Pregnancy is a wonderful and at the same time disturbing 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 the right institution in a timely manner and perform all the necessary examinations for this, because they are designed to identify possible troubles or hidden problems. Carrying out all the necessary tests in a timely manner will calm the expectant mother and give her the opportunity to immerse herself in the state of bearing a new life with pleasure.

To take tests when registering for pregnancy, you must consult a doctor during the first trimester, that is, before the expiration 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 institution, the sooner she can make sure that everything is completely in order with her unborn baby.

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

A pregnant woman has the opportunity to contact the antenatal clinic at the place of her 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:

• The 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 entered for a woman:

1. Individual card of the pregnant woman and the puerperal. It remains with the obstetrician-gynecologist and will be filled in as each visit to the clinic of the pregnant woman and the delivery of various tests, examinations.
2. Exchange card. This is the main document of a pregnant woman, which she will receive in her arms at a period of 23 weeks. It is recommended that you always have this important document with you, because in case of a 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 health status of the expectant mother and fetus, the timing of her visit to the consultation, the results of all examinations and tests performed.

Women registered before the end of the first trimester of pregnancy receive a one-time allowance. The standard examinations necessary for the management of pregnancy, according to the laws adopted in the Russian Federation for pregnant women, are free. 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 must openly talk with a doctor, not hiding cases of family diseases that are hereditary in nature, especially genetic disorders, such as 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 your negative health habits. Complete answers will help the doctor to get an accurate picture of what a woman can expect during pregnancy, to prevent the possibility of developing diseases and conditions that are dangerous for the fetus and the pregnant woman.

Analyzes and examinations during registration

If a woman is healthy, then she will be assigned 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 (often collectively referred to as 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 in the period of 10 - 12 weeks of pregnancy.
• A smear of the vaginal flora to identify those that can harm the unborn child. The most common test is for the presence of chlamydia.
• - electrocardiogram.
• Examinations by specialized doctors, except for a gynecologist: therapist, oculist, ENT, dentist.
• for early detection of pathologies of the formation and development of the fetus, its organs and systems.

Some of the examinations that are scheduled at registration will need to be repeated several times during pregnancy to obtain more complete “fresh” results and information.

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

Unscheduled examinations

In the event that there are any deviations in the development of pregnancy, or the woman feels unwell, falls ill while carrying a child, or has, the doctor may prescribe a number of additional procedures and tests.

Also, additional research may be needed if there were cases of various pathologies and severe hereditary diseases in the family of the future mother or her husband, if the future parents are related or both have pathologies, the combination of which may result in the birth of a sick child.Most often, the doctor sends 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 an emergency termination of pregnancy.

An obstacle to this may be a narrow pelvis of a pregnant woman, a large fetus or multiple pregnancy, improper presentation, as well as poor vision of a woman, 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 for 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 responsible, except for the situation of emergency medical care.

Timely completion of all tests and strict adherence to medical advice will help a woman to more easily endure pregnancy without worrying over trifles. If she knows exactly what is happening with her body, she will be calm, confident, and this will certainly affect the condition of the fetus. Every effort must be made to make pregnancy the easiest and most enjoyable time in a woman's life.

Pregnancy registration is a crucial moment in the life of a future mother. It is important not to miss the deadlines and go to the antenatal clinic that is most convenient for you.

Pregnancy registration

Early registration for pregnancy up to 12 weeks is recommended for all girls without exception. This allows, first of all, to identify abnormalities during pregnancy at an early stage and start treatment on time.

At 10-12 weeks, all expectant mothers must undergo the first screening to identify pathological conditions in the fetus.

Therefore, timely registration with the LCD for pregnancy is a concern for the health of your unborn baby.

Some girls prefer private medical centers where pregnant women are monitored for money.

If you have made such a decision, choose the center that has the right to issue an exchange card, as well as to issue sick leave and maternity leave.

