Why is a pregnant woman given sick leave? Features of obtaining a disability certificate for women in the position: sick leave for pregnancy

Those officially employed can count on financial support from the state, which is carried out through the payment of maternity benefits for the period of the corresponding vacation.

The only official document - the basis for the calculation of this type of benefit and the provision of other social benefits future mother is.

Expectant mothers temporarily unemployed due to education or registered as unemployed with labor and employment services can also apply for benefits, but with certain conditions.

Sick leave for pregnancy and childbirth is filled according to the established rules

The sick leave for pregnancy and childbirth gives the expectant mother the right to receive social benefits and guarantees guaranteed by the Labor Code of the Russian Federation:

1. 140 day . Complications in childbirth give the right to extend the sick leave, and the total duration of the vacation is 156 days.
2. A mother-to-be expecting two or more babies is guaranteed a vacation of 194 days.
3. Annual another vacation at the request of the pregnant woman. It does not depend on the work experience and position of the woman and is also fully paid.
4. The possibility of reducing the length of the working day or the length of the working week at the request of the pregnant woman and with the consent of the employer. The need for this type of benefit is noted on the sick leave by an employee antenatal clinic.

Features of registration and issuance of sick leave for pregnancy and childbirth

Hospital for pregnancy and childbirth, like other types sick leave, is a document certifying the temporary release from work of a pregnant woman and is issued by the medical staff of a medical institution on a standard form of a certificate of incapacity for work.

The form has A4 format, has a series and registration number and is protected by watermarks. The sick leave is certified by the signature and seal of the attending physician with the seal of the antenatal clinic.

The sick leave must contain only reliable information. Information about the place of work and position is filled in by the pregnant woman personally. Completion of the sick leave is carried out block letters black ink or printing devices. In the event of errors when filling out the sick leave form by the health worker, such a sheet is subject to destruction and a new one is issued instead.

Corrections in the form are allowed to be made only in the section “To be completed by the employer”. In this case, the incorrect entry is neatly crossed out, on reverse side it is written down correctly, certified with the inscription “to believe corrected”, the seal of the employer and signed by its official.

A future woman in labor can receive a sick leave for pregnancy and childbirth at a gestational age of 30 weeks, if the future woman in labor is pregnant with two or more children - on the 28th. A sick leave is issued at a time for a period of 140 days. Multiple pregnancy will cause the issuance of sick leave for 194 days. If there are complications during childbirth, medical organization where they occurred, an additional sick leave lasting 16 days is issued.

If the future woman in labor was employed by more than one employer, she has the right to receive payments at each of the enterprises. The type of employment does not matter. In this case, the employee of the antenatal clinic issues several sick leave certificates to the pregnant woman for each of the employers.

How is maternity benefit paid?

Sick leave for pregnancy and childbirth is required to apply for benefits and benefits

To assign maternity benefits, the employing company has 10 calendar days. They begin to count from the day the woman provides all the required documents.

• women who are not employed by any of the employers, i.e. housewives;
• located in the Armed Forces of the Russian Federation;
• dismissed due to bankruptcy proceedings, liquidation of the employer or due to staff reduction;
• lawyers and notaries, private entrepreneurs,
• temporarily unemployed, registered in;
• receiving full-time education.

For pregnant women who are not officially employed, it is not possible to receive pregnancy benefits. In some regions, for example in Moscow, lump sums pregnant non-working women who were registered in the antenatal clinic in the early lines up to 30 weeks.

To receive other benefits and benefits, a woman is issued a sick leave, which she submits to the employment service, where she is registered. The rights of pregnant women are protected by law and, in case of their violation, a woman can count on the restoration of justice through the work of law enforcement agencies. So, an employer cannot fire a pregnant woman.

If nevertheless this happened, she can apply to the prosecutor's office or the labor commission, setting out her complaints in writing. If the dismissal or happened to an organization in liquidation or in the process of bankruptcy, the expectant mother can apply to the authority social protection in order to receive all the payments due to her.

Sick leave for pregnancy and childbirth is issued in the LCD

The same mechanism is valid for women working for a notary or lawyer whose license has expired, and for women employed by a private entrepreneur who has decided to stop his activity.

