Pregnancy and childbirth under compulsory medical insurance: tests, examinations, a bag to the hospital

Pregnancy is a wonderful period in the life of every woman. Expectant mothers approach this issue with all responsibility and want to know in advance when to go to the doctor, when to do an ultrasound scan, how long to go on maternity leave, and, finally, what to take to the hospital for themselves and their baby.

Information on the management of pregnancy can be found in various sources, and sometimes it is even too much. To help expectant mothers, specialists “SOGAZ-Med » collected the most up-to-date information about examinations during pregnancy, necessary procedures and documents for mother and child.

SOGAZ-Med employees remind that the policy of compulsory medical insurance (MHI) is valid throughout the entire territory of the Russian Federation. Medical care within the framework of the basic compulsory medical insurance program, which includes monitoring of pregnancy, delivery and examinations in the postpartum period, as well as (if necessary) hospitalization in a gynecological hospital (up to 22 weeks of pregnancy) or in the pregnancy pathology department of a maternity hospital (after 22 weeks) , throughout Russia is free.

If a woman goes to a maternity hospital outside the registration area and she has medical indications for hospitalization (for example, the threat of termination of pregnancy, childbirth, etc.), then the refusal to provide her with medical care is unlawful, as well as the requirement to pay for any medical services …

In addition to financing from the compulsory medical insurance system, the management of pregnancy and childbirth is additionally supported by the state through the “Birth Certificate” program. A birth certificate is a document on the basis of which settlements are made with the medical institution that provided the woman and her child with the appropriate healthcare services. The certificate is issued in the antenatal clinic where the pregnant woman is observed.

If a pregnant woman is observed in a private clinic, but wants to receive a birth certificate for compulsory medical insurance, she needs to go to the antenatal clinic to which she is attached for up to 32 weeks and ask for a document based on an exchange card issued in a private clinic. Remember, you cannot pay for a private clinic or cash out the birth certificate.

1st trimester

Up to 12 weeks, at the first visit of a pregnant woman, the obstetrician-gynecologist collects anamnesis, conducts a general examination of organs and systems, measures height, weight, determines body mass index, measures the size of the pelvis, conducts a gynecological examination. Fills in the necessary documents, gives recommendations on nutrition and intake of vitamins.

In addition, a woman undergoes examinations and consultations of narrow specialists: a therapist, dentist, otolaryngologist, ophthalmologist and, if indicated, other doctors.

Analyzes in the 1st trimester:

– general clinical blood test

– blood chemistry

– blood clotting test (coagulogram)

– blood test for HIV, syphilis and hepatitis, TORCH infections

– vaginal smear

– general urine analysis.

On the term 10-12 weeks prenatal screening is carried out – an examination that is carried out in order to identify a risk group. This group includes expectant mothers who have a high probability of having a child with a hereditary disease or congenital malformations. Prenatal screening allows the fetus to be suspected of Down syndrome, Edwards syndrome and neural tube defects in the early stages of pregnancy. The examination includes ultrasound and biochemical (blood test) screenings. These studies are safe, that is, they do not affect the health of the expectant mother, the course of pregnancy and the development of the baby, and they can be carried out for all pregnant women.

2st trimester

Now parents, if they wish, can already find out the gender of the child. Also, at this time, the risk of the threat of termination of pregnancy decreases, in most cases toxicosis passes (if it was in the 1st trimester) and the expectant mother can enjoy her position and the appearing tummy. On the term 13-24 weeks a urine test is performed before each visit to the doctor (once every 1 weeks).

The second screening during pregnancy is carried out on 18-21 weeks to exclude congenital malformations of the fetus. Like the first screening, it consists of two stages – an ultrasound scan and a blood test.

3st trimester

On the 24-28 weeks an oral glucose tolerance test (OGTT) is performed, or a glucose tolerance test, which allows you to identify violations of carbohydrate metabolism during pregnancy, that is, to check how well the body regulates sugar levels. This test determines the presence of gestational diabetes mellitus (GDM) – an increased blood glucose (sugar) level associated with pregnancy.

On the 30−34th weeks Ultrasound is performed at the place of observation of the pregnant woman. At this time, dopplerometry is performed – a study of blood circulation in the placenta and in the baby. At the 30th week of pregnancy, a certificate of incapacity for work is issued for maternity leave.

After 32 weeks begin to conduct a regular recording of fetal cardiotocography (CTG). This is a modern technique for assessing the condition of the fetus by the nature of its heartbeat.

Since 36th week a doctor’s examination is carried out every 7 days. On the 40-41 weeks – planned hospitalization for delivery. If medically indicated, pregnant women are offered earlier antenatal hospitalization. By this time, the mother should have a bag ready for the maternity hospital with certain documents and things for herself and the child.

Documents:

– the passport;

– compulsory medical insurance policy;

– generic certificate;

– exchange card from the antenatal clinic;

– SNILS.

Things for mom:

– personal hygiene items (soap, toothpaste and brush, etc.);

– rubber slippers;

– clothes (nightgown, bathrobe, socks, etc.);

Things for the child:

– hats (1-2 pcs., Flannel and cotton);

– undershirts / bodysuits (1-2 pcs., Flannel and cotton);

– sliders (2-3 pcs.);

– diapers for newborns;

– booties and “scratches”;

– ordinary and disposable diapers (from 3 pcs.);

– wet wipes.

Before discharge at the maternity hospital, the mother will undergo an ultrasound of the pelvic organs and advise on the benefits and recommended duration of breastfeeding.

When discharged from the hospital, the mother or next of kin should receive the following documents:

– page from the mother’s health certificate;

– child’s exchange card;

– vaccination card (if in the hospital they were vaccinated against viral hepatitis B and tuberculosis);

– a certificate for the registry office about the birth of a child.

One of the first concerns of parents will be the paperwork for a newborn child. SOGAZ-Med reminds that a compulsory medical insurance policy is a document that gives a child the right to receive all basic types of medical care free of charge in medical organizations operating in the compulsory medical insurance system. From the day of birth until the expiration of 30 days from the date of state registration of birth, a newborn child receives all the necessary medical assistance under the compulsory medical insurance policy of the mother or other legal representative.

To apply for a compulsory medical insurance policy, you need to contact an insurance company. The SOGAZ-Med insurance policy can be issued by visiting one of the company’s offices or by leaving a request on the website www.sogaz-med.ru.

To apply for a compulsory medical insurance policy for a child, you will need:

– child’s birth certificate;

– SNILS of the child (if any);

– a document proving the identity of the legal representative of the child.

To find out how to get medical assistance within the framework of the compulsory medical insurance system, SOGAZ-Med insured persons can contact their insurance representative by calling the 8-hour contact center at 800-100-07-02-XNUMX (free calls in Russia) or check the information on the website www.sogaz-med.ru.

Справка о компании

The SOGAZ-Med insurance company has been operating since 1998. The number of insured persons is more than 19 million people. Regional network – more than 660 subdivisions in 40 constituent entities of the Russian Federation. SOGAZ-Med carries out compulsory medical insurance activities: it controls the quality of services provided to the insured when receiving medical care in the compulsory medical insurance system, protects the rights of insured citizens, and restores violated rights of citizens in the pre-trial and judicial order. In 2018, the Expert RA rating agency confirmed the rating of the reliability and quality of services of the SOGAZ-Med insurance company at the A ++ level (the highest level of reliability and quality of services in the framework of the CHI program according to the applicable scale). For several years now, SOGAZ-Med has been awarded this high level of assessment.