Without these documents, you will not only not be issued a maternity benefit, but you will also have to give birth in an observational maternity ward, where those girls who have infectious diseases lie.

Documents for registration for pregnancy, you can take to the antenatal clinic at the place of residence or actual residence. If you have an insurance medical policy, then you are required to be accepted at any clinic throughout Russia. Registration does not play an important role in registration. At the same time, you have the right to choose even the attending physician who will observe you.

How is pregnancy registration done?

• You come to an appointment with a gynecologist with documents.
• He conducts a thorough examination, interviews the expectant mother and fills out a card for her, which will be kept in the antenatal clinic.
• In the future, you will receive an exchange card in your hands, which will reflect all the data on the analyzes, ultrasound and observations of the gynecologist. This card is required upon admission to the maternity ward.

At the first examination, an obstetrician-gynecologist will advise you about nutrition, answer all questions and recommend vitamin complexes. He'll take some tests for pregnancy registration. In addition, you will be given a referral for other tests and a list of doctors you will need to see before your next visit to the gynecologist.

If you have an insurance medical certificate, all consultations and tests for a pregnant woman are free.

Documents for registration for pregnancy

We have already said that the term of registration for pregnancy is up to 12 weeks. The rules are quite simple: you just need to come to the doctor for the first examination on time. In this case, it is necessary to have the required documents for registration for pregnancy:

· the passport;

insurance medical certificate;

insurance pension certificate (SNILS policy).

If you come to the antenatal clinic not at the place of registration, you will be asked to write an application addressed to the chief physician or head of this clinic. In this case, it is also recommended to take a card from the antenatal clinic where you have been seen before. The medical history, the course of previous pregnancies and childbirth will help the gynecologist in managing your pregnancy at this stage.

Tests for pregnancy registration

When registering for pregnancy, the gynecologist conducts examinations that are necessary for him to fill out the card. An examination on the armchair is mandatory: the doctor will take a smear for research, examine the cervix and vaginal walls, and palpate the lower abdomen. In addition, he will measure the body weight of the expectant mother, pressure and external dimensions of the pelvis using a special tool.

Of great importance is the conversation with the gynecologist at the first appointment.

1. The doctor must thoroughly learn all the information about your health and the health of your family members.
2. It will be necessary to talk about previous pregnancies and childbirth, if any, about hereditary and chronic diseases, past infectious diseases, the menstrual cycle and bad habits.
3. The gynecologist will definitely ask you for the first day of your last period in order to determine the obstetric gestational age and the preliminary date of delivery.

These are all the necessary studies and analyzes for registration for pregnancy. At this appointment, the gynecologist will give you referrals for other tests (blood, urine, ultrasound, ECG, etc.) and other doctors (therapist, ophthalmologist, otolaryngologist, dentist). After passing the tests and examining specialists, you will need to visit your gynecologist again to evaluate the results of the studies and receive further recommendations.

Registration in early pregnancy

Early registration for pregnancy is carried out up to 12 weeks. Usually, a girl goes to the antenatal clinic for the first time exactly in the period from 7 to 12 weeks, when she finds out about the pregnancy. Experts do not recommend contacting a antenatal clinic earlier than 7 weeks, since at this stage there is a high risk of spontaneous miscarriage, which many girls do not even know about. Thus, natural selection occurs: a weak and sickly fetus does not survive, but a healthy and strong one begins to develop and grow.

Russian legislation establishes the right of citizens to receive free medical care under the basic program of compulsory medical insurance throughout the Russian Federation, regardless of the place of their permanent or temporary registration (Article 16 of the Law of November 29, 2010 N 326-FZ). According to part 6 of Art. 35 of Law N 326-FZ, medical care during pregnancy, as well as the birth and postpartum period, is included in the basic CHI program. This means that a woman is guaranteed the right to register for pregnancy and childbirth with a medical organization of her choice, regardless of registration at the place of residence (stay) or actual place of residence.

