Where to register. Registration for pregnancy

When is the best time to register for pregnancy?

At what gestational age you need to register with a gynecologist - this question is very important. For some, pregnancy is long-awaited and desired, for someone it comes very unexpectedly. But in all cases, at the moment of discovering a special situation, a woman bears a huge responsibility for bearing and giving birth to a healthy, full-fledged child.

Of course, the first assistants to us in this are doctors. And it is to the specialists of the antenatal clinic that you should contact for the management of pregnancy. Many, especially those who have encountered this for the first time, are concerned about the question of when, according to the law, it is necessary to register for pregnancy at the antenatal clinic. There is no doubt that it needs to be done. Without visiting specialists, you will not receive an exchange card and a birth certificate. Which, in turn, are a kind of pass to the maternity hospital.

And yet, when is the best time to register with a doctor for observation? The optimal time for registering a pregnant woman is 8-10 weeks. Prior to this, there is a high probability of termination of pregnancy - spontaneous miscarriage. No one wants to go through all the tests, various medical examinations and eventually find out that everything is in vain.

On the other hand, according to some doctors, the sooner the expectant mother is examined, the more likely it is to keep the pregnancy and endure healthy baby. Therefore, if you apply at earlier dates, then, of course, you should be accepted. At a minimum, they consult a doctor to get confirmation of the onset of pregnancy.

The fact that the conception happened, first of all, is indicated by the absence of menstruation at the usual time. Next, usually modern women turn to test strips that are sensitive to changes in the level of hCG, which increases during fertilization and the development of pregnancy. If the result is positive, then you can go to the doctor.

And you can wait the recommended 8 weeks. The gestational age must be calculated on the first day of the last menstruation. It's not difficult at all. Of course, if you keep a women's calendar. There is no need to remember the date of sexual intercourse.

By law, you can contact any antenatal clinic. But it is advisable to register with the one to which you belong at the place of residence. After all, this way you will get a huge plus - the doctors will be next to your house. At the first visit, you will need a passport, insurance policy and SNILS.

During your visit, the doctor will examine you and give you directions for various tests. Based on the results, a pregnancy management plan will be drawn up. Regular medical supervision and reasonable implementation of the recommendation is necessary for good health future mother and baby.

And when registering for up to 12 weeks, you will receive a small bonus in the form of a lump sum of just over 500 rubles. Not capital, of course, but nice. Moreover, you probably would have turned to doctors anyway in order to be calm for your offspring.

Despite the fact that enough attention is paid to the problems of monitoring pregnancy in our country, practice shows that many expectant mothers are not fully informed about the peculiarities of this moment. How long does it take to register and what tests should be done for this? Which is better: a state antenatal clinic, a medical center at a maternity hospital or a private clinic? The answers to these and other questions are in our article.

Where to register?

The choice of a place primarily depends on the preferences of the expectant mother and her financial capabilities. The most common option is free observation at the antenatal clinic at the place of registration or actual residence. In this case, for registration, you must present a passport and a policy of compulsory medical insurance. Remember that in the absence of the last document, you can only count on emergency medical care. Patients in the antenatal clinic, as a rule, are observed by a doctor assigned to a specific area. However, keep in mind that you have the right to choose any OB/GYN at this facility.

Pregnancy registration is preferable in the antenatal clinic in which you were observed earlier - unlike a new place, all data on your health is already there, the results of examinations are stored, etc., which means that the likelihood that some diseases will go unnoticed, significantly reduced. However, it is worth considering the territorial location of the medical center: it is good if it is convenient to get to it. When it is impossible to combine both requirements, choose a consultation that is closer, having previously taken an extract on past illnesses and operations.

Pregnancy management is also possible in paid medical centers, and there are much more options here: you choose a clinic, a specialist, a contract with a certain set of services provided, and conclude a contract that has legal force. The cost of observation varies significantly and depends on the volume of examinations, medical consultations, gestational age and other factors.

Be sure to check if the institution you want to register with has permission to issue an exchange card (not to be confused with a license for certain types of obstetric medical services, which does not grant such rights). An exchange card is a document that records the results of all examinations carried out during pregnancy; it is necessary for admission to the maternity hospital. A woman who does not have one can only be admitted to the observational department of the maternity hospital, where unexamined patients and pregnant women with various infectious diseases. Exchange cards are issued on hand after the 28th week of gestation.

