How to get a birth certificate and what to do with it?

What is it needed for?

The certificate is provided to pregnant women regardless of region of residence and registration. The following purposes of its existence are distinguished:

1. the right to independently choose a antenatal clinic, clinic and maternity hospital, where you will be under the supervision of specialists;
2. competitive environment in healthcare, from embryonic development to the birth of a child;
3. improving the quality of services provided in the field of medicine;
4. analysis of fertility statistics.

Thanks to the birth certificate, more than 90% of services in the following areas are paid for:

• monitoring the development of the embryo;
• obstetrics;
• primary medical care for the baby;
• dispensary observation of the baby.

The main goal of introducing the certificate is to stimulate the interest of medical institutions in providing better quality care in the field of obstetrics, gynecology and pediatrics.

In 2021, a pregnant woman has the opportunity to choose any maternity hospital that is part of the all-Russian Health project. She can contact any organization of her choice, and specialists are obliged to accept her to provide the necessary services.

Nuances when registering for a second and subsequent children

Although a pregnant woman is required to obtain such a certificate, it is still necessary for medical institutions in order to provide the entire range of services free of charge. The registration process will not depend on which child is born to the patient. Even with multiple pregnancies, only one certificate is issued. Of course, it will indicate the number of fetuses that the mother is carrying. The coupons numbered 3-1 and 3-2 will include those children who were born, and each of the babies will be assigned a separate compulsory medical insurance number. Each of these coupons is submitted to the clinic separately, since children will be registered separately.

Is it possible to cash out

The certification act was created by the Health Project, but it is necessary solely to cover the costs of pregnancy monitoring and delivery. For this reason, we can conclude that such a document does not constitute financial support for the expectant mother, and therefore it is not possible to cash it. These funds go to the account of the clinic or maternity hospital to improve the quality of medical care.

The patient has no right to use these funds for any purpose. The government agency receives the transfer only after it provides a list of services provided to the Social Insurance Fund.

Certificate recovery

Sometimes there are situations when a woman accidentally loses this document, usually this occurs when a purse is stolen, or paper is damaged. In this case, you cannot do without a recovery procedure. But in fact, the process of recovering a lost document is not complicated. Since sometimes a certificate is lost, each form is identified by a unique number, and when the paper is issued, this number is immediately entered into the general database.

If there is a need to restore a lost or damaged document, you should visit the branch where the form was previously received. Based on the documents presented, the registration number of the act will be identified in the database, it will be canceled, and then a new certificate will be issued.

Restrictions on use

Since the certification act relates to medical documents, there are a certain number of restrictions on its use. This may include:

• if the document is lost, it will not be possible to restore it, but you can order a new form;
• transferring such paper to third parties is strictly prohibited;
• funds allocated for medical care cannot be cashed out by a woman;
• such a certificate will not be accepted in private clinics and maternity hospitals (this is only possible if the institution has entered into an agreement with the Social Insurance Fund).

It turns out that the certification act is very necessary, since it is a guarantee of receiving free medical care during childbirth.

Every pregnant woman can receive it, regardless of status, place of work or age. This paper not only guarantees the receipt of high-quality medical services, but also reimburses the maternity hospital and clinic for the funds spent in the process. This approach has significantly improved medical care in many maternity hospitals.

Features of the document

How can a woman get a certificate? Initially, it is provided in a city clinic or antenatal clinic, where pregnant women are observed.
The document is provided by the attending physician at 30 weeks for a normal pregnancy and 28 weeks for a multiple pregnancy. The main condition for provision is the woman’s continuous care and observation in an outpatient setting for at least 12 weeks. The format and methods of filling out are determined by Order of the Ministry of Health and Social Development No. 701 of November 28, 2005. The document can only be filled out by budgetary medical institutions of the state or municipal system that are licensed to work in the field of obstetrics and gynecology.

To make it easier to navigate, its individual parts are decorated with pink and green stripes. First of all, they are necessary for institutions for nominal payment for complex services:

1. observation by a gynecologist during the development of the embryo and then the fetus;
2. visiting specialists for a routine medical examination;
3. regular tests;
4. undergoing hardware medical examination - ultrasound, MRI, ECG, Doppleroscopy;
5. observation in a hospital if necessary;
6. planned hospitalization in the maternity hospital, and, if necessary, emergency;
7. monitoring the baby and the woman in labor after birth.