Choosing a medical organization

According to part 2 of Art. 52 of the Law of November 21, 2011 N 323-FZ, every woman during pregnancy, as well as during and after childbirth, is provided with medical care in medical organizations under the program of state guarantees of free medical care for citizens.

In accordance with Part 1 of Art. 21 of Law N 323-FZ, it is allowed to choose a medical organization for registration, including on a territorial-district basis, and specific doctors, taking into account the consent of doctors for pregnancy and childbirth, is allowed no more than once a year, except for situations of moving to a new place of residence or change of place of residence of a citizen.

When choosing a doctor and a medical organization, a citizen has the right to receive information in a form accessible to him, including information posted on the Internet information and telecommunication network, about a medical organization, about its medical activities and about doctors, about their level of education and qualifications (h 7 article 21 of the Law N 323-FZ).

In accordance with Art. 15 of Law N 326-FZ, medical organizations in the field of compulsory health insurance include those having the right to carry out medical activities and included in the register of medical organizations operating in the field of compulsory medical insurance in accordance with Law N 326-FZ: organizations of any organizational -legal form; individual entrepreneurs engaged in medical activities. The register of medical organizations contains the names, addresses of medical organizations and a list of services provided by these medical organizations within the framework of the territorial program of compulsory medical insurance. The register of medical organizations is maintained by the territorial fund, posted on a mandatory basis on its official website on the Internet and may be additionally published in other ways.

Note!

When choosing a private medical organization for registration and subsequent pregnancy management, it is necessary to check whether it has a license to issue an exchange card, which records all data on the course of pregnancy, a birth certificate and sick leave certificates for pregnancy and childbirth. If a commercial medical organization does not have the right to issue a birth certificate, then you will have to contact the state consultation to obtain it. An exchange card will be required upon admission to the hospital.

The procedure for registration for pregnancy and childbirth

The following documents will be required upon registration:

1) a written application for registration in connection with pregnancy, containing the following information:

• name and actual address of the medical organization that accepted the application;
• surname and initials of the head of the medical organization that accepted the application;
• citizen information:

surname, name, patronymic (if any);

date of birth;

Place of Birth;

citizenship;

data of the passport and compulsory medical insurance policy;

place of residence (address for providing medical care at home when a medical worker is called);

place of registration;

date of registration;

contact information;

• CHI policy number of a citizen;
• the name of the insurance medical organization chosen by the citizen;
• the name and actual address of the medical organization providing medical care, in which the citizen is being served at the time of application;

2) passport;

3) compulsory medical insurance policy (clause 5 of the Procedure, approved by Order of the Ministry of Health and Social Development of Russia dated April 26, 2012 N 406n);

4) a document confirming temporary registration upon registration at the place of stay. If there is no registration, then you can submit an apartment rental agreement.

Note. If you registered with a medical organization in the first 12 weeks of pregnancy and are eligible for maternity benefits, then you are entitled to a one-time allowance for registration in early pregnancy ( Art. Art. 6, 9 Law of May 19, 1995 N 81-FZ).

Pregnancy is not only morning sickness and knitting booties. It is also a responsible job. Of course, even in our time there are mothers who, in principle, do not get registered, but give birth at home, because “it used to be done that way”, completely forgetting about the mortality statistics among newborns and women in labor a hundred years ago.

As for sane women, they understand that today we have access to all the benefits of civilization, including blood tests and ultrasound. To refuse them is simply a sin. It is medical supervision that guarantees the birth of a healthy baby. So do not ignore women's advice!

How long does it take to apply for the first time?

1. Since at the very beginning of pregnancy all the important systems and organs of the baby are laid, the "waiting" must be very careful with medicines. Besides, it would be very nice if the doctor prescribes vitamins for her. He will choose them, having studied the analyzes and needs of the mother's body.
2. Pregnancy is a burden on the body, and the woman's immunity at this time "loses its vigilance", giving chronic diseases a chance to declare themselves loudly. And this is a danger to the child. In this position, it is better to be under the caring "wing" of medicine.
3. According to Russian laws, a working (officially!) woman who registers for up to 12 weeks receives a special payment.