It is also worth finding out whether a commercial medical center provides its clients with disability certificates for pregnancy and childbirth (in other words, whether you will be issued sick leave and maternity leave). Otherwise, the procedure for communicating with medical staff will be based on a scheme similar to the state antenatal clinic.

The last option is the observation of a pregnant woman in a medical center at the maternity hospital. The advantage of this choice will be the possibility of conducting pregnancy and childbirth by one specialist.

Deadline for pregnancy registration

It is necessary to register with an obstetrician-gynecologist for up to 12 weeks. Early attendance at the antenatal clinic allows timely diagnosis and treatment possible complications pregnancy, which is the key to successful gestation and birth healthy child. Moreover, contacting a specialist in the first trimester allows you to accurately determine the duration of pregnancy and the expected date of birth.

Expectant mothers who managed to "surrender" to the doctor on time will receive a small and pleasant surprise from the state - a one-time cash benefit. However, at a very early date, registration for pregnancy does not make sense. Up to 5-6 weeks, there is a high probability of spontaneous miscarriage or the development of a missed pregnancy. After passing numerous examinations and passing tests, it will be at least a shame to find out that all the work has been done in vain, so you should not run to the clinic before the 8th week of gestation. Please note that we are guided by the obstetric calendar, in which the countdown is not from the moment of conception, but from the day the last menstruation began. In other words, when the test shows a positive result, the obstetric period will already be 4 weeks.

Tests for pregnancy registration

At the first appointment, the doctor will ask you about everything related to your health, weigh you, measure your pelvis, examine you in the gynecological chair and take a swab from the vagina. The information obtained will be needed in order to determine the scheme of pregnancy management and suggest how childbirth can be complicated.

Before you go to the antenatal clinic, make a rough list of questions for yourself to discuss all the points of interest with your doctor. Usually the gynecologist gives recommendations on balanced diet, vitamins and drugs that need to be taken, writes out directions for examinations and consultations. 5 out of 5 (2 votes)

The health of the newborn is largely dependent on the health and condition of the mother, so it is important to ensure constant monitoring of the health of the woman and the development of the fetus. The sooner you find yourself under the constant supervision of doctors, the more likely it is that pregnancy will give you only pleasure, childbirth will be easy, and the baby will be born strong and healthy. In this article, you will learn how and when to register for pregnancy.

Do I need to register for pregnancy?

Ignoring pregnancy records is not recommended, because it is the key to the well-being of the mother and the life of the child in the womb. If a pregnant woman has serious diseases, then they can negatively affect the well-being and viability of the crumbs developing in the abdomen, especially in the first trimester, when all organs and systems are formed in the embryo. Only a timely medical examination can save the embryo from pathologies and save the pregnancy. The doctor diagnoses the patient and predicts the course of pregnancy, focusing on the results of the following laboratory tests:

• determination of the Rh factor in the blood;
• detection of the presence or absence of syphilis, immunodeficiency virus, hepatitis;
• cervical smear;
• urine culture for the presence of pathogenic bacteria;
• clinical blood and urine tests;
• ultrasonic monitoring.

During the bearing of a child, the expectant mother is also obliged to visit such doctors as an endocrinologist, ENT doctor, dentist, ophthalmologist, therapist.

In addition, screening is mandatory during the bearing of the baby. This name implies a study of the risks of the formation of various pathologies in a child. There are several types of screening: perinatal and prenatal. For the entire period of bearing a child, three planned screenings are carried out. The first screening is performed at 11-14 weeks of gestation.

When to register for pregnancy

Many nulliparous women do not know when to register for pregnancy. best term- from the seventh to the twelfth week. Speaking exactly when to register during pregnancy, then the most optimal time is 11 weeks. It was during this period that the first ultrasound was performed.

It should be noted that for a period of 4-8 weeks there is a possibility of developing an ectopic pregnancy. At very early dates, doctors do not recommend registering for pregnancy, due to a possible termination of pregnancy, but a blood test for hCG after positive test surrender is desirable.

How to register for pregnancy

To register during pregnancy, you need to prepare a personal passport, a compulsory health insurance policy. In the absence of a compulsory medical insurance policy, you can only be provided with emergency assistance, which does not imply full-fledged medical support.

Some (especially municipal) clinics require you to present a document with a residence permit. However, it must be borne in mind that in 2010 this requirement was abolished by order of the Department of Health.