How to get maternity benefit? Thematic video consultation will prompt:

Indeed, a normal pregnancy in healthy woman is a physiological process and cannot be regarded as a disease. However, due to a serious hormonal restructuring and the changes in all organ systems caused by this restructuring, well-being future mother can be violated and sometimes very significantly. It is not surprising that performance in such cases also suffers significantly. Since many women during pregnancy, in cases of deterioration in well-being, the question arises of a sick leave. In what situations are pregnant women entitled to sick leave, and in what situations is it likely to be refused, and what to do in such cases?

Sick leave during pregnancy

The fundamental fact is already hidden in the name of the medical document in question: officially it is called “disability certificate”, and not “sick leave”, which is inevitably associated with the disease. Indeed, most often sick leave certificates are issued in connection with various diseases. Nevertheless, the main criterion is precisely the time, due to the occurrence painful symptoms, loss of ability to work, that is, the ability to qualitatively perform in full the usual professional activity. Therefore, each specific case is considered individually depending on the profession of a person: for example, loss of voice by a school teacher, university teacher, sales manager, artist, TV or radio host, etc. - a reason for issuing a sick leave, and for programmers, accountants, economists, representatives of other professions (if their communication with other people is quite limited and not of fundamental importance) - in most cases, in the absence of other painful symptoms, sick leave may be denied .

Due to the fact that all expectant mothers, without exception, regardless of the characteristics of their work, from the very beginning (or almost from the very beginning) of the third trimester (28–30 weeks) can legally issue a certificate of disability for pregnancy and childbirth, we will focus on issues of obtaining a sick leave in the first two trimesters of pregnancy.

Disability certificate for pregnancy and childbirth

• The sick leave certificate for pregnancy and childbirth is a special case. It is issued from the 30th week of pregnancy for a period of 140 days, and with multiple pregnancy- from the 28th week to 194 days.
• Such sick leave during pregnancy is issued by the attending physician - an obstetrician-gynecologist of the antenatal clinic or other medical institutions where a woman is observed for pregnancy.
• In the case when the birth occurred in the period from the 22nd to the 30th week, a disability certificate for 156 days is issued at the maternity hospital.

Sick leave during pregnancy: on a general basis

Unfortunately, during pregnancy, a woman is not immune from various diseases. For symptoms and illnesses that are not related to the pathological course of pregnancy, you should contact your therapist. In turn, if there are indications, the therapist can give a referral to a narrow specialist (ENT doctor, neurologist, surgeon, etc.), who can also issue a sick leave.

Cold. The most common in expectant mothers, like in all other people, are colds - acute respiratory diseases (ARVI and ARI). Due to the fact that during pregnancy there is a slight decrease in immunity (as it happened evolutionarily, in order to avoid rejection of the fetus), any infections often “stick” to expectant mothers. This often causes concern, and not in vain: any viral and bacterial diseases can pose a danger to the course of pregnancy, and many effective anti-flu and anti-cold remedies are not recommended during pregnancy.

In this regard, pregnant women are advised, if possible, to avoid crowded places, contacts with sick people (relatives, colleagues), especially during an influenza epidemic, the most dangerous ARVI. The best option would be to stay at home, of course, if none of the household is sick. It is quite difficult to get a sick leave with a preventive purpose, therefore, if possible, it is recommended for epidemiological bad period take vacations, days off, work from home, etc.). Going for a sick leave to the clinic, where the majority of sick people come, most likely, is not the best option, especially since the issuance of a certificate of incapacity for work in the absence of illness and good reasons for obtaining it may be denied.

If you didn’t manage to save yourself and you caught a cold, then, of course, the appearance of a runny nose, cough, sore throat, fever, feeling of weakness, weakness and other signs of a cold during pregnancy requires a mandatory visit to a general practitioner (call a doctor at home) and sick leave.

Weakness and drowsiness. This is very common symptom characteristic mainly for early pregnancy. The occurrence of weakness, lethargy, drowsiness, increased fatigue and reduced performance is promoted by the hormone of pregnancy - progesterone. Its influence is especially pronounced in the first trimester of pregnancy (these manifestations usually disappear by the second trimester).

However, even with very severe weakness and drowsiness, in the absence of such pathological symptoms, as severe anemia (a significant decrease in blood hemoglobin - below 110 g / l) and hypotension ( low level blood pressure, accompanied by clinical symptoms: weakness, lethargy, drowsiness, intolerance to stuffiness, heat, fainting, palpitations), sick leave may be denied.

