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 problems 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.

Pregnancy brings with it many new sensations: both pleasant ones from the life emerging inside and the happiness of motherhood, and unpleasant ones in the form of ailments and painful changes in the body. But in any case, the expectant mother needs the help of qualified medical personnel, from family general practitioners to a gynecologist observing the pregnant woman. In order to prevent negative phenomena and detect deviations in health status and possible threats in a timely manner, it is necessary to register.

Pregnancy registration: where and with which doctor should you be examined?

Now there is no need to choose a clinic where a pregnant woman will undergo routine examinations and consultations with a doctor solely according to her place of residence: the institution of registration no longer plays a role in choosing the place of observation. You can choose any of the clinics that you find reliable or that you trust thanks to recommendations.

If everything goes well, you can simply see a therapist for the first two to three months. He will prescribe the necessary tests and check your health status, advise on the correct sleep and nutrition regimen, new restrictions and the needs of the pregnant woman’s body. But still, if it is possible to be observed from a very early date by a specialist - an obstetrician-gynecologist, then it would be wiser to seek just such help.

When should you register for pregnancy?

Typically, registration occurs around 11-12 weeks of pregnancy, and people begin to think about the need to undergo such a procedure only at 7-9 weeks.

At first glance, the timing is quite long - this is due to the peculiarities of the development and growth of the fetus in the womb. By the third month of pregnancy, the fetus is already formed, its main internal organs are formed, it begins to develop and grow. This process is monitored by a gynecologist who is responsible for the normal development of the child and the absence of pathologies in growth.

In fact, the sooner the expectant mother realizes the need to examine the body and check the progress of pregnancy, the better. Every day of the first 12 weeks of fetal formation, an important event occurs - individual parts of the body are created, the formation of the main internal organs and their systems occurs: musculoskeletal, respiratory, cardiovascular, and so on.

In addition, if the pregnancy was not planned and the mother led (in the worst case, continues to lead) an unhealthy lifestyle, then she also needs to consult a doctor and undergo additional tests - since any negative impact on the pregnant woman’s body in the first weeks of fetal formation can have a negative impact on a child and cause severe chronic diseases or even disability. Any woman should understand and remember that she is registering not for the doctor, but for herself and the unborn child, general health and the prevention of complications during pregnancy, childbirth and the life of the child. Responsibility for the life and health of the baby lies primarily with the parents, and only then with the doctor.

Registration on time - that is, in the interval between 9 and 12 weeks of pregnancy - has its pleasant advantage - by contacting a doctor at this time, you can receive financial benefits from the state to help manage your pregnancy.

What to do if your period is late, there are all the signs of pregnancy, but the test is negative? Read.

What is needed to register and how does this happen?

To register, a pregnant woman can go to any antenatal clinic, where she should not only be examined and provided with all the necessary information, but also given the right to choose a doctor. Many consultations ask for a charitable contribution of up to 1000 rubles. Of course, the attitude towards those who donate this amount will be much more favorable, but officially this contribution is voluntary - that is, the woman has the full right to refuse to make it. You must have a passport or other identification document with you, if possible - a card from the clinic where the observation was carried out earlier or an extract from the card made by the attending physician: a woman herself may not be aware of many of the risks of diseases, but the gynecologist, when making an appointment accounting will have to take into account all the characteristics of the organism.

When registering, the gynecologist provides the patient with and helps to fill out an “Individual Card of the Pregnant and Mother in Childbirth” - all notes about past and current diseases, allergies, characteristics of the expectant mother’s body, and even information about common diseases in the family that can be inherited are entered there.

After the first visit to the gynecologist and registration, the pregnant woman is given a green A-4 format journal - the so-called “Exchange Card”, where all measurements and test results taken during the examinations will be recorded. You must have the exchange card with you during each visit to the clinic, visits to other doctors, and even during medical emergencies.

How are pregnancy records kept? Process nuances

Already at the first appointment with the doctor, as well as after receiving the results of the first tests, the gynecologist has the opportunity to clearly determine the risks of bearing a fetus and the course of pregnancy - if any. It also turns out whether the pregnant woman can continue to work, what loads are permissible for her and what are not, and in what conditions she should be.