Prepare properly for your first appointment. Collect information in advance about the health of your relatives, relatives of your husband (the future father of the child), remember or specify what infectious diseases you had, what vaccinations you received in childhood. Write down all the information, as well as questions that concern you that you consider necessary to find out.

During the first visit, you will be issued an exchange card, in which the doctor will regularly enter your current indicators, test results. With this card you will go to the hospital. In its absence, you will be able to be placed only in the observational department of the maternity hospital, along with patients who have not been examined and are sick with infectious diseases.

Also included in the exchange card information:

1. number of pregnancies: how many, when, duration, outcome, complications;
2. information about children from previous pregnancies: indicators at birth, developmental features;
3. you will also need information about the diseases you have suffered: rubella, toxoplasmosis, herpes and other infectious and viral diseases, including those transmitted sexually, about chronic diseases of the endocrine, genitourinary system, nervous system, availability bad habits and other adverse effects on your body;
4. information about your menstrual cycle, on the use of contraceptives;
5. information about the future father of your child: age, blood type and Rh factor, heredity, bad habits;
6. information about relatives: the presence of genetic problems, severe hereditary diseases, such as diabetes, tuberculosis, hypertension, oncological diseases.

It is important to provide all the information as completely and accurately as possible, this will help your obstetrician do everything possible to prevent complications of pregnancy and childbirth.

To confirm the presence of pregnancy and determine its duration, the doctor will necessarily conduct an examination on the armchair, check the condition internal organs responsible for the process of childbearing, the mammary glands, will take the necessary tests, also measure the pressure, pulse, listen to the heartbeat, assess the condition of the lungs and thyroid gland. Provides advice on proper nutrition, taking vitamins and other drugs, will give directions for research and examination by specialists.

In addition to the studies already mentioned, each pregnant woman will have to undergo regular examinations by other specialists.

Options for registering for pregnancy

You can choose the observation option both in a free antenatal clinic near your home, and in any of the medical centers that provide paid pregnancy support services.

Observation in a free consultation has a number of advantages:

• All services, including a wide range of necessary analyzes and studies, are provided free of charge.
• You can also get some of the medicines (vitamins, iron-containing drugs, folic acid) for free.
• Municipal antenatal clinics issue sheets of temporary disability, birth certificates.
• Women's consultations are available at each district clinic, and it is not difficult to choose the one closest to your place of residence.
• If you have previously been observed in your district clinic, and in the future you will be registered with the antenatal clinic based on the same clinic, then all information about your health status, previous diseases, tests and examinations made will easily become available to your doctor in consultation. This will ensure the continuity and consistency of medical supervision and assistance.
• If you are not satisfied with the doctor attached to your site, the CHI policy makes it possible to change the doctor. All you have to do is submit an application to the head physician.
• It is not necessary to register at the place of residence (registration). Having a compulsory medical insurance policy, you can register during pregnancy at any antenatal clinic that is convenient for you geographically.

The disadvantages of seeing a free clinic most often include long queues, insufficient time devoted to the pregnant woman, and rather unpresentable appearance medical institution.

It is best to register during pregnancy in the antenatal clinic that you attended over the past years, as this will eliminate violations of the continuity of medical supervision. Since this antenatal clinic already contains all the information about your state of health, diagnoses are noted and the results of the tests are present. The new location does not have this information, so a number of diagnoses may be ignored. You should also pay attention to the location of the consultation: it is desirable that it can be easily reached. If it is impossible to combine these requirements, then in your former antenatal clinic you need to take extracts from all diseases and surgical interventions.

There are situations when a woman is registered in one part of the city, but lives in a completely different place. In such cases, observation at the place of residence is allowed. In most cases, a woman is seen by an obstetrician-gynecologist who is attached to a specific area. But you need to know the fact that you have the right to visit any of the obstetrician-gynecologists working in this antenatal clinic. If there were any conflict situations with the attending physician, then it can be replaced.

If you do decide to opt for paid surveillance, there are a few things you need to know. key points. Does this medical institution have a license to issue a birth certificate and an exchange card? Does the clinic have the right to issue sick leave? This becomes especially important when the term of maternity leave is approaching. It is the sick leave that will become the document according to which maternity payments will be made to you.

Observation in a paid polyclinic has several main advantages: the attitude to the patient's health is much more attentive, the amount of time is given, which is quite enough to discuss the most important issues, the interior design of the institution is simply pleasing to the eye. The cost of concluding a contract with this institution varies depending on the services chosen, the level and location of the organization.

