Free medicines for pregnant women. What pregnant women are entitled to free of charge: medications, tests, examinations, benefits at work Order 748 on drug provision for pregnant women
In order to further optimize measures to provide pregnant women with medicines, in connection with the entry into force of the order of the Ministry of Health and Social Development of Russia dated February 11, 2010 N 79n, Moscow “On amendments to the order of the Ministry of Health and Social Development of the Russian Federation dated February 5, 2008 . N 51n “On the procedure for spending funds related to payment for services to state and municipal healthcare institutions (and in their absence, to medical organizations in which a state and (or) municipal order has been placed in accordance with the procedure established by the legislation of the Russian Federation) for medical care provided to women. during pregnancy, during childbirth and in the postpartum period, as well as for dispensary (preventive) observation of children registered during the first year of life at the age of up to three months." I order:
1. Announce the order of the Ministry of Health and Social Development of Russia dated February 11, 2010 N 79n, Moscow (attached).
2. Make the following changes to the order of the Department of Health dated October 6, 2008 N 748 “On drug provision for pregnant women”:
2.1. Delete clause 2.4. and application;
2.2. Clause 5 should be presented in the following wording: “Prescribe medications at the expense of birth certificates in accordance with the procedure determined by the letter of the Department of Health dated 04/07/2008 N 42-18-427”;
2.3. Supplement the order with paragraph 6 “Provide birth certificates with medicines during pregnancy for medical reasons according to doctor’s prescriptions”;
3. Entrust control over the execution of this order to the Deputy Head of the Moscow Department of Health, I.A. Leshkevich.
Order of the Moscow Department of Health dated May 20, 2010 N 816 “On amendments to the order of the Department of Health dated October 6, 2008 N 748 “On drug provision for pregnant women”
Order of the Moscow Department of Health of October 6, 2008 N 748 “On drug provision for pregnant women” (with amendments and additions)
Information about changes:
By order of the Moscow Department of Health dated May 20, 2010 N 816, changes were made to this order
Order of the Moscow Department of Health dated October 6, 2008 N 748
“On drug provision for pregnant women”
With changes and additions from:
In order to preserve and strengthen the health of pregnant women, prenatal health of newborns, optimization of measures to provide the population with medicines, in accordance with the order of the Moscow Government dated September 5, 2008 N 2028-RP “On amending the order of the Moscow Government dated August 10, 2005 N 1506 -RP" I order:
1. Announce the order of the Moscow Government dated September 5, 2008 N 2028-RP “On introducing amendments to the order of the Moscow Government dated August 10, 2005 N 1506-RP” (attached).
2. To the heads of health departments of administrative districts, chief doctors of treatment and preventive institutions of urban subordination:
2.1. Accept for execution and bring to the attention of all subordinate medical institutions (structural units) the order of the Moscow Government dated September 5, 2008 N 2028-RP “On amending the order of the Moscow Government dated August 10, 2005 N 1506-RP”;
2.2. Carry out the formation of a register of pregnant women and submit it to Gmktsrit LLC by the 25th of each month;
2.3. Ensure that medications are prescribed to pregnant women for free at pharmacies at their place of residence in the manner established for categories of citizens who have the right to social support in the form of provision of medicines and medical products free of charge or with a 50% discount;
3. Add codes for categories of citizens who have the right to social support in the form of providing medicines and medical products for free or with a 50% discount on a doctor’s prescription (Appendix 2 to the order of the Department of Health dated January 19, 2005 N 31 “On amendments to the order of the Health Committee Moscow dated February 12, 2001 N 65 “On the preparation of the Unified City Register of the Population Having the Right to Preferential and Free Dispensing of Medicines and Medical Products”):
Name of population group
Medicines, medical products
What free medications are available to pregnant women in 2017?
Women expecting a child need regular support for the body in the form of vitamin and mineral supplements, and in case of illness they need medications, which are often expensive. The state provides assistance to expectant mothers in the form of partial or full payment for medicines and vitamins. In 2017, the “Health” program was launched, according to which all women expecting a child were classified as a category of citizens entitled to receive preferential medications.