Most often, a woman sees a delay, buys a pregnancy test, a second one, and when he confidently shows two strips, she goes to confirm her pregnancy to the gynecologist. Depending on her employment, she enters the LCD at 7 or 11 weeks. Then they put her on the record.

At an earlier date, it is not worth visiting the clinic. Firstly, the doctor will not deliver you before seven weeks, since not every pregnancy is saved at such an early stage (nature works here - if the fetus has a pathology, the body starts the miscarriage program). Secondly, many women themselves do not yet realize that they are pregnant.

Most women start an exchange at 12 weeks.

Where do you need to register?

Our mothers and older sisters went to their district clinic, where a local gynecologist is attached to your street. Opening your exchange card, directing you to tests, examining, measuring your belly, and in general, leading you to the very direction to the maternity hospital is his concern. If you are satisfied with the district doctor, you can go to him (many women do this, especially if the clinic is near the house - it is inconvenient to travel far with a belly).

However, modern Russian legislation allows you to choose any other clinic or any other doctor. Do you live in the city, but are registered in the village with your mother? City doctors have no right to refuse you. The main thing is to write an application addressed to the head or head physician, indicating in it the address of your residence, as well as the number of the insurance policy. At your service are also paid (private) clinics, medical centers and maternity hospitals, where they are also registered.

If you have moved or you simply do not like the clinic in which you immediately registered, you can change it. But do not forget to ask your former gynecologist for an extract.

An important point: having chosen a paid clinic, immediately ask if they will give you an exchange office, as well as maternity leave.

How to prepare for registration?

1. Find documents: a passport, as well as an insurance medical policy (without it, medical support is impossible, only an ambulance call). Don't worry if your passport is without a residence permit - since 2010 it has not been looked at.
2. You will be examined in a chair, so it is better to buy a disposable examination kit (check if it has gloves - if not, buy them).
3. A pen and notepad will also come in handy - here you will write down the names of the doctor and nurse, their phone number.
4. The first time you fill out a medical card, you will be asked about past illnesses, abortions, as well as illnesses of your relatives. Well, you can know everything about your grandparents, but ask your loved one or his mother about your husband’s relatives in advance. In addition, yours will be added to the map: weight, height, pressure.

Other data that will be entered into your card:

• How were your past pregnancies (if any), with all the details.
• Do you have children, how did you give birth, what was your height and weight, do they get sick.
• Your entire history: chronic illnesses, bad habits, whether you had toxoplasmosis, rubella, herpes, sexually transmitted diseases, whether you had any visits to a psychiatrist.
• Features of your monthly cycle, what kind of contraception do you use.
• All data about the husband: how old is he, do you know his blood type and Rhesus, are there any bad habits, hereditary diseases.
• In the case of relatives (yours and your husband), the doctor will be interested in whether one of them was sick: tuberculosis, diabetes, hypertension, cancer, genetic diseases.

Upon examination, the doctor will tell you about the condition of the cervix, vagina, measure the width of the pelvis, and take a smear of microflora. He can tell if you are definitely pregnant, and if so, what period you are now. He can also examine your breasts (by assessing the mammary glands), measure your pulse and pressure, assess the condition of the eyes and skin, as well as the lungs and heart.

At the end, he will tell you when you should visit the LCD for the next appointment.

And what will happen next?

All pregnant women are referred to other specialists, as well as to the laboratory. They need to pass and pass:

• analysis of feces and urine (general),
• urine for bakposev,
• blood from a finger (general analysis),
• blood from a vein (for biochemistry, blood type and Rh factor),
• blood for syphilis, HIV, hepatitis,
• blood for sugar, clotting,
• vaginal smear for TORCH infection, as well as microflora,
• the office of the therapist, ENT, endocrinologist, ophthalmologist and dentist (be sure to visit them - with a baby in your arms it will be very problematic for you to treat your teeth),
• ECG and ultrasound.