The third option for monitoring, which can be both paid and free, is monitoring at a medical center based on a maternity hospital. Additional advantages of this option include observation during pregnancy and the subsequent delivery by the same obstetrician.

Frequency of doctor visits during follow-up

After the initial examination by a gynecologist or obstetrician, a pregnant woman should come for examinations every month. For the entire time of bearing a child, the therapist and dentist must examine the woman three times. The ophthalmologist performs the examination at least twice, the same number of times the otorhinolaryngologist conducts the examination. The rest of the doctors carry out examinations only when necessary. In addition, if there is a need, then a woman can be examined by any of these doctors more times than prescribed by the norm.

It would not be an exaggeration to say that being pregnant is a whole science. The expectant mother often requires such practical knowledge and skills that she had no idea about before. Our article will help you find the answer to key questions: where to register for pregnancy and for how long. Timely registration for pregnancy will help to avoid complications, endure and give birth to a healthy baby.

Where to register for pregnancy?

First of all, the expectant mother needs to register for pregnancy with an obstetrician-gynecologist. Where to register for pregnancy: in a antenatal clinic, a commercial medical center, in a medical center at a maternity hospital - it's up to you. It all depends on your preferences and financial capabilities.

You can register for pregnancy for free at the antenatal clinic at the place of registration or at the place of actual residence, regardless of registration. To register for pregnancy in the antenatal clinic, you must present a passport and a policy of compulsory medical insurance. The presence of a policy, regardless of the place of its issue, allows the patient to present it at any antenatal clinic or maternity hospital, where it must be recognized as valid - this ensures one system compulsory health insurance. There are regulations confirming the right to public health care regardless of the place of residence. If you do not have a policy, you will only receive emergency medical care.

It is better to register for pregnancy in the antenatal clinic in which you have been observed for several years, so as not to disrupt the continuity of medical supervision. After all, there is all the data about your health, diagnoses, results of examinations, treatment, etc. are recorded. In the new place, all this is absent, so some diseases go unnoticed. It is necessary to focus on the place of observation: it is good if it is convenient to get to the consultation. If it is impossible to combine these two requirements, then in the antenatal clinic, where you were observed earlier, you can take an extract from previous diseases, operations.

It happens that a woman is registered (registered) in one area of ​​the city, but lives in another area. In this case, you can register for pregnancy at the place of residence. As a rule, patients in the antenatal clinic are observed by an obstetrician-gynecologist assigned to a certain area. But it should be borne in mind that you have the right to choose any obstetrician-gynecologist working in this antenatal clinic. If for one reason or another you did not get along with the doctor, then you can change the attending physician.

It is also possible to observe pregnancy in commercial medical centers. There are many options here - both the centers themselves and the range of services provided. You choose a center (be sure to find out the reviews of those who have already been observed there), a specialist, a contract, and conclude a contract that has legal force. The cost of contracts is different: from 10 to 60 thousand rubles - it all depends on the volume of examinations, consultations of doctors, the duration of pregnancy, etc. You should definitely find out if the medical center where you are going to be observed has permission to issue an exchange card, because even the presence a license for some types of obstetric care is not a guarantee of such authorization. Meanwhile, an exchange card is a document where the results of all examinations carried out during pregnancy are recorded, and it is necessary for admission to the maternity hospital. A woman receives an exchange card in her hands after the 28th week of pregnancy. Check if the commercial medical center issues sick leave certificates for pregnancy and childbirth to its clients (in other words, is it possible to get sick leave and maternity leave there). The order of communication with an obstetrician-gynecologist will be built according to a scheme similar to women's consultation.

Another option for pregnancy registration is observation at the medical center at the maternity hospital; its advantage is the possibility of conducting pregnancy and childbirth by one obstetrician-gynecologist.

Required documents for pregnancy registration

The compulsory medical insurance policy is a document that gives the right to receive free medical care in all state medical institutions of the Russian Federation, regardless of the place of issue of the policy and the place of residence of the patient. This right is reserved federal law dated November 29, 2010 No. 326-FZ “On compulsory medical insurance in Russian Federation". The volume of services under this policy is provided for by the basic program of compulsory medical insurance. In the absence of a CHI policy, the patient has the right to receive only emergency medical care.