Regular state-paid maternity leave can be taken after the 30th week of pregnancy. But if there are additional risks or a woman works in hazardous work, the doctor may recommend early leave on paid or unpaid maternity leave or transfer to another place of work.

At the first appointment, the doctor finds out how often tests will be needed and to what extent there is a need for additional examinations by individual specialists - dentist, ENT specialist, endocrinologist, therapist and others. The doctor is required to conduct a general examination and measure body weight and blood pressure. He checks the condition of the skin and mucous membranes, palpates the thyroid and mammary glands, takes the necessary measurements: the volume of the ankle, waist, hips, fingers. It may be necessary to conduct an obstetric examination.

What tests will need to be taken?

First of all, the following tests are prescribed:

• urine analysis to determine the presence of protein in it;
• urine culture for bacteria;
• blood to determine the group and Rh factor (if such examinations have not been carried out previously);
• analysis for the presence of syphilis infection and HIV infection;
• test for viral hepatitis B (HBsAg);
• cytology smear;
• blood test for the number of platelets (the state of the thickness of the walls of blood vessels) and for general parameters.

Not only the mother is examined: the child’s father must also be tested for blood type and Rh, and also undergo a fluorographic examination (to detect the risk of tuberculosis).

After receiving the first results and analyzing their readings, the doctor can detect abnormalities and prescribe additional types of examination to diagnose them. The following tests may be prescribed:

• smear on intestinal flora;
• analysis for the presence of Rh antibodies (if they do not match in the mother and father);
• if you suspect diabetes mellitus, undergo a two-hour glucose tolerance test.

Between the 11th and 13th weeks of pregnancy, the expectant mother is also required to undergo an ultrasound; after receiving the results, the doctor may prescribe a double biochemical test, which will make it possible to calculate the risk of congenital pathologies of the fetus, including chromosomal ones. This test is taken in a separate laboratory (while all others are taken in the antenatal clinic where the pregnant woman is registered) and an additional fee of 800 - 1500 rubles is usually charged for it, depending on the location of the test and its complexity.

An ultrasound will also be needed at 16-21 weeks, and possibly at 32-36 weeks of pregnancy.

The tests listed above are mandatory for all pregnant women, but the matter is by no means limited to them. Depending on the state of health and individual characteristics of the body, the doctor may prescribe other types of examinations.

Every pregnant woman looks forward to the moment when she can see her baby. Thanks to the widespread availability during pregnancy, it has become much easier for women to fulfill this desire.

Registration dates for pregnancy and deregistration

Keeping pregnancy records is by no means as long and problematic as it seems to many women, because you will need to visit the antenatal clinic you are a member of only 7-9 times. And the entire large list of tests can be completed without any problems in 2-3 days - so monitoring the pregnancy will not take too much time, and its benefits will be great. The last consultation visit occurs at 41 weeks of pregnancy, then the woman is sent to the maternity hospital and deregistered.

At 30-32 weeks, a maternity certificate and documents confirming the right to take sick leave during pregnancy and further receipt of state cash benefits are issued. If you are simultaneously being observed by another specialist (for example, a private doctor), then after these documents are issued you will be able to initiate the process of deregistration yourself.

If during pregnancy you have to move and change your place of residence, you will be deregistered from the current consultation and transferred to a new one - you will need to take all documents with you.

In total, throughout pregnancy you need to:

• sign up for an antenatal clinic at your place of residence;
• undergo diagnostics and tests;
• prepare documents for receiving financial assistance.

It’s not that difficult, and a good mood and the support of loved ones will help you cope with it.

Maternity benefits are available to women who have given birth and women who have adopted a child under 3 months of age who:

• are subject to compulsory social insurance in case of temporary disability and in connection with maternity, that is, they work;
• study full-time;
• perform military service under a contract, serve in internal affairs bodies, national guard troops, in the Ministry of Emergency Situations, in institutions and bodies of the penal system, in customs authorities.

Maternity benefits are paid for Maternity leave lasts 70 (in case of multiple pregnancy - 84) calendar days before childbirth and 70 (in case of complicated childbirth - 86, in case of birth of two or more children - 110) calendar days after childbirth.

When adopting a child (children) under the age of 3 months, the benefit is paid from the date of adoption until the expiration of 70 (in the case of simultaneous adoption of two or more children - 110) calendar days from the date of birth of the child.