Dizziness, fainting. Dizziness and fainting are more serious symptoms as they are indicative of hypoxia ( oxygen starvation) of the brain, which can lead to falls and injury. Their cause is most often hypotension, toxicosis and low glucose levels, sometimes anemia. All these conditions require correction and at least treatment on an outpatient basis with the issuance of a sick leave. Among the causes of dizziness and fainting, there are also diseases of the heart and blood vessels with sharp fluctuations in blood pressure, injuries and diseases of the brain and spinal cord, pathology of the vestibular apparatus - all these conditions require consultation and treatment from relevant specialists (cardiologist, neurologist, otolaryngologist, etc.).

If a pathology is detected, a disability certificate is issued, treatment is prescribed.

Dizziness can also occur during the normal course of pregnancy, and in such cases is not a good reason for issuing a disability certificate. The causes of dizziness can be severe overwork, chronic sleep deprivation, sudden rise. Eliminating these causes usually solves the problem of dizziness.

Pain in the back, joints. This is a frequent complaint of pregnant women, especially at the end of the second - third trimesters, when due to weight gain, a shift in the center of gravity of the body due to a growing abdomen and changes in the ligaments of all joints associated with hormonal changes, the load on the musculoskeletal system increases significantly.

During pregnancy, back pain occurs in almost half of women. Most often, this pain is associated with an increase in the load on the spine and weakening of the abdominal muscles due to their overextension. Usually such pain appears after the 5th month of pregnancy, sometimes it can radiate to the leg, and decreases and disappears in recent weeks pregnancy or after childbirth. It is aggravated after physical activity, long walking, long standing, sitting. Less commonly, the cause of lower back pain can be various neurological diseases, such as a herniated disc, lumbar sciatica, requiring observation and treatment by a specialist. Pain in the back, joints often prevent the expectant mother from walking, and can also disturb in a sitting position, disrupting performance.

It should be taken into account that if back pain bothered a woman before pregnancy, then during the period of expectation of a child, the probability of their occurrence increases to almost 100%. With the listed complaints, it is recommended to contact a therapist or a neurologist, who, with severe symptoms, will issue a disability certificate.

Cases where pain in the lumbar region is accompanied by fever, pressure, edema, frequent urination with the release of turbid urine require a mandatory visit to a doctor and, as a rule, inpatient treatment, as they indicate a kidney disease that has adverse effect on the course of pregnancy and the condition of the fetus.

Headache. The causes of headaches during pregnancy are different. Most often headache in expectant mothers due to an increase or a significant decrease in blood pressure; migraine (although usually with an increase in the duration of pregnancy, migraine attacks become rarer or do not bother at all); tension headache occurs due to cervical osteochondrosis, overstrain of the muscles of the neck and shoulder girdle. Also, a headache can appear with inflammation of the paranasal sinuses - sinusitis, with problems with teeth and gums, some eye diseases (glaucoma) and allergic reactions, V stressful situations, with lack of sleep, physical or psycho-emotional overwork.

For a headache, you should contact a general practitioner who, if necessary, will refer you for a consultation with doctors of narrow specialties (cardiologist, neurologist, vertebrologist, etc.). Accordingly, the decision to issue a certificate of incapacity for work will be made by the attending physician: when diagnosing a serious illness.

Among the causes of headache, arterial hypertension is especially dangerous, as it can be a serious threat to mother and child. The woman will be prescribed treatment, and possibly hospitalization is offered, in other cases, the doctor may limit himself only to recommendations on the regimen of the day, work and rest, normalization of sleep, diet, physical activity etc.

Thus, the issue of providing sick leave during pregnancy in the first two trimesters is decided in each specific case individually, as it depends on a large number factors. As a rule, in most cases, even in the absence of diseases, but in the presence of severe symptoms of malaise, doctors go towards pregnant women and draw up a sick leave.

Nevertheless, you should not abuse this opportunity beyond the need. In some cases (in case of refusal to issue a certificate of incapacity for work due to the absence of good reasons), you can try to solve the problems that have arisen in another way: obtaining a certificate of the need light labor, an agreement with the administration, the employer on the performance of work at home, registration of vacation, etc.

Until the 30th (28th) week, sick leave for pregnant women is issued on a general basis.

• A doctor can issue sick leave for a period not exceeding 15 days.
• The issue of further extension of the sick leave is accepted by the medical commission with the participation of the head of the department. By decision of the medical commission, a sick leave for a pregnant woman can be extended up to 10 (in some cases up to 12) months.
• Also, a paramedic and a dentist have the right to issue sick leave for a period not exceeding 10 days.