To register for pregnancy, you must write an application addressed to the head of the antenatal clinic on registration and attach to it Required documents.

Women's clinics work according to the district principle, that is, a certain area is assigned to each doctor. As a rule, a pregnant woman is attached to an obstetrician-gynecologist, who leads the area to which the place of residence of the expectant mother belongs. But, as we have already said, a woman can choose a doctor on her own (with the consent of the doctor), as well as change the obstetrician-gynecologist in the absence of mutual understanding with him. The change of the obstetrician-gynecologist leading the pregnancy is made with the consent of the head of the medical institution, in whose name the application is also written in this case.

Documents of the expectant mother

• One of the main documents issued to a pregnant woman in a antenatal clinic is an exchange card. It contains basic information about the course of pregnancy, necessary for the implementation of continuity between medical institutions. An exchange card is issued at 22–23 weeks of pregnancy. The expectant mother should always have it with her in case of emergency seeking medical help. At each subsequent visit to the antenatal clinic, you must bring an exchange card with you to record the data of examinations and research results. If there is no exchange card, the pregnant woman is assisted in the observation department of the maternity hospital, where incompletely examined or infected women are hospitalized.
• A disability certificate (prenatal and postnatal leave) is issued by an obstetrician-gynecologist in charge of pregnancy at 30 weeks of pregnancy at a time for 140 calendar days (70 calendar days before delivery and 70 calendar days after delivery). In case of multiple pregnancy, a disability certificate is issued at 28 weeks of pregnancy for 194 calendar days (84 calendar days before delivery and 110 calendar days after delivery).
• In addition, in the event of disability before the start of maternity leave (for example, the threat of termination of pregnancy), the obstetrician-gynecologist of the antenatal clinic also issues sick leaves to the expectant mother.

Deadline for pregnancy registration: the sooner the better?

It is advisable to register with the antenatal clinic from the early stages of pregnancy (up to 12 weeks), immediately after the fact of pregnancy is established. If pregnancy is suspected, in any case, you should consult an obstetrician-gynecologist, who will determine its term. Also, the doctor will give recommendations on further behavior and explain when it is better to register. Optimal time for registration for pregnancy - 5-6 weeks of pregnancy. Observation from early pregnancy allows the obstetrician-gynecologist to get the most objective and complete picture of the woman's health. If any deviations from the normal course of pregnancy occur, early registration allows them to be diagnosed in a timely manner and provide the necessary medical care.

Currently, there are tests to diagnose fetal chromosomal abnormalities. And one of them (double test) is carried out exactly at 10-14 weeks of pregnancy. Thus, when applying to more late dates You may be late with this test. This test is reliable only when it is performed at certain times of pregnancy: a double test at 10–14 weeks, a triple test at 16–20 weeks. At a later date, they are not fulfilled. This is explained by several reasons.

Firstly, at these terms, if fetal malformations are detected, a relatively safe termination of pregnancy is still possible.

Secondly, it is in the period of 10–14 weeks of pregnancy that an increase in blood biochemical parameters can be correlated with a thickening of the fetal collar space, detected during ultrasound. In later periods, thickening of the collar space is no longer observed.

Thirdly, it is in the period of 16–20 weeks that the most reliable and pronounced increase in biochemical parameters is observed in fetal malformations.

An important role is played by ultrasound of the fetus, performed in the early stages of pregnancy, the period of 5-6 weeks of pregnancy is optimal. A woman is sent for an ultrasound at the first visit to a medical institution in case of suspicion of pregnancy. This allows you to establish the fact of a uterine pregnancy, excluding an ectopic one, confirm the presence of a fetal heartbeat, diagnose a multiple pregnancy, increase the tone of the uterus, etc. An important point is the measurement of body weight at the beginning of pregnancy to assess the overall weight gain over the entire period of expectation of the baby. This increase should not exceed 10-12 kg. An increase in body weight greater than this value is pathological, most often indicates the presence of edema and requires medical correction. If a woman registers for pregnancy at a later date, it is sometimes difficult to assess weight gain, and therefore determine further pregnancy management tactics.

In addition, women who are registered in the early stages of pregnancy are issued a certificate at the antenatal clinic, according to which the state pays a one-time allowance for pregnancy and childbirth.

Getting registered for pregnancy: the first appointment at the antenatal clinic

During the first appointment, the obstetrician-gynecologist finds out the state of health of the pregnant woman, asks about previous diseases and operations, the presence of chronic diseases, the course of previous pregnancies and childbirth, the presence of occupational hazards. In addition, he asks questions about the state of health of the father of the child and the next of kin.