Generic documents are acts that require strict accountability. The form is made on paper with its own security system.

Legislation

The procedure and conditions for issuing paper are fixed by orders:

1. Ministry of Health and Social Development of the Russian Federation No. 701 dated November 28, 2005
2. Ministry of Health of the Russian Federation No. 370 dated July 16, 2014

According to regulatory sources, the purpose of issuing the document in question is to create favorable circumstances for better quality care for the patient through additional funding for the services provided to her.

According to current legislation, the recipient of the document can be a woman examined during pregnancy, as well as one who gave birth to or adopted a child before he reaches three months. A similar right for men is not provided for by law.

, but in fact, if he receives permission to adopt a child less than three months old, it becomes possible to use part of the funds to examine the baby before he reaches one year.

Services and rights of a woman under a birth certificate

This document is valid in medical institutions of any level - regional, municipal, federal. This can be not only a antenatal clinic and a maternity hospital, but also a children's clinic. To fully apply the certificate, it is important to know the list of services included in it.

A woman can independently choose an antenatal clinic and a maternity hospital. It is possible to select a children's clinic to monitor a child in the first year of life. In addition, if the doctor in the area is not satisfied, the choice of individual specialists is allowed.

Coupon No. 1 is required to visit a antenatal clinic, but it implies free and regular examinations by a gynecologist . It includes monitoring the child’s development, listening to the baby’s due date, measuring weight, and also monitoring the pregnant woman. Tests and procedures are available to monitor the correct development and growth of the child:

• CTG and ultrasound according to the deadline;
• general blood analysis;
• blood test for glucose tolerance test, RW and HIV;
• early screening for congenital or hereditary diseases;
• general medical examination, including a therapist, ophthalmologist, neurologist and ENT specialist;
• passing through the ECG room;
• if necessary, support from a social worker and psychologist is provided;
• provision of vitamins;
• observation in a hospital setting according to indications.

Coupon No. 2 is used in the maternity hospital for the following:

1. placement in the antenatal department, including the required procedures and meals;
2. births as a group by a team of doctors, including a gynecologist, midwife, neonatologist, surgeon and nurses;
3. if necessary, caesarean section prescribed without payment;
4. pain relief during contractions;
5. food for a child in the absence of milk;
6. postpartum care;
7. appointment of the first vaccinations for the baby.

The remaining coupons are intended for monitoring a newborn and up to 1 year . They are needed for the following:

• systematic visits to the pediatrician once a month if the child is in good health;
• a doctor visiting the child at home once a week during the first month of life;
• routine examination by specialists at 1, 6 and 12 months of life;
• Ultrasound of the abdomen, hips and brain;
• vaccinations according to the planned calendar.

How to get

The pressing issue is when such a document is issued, as well as where to obtain this paper. In order to easily and without problems get a “red sheet”, the expectant mother must be observed by a gynecologist during pregnancy. In this case, only state institutions are taken into account. The basis for issuance is the observation of the woman in consultation for twelve weeks. For this reason, the patient should register no later than 25 weeks.

Important! A pregnant woman must follow the doctor’s orders, undergo examinations, and take all tests on time. If this does not happen, then certain problems may arise with obtaining the paper. The document is issued by the doctor who managed the patient’s pregnancy.

Benefits of the certificate

Many people, having received the document, do not know what to do with it. It is issued to a woman for presentation at the antenatal clinic, maternity hospital and children's clinic after the birth of the child.

At the antenatal clinic, he allows you to receive vitamins and medications prescribed by a doctor free of charge. In the maternity hospital, having a document allows you not to pay for syringes, IVs, administration of oxytocin and other medications. It is not intended to pay for caesarean section or epidural anesthesia at the request of the patient, but its funds are allocated to the procedures necessary in a particular case.

Those who are observed in a private medical center have the opportunity to obtain a certificate at the clinic. But by law no one is obliged to return the equivalent of the unspent amount under it. If previously the expectant mother had to go to the antenatal clinic at her place of residence or registration, now she can choose a convenient place or the best specialist.

Which organizations will accept the document?

All medical institutions participating in the program:

• consultations;
• perinatal centers, maternity hospitals and departments;
• clinics that monitor infants.

The institution must be directly involved in the special program of the “Health” project.

In this case, the following conditions are met:

• availability of an appropriate license;
• concluded agreement with the FSS.