">maternity leave period. Insured women An insured woman with an insurance period of less than 6 months is paid a maternity benefit in an amount not exceeding the minimum wage established in her region, taking into account the regional coefficient.">with rare exceptions it is paid in the amount of 100% of average earnings, for employees - in the amount of allowance, for students - in the amount of scholarships. However, the benefit cannot exceed a certain amount. You can check the current restrictions on the website of the Moscow regional branch of the Social Insurance Fund of the Russian Federation.

The benefit is paid at the place of work, service or study. To receive it you need to present:

• certificate of incapacity for work;
• for registration at the place of service or study - a certificate from a medical organization.

In cases:

• transferring the husband to work in another area, moving to the husband’s place of residence;
• illness that prevents you from continuing to work or live in a given area (in accordance with a medical certificate issued in the prescribed manner);
• the need to care for sick family members (if there is a conclusion from a medical organization about the sick family member’s need for constant outside care) or disabled people of group I.

">in some cases, maternity benefits are also assigned and paid at the last place of work or service, when maternity leave began within a month after dismissal.

3. How can women who register before 12 weeks of pregnancy receive benefits?

Payment is provided only together with maternity benefits. If sick leave is not paid, then this benefit is also not provided.

The only additional document required to receive this payment is a certificate from the antenatal clinic or other medical organization that registered the woman in the early stages of pregnancy.

A woman’s citizenship and place of residence do not affect her right to receive payments.

Women dismissed due to the liquidation of an organization or cessation of activity by an individual employer, within 12 months preceding the day they were recognized as unemployed in the prescribed manner, receive benefits in .

To exclude the development of fetal pathologies from the first weeks of pregnancy, it is necessary to see a doctor as early as possible.

Once pregnant, a woman usually feels this even before her menstrual cycle begins. However, they still do not give a positive result. Signs of pregnancy are not yet enough for the gynecologist to accurately determine what is happening to the woman’s body.

Weeks 1 to 7

During the period 1-4 weeks of pregnancy The uterus visually remains practically unchanged, so the gynecologist can attribute a delay in menstruation to other reasons: stress or hormonal imbalance.

An ultrasound examination can detect pregnancy at very early stages, when the gynecologist cannot yet say anything. But is it fundamentally important to diagnose pregnancy in the first weeks?

The point is that period 1-7 weeks of pregnancy- this is the time when there is a high probability of spontaneous. Moreover, at such a short period of time it is unlikely that assistance will be provided in maintaining the pregnancy.

After the first visit to the gynecologist, the woman is given a whole a number of referrals for tests and general medical examination.

Based on the first examination, the doctor will make a conclusion about how likely complications will occur during pregnancy, and will also determine a more accurate due date and approximate date of birth.

Usually a pregnant woman is prescribed taking vitamin and mineral complexes to prevent disturbances in fetal development.

The state encourages pregnancy registration in the early stages of pregnancy(up to 12 weeks) and promises payment of a one-time cash benefit. Moreover, some can be issued completely free of charge.

The benefit since 2012 has been more than 400 rubles. The amount is not impressive, but it may well be enough to purchase the necessary medications for a normal pregnancy.

If all is not well

When a woman tries to get pregnant for a long time, and she doesn’t succeed, or constant miscarriages occur, then registration is desirable from the appearance of the first signs of pregnancy.

Of course, ideally you should see your doctor very early in your pregnancy. He will advise you to carry out the necessary tests, select vitamins or make any individual prescriptions. Although it is not a disease, its progress should be monitored from the very beginning.

You will be directly registered no earlier than seven to eight obstetric weeks (calculated from the date of the start of your last menstruation). For more (up to 6-7 weeks) there is a high probability of miscarriages and missed pregnancies. You can, of course, go to a dozen doctors, take a bunch of tests and suddenly find out that the fetus is not viable.

When you first visit your doctor, you will most likely be asked to take a blood test for the pregnancy hormone hCG and perform an ultrasound. These tests will more accurately determine the presence or absence of pregnancy and its duration. Among other things, an ultrasound will help check whether it is uterine and whether there are any pathologies. The doctor will conduct a general examination, prescribe tests for the presence of sexually transmitted infections, make a prognosis and inform you about what to eat, what physical activity is acceptable, what you can do, and what it is better to abstain from.