The next step is an examination on a gynecological chair, which allows you to assess the compliance of the size of the uterus with the expected gestational age, its excitability, as well as the condition of the cervix and its appendages. In addition, during the examination on the chair are evaluated and inner dimensions pelvis. Be sure to take a smear from the vagina on the flora.

At the end of the examination, the obstetrician-gynecologist makes a conclusion about the presence of risk factors and draws up a pregnancy management plan, gives the expectant mother recommendations on the daily routine and rational nutrition. Vitamins are prescribed, and if necessary - medications. A pregnant woman is given referrals for examinations, which include a general clinical blood test, determination of the blood group and Rh factor, a blood test for HIV, syphilis, viral hepatitis B and C, a biochemical blood test, and a general clinical urinalysis. In addition, an ultrasound of the fetus is mandatory. The expectant mother also receives referrals to specialists: a general practitioner, an otorhinolaryngologist, a dentist and an ophthalmologist.

A second visit is scheduled in 7-10 days with the results of the tests, the conclusion of the therapist and other specialists. In the future, in the first half of pregnancy (up to 20 weeks), the expectant mother visits a doctor once a month, after 20 weeks of pregnancy - 2 times a month, after 32 weeks of pregnancy - 3-4 times a month.

There is a standard for medical examinations during pregnancy, which are free of charge. This general analyzes blood tests (blood is taken from a finger), biochemical blood tests (blood is taken from a vein), blood tests for HIV, hepatitis B, syphilis, general urinalysis, vaginal swabs, ultrasound examinations, consultations with a dentist, ophthalmologist, therapist. In the presence of chronic diseases of the mother, additional examinations and consultations may be necessary. If you need to do tests that are not included in the standard, then they will have to be carried out for a fee. In most medical institutions, it is customary to skip pregnant women out of turn, so correctly indicate to the rest of the patients your position.

Before you meet with your OB/GYN, you can make a rough list of questions to ask yourself so you don't forget anything and discuss all the details that interest you. If the doctor of the antenatal clinic detects significant deviations during pregnancy, it is always possible to refer the patient for a consultation to a larger medical center. For example, if such a consultation is located in the Moscow region, then the patient may be sent for examination to the Moscow Regional Research Institute of Obstetrics and Gynecology.

If a pregnant woman has concomitant chronic diseases or complications of pregnancy, additional consultations of specialists and examinations are prescribed. A referral to obstetric and gynecological centers of a higher level is possible.

Observation in the antenatal clinic continues until the end of pregnancy, that is, until childbirth.

Registration for pregnancy: commercial medical centers

An alternative to antenatal clinics are commercial medical centers, where pregnancy management is also possible. These facilities usually offer pregnancy management contracts that include all necessary medical services. The cost of these contracts depends on the volume of services provided. Observation of a pregnant woman by an obstetrician-gynecologist begins from the moment the contract is concluded and usually takes place until the 36th week of pregnancy, after which the pregnant woman continues to be observed by the doctor in charge of childbirth. When choosing a commercial medical center for the purpose of conducting pregnancy, you should definitely ask if this medical institution has permission to issue exchange cards and sick leave. In other words, whether maternity leave will be issued in the prescribed manner and an exchange card will be issued. The frequency of visits to the obstetrician-gynecologist and the volume of examinations in the commercial medical center will be based on the same principle as in the antenatal clinic.

In paid medical centers, admission and all examinations (including ultrasound) are carried out by appointment. The patient arrives at the appointed time, and this allows you not to waste time waiting in line. Also an important aspect is round-the-clock communication with the doctor leading the pregnancy. This service is provided in many commercial medical centers. Typically, such institutions have a convenient work schedule, patients can be received and tests can be carried out on weekends and holidays which is convenient for working patients. The research deadlines are minimal.

Most commercial medical centers have their own round-the-clock or day hospital with a comfortable, cozy atmosphere, single or double rooms. Psychologists work in many centers. There are no fundamental differences in the tactics of medical supervision and treatment methods between commercial medical centers and state women's consultations, since the standards of care are the same.

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 carry this important document, since in case of a sudden need, without this paper, a woman will not be accepted into the maternity hospital.

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, about possible diseases already 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 on whole line 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 assigned during 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.