Only for expectant mothers

With all the troubles of breaking normal flow pregnancy and all the symptoms caused by this, you should contact your obstetrician-gynecologist in charge of the pregnancy.

* Toxicosis of the first half of pregnancy. Nausea and vomiting in early pregnancy occur in almost every second woman. If these symptoms appear in mild form, outpatient treatment is allowed, although in such a situation, most likely, the expectant mother will be offered treatment in a day hospital (if possible). Of course, in such cases, a sick leave is issued to a woman by a doctor of a medical institution where she is observed for pregnancy or a day hospital doctor. In more severe cases, with very frequent vomiting, due to the danger of pronounced electrolyte and other metabolic disorders that adversely affect the health of the mother and child, hospitalization and treatment in a hospital are recommended with the obligatory execution of a disability certificate for.

*Threatened miscarriage. Symptoms of the presence of a threat of termination of pregnancy are pain in the lower abdomen, the appearance of discharge from the genital tract, tension in the muscles of the uterus ( increased tone uterus). The appearance of such signs often indicates serious violations the normal course of pregnancy, so the attending obstetrician-gynecologist is likely to insist on hospitalization. If the expectant mother refuses, in some cases, outpatient treatment is allowed with strict adherence to bed rest And obligatory fulfillment medical recommendations. Of course, in all these cases, the expectant mother is issued a sick leave.

If sick leave is not given ...

It is recommended to obtain a certificate of the need for light work, which implies the complete exclusion of occupational hazards (vibration, lifting and moving weights, exposure to high and low temperatures, contact with toxic substances and pathogens), a reduced schedule, providing the expectant mother with more comfortable conditions work up to transfer to another place for the entire period of pregnancy until going on maternity leave.

trend recent years is not uncommon with the permission of a woman to stay at home in such situations: usually the doctor recommends treatment in a day hospital or hospitalization in the pregnancy pathology department. This is explained by the fact that at high risk normal course and termination of pregnancy, a woman may need emergency help which is easier to provide in the hospital.

Frequent headaches, general malaise, lethargy, nausea, fatigue, complications - all this prevents the expectant mother from concentrating on work. In this case, in order to prevent a catastrophe, the woman is entitled to sick leave.

Is it possible?

At what time?

How to get sick leave during pregnancy?

When do they give? We all know that when a certain long term pregnancy, the woman goes on long maternity leave.

With a singleton pregnancy, given term comes upon reaching 30 weeks, and with multiple pregnancy (two or more children) at 28 weeks(also informs about the duration of the sick leave for pregnancy and childbirth).

It is believed that at this time it becomes difficult for the expectant mother to cope with her official duties and she needs to send maximum of her strength and energy to prepare for childbirth.

But can a woman count on rest earlier, for example, in the first trimester of pregnancy, when it is so important to take care of her body so that the baby develops properly?

Of course. True, due to your lethargy, fatigue and irritability, not a single doctor will allow you to leave your position, even for a while. The reasons for issuing a sick leave must be solid, serious, identified during the examination and which could lead to irreversible consequences for the mother and child.

Expectant mother should not take lightly possible pain and discomfort. They can become the first bells that need to be responded to in time and, if possible, be under the supervision of the attending physician.

Thus, we can conclude that at any time, starting from the moment you learned that you are in interesting position, And no one has the right to refuse you a sick leave if there really is a place to be unwell and a threat to the mother and child.

Who can give?

Who can give sick leave for pregnancy?

Upon discovering her interesting position, a woman should contact a gynecologist at her address of residence and register for pregnancy in a medical institution.

Many use the services of private clinics, while others prefer public ones.

No matter how your pregnancy is monitored, the main thing is that your condition is monitored by a qualified doctor.

In addition, a woman in position is being examined by other specialists, who, upon identifying any abnormalities, can also offer sick leave during pregnancy. These doctors include an endocrinologist, dentist, ENT, ophthalmologist, immunologist, cardiologist.

At the gynecologist

Do hospital gynecologists give during pregnancy? A gynecologist is a specialist who will guide your pregnancy from the moment it is discovered and right up to the birth itself. Even in the case of a favorable course of pregnancy, you will see this specialist very often, because his duties include constant monitoring of your condition. Therefore, in case of detection of complications and negative factors in the gynecological field, your local doctor has all the authority to give you a sick leave for pregnancy.