On drug provision for pregnant women
In many ways, all measures to provide for pregnant women are carried out within the framework of the federal legislation of the Russian Federation (Federal Law of the Russian Federation) and the national project “Health”. The basic conditions of the drug provision program for pregnant women are regulated by the following legislative acts:
Initially, there was no list of medicines that could be purchased on a preferential basis: in the initial version of the draft “Health” program, it was reported that expectant mothers and children under 3 years of age have the right to receive medicines in pharmacies with a doctor’s prescription for free. However, practice has shown the poor effectiveness of this method, and the bill was amended in the following parts:
The list of funds that are provided free of charge differs depending on the locality and region - it is approved by local authorities. This decision was dictated by differences in medicinal needs based on territory, climate, and social situation. In other words, each region has its own list of drugs that are most in demand among pregnant and lactating mothers. If a drug is not on the legally approved list, then, in accordance with the terms of the program, such drugs can be obtained with compensation of 50% of their market value.
In addition, having a birth certificate gives the right to receive outpatient treatment, additional services during childbirth and monitoring the baby’s condition during the first year of life. The legislative introduction of the certificate pursues the following goals:
The recipients of the “Maternity Certificates” program are antenatal clinics, maternity hospitals, and children's clinics. The certificate is valid in all state and municipal maternity hospitals, so a woman can freely choose where to apply. An institution that has a license to carry out medical activities in the specialty “obstetrics and gynecology” or “pediatrics” and has entered into an agreement with the regional branch of the Social Insurance Fund can become a participant in the program.
Procedure for receiving free medicines
You can find out which medications a woman is entitled to receive free of charge in case of pregnancy from her attending physician, obstetrician or gynecologist, as well as from the social security authorities. To be able to use free medications, you must complete the following steps:
- Since a citizen has a compulsory insurance policy, she can choose any health care institution to be observed there: it could be a commercial antenatal clinic, a municipal (state) clinic, or a maternity ward. A visit to the establishment is required during pregnancy.
- Registration with the selected institution. During the attachment, the patient must choose a attending physician who draws up a medical record, checks health status, prescribes and adjusts recommendations on general lifestyle, choice of diet, activity, etc.
- After a medical examination, the doctor is obliged to inform you which medications can be obtained free of charge during pregnancy and after childbirth - their list is drawn up in writing and handed over to you. If the doctor does not provide a list of medications, you need to ask a question and remind them of your right to free help.
- If it is necessary to take medications, the doctor must issue a prescription on official form; If the drug is included in the list of drugs provided free of charge, then a special mark is placed on the prescription form, which confirms that the drug is received free of charge.
- Visiting a social pharmacy or pharmaceutical company with which the selected clinic works; in the latter case, the doctor reports it. At the pharmacy, the pharmacist dispenses the prescribed drug and collects the prescription.
Since many doctors do not provide their patients with the opportunity to take advantage of benefits or forget to warn the pregnant woman about this possibility, you can personally contact your doctor and ask for the necessary prescription. If this is not done, you should go to the head physician of the medical institution for clarification.
What medications are provided free of charge?
In each region, the list of free medications for pregnant women can be adjusted based on the amount of budget funds or other possibilities for providing such benefits. However, as part of the social program, a certain list of medications is provided free of charge, most of them consisting of vitamin supplements. Such a list, valid in 2017, is presented in the table below.
List of free medications for pregnant women and conditions for receiving them
Since 2007, every expectant mother and young child in Russia has the legal right to receive free medications included in the list of free medications for pregnant women.
Medication assistance to pregnant women began in 2007 as part of the national project “Health”. The Government of the Russian Federation rightly considered that families expecting a child - and especially single mothers - as well as families raising very young children are under additional financial pressure and cannot always provide themselves and the baby with the necessary medications. In order to solve this problem, a list of free medicines for pregnant women was introduced in Russia.
How to find out the list of subsidized drugs
Free medications for pregnant women should be provided throughout the Russian Federation. Medication assistance to young mothers is regulated by the following regulations:
- Decree of the Government of the Russian Federation of December 29, 2007 No. 987.
- Regulatory documents of the constituent entities of the Russian Federation.
- Federal list established by order of the Russian Ministry of Health;
- Regional list.
- First, medical institutions are required to inform patients about the subsidies they are entitled to. The list of subsidized medications should be posted on a stand in the antenatal clinic. In addition, the doctor is obliged to convey this information to the patient during the appointment. If your doctor neglected this responsibility and did not offer you a prescription for subsidized medications, just remind him of the state support program. Usually this is enough;
- Secondly, you can find out what free medications pregnant women are entitled to on the website of the health department (ministry) of your region. For example, in Moscow, such a list was established by Order of the Moscow Department of Health dated October 6, 2008 No. 748 “On drug provision for pregnant women.”
