Dear women! Mothers-to-be! I hope this article will help You avoid unnecessary expenses during pregnancy, childbirth and after childbirth. Believe me, money to pay for tests and medication is better spent on yourself and your child.
If this article to read and accept as a guide to action future fathers, I will be glad doubly. Pregnant wife needs help, and very good if in this difficult period for her as tedious chores will share with her husband.
There is a problem faced by myself, and to my surprise, a lot parents. This is the problem of paid tests, paid medications during pregnancy, during childbirth and after childbirth. Rather, the problem is to get them for free.
My eldest child is soon graduating from high school. And when he was born, in the antenatal clinic and the hospital everything was free. The doctors had said not a word about paid tests and medicines.
Junior soon in high school. But here’s the thing: in 12 years in our medicine all changed so fast. The doctors came entrepreneurs who are more concerned about their own profits than the health of patients.
On paper by law, all remained free. Women’s consultations and maternity hospitals allocate huge sums of money, installed modern equipment in the hospital. However, the doctors at the clinic prescribe for pregnant women to take paid tests in the hospital require to purchase medications and even supplies. And should the doctor ask about free vitamins, look at you as (sorry) an idiot.
This situation is simply outrageous.
While women pay, and pay, or even worse, nervous and reproach myself, if you can’t pay. I reproach the husband who can’t pay for paid tests, vitamins, medicine, pay the doctor at the hospital.
WOMEN! ALMOST ALL RESEARCH IS GUARANTEED TO YOU FOR FREE! You just not talk about it and convince otherwise.
Under article 41 of the Constitution of the Russian Federation, article 20 of bases of the legislation of the Russian Federation about health protection of citizens medical aid in state and municipal institutions of health care provided to citizens free of charge.
Volume of free medical care is determined by the Programme of state guarantees for providing citizens of the Russian Federation of free medical aid.
In accordance with the programme of outpatient and inpatient care in pregnancy, pathology of pregnancy, childbirth and abortion, hospitalization in the newborn period and medical assistance in the provision of emergency medical and inpatient care to the citizens of the Russian Federation free of charge.
Volume of free medical care in physiological pregnancy set the standard of care for women with normal pregnancy, approved by Order of the health Ministry of Russia dated September 14, 2006 N 662.
The provision of paid medical services cannot be at the expense of the guaranteed volume of free medical care.
Listed legal acts of the GUARANTEED FREE medical care in pregnancy, pathology of pregnancy, childbirth and abortion, hospitalization in the newborn period.
FREE – means that the patient does not pay for this help.
GUARANTEED means that the funds for such assistance is allocated. If the doctor says there is no money, not allocated, not enough – HE’s LYING.
So, what should be free:
1. Methods obstetrician-gynecologists, consultations of medical specialists: therapist, ophthalmologist, otolaryngologist, dentist, and other specialists (as indicated).
2. The list of laboratory and instrumental methods of examination:
– Clinical: clinical analysis of blood, urine, smear flora, sample Nechiporenko and zimnitsky tests, duration of bleeding, clotting time, platelets.
– Biochemical: bilirubin, total protein, blood sugar, urea, creatinine, prothrombin index, fibrinogen.
– Serology: blood test for syphilis, hepatitis, blood group and rhesus factor determination of the titer of antibodies when RH-negative blood.
– Cytology: Cytology
– Ultrasound diagnosis: 3-fold in the next pregnancy 10-14, 20-24, 32-34 weeks of pregnancy. Ultrasound diagnosis outside of these terms is held on the grounds.
– Functional research methods: ECG
– X-ray: fluoroscopy relatives living together with a pregnant woman.
– Additional (if indicated): bacteriological research, colpocytology, serum iron, coagulation, outer hysterography, cardiotocography, etc.
3. List of physiotherapy: electrosleep therapy, electrophoresis, and others (if indicated)
4. Manipulation, therapeutic treatments as prescribed by a physician: intravenous, intramuscular injection, other.
In appointing pregnant of the above medical services that are missing in the antenatal clinic, the administration of medical institutions must provide the necessary consultation or examination in other medical facility FREE of charge for the patient.
THE LIST OF INDICATIONS FOR CARRYING OUT OF ADDITIONAL METHODS OF EXAMINATION OF PREGNANT WOMEN “AT RISK” IN SPECIALIZED HEALTH CARE
“At risk” in pregnancy.
young pregnant women (under 18 years)
– pregnant women older than 35 years
– history of infertility
– spontaneous miscarriage in anamnesis
– stillbirth and the death of a child after birth
– abnormalities of the fetus, the birth of children with severe pathology
– severe toxemia second half of pregnancy in anamnesis
– congenital anomaly of genital organs
– multiple pregnancy
– polyhydramnios with suspected congenital malformation of the fetus
– oligohydramnios during pregnancy
– insufficient fetal growth
– disease and pregnancy:
– hypertension
– diabetes mellitus
– thyroid dysfunction
– liver damage
pregnant with a high risk of adverse impacts:
– the use of drugs
– abuse of alcohol
– acute severe viral infections
– the impact of ionizing radiation during pregnancy
– vaccination in the first trimester of pregnancy
– drug therapy in the first trimester of pregnancy drugs contraindicated in pregnancy
Pregnant women should be screened in the direction of an obstetrician – gynecologist in specialized health care:
– infection (by ELISA)
markers of hepatitis b and C
– research of level of hormones
– ultrasound of blood vessels of the uterus and umbilical cord
research of congenital and chromosomal pathology.