The most common grounds for receiving sick leave are:

• toxicosis;
• the threat of termination of pregnancy;
• sexually transmitted diseases and infections;
• bad feeling;
• swelling;
• complaints of high blood pressure;
• uterine tone;
• pathology of fetal development.

Even if the reason for your complaint is not a gynecological reason, the gynecologist observing you gives you a referral to visit a specific specialist who can determine the severity of the ailment, and, if possible, issue you with a disability certificate.

At the therapist

How to take sick leave during pregnancy from a therapist? Despite the fact that the general practitioner does not constantly monitor pregnant women, he is still authorized to issue sick leave, if there are grounds for that.

During pregnancy, women are screened for various medical professionals, after which, the therapist makes a conclusion about the condition of the woman in position.

It is not uncommon for cases when, at the final examination, grounds are revealed that may threaten the health of the mother and child, and the doctor is forced to offer treatment in medical institution.

Often these reasons include:

• exacerbation of allergic reactions;
• cold;
• Availability chronic diseases, as well as their exacerbation;
• bad test results.

At an early stage with toxicosis

How to go on sick leave during pregnancy with toxicosis? If a woman feels unwell in the early stages of pregnancy and seriously fears for her health and the life of her child, she you need to come to the antenatal clinic to your local doctor and state what is happening. The gynecologist is obliged to issue a sick leave if there is reason to believe that the cause may affect the positive outcome of the pregnancy.

This practice is quite common and it is not uncommon for gynecologists themselves to remind their patients of the possibility of being treated in a medical institution. That's why, if you are registered, you should have no problems getting sick leave.

The doctor writes out a sick leave for you and sends you to the appropriate institution for treatment.

It is a completely different matter when the expectant mother has not yet had time to register.

If a woman is not registered

The earliest stages of pregnancy are rightfully considered the most dangerous..

Any negative impact on the mother's body can be transmitted to the baby and, due to the fact that he is still too small and weak, the pregnancy will end in tears, barely having time to begin.

That's why gynecologists closely monitor their patients throughout the first trimester of pregnancy and not infrequently they themselves offer to lie down in a hospital.

But if the expectant mother has not yet managed to register with the antenatal clinic, this is not a reason to think that she is not entitled to sick leave. How to take sick leave during pregnancy?

You can get treatment by calling a doctor at home and told him about his bad health. You are required to be taken to the hospital and examined on a gynecological chair. If the fact of pregnancy is confirmed, then you automatically become registered at the place of residence and go for treatment with a sick leave.

If strength permits, you can come to an appointment with a local therapist and, having received a referral from him for an examination by a gynecologist, also go on sick leave.

Lack of registration documents is not a reason to deny a pregnant woman proper medical care.

Duration

Sick leave during pregnancy is issued for the same period as the standard sick leave for other employees. Only your doctor can determine the amount of time needed for treatment.

Duration

How long can a doctor open? (in the clinic)

In accordance with general rules issuance of sick leave, such documents are issued for a maximum period of 15 days.

These rules apply both to women in an interesting position, and to other workers.

The attending physician may prescribe a slightly shorter sick leave if this suggests your condition.

When hospitalized

If your condition causes fear for the life and health of the child, then it is possible to extend the sick leave for pregnant women by decision of the convened medical commission. Such a decision is valid only if the woman is hospitalized and is being treated not at home, but in a medical institution.

How many days is sick leave during pregnancy? Upon completion of treatment, doctors may insist on extending the sick leave in favor of treatment in a sanatorium. Such a decision is legal and cannot be challenged. In this case, treatment is extended for a period of 24 days.

As a rule, sanatorium treatment is prescribed in order to protect the expectant mother from stress at work and give the opportunity to accumulate strength for recovery.

Extension

In the clinic

Since you came to the clinic to extend the sick leave, this means that you carried out all the treatment at home. Alone, the attending physician cannot decide on the extension of your sick leave.

In order to understand whether you need additional treatment or not, a medical commission is convened, which, after reviewing your documents, doctor's records and examining the patient, draws a conclusion about the condition. This commission, by its decision, may extend the period of sick leave up to 10 months.

In the hospital

If you are being treated in a hospital, then upon the expiration of your sick leave, you are examined and a decision is made on whether you need medical assistance or not.