When you register, you will have your first screening ultrasound. It will identify the absence or presence of possible genetic abnormalities in the fetus and help predict the course of pregnancy.

Some women think that the later they register, the better. Fortunately, there are enough programs on the Internet that can determine the exact date of birth and various information for. However, only an experienced doctor can seriously examine the mother and child, carefully understand the test results and the exact indicators of the genetic test. Therefore, every pregnant woman simply needs a medical curator, whose role can be performed by either an obstetrician-gynecologist or a local gynecologist.

In addition, it is the government institutions with which you are registered that will issue you a sick leave certificate intended for registration of prenatal leave, as well as maternity leave. In addition, they are required to issue a birth certificate, which will need to be presented.

Tip 2: How to register for pregnancy in another city

It is a wonderful, but also important and responsible period in the life of every woman. Pregnancy is not a disease, but medical supervision is necessary during this time. If a woman is registered in one city and moves to another, then she has every right to register for pregnancy there too.

You will need

• - passport (copy);
• - medical insurance (compulsory medical insurance);
• - pension certificate (copy);
• - certificate of registration (registration);
• - marriage certificate (copy);
• - documents confirming pregnancy.

Instructions

Choose a consultation that will be more convenient for you to register. Near where you live, for example, or near work. If she is a citizen of Russia, then she has the right to be observed in every antenatal clinic in her own. In addition, she has the right to elect anyone who works in this consultation.

Make an appointment with your doctor. There is no point in postponing your first visit until a later date. Since registration with a doctor will help to timely detect an emerging problem and take all necessary measures to successfully eliminate it.

Get directions from your gynecologist for ultrasound, tests and referrals for consultation with other specialists. When you complete all the appointments, present the results to your doctor, he will determine the due date. and will create a personal card. The date of registration of this card will be the time of registration for pregnancy.

Get a certificate from your gynecologist stating that you are registered (even before the onset of 12 weeks of pregnancy). Such a document allows you to issue a benefit (one-time). If the gestation period is more than 12, then this benefit will not be paid.

Please note

Make sure that the compulsory medical insurance policy has not expired, otherwise medical services will be paid for.

Useful advice

Every woman has the right to choose the place where she will give birth or be observed. If the clinic refuses, it is illegal. File a complaint with the appropriate authorities - the health department in your area.

Tip 3: How and when to register for pregnancy in 2017

After the test shows two lines, the woman should register with the antenatal clinic within a few weeks. To carry out all necessary research in a timely manner.

You will need

• - passport;
• - Compulsory medical insurance policy.

Instructions

Select the antenatal clinic where you would like to manage your pregnancy. It is not necessary to register with the medical institution to which you must be assigned. You can also be observed at your actual location. By law, you are required to provide services in any state specialized institution in Russia, but in practice problems may arise if you want to attach to a antenatal clinic in an area in which you are not registered and do not live.

Consider when is the best time for you to register for pregnancy. If you plan to carry out all planned tests and studies, you should join the selected antenatal clinic no later than the 10th week of pregnancy, since the first planned ultrasound in the antenatal clinic is carried out at 10-12 weeks, and registration for an ultrasound usually occurs 1-2 weeks in advance . However, if something bothers you, you feel nagging pain in the lower abdomen or you start bleeding, consult a specialist immediately. To rule out an ectopic pregnancy, you can register for pregnancy and have an ultrasound done at 5-6 weeks. An experienced doctor, even with a routine examination, will be able to determine whether the fetus is in the uterine cavity, and an ultrasound examination will show the baby and allow him to check his heartbeat.

Join the antenatal clinic. To do this, you will need to present a compulsory health insurance policy, as well as your passport. Most institutions also ask for copies of these documents. At the reception you will be asked to write an application addressed to the head doctor of the antenatal clinic with a request for attachment. After this, you will be issued a regular outpatient card and referred to a gynecologist. When the doctor confirms that you are expecting a baby, they will also create a special card for you, where all the information about how your pregnancy is progressing will be entered. If you have previously been seen in another antenatal clinic, it is advisable to disconnect from it and take your outpatient card or extract from it. In the future, to receive a birth certificate, you will also be asked to present SNILS, so you can immediately bring this document or start processing it if you do not have it.