Indications for pregnant additional methods of examination in specialized health care are determined by the attending physician together with the head. the women’s clinic.
THE PROCEDURE FOR PROVIDING MEDICAL SERVICES TO PREGNANT WOMEN IN ANTENATAL CLINICS
1. Ambulatory care for pregnancy is FREE of charge to all citizens of the Russian Federation.
2.Pregnant observed at the precinct obstetrician-gynecologist according to the territorial principle (place of residence) according to the schedule of work with pregnant or obstetrician-gynecologists dedicated.
3.Upon confirmation of the diagnosis of pregnancy pregnant the initial reception (on the pregnancy) on the day of treatment to the doctor. Re-visits shall be appointed by the attending physician indicating the date and hour of the visit.
4. The reception of pregnant women for urgent reasons is carried out urgently in the same day by any Ob / GYN. Treatment and diagnostic procedures when emergency conditions are conducted on a priority basis. Consultations of medical specialists (therapist, ophthalmologist, otolaryngologist, dentist, and other specialists according to indications) are by appointment in the territorial polyclinic. In the presence of a physician in the antenatal clinic pregnant woman consults on the spot.
5.Laboratory tests for pregnant women when routine care is provided FREE of charge in the direction of the precinct obstetrician – gynecologist and specialist physicians physicians in order of priority. The waiting period for laboratory research – no more than 5 days for ultrasound – no more than 2 weeks.
6.If indicated, pregnant in the direction of the precinct obstetrician – gynecologist hospitalized in day hospital or day hospitals of all types.
7. Pregnant women “at risk” in the appropriate pregnancy counselling and additional testing in specialized health institutions. Directions in specialized health institutions are issued by the obstetrician – gynecologist certified by the head of a healthcare institution.
8.Supplies for all assigned physician manipulation are provided to the patients FREE of charge.
9. The provision of medical services to pregnant women, not decided by the attending physician, discusses the head. female consultation, in urgent cases – immediately.
Could not do without quoting the Rules. But the above rules clearly demonstrate that should be provided free of charge and in what time frame.
I hope I have convinced You that health care in pregnancy, pathology of pregnancy, childbirth and abortion, hospitalization in the neonatal period is free of charge.
Now about what to do to get this free medical care.
The advice is to COMPLAIN and demand proper under the law.
When in female consultations You draw the line at paid tests, ultrasound, chat with Head women’s advice. Perhaps she will explain what error occurred, what the doctor will prescribe free coupons for these tests and ultrasound. However, have to wait the queue. But I just above pointed out the waiting time: for samples 5 days, the ultrasound 14 days. Period is not large, you can wait.
If the head error is not found, and insists that research is necessary to pass a fee, then you need to file a complaint.
Do not be afraid and do not hesitate to file a complaint. It usually stops and forces you to pay for tests, medications and birth. Some are afraid that after the complaint, the doctors are going bad to treat them, as if in retaliation for the complaint. Others argue, saying that I feel sorry for your child, pay time.
Write a complaint to the chief Physician of the hospital (consultation is a division hospital), in the territorial Department of the MHIF, the Ministry of health of the region, the Ministry of health of the Russian Federation, to the Prosecutor.
In the header row of the complaint indicate all recipients and send the first two and the Prosecutor’s office personally and in the Ministry of health – on-line via the appropriate forms on their websites. And are You free tests, vitamins during pregnancy and after childbirth, the delivery will take head of the Department. In the antenatal clinic for Your health will be closely monitored.
Checked multiple times.
If the list of recipients are shown all of the above, it lessens the desire of the Prosecutor to unsubscribe, and the Chief medical officer and officials of the Ministry of health makes us fear the reaction of the Prosecutor’s office and the Ministry of health of the Russian Federation. The positive answer usually comes from the Physician during the week, from the regional Ministry of health within 2 weeks, and after a month the health Ministry will unsubscribe that the problem is solved, and the Prosecutor that the guilty are punished.
Most pay for tests, medications, childbirth. To them and the ratio of normal.
To those who do not have a special attitude. The doctors of these patients are afraid (as afraid for his job) and very carefully and are courteous.
Do not hesitate and do not be afraid to claim what is due to You by law.
Health to You and Your child!