Inpatient stay can be extended by 10 days.

Extension of sick leave after sanatorium treatment

If the pregnant woman has not recovered after treatment in a sanatorium, then its management may decide to extend the disability sheet for some more time to recover. The main thing is that the period does not exceed the 24 days established by law.

Upon their expiration, if the pregnant woman did not come to normal condition, she is given a new sick leave and is again sent for treatment to a medical facility.

sick leave terms

Max number of days

The medical commission is empowered to release the expectant mother from work maximum term up to 10 months if the condition of the pregnant woman so requires.

Minimum number of days

Standard minimum term the validity of the sick leave not only for pregnant women, but also for all categories of workers is 3 calendar days. If the doctor believes that this period is enough for a pregnant woman to return to normal, she can issue a disability certificate for the next three dates.

Before the decree

Can a pregnant woman go on sick leave before maternity leave. Even if before the official maternity leave there is nothing left, no one has the right to refuse to issue a sick leave to a pregnant woman. Situations can be different and in the first place are the life and health of mother and baby.

Grounds for issuing sick leave

The basis for issuing a disability certificate is the woman feels unwell, unsatisfactory results of tests, ultrasound or examination.

The gynecologist, depending on the condition of the woman, prescribes treatment for her on an outpatient basis or in a hospital.

Conclusion

Despite the fact that the legislator has officially set the time for going on maternity leave, a pregnant woman has the right to go on sick leave at any time if there are appropriate reasons for that. Only concern for the health of the expectant mother from the outside medical workers, the employer and the state will help to bring up a healthy and strong nation.

Is it possible and how to go on sick leave during pregnancy, how to take a sick leave with toxicosis for a short time? A certificate of incapacity for work, or sick leave, is a document that provides the opportunity not to work for some time. It can be issued not only for the duration of the disease, but also for the duration of the rehabilitation period.

How can a pregnant woman take or receive a sheet, what are the features of issuing sick leave to pregnant women from a therapist before maternity leave? During pregnancy, which is not considered a disease, it is not at all easy - fatigue, toxicosis adversely affect work, and therefore women go to the clinic for sick leave. As a rule, doctors go forward.

What are the features of issuing sick leave for pregnancy and childbirth? A pregnant woman can receive sick leave for the same reasons as other citizens: because of infectious diseases and other illnesses that may interfere with work capacity.

When and do gynecologists give sick leave before maternity leave during pregnancy and toxicosis to women in the early stages? In such cases, a certain specialist can send for sick leave in the early stages of pregnancy: if a woman has received a fracture or burn, then the document is signed by a surgeon, if ARVI - by a general practitioner.

How long can a certificate be given?

How long and for how many days can you get a certificate and go on sick leave for a pregnant woman before the decree? How to apply for sick leave for pregnancy? According to modern Russian legislation, article 255 of the Labor Code of the Russian Federation, a woman can go on sick leave starting from the thirtieth week of pregnancy. Less commonly, a certificate is issued for a period of 28 weeks or more - multiple pregnancy.

Article 255, Labor Code of the Russian Federation. Maternity leave

Women, upon their application and on the basis of a certificate of incapacity for work issued in accordance with the established procedure, are granted maternity leave of 70 (in the case of multiple pregnancy - 84) calendar days before childbirth and 70 (in the case of complicated childbirth - 86, at the birth of two or more children - 110) calendar days after childbirth with the payment of state social insurance benefits in the amount established by federal laws.

Maternity leave is calculated in total and is granted to the woman completely regardless of the number of days she actually used before giving birth.

When this certificate give at the gynecologist at the reception? To get sick leave for the thirtieth week, you must contact the antenatal clinic. However, not all expectant mothers are in a hurry to leave work - some continue to work almost until childbirth. Although there are women for whom pregnancy is a kind of illness and an extra reason to take sick leave.

A certificate of incapacity for work can be provided if a woman becomes pregnant by in vitro fertilization, or IVF. More on initial stage planning IVF, the patient may be given a certificate of incapacity for work.

At the time of carrying out the procedures necessary for fertilization, you can not work - this is quite dangerous for women's health. The closure of the hospital in this case occurs after the implantation has occurred.

Also, sick leave can be issued if a woman has to take care of a child under the age of 14 or an elderly person.

Who provides?

