and Social Development. Refer to the law, indicate the reason why you were denied registration, use last names and facts (it is important to know the last name, first name, and patronymic of the refusing doctor).

Tip 3: How to register with an antenatal clinic for pregnancy

It is better to register for pregnancy at a antenatal clinic or medical center before 10-12 weeks. This way you will insure yourself and your unborn child from various troubles associated with the course of pregnancy. After all, the sooner you start seeing a doctor and taking the necessary tests, the greater your chances of bearing a healthy baby.

You will need

• passport;
• compulsory health insurance policy - compulsory medical insurance.

Instructions

According to the order of the Ministry of Health, a woman has the right to be observed in any antenatal clinic, regardless of place of residence (registration) and citizenship. You can independently choose the antenatal clinic you want to attend.

On your first visit, write an application addressed to the manager, provide valid insurance and a passport. They can only refuse you if your policy is invalid or you do not have identification. In this case, you can only receive emergency medical care.

Pass all the tests and go to the doctors, which are mandatory for everyone. The first blood tests are general blood tests, RV-HIV, hepatitis, an analysis to determine blood group and rhesus. See an ophthalmologist, dentist, ENT specialist, or therapist, who will give a final opinion on the state of your health.

If the course of your pregnancy is favorable, visit your doctor no more than 1-2 times a month until the 20th week. After the twentieth week - 2 times a month with regular testing. After 30 weeks - weekly.

note

If you have been granted registration without complying with all the formalities, call the Department of Health hotline for your city or county. If they didn’t help you there, contact the Ministry of Health and Social Development by phone or in writing. State the essence of your problem, indicate the names of the doctors who refused you. Usually, an application addressed to the head physician of the antenatal clinic is sufficient, which must be reviewed as soon as possible.

Pregnancy is a responsible and exciting time for many women. The expectant mother, first of all, needs to register with an obstetrician-gynecologist. Now you can choose where exactly to be observed: in a antenatal clinic, in a medical center at a maternity hospital or a commercial medical center.

You will need

• - passport;
• - medical insurance;
• - agreement with a commercial medical center;
• - contract with a commercial medical center

Instructions

You can register for free at a antenatal clinic located at your place of registration or at your actual place of residence, regardless of registration. To do this, you must present a personal passport and a compulsory medical insurance policy (compulsory health insurance). As a rule, patients at the antenatal clinic are seen by a doctor who is assigned to a specific area. But keep in mind that you can choose any obstetrician-gynecologist working in this antenatal clinic.

Now there is an opportunity to observe in commercial medical centers. When choosing one, find out about it. Then you will need to choose a specialist, conclude a contract and an agreement. The cost of the contract can be different: from 10-15 to 60-80 thousand rubles - the amount depends on the scope of examinations, gestational age, consultations with doctors, etc.

Find out whether the medical center issues an exchange card, because even if you have a license to provide obstetric medical care, it does not always guarantee that you will receive this document. The exchange card contains the results of all examinations that were carried out during pregnancy, and it is necessary for you to be accepted. If you do not have an exchange card, you will only be able to go to the observation department of the maternity hospital, which houses unexamined patients, as well as women with various infectious diseases.

Register early in your pregnancy (preferably before 12 weeks), this increases the likelihood of a normal pregnancy and childbirth. At the same time, you need to start taking tests and examinations from specialists in order to eliminate possible troubles and, if necessary, begin timely treatment.

During the observation period, the obstetrician-gynecologist will systematically monitor the dynamics of your condition, prescribe certain examinations for each stage of pregnancy, in order to avoid various unforeseen complications. In addition, according to the laws of the Russian Federation, all women registered for up to 12 weeks are paid a one-time benefit in the amount of half the minimum wage.

Helpful advice

It is best to register for pregnancy at the antenatal clinic where you were seen previously, so as not to disrupt the continuity of medical supervision.

In order for the pregnancy to take place under the supervision of competent specialists, it is necessary to register in a timely manner at one of the antenatal clinics or specialized private clinics.

