How many weeks usually get registered for pregnancy?

The pregnancy test was positive. When the first emotions subsided, the question arises, what to do next - how and when to go to the doctor and get up for dispensary registration, is it necessary to do it in the early stages? There is an opinion among women that getting registered early is not worth it - they are tortured with analyzes. But this position is irresponsible, because no extra tests will be prescribed if a woman is healthy and everything is proceeding normally.

Assistance to expectant mothers during gestation period is regulated by a special order of the Ministry of Health dated November 1, 2012 under number 572n (with corrections). This document lists all the situations that may arise during the interaction of doctors and expectant mothers, but the exact dates of registration are not indicated.

The first trimester of pregnancy, which lasts from its inception to 13 weeks inclusive, is the most crucial in the life of a child - the process of laying and formation of its internal organs and systems. After that, for the two remaining trimesters, the baby only grows and gains weight; everything that was formed in the early periods is only improved.

Anything can affect the formation of a baby, from genetic factors to chronic diseases of the mother. And because the task of doctors - as soon as possible to identify the possible risks to the woman and her fetus. This does not mean that you will begin to frighten and make you nervous. Simply assessment of the viability of the fetus, the correctness of its development and the prospects for pregnancy in general is most accurate when it is made in the first trimester.

The tests that the expectant mother will pass on at an early period have enormous diagnostic value. And at 11-13 weeks, the first prenatal screening is conducted, which is the most informative in determining the risks of genetic abnormalities in a child - Down Syndrome, Patau, Turner, etc. A pregnant woman should be properly prepared and screened for screening (general tests).

If the results are disappointing, the timing will allow a woman to have an abortion for medical reasons.. Otherwise, she may not know that she is carrying a sick child until a long time, when a minimally traumatic abortion will be impossible, or even find out about a child’s illness after he was born, that is, face a terrible fact.

That is why you should not postpone visiting the doctor until later. Do this before, but note that you will not be registered if the doctor does not receive confirmation of your “interesting position”. therefore It is best to go to the antenatal clinic at 6-7 weeks of pregnancy (that is, 4-5 weeks after the onset of menstruation). At this time, the doctor will be able to determine the pregnancy without any problems during a vaginal gynecological examination, confirm it with an ultrasound scan, and there will be plenty of time before the screening to complete all the necessary tests.

It is already possible to determine the pregnancy at this time by ultrasound and in most cases with vaginal examination, and therefore it is better to be safe.

The first 9-10 weeks of pregnancy are considered the most critical for the baby. They entirely determine whether he will be healthy, whether he will be alive, whether it will be possible to save the child at all.. Do not worry that the doctor will not register you so early. If the pregnancy can be confirmed, registration is your right, and the doctor’s responsibility is that your right be exercised. All other options of medical actions (“go think whether you need a child and come in a week”, “let's arrange you later, in a month”, etc.) are illegal and you have the right to demand observance of the order of the Ministry of Health or go to the prosecutor’s office a statement of violation of your legal rights.

Most of the future moms in Russia register, according to statistics, at 6-8 weeks of pregnancy, about a third come to the doctor with a request to register them for a period of 9-10 weeks, after 15-16 weeks only 1.5% of women apply.

A woman should make an appointment with an obstetrician-gynecologist for a consultation, visit the doctor at the appointed time with a passport, a policy of compulsory medical insurance and SNILS. The doctor, after the examination, will confirm the fact of the “interesting situation” and will bring a special card of the pregnant woman and the woman in labor to the woman’s name, which will remain with the doctors in consultation. On hand you will be given a small medical card - an exchange one. It will write out from the large each technique the main results of analyzes, ultrasound data, screening results, as well as weight, weight gain and some other important parameters. When the time comes, you will go to the maternity hospital with this small exchange card.

When put on record, they assign certain tests and studies. The woman receives the referrals to them along with the exchange card right on the day she goes to the obstetrician-gynecologist. Over the next couple of weeks, she can leisurely go and hand over everything she needs:

• general and biochemical blood tests;
• coagulogram - analysis of blood clotting factors and determination of hemostasis;
• a blood group and Rh test (if a woman has a negative Rh, the same test should be taken by her spouse or the biological father of the child in order to assess the likelihood of Rh conflict);
• blood for HIV status, syphilis, hepatitis B and C;
• blood for infectious diseases (TORCH);
• general urine analysis;
• vaginal smear.

Despite the seeming simplicity of the registration process, women have many questions, because not every obstetrician-gynecologist in Russia exactly observes the order of the Ministry of Health (and if in secret - not everyone read it!). Therefore, let us consider the main points in order not to be offended.

The presence of the OMS policy gives a woman the right to independently choose a consultation that suits her completely. If a lady is registered in Orenburg and lives in Moscow or vice versa, it is not necessary for registration to go to the city of registration. It is enough to provide a consultation with the address of your actual residence. Nobody has the right to refuse to register with you according to your registration: they become registered at the place of actual residence.

If the consultation at the place of residence is ill-famed and you don’t want to go there, choose any other one that is convenient for you to get to the doctor for check-ups, print out article 5 of Federal Law No. 323-ФЗ and go to the chosen place. A printout can be useful if you are refused a statement, referring to the fact that you have no relation to the consultation at your place of residence. This article states that assistance should be provided to you regardless of where you live.

By law, a woman has the right to be registered with the first appearance. If the doctor denies it under any pretexts, go to the head of the consultation, if there is no understanding there, then you can fill in an electronic application to the prosecutor's office.

The benefit is a one-time, get it, those who will be registered up to 12 weeks of pregnancy. In 2018, its size was 648, 47 kopecks. They pay it at work or in social bodies, if a woman is not working, within 10 days from the moment of submitting the certificate from the consultation on early registration.

The presence of "exchange" is necessary to give birth in the maternity hospital or perinatal center, which you choose yourself. This is a medical document in which all the survey data from the pregnant woman will be entered. Without an exchange card, there is a chance for an ambulance to get only to the hospital on duty, and only to the infectious (observational) departmentwhere women get infections, as well as unexamined (just your case).

All tests that will be assigned when registering should be exclusively free of charge. Attempts by the doctor to redirect you to a paid center for additional examinations are illegal.

A woman should understand that the recommendations of the doctor during the follow-up period are given for her own benefit, but no one has the right to force her to follow them by force. A woman has a legal right at any time to refuse the prescribed medication, examination, tests. The doctor has the right only to explain to the pregnant woman the possible consequences of her refusal.

As for the other subtleties of the relationship during the dispensary observation in consultation, the woman should know that she has the right to herself and completely free of charge:

• choose a doctor who will monitor it;
• choose a maternity hospital in which childbirth will take place;
• receive advice from any medical specialists if there is a need for this;
• rely on the confidentiality of her personal data;
• refuse any medical intervention;
• require pain reduction measures;
• Admission to the maternity hospital lawyer, trustee, and spouse.

This is a direct violation of the rights to information. A pregnant woman has the full right to know what the tests have shown and how to understand it, what the ultrasound scan shows and how it is caused to ask any questions to the doctors and get comprehensive, detailed, understandable answers to them.

Now you are "grounded" and ready to go to the doctor.We hope that this information will help you to register, bear and give birth to a healthy baby without any problems.