As soon as a woman finds out about her situation, she needs to register with a antenatal clinic at the place of residence and periodically come for scheduled examinations to a gynecologist. If the state of health is not satisfactory or there is a threat to pregnancy, the gynecologist may issue a sick leave.

Reasons for issuing a disability certificate:

• toxicosis;
• uterine tone;
• venereal infections;
• threatened miscarriage.

IMPORTANT! Even if the complaint does not concern gynecology, the gynecologist is obliged to refer the patient to a specialist for examination.

In this case, the specialist doctor will write out a sick leave if there are reasons for opening it.

To obtain a certificate of incapacity for work, you can contact a general practitioner. The therapist does not follow the course of pregnancy as carefully as the gynecologist does. But the therapist can issue a certificate if:

The therapist usually suggests inpatient treatment, but the decision is up to the patient. Can be carried out necessary treatment without a round-the-clock hospital - it is enough to appear in a clinic or hospital to undergo procedures and take tests.

However, there are a number of dangers in which the refusal of hospitalization is very dangerous for both the mother and the child.

How to open at an early stage with toxicosis?

Toxicosis is a very typical phenomenon during pregnancy. Toxicosis can cause dehydration, edema, nephropathy (impaired kidney function) and other ailments that are dangerous for the mother and child.

This state of the body is most worrisome for women who are 6-13 weeks pregnant. IN morning time toxicosis is most pronounced - irritates most odors, which causes vomiting.

If toxicosis is difficult, then in the antenatal clinic, the pregnant woman will be offered treatment in a medical facility. Everything is quite simple if a woman is registered with a gynecologist for pregnancy. But what if the pregnant woman has not yet registered?

If the pregnant woman is not yet registered, it is necessary:

The duration of sick leave for toxicosis is the same as in standard cases of issuance - it is prescribed individually by a doctor.

Duration

According to the law, the maximum number of days on sick leave on an outpatient basis is 15 days. It is possible to extend more than 15 days only by convening a medical commission, which will decide whether it is necessary to extend the sick leave. This requirement is the same for all - for both women and men. Pregnancy is no exception.

IMPORTANT! The maximum period in outpatient treatment is 15 days, but in inpatient treatment there is no maximum allowable sick leave period.

A pregnant woman can be put on hold, and then her sick leave can reach more than two to three weeks.

The doctor may suggest that the pregnant woman undergo treatment in a sanatorium, in which case sick leave can be extended for up to 24 days.

According to article 81 of the Labor Code of the Russian Federation, if an employee is absent for more than four hours at the workplace, he is threatened with dismissal. Therefore, it is better to inform your superiors about your absence from work and intentions to see a doctor in order to receive sick leave.

Can it be extended and for how long?

Only a medical commission can extend sick leave after outpatient treatment.

One attending physician does not have the right to increase the duration of the sick leave. The commission considers all certificates, doctors' conclusions and analyzes.

Based on this, the commission decides whether there is a need to extend the sick leave. If there is such a need, then the commission has the right to increase the duration of the sick leave to ten months.

After inpatient treatment at the examination, the doctor decides whether it is necessary to extend the stay in the hospital. If a pregnant woman has indications for continuing treatment, then hospital stay can be extended for up to ten days.

As for spa treatment, the sick leave can be extended for another 24 days if the pregnant woman has not recovered.

What period can take?

The minimum sick leave for all citizens of Russia is three days. Thus, the expectant mother can receive a certificate of incapacity for work for at least three days. The reasons for obtaining such a sick leave can be very different: high or low blood pressure, fever and chills, etc.

The maximum term for a certificate of incapacity for work that a pregnant woman is entitled to receive is ten months. Such a long-term sick leave is issued only by a medical commission.

Is it possible to leave before the decree?

Grounds for issuing a document

A pregnant woman has the right to take sick leave, even if the decree is left less than a week. But for a sick leave, of course, you need reasons.

If a woman falls ill with bronchitis, SARS or any other disease, the general practitioner is obliged to issue a sick leave for up to 15 days. Also just before the decree, a sick leave certificate can also be issued by a gynecologist if there is a threat of miscarriage.

Conclusion

Legislation remains on the side of pregnant women and tries to make their situation as comfortable as possible. Do not neglect the opportunity to take sick leave if necessary. After all, health is more important.

In 2018, such situations are not uncommon. Expecting a child always affects the health of the expectant mother to a lesser or greater extent.