You will need

• passport, compulsory health insurance policy

Instructions

If you begin to suspect that you are pregnant and the test shows a positive result, be sure to visit your doctor. Do not delay your visit to the gynecologist. Be especially careful if you experience pain in the lower abdomen, or you have already had unsuccessful attempts to bear a fetus.

First, contact your gynecologist from the antenatal clinic. After confirming the fact of pregnancy, the doctor will ask you to register. If a specialist sends you for tests and asks you to come back in a couple of weeks, you can challenge this decision. Unfortunately, some gynecologists try to register women later, so that in case of spontaneous abortion they do not spoil the statistics. In fact, it's illegal. The doctor is obliged to create an exchange card immediately after the expectant mother contacts the clinic.

To visit a doctor, you will need a passport and a compulsory health insurance policy. If you are visiting a certain medical institution for the first time, take your pension insurance certificate with you. It may be useful for designing a card.

Remember that, by law, expectant mothers have the right to be seen in any antenatal clinic, and not just the one to which they are assigned. If for some reason you want to manage your pregnancy in a medical institution other than your place of residence, you can contact the head doctor or the receptionist and write a statement in the prescribed form. You can also be observed in one of the specialized private clinics, but for a fee.

When visiting a gynecologist, be sure to bring gloves, replacement shoes or shoe covers, and a disposable diaper. Try to remember exactly when the last time you had your period. The doctor will definitely ask you about this.

When registering, you must undergo certain tests. One of the most important is fluorography. If you have a coupon with recent fluorography results, take it with you. The doctor will be able to immediately paste it into the exchange card.

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note

If you still decide to delay registration, do so no later than 12 weeks. Otherwise, you will not receive one of the types of government benefits and may not be able to undergo the first screening test, since this is only done during a certain period of time.

Helpful advice

The sooner you register, the better. This will serve as an excellent prevention of spontaneous abortion in the early stages. In addition, this allows for timely diagnosis of various types of pathologies.

You want to be treated in a clinic near your work or place of actual residence. And they refuse you. Remember, by law you have the right to do this. Take a medical insurance policy, passport and visit the selected clinic.

You have registered at a new address. Immediately attach to the clinic. Contact the reception with your passport, compulsory medical insurance policy and medical card from the clinic where you were seen before. That's all. Treat yourself to your health!

If there is no registration

If you want to register at a clinic near your work, study or actual place of residence, contact the head physician of the selected clinic with a written application. In it, indicate your full name, gender, date and place of birth, the number of the current compulsory medical insurance policy, the name and address of the clinic to which you are currently attached.

Don't forget to write the reason. For example, living in the husband’s apartment with his parents. When submitting your application, you will be asked for a passport and medical insurance.

The law is on your side

According to Art. 17 Fundamentals of legislation on the protection of citizens' health dated July 22, 1993 and in accordance with Art. 5 of the Law of the Russian Federation “On medical insurance of citizens in the Russian Federation” dated June 28, 1991, the state provides citizens with health care and free medical care under the compulsory medical insurance policy throughout the Russian Federation. Including outside your permanent place of residence.

Remind the head physician of the existence of these documents in case of refusal. And don't despair. The law is on your side.

File a complaint with the Department of Health. It is better to send it by letter to the postal address of the institution or electronically to the website. You can complain to the Territorial Health Insurance Fund. They are obliged to provide you with medical care in full under the compulsory medical insurance policy. If they didn’t answer and didn’t help, write to Rospotrebnadzor or the prosecutor’s office.

A little effort

If the decision is positive, which is more likely, you will receive a notification of acceptance for medical care within a few days. That's not all.

Fill out the withdrawal application form. It will be given to you at the reception desk of the selected clinic. Sign it from the head physician. Get an absentee ballot.

You need to visit your previous clinic with him in order to be deregistered. Your medical documentation will be sent to the selected medical institution.

Now you can exhale and praise yourself. Finally, you will be treated where it is convenient for you and where you want. The time spent on paperwork will pay off very quickly.

In Moscow, you will be able to go to the selected clinic for an appointment. When called, the doctor will come from the clinic at your place of registration.