State medical institutions have the right not to enter into additional contracts. They are automatically covered by the program.

The expectant mother will be accepted with a certificate at any public clinic of her choice.

Composition of the document

The certificate has a specific structure that applies to different medical institutions and services. The document includes the following:

1. A counterfoil confirming the provision of the certificate. It remains with the institution that issued the document. Usually this is a city clinic or antenatal clinic.
2. Coupon No. 1. It is intended to pay for services for outpatient observation in the antenatal clinic. Funds from the budget are allocated through it to pay for the work of doctors. In addition, the provision of medicines and vitamins is being reimbursed, and the provision of medical equipment is being improved.
3. Coupon No. 2. It is issued to pay for maternity hospital services not only for the birth itself, but also for the recovery period after it and primary care for the child. The woman is provided with additional nutrition and medications as needed. It must be presented at the maternity hospital, but for paid births the coupon is not used.
4. Certificate form. It is needed to confirm the provision of assistance and is issued without coupons 1 and 2 after discharge from the maternity hospital.
5. Ticket No. 3-1. Used at the place of observation of the child in the first 6 months. At the same time, it is important that he is registered before 3 months of life.
6. Ticket No. 3-2. Provided for the next 6 months of preventive monitoring of the child.

What a birth certificate looks like:

​

As a result, coupons are transferred to certain medical institutions, upon provision of which payment is possible. An organization may not receive compensation from the state budget if the documents are completed incorrectly or if violations are made in the provision of services.

Maternity hospital

The next stage at which this document will be useful to you is childbirth. More precisely, the postpartum period. So don't forget to take your birth certificate with you. If you haven't done this, you can ask someone from your family and friends to bring it.

The second coupon is torn off at the maternity hospital where you gave birth and left there. And the remaining parts are returned to the new parents. The “adventures” don’t end there. You must have at least 2 tickets left. Where should I give the birth certificate? Now there is one more place left that this document will require from you.

What is required to provide?

The registration rules are the same for everyone, regardless of the order of birth of children. The certificate is issued upon provision of a minimum package of documents:

1. SNILS;
2. compulsory medical insurance policy;
3. passport.

If there is no SNILS or compulsory medical insurance policy, a corresponding mark is placed indicating the reason. After registration, visits to the supervising doctor must be regular; if there is a long break of 3 months or more, difficulties will arise with the preparation of documents.

Every citizen of Russia can count on receiving a birth document, regardless of work experience, status, age and social status. Foreign citizens can count on him to receive full services. But you need to apply for a temporary residence permit or temporary residence permit.

If at any stage the woman was observed at a paid medical center, a stamp “not subject to issue” is affixed to the corresponding part. The certificate can be issued using an exchange card after childbirth in order to present it to the children's clinic.

The total cost is 11 thousand rubles, which are distributed as follows:

• for antenatal clinic – 3000 rubles;
• for a maternity hospital – 6,000 rubles;
• for dispensary observation of a child, 1000 rubles for every six months of the first year of life.

If the expectant mother was registered in several clinics, the coupon was given to the one in which the observation period was the longest. It is not allowed to receive funds in person instead of a certificate.

Where should I give my birth certificate after giving birth? After returning from the maternity hospital, a pediatrician from the children's clinic or a nurse should come to the child. The document is given to them or upon direct application to register the child. There may be one spine left with information about the child. You can keep it for yourself or provide it to the antenatal clinic.

What to do with the certificate after childbirth in 2021

Along with the MS, the woman in labor is given three more counterfoils - two coupons No. 3 (parts 1 and 2) and a form with basic information about the child. The MS itself remains with the woman in labor, as well as the basic information about the newborn, although it is better to give the last form to the medical institution where the baby will be observed and it must be included in the general card.

The first stub of the third coupon can be given to the pediatrician at the first visit to the baby or to the children's consultation when registering him, which must take place during the first month of the child's life and no later than 180 calendar days from the moment of his birth.

See also:

How to choose toys for children under one year old - table by month

Upon reaching six months of age, it is necessary to provide the second part of the third coupon, which gives the right to further free observation and care for a small patient up to 1 year.

What can the funds not be used for?