In public hospitals, all of these tests and examinations should be provided to you free of charge.

Sometimes doctors may refer you for additional tests or more specialized doctors.

As a rule, you will be sent to the laboratory after the first visit to the gynecologist, and on your second visit (in a week or two) you will come to him with ready-made tests. After looking at them, the gynecologist can prescribe vitamins and / or medicines that are safe in your position. However, there is a list of drugs that are prescribed for almost all pregnant women. These are: folic acid, multivitamins, iodine, calcium preparations (especially if the dentist noticed you have problems with your teeth).

If your pregnancy is going as expected, the gynecologist will wait for you once a month, and the dentist and therapist once every three months. Closer to childbirth (from 36 weeks), you should come to the gynecologist more often - every seven days, until the very birth.

In general, registration from year to year is becoming more and more convenient for "waiting". Of course, it is inconvenient for some future mothers to take time off from work several times a month to visit a gynecologist-dentist-therapist ... But let the authorities enter into your position - you are now pregnant, which means they have no right to refuse you ... And in the end, very soon you are on maternity leave, so think not about your career, but about your baby, for whose health timely tests are very important. So take care of yourself and everything will be fine!

The expectant mother, having learned about her “interesting situation”, must definitely visit a gynecologist in order to register with the antenatal clinic in order to start undergoing the necessary studies and monitor the course of pregnancy. Already at this stage, questions arise: how to register for pregnancy not at the place of registration or in general, attach to the antenatal clinic in another city, what is needed if you want to register with the chosen doctor, but the LCD does not record?

An excellent option on how to register for pregnancy without a residence permit would be pregnancy management in medical centers based at maternity hospitals. Here, for registration, you will need a compulsory medical insurance policy and a civil passport, and one obstetrician will monitor the pregnancy and take delivery.

Commercial medical centers can also observe pregnancy, but find out in advance whether this institution has permission to maintain and issue an exchange card, which is necessary upon admission to the maternity hospital, as well as sick leave.

When choosing a medical institution, take into account the fact that you will have to visit it at least 2 times a week, and if the choice fell on a consultation not by registration, take into account the time and material costs of travel.

Residential complex not at the place of residence

Registration and maintenance of women registered for pregnancy women's consultations (LC) are required to be carried out regardless of the place of residence, that is, there is a registration or you temporarily rent housing in another city - you must be served without fail and free of charge.

The legislation of the Russian Federation states that citizens have the opportunity to receive free medical care under the health insurance program throughout the country. The place and type of registration do not matter.

The problem is that the medical institution you want to contact is often not located at the place of residence. You have the right to apply to the selected medical institution by writing a written application with a request to be attached to the head. And do not swear with the registry staff, they are simply not authorized to resolve such situations.

You can register for pregnancy without a residence permit after the manager refuses to register you by sending a complaint to the health department indicating the article of violated laws.

LCD at the place of residence

When the place of registration coincides with the choice of the antenatal clinic at the place of residence, the problems described above disappear by themselves. How to find out the antenatal clinic at the place of residence? The quickest and easiest solution is to go to the local clinic and ask the receptionist for the address of the institution assigned to your registration. You can contact the local city health department, which stores information about all medical institutions in the city. And, of course, the Internet. Having entered the state portal, you should select your city, enter the address of registration and find out which site suits you. In addition, you can see the schedule of appointments with doctors and diagnostic rooms.

Documents for LCD

If you have decided on the choice of antenatal clinic, then it's time to collect the necessary documents. You will need:

• an application addressed to the head physician or head of the medical institution;
• copy of OMS;
• a copy of the insurance policy;
• copy of the passport;
• certificate confirming pregnancy (when registering in a consultation outside the place of residence).

If you do not have a residence permit, you can provide a copy of the rental agreement,