- A pregnant woman needs to register with a specialized medical institution (most often this is an antenatal clinic).
- The clinic must have an agreement with a certain list of pharmacies. Most often, this list is established at the request of regional authorities. The patient will be able to receive preferential medications only in pharmacies with which the antenatal clinic has entered into an appropriate agreement. A list of such pharmacies must be publicly posted on the clinic premises.
- The gynecologist writes a free prescription for the necessary medications.
- Then everything is simple. Prescribed medications can be obtained according to the issued prescription at any pharmacy that has an appropriate agreement with the antenatal clinic.
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The list of drugs that must be provided free of charge to pregnant women consists of two parts:
Each region has its own list of medicines, which includes: a mandatory set of medicines established throughout Russia and medicines added by the regional authorities. Traditionally, the regional list of free medications for pregnant women is established by order of the department (or ministry) of health of a constituent entity of the Russian Federation.
There are several ways to find out which free medications are available to pregnant women in your region:
It should be noted that, unfortunately, Russian citizens do not have equal access to state medical care. The federal list of free drugs has not been expanded for many years and is unlikely to be increased in a crisis. Most of the responsibilities for providing people with preferential medicines are the responsibility of the regions. Naturally, not all of them can successfully cope with the task. Today, the most extensive and expensive list of medications is available to residents of Moscow.
How to get preferential medication assistance
Despite the fact that it is customary to talk about free medications for pregnant women, in fact this program does not end at the moment the baby is born, but continues to operate until the child reaches 3 years of age. The list of drugs includes medications that should be prescribed free of charge to children under 3 years of age.
The procedure for receiving subsidized drugs is simple. It can be roughly divided into several stages:
In cases with children under 3 years of age, the procedure is similar, with the only difference that the prescription will be written by a pediatrician.
It should be noted that medical personnel, as well as pharmacy personnel, are obligated to comply with the requirements of the federal program for providing citizens with free drugs. Persons found to have intentionally refused to issue a free prescription to a pregnant woman or other citizen of the Russian Federation entitled to receive preferential medications are subject to administrative liability.
Free medications during pregnancy
For several years now, Russia has been implementing a number of measures to support expectant mothers and their young children. This year the situation will not change - the state will continue to provide women with a relaxing maternity leave, financing, in particular, various payments at the birth of a child and one-time benefits for pregnant women women officially employed and registered within a period of up to 12 weeks. As well as free provision of medicines to expectant mothers.
In many respects, all of the above measures are carried out within the framework of the federal legislation of the Russian Federation ( Federal Law of the Russian Federation) and the national project “Health”.
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Who is eligible for free medications during pregnancy?
In 2017, every pregnant woman will be able to receive free medications during pregnancy, provided that she is registered at the antenatal clinic.
Prescriptions for medications and vitamin complexes are issued at the onset of the 30th week of pregnancy (if the pregnancy is multiple, then from the 28th week) and occurs for the funds included in the birth certificate. The latter is issued at the antenatal clinic along with a completed certificate of incapacity for work.
In general, if we rely on Order No. 72 of the Ministry of Health and Social Development of the Russian Federation dated February 1, 2011, a pregnant woman can count on receiving free medications at a time, costing up to 990 rubles. If the medications are too expensive, then a woman can get them at a 50% discount.
The Decree of the Government of the Russian Federation No. 987 and Order No. 748 of October 6, 2008 “On drug provision for pregnant women” establishes a list of medications that are provided free of charge to pregnant women. The list of free medications is updated monthly and should be on stands in all antenatal clinics.
Free software Subjects of the Russian Federation produce medicines for expectant mothers from regional budgets.
Procedure for obtaining medicines
The law clearly describes how decor and receiving free medical care for pregnant women. A prescription for a medicinal product or medical device is written by an obstetrician, and he must ensure that all the details of the document are filled out correctly, down to the date and two stamps. And the patient can already get medicines or vitamins at any pharmacy in her place of residence. But it is better to check this point with your doctor.
If the required medicine is not available, the doctor should offer an analogue of the drug. Or put the woman on delayed service. This means that the patient will be provided with the medicine no later than 15 days later.
If the doctor refuses these options, the woman can complain to the health authorities, whose telephone number is usually listed in the antenatal clinic on the notice board.
Receipt procedure free medications during pregnancy is quite simple - you don’t need a lot of certificates or unnecessary documents. Therefore, every year the number of women who have taken advantage of this program is increasing.
Last updated April 2019
Many couples put off having children because of the family's financial situation. During pregnancy, childbirth, and the postpartum period, additional costs arise for medical care, medications, and doctor services. Not everyone knows what pregnant women are entitled to for free, and in general, that you can undergo some kind of examination and receive some medications for free.
Normative base
In connection with the decrease in life expectancy and a significant decrease in the birth rate, the all-Russian project “Health” was launched in 2006. An innovation was the introduction of birth certificates, which stimulate improvement in the quality of medical care in antenatal clinics and maternity hospitals.
Articles Art. 41 of the Constitution of the Russian Federation and Art. 20 Fundamentals of the legislation of the Russian Federation on health protection stipulate that all medical care in state and municipal medical institutions should be provided free of charge. Any by-laws must comply with the Constitution of the Russian Federation.
The issue of providing medicines is regulated by orders of the Ministry of Health and regulatory documents of the constituent entities of the federation. The main document is Order No. 748 of October 6, 2008 “On the provision of medicines to pregnant women,” which allows you to receive a number of medications absolutely free or with a 50 percent discount.
Paid services in medical institutions are not prohibited by law, but they should not be provided in exchange for free medical care provided to pregnant women.
It should be
The “Health” project involves a certain sequence of receiving medical care, medications and vitamins for pregnant women free of charge. For this purpose, each future woman in labor is given a birth certificate, which is financed from the local budgets of the constituent entities of the federation.
The general procedure is as follows:
- You should try to register with your local antenatal clinic in the first 12 weeks of pregnancy. For early registration, incentive payments are provided in the amount of 500-1000 rub.. (depending on the region of the Russian Federation, residents of the North are given a premium depending on the category of the region);
- Regularly undergo examinations and tests prescribed by your gynecologist;
- At the 30th week (in the case of a multiple pregnancy - at the 28th week), the pregnant woman is given a birth certificate, which is used to pay for medications, childbirth, as well as pediatrician services for examining the baby in the first year of his life.
How much can you get for early registration?
According to the Procedure for the appointment and payment of state benefits to citizens with children, every woman who registers with the local antenatal clinic in the first 12 weeks. pregnancy, receives a lump sum benefit. This is done to encourage women to start visiting a doctor as early as possible, which will allow them to identify abnormalities in the development of the fetus in the early stages of its development and take the necessary measures.
To receive benefits, you need not only to register on time, but also:
- be a student paid for by the state;
- be employed, then the employer makes payments to the Social Insurance Fund
- contribute funds independently to your social insurance policy.
Thus, you either need to have an official job, or be a student at an educational institution, or be a woman entrepreneur. Also eligible for payment are women who were fired for good reasons (moving, caring for a seriously ill family member, illness, etc.) no more than a month ago.
- The certificate can be obtained at the antenatal clinic registry at the place where the pregnant woman is registered.
- Then the certificate must be provided to the employer at the place of study or go to the Social Insurance Fund at the place of registration to draw up a social contract.
- The payment will be made simultaneously with the payment of maternity benefits.
The procedure for receiving incentive payments is regulated by the Law “On State Benefits for Citizens with Children” dated May 19, 1995 and the Order of the Ministry of Health and Social Development of Russia “On Approval of the Procedure and Conditions for the Appointment and Payment of State Benefits to Citizens with Children” dated December 23, 2009
Why do you need a birth certificate?
The birth certificate was created with the aim of improving the quality of medical care in maternity hospitals and antenatal clinics, since the money is received directly by the medical institutions to which the woman turns.
The certificate consists of three separate coupons for certain amounts:
- 3000 rubles – to pay for services in the antenatal clinic;
- 6,000 rubles – to pay for services in maternity hospitals and perinatal centers;
- 2000 rubles - to pay for the services of a children's clinic for examination and monitoring of a child until he reaches one year.
A woman can spend 20-35% of the total amount on medications prescribed by a doctor.
What free services are available to pregnant women in 2016?
Doctors' services
- First of all, pregnant women are guaranteed to receive full medical support from the supervising gynecologist.
- In addition, free services are provided by other specialists, including a therapist, otolaryngologist, ophthalmologist and dentist. Referrals to doctors of other specializations are issued by a gynecologist.
- It is also stipulated that all medical or physiotherapeutic procedures are provided free of charge.
- A woman can receive free care in a hospital regardless of the method