The birth document is provided only for reimbursement of medical services related to pregnancy, childbirth and child monitoring. This has nothing to do with financial support for the expectant mother. The funds cannot be cashed out and spent on other purposes. For example, a woman has the opportunity to undergo a routine examination by a dentist, who will report any existing problems. But additional services such as dental implantation are not available under the certificate.

This document cannot be used not only to pay for pregnancy and childbirth in a private clinic. They cannot fully or partially pay for services in a budgetary medical institution if an agreement is signed on a commercial basis. It is also not allowed to pay for services that are not included in the mandatory medical assistance program.

Changing certificate information

Often there is a change in personal data, in particular the last name, after receiving the agreement. Changes are made to it based on the identity card. Only the reason for the changes is marked.

A reference is also made to the date and name of the supporting paper. Therefore, institution staff may request a document confirming the fact of the changes. For example, a marriage certificate. New information is entered on the paper under the old data.

To make changes, it is enough to inform the medical institution and bring the appropriate supporting document. Changes are made by the doctor observing the woman.

What assistance cannot be paid for?

A woman has the opportunity to keep coupons if she considers that the services were not provided in full or at an insufficient level of quality. The transfer of coupons is her right, not her obligation.

In most cases, the stated cost is not enough to cover all services provided. But within the framework of the main package, the government has determined this amount to be sufficient.

If special care is required due to identified complications, assistance is not included in the scope of the birth certificate. This will require additional reserves, although the medical institution cannot require the woman to pay for them.

What can happen if a document is missing

A woman can attend childbirth without a certificate. Therefore, she may be concerned about whether she will be admitted to the maternity hospital without a birth certificate.

There is no need to worry about this; they won’t leave her on the street. Medical professionals will provide assistance and independently make a request for the missing document. When their efforts prove futile, they issue the document themselves.

Only in the column for antenatal clinics is the FSS stamp indicating no payment. Therefore, there is nothing terrible that the patient does not have the certificate in her hands. To a large extent, this is an additional cost of time for the maternity hospital staff. But it’s better to think in advance about how to get a birth certificate.

What not to do

This document will be issued for each subsequent child while maintaining the established amount. You cannot perform the following actions with a birth certificate:

• restore in case of damage or loss;
• receive money in cash;
• cash out or sell to others;
• pay for services at a private medical center.

Without a certificate, a clinic or maternity hospital cannot refuse to register a newborn or attend birth. According to the law, a woman herself chooses a maternity hospital that suits her in all respects. Since the maternity hospital receives money for the patient, there are usually no problems with choosing an institution.

In emergency cases, an ambulance will take the woman in labor to the nearest maternity hospital. You can choose a medical institution only if there are indications for hospitalization in a specialized medical center.

Reviews from women in labor

In order to finally understand all the nuances and pitfalls of this issue, it would not hurt to read the reviews of women who have already completed this document. Among the most relevant of them it is worth highlighting:

Alevtina: “Girls, I want to warn everyone that not all doctors are competent in issuing a Birth Certificate. I was registered with the residential complex under registration for 15 weeks, but my gynecologist said that I was not entitled to a certificate yet, since I needed to stay for 20 weeks. Since I don’t work, they prescribed it to me already in the maternity hospital. They also informed me that I was required to be registered for 12 weeks, and if I had known this nuance, then I would not have had to pay for some tests out of my own pocket.”

Ilona: “I gave birth in Lapino, I liked everything. Great care and service. I received the certificate at 29 weeks, although it’s only due after the 30th week, it seems. A CS was performed upon request, so we paid for the operation and associated expenses ourselves. Everything else is the state.”

Maria: “This is already my second birth, so I have some experience in obtaining a certificate. “In the end, I registered it while going on maternity leave, in the thirtieth week (all the data was transferred to the hospital by the company during registration).”

On the right to choose medical institutions and doctors

A woman has always had this right and retains it, regardless of what accompanying documents she draws up.
Thanks to birth certificates, additional financial support is simply provided. But it is still worth paying attention to compliance with the principle of territorial affiliation. This is especially important in the presence of any pathologies or additional complications.

In case of emergency hospitalization, the doctor himself decides which institution is best to choose in a particular case.

Birth certificates are not money intended to solve personal financial problems. This is especially worth remembering. The state takes care of additional funding for the healthcare system. Therefore, the certificate cannot be cashed or issued to third parties. Rules for document preparation are available on the official websites of institutions or regulatory authorities that oversee these issues.