There is a serious restructuring of the body, a woman is affected by a strong load. Therefore, it happens that a pregnant woman does not go to work due to disability throughout the entire period.

When should you ask a gynecologist or other specialist for a newsletter?

The certificate of incapacity for work confirms the impossibility of the pregnant woman to fulfill her labor duties. The doctor, examining the patient, single-handedly decides whether it is necessary to send her to the hospital.

No one has the right to forbid a woman to “beg” for him. Because if a pregnant woman has such an idea, then, most likely, because of what she feels, it will be better.

During the period of bearing a child in girls, the entire body, including the brain, works on an instinctive level. Therefore, women in a position are characterized by excessive emotionality. The instinct of self-preservation sends signals to the brain that it would be nice to take a break.

A rare woman, being in a position, is really not sick. There are some symptoms that are present in almost every girl who is expecting a child, which are the reason for applying for a sick leave. Consider how to take a sick leave for a pregnant woman, if not only tired of working, but also feeling unwell. It is worth paying attention to the following symptoms:

In addition to the above factors, there are many others. And despite these ailments, it often happens that a pregnant woman feels fine, does not feel weak from temperature or dizziness from high blood pressure. Then, in fact, it turns out that the woman is sick, but technically - no. It is not forbidden to ask for sick leave, because there is no deception.

What is the responsibility of pregnant women?

Like any citizen of the Russian Federation, a pregnant woman is obliged to comply with the laws in force in the territory of our country. But the fact is that in the case of a state when a girl is expecting a child, it is difficult to catch whether she is faking or not.

In situations where a woman in a position deliberately pays a bribe so that the doctor sends her on sick leave, she will be held responsible. Since this is bribery for a knowingly illegal action, in accordance with part 3 of article 291 of the Criminal Code of the Russian Federation, she faces:

• a fine multiple of 30 to 60 relative to the amount of the bribe;
• imprisonment up to 30 years.

Also, for the use of a false document on the basis of Article 327 of the Criminal Code of the Russian Federation, one can be deprived of liberty for up to 4 years.

How to get a disability certificate if you are not sick?

How to ask for a sick leave from a gynecologist or other doctor when good health? If the previously described reasons do not fit, but you still need to open a sick leave, it is important to know where to go.

Since the legal ailments for which a sick leave is given are listed above, methods for simulating the disease will be described below. Depending on which disease is easier to imitate in a particular situation, one or another specialist is called for.

Important! A doctor does not have the right to refuse to issue a sick leave if a woman has specific symptoms. But if he is sure that the patient is healthy, then, on the basis of clause 26 of order No. 624n, he may refuse to issue a certificate of incapacity for work.

But doctors always special treatment to pregnant women. Most often, with any complaints, they make concessions and try in every possible way to minimize the risk of complications, so they write out a sick leave to give the girl who is expecting a baby a break. But you need to understand that constantly coming to the doctors for sick leave without any special reason will be at least suspicious.

How can a pregnant woman go on a long sick leave without getting sick? As for the duration of the sick leave, the attending physician, in accordance with the Procedure and Articles 59 of the Federal Law of November 21, 2011 No. 323-ФЗ “On the Basics of Protecting the Health of Citizens in the Russian Federation”, for a maximum of 15 days. If the duties of a doctor are performed by a paramedic or a dentist in cases stipulated by the authorized federal executive body - for 10 days.

For its further extension, it is necessary to pass a medical commission, As a rule, district police officers do not like to get involved with this. Therefore, if a pregnant woman wants to stay at home for the entire period, it is worth alternating specialists and periodically going to the hospital, where a sick leave is issued for a period of up to 30 days.

A midwife or nurse is not authorized to issue sick leaves.

Responsibility of the doctor for fictitious execution of the document

More often than not, the guilt of the doctor is not so easy to establish. Since, when a woman complains, he is obliged to issue a disability form in order to at least confirm or refute her condition by sending her for tests and other types of diagnostics. However, there is such a business in medicine as the intentional sale of sick leave forms.
Doctors are held accountable for this.

Each person, to the best of his decency, decides for himself whether he should resort to slippery methods or not. In the case of pregnancy, you should always weigh how much the health benefits of the expectant mother and fetus will be higher than fines, loss of reputation or job. If, for example, there is a difficult emotional situation at work, you definitely shouldn’t endure it, it’s better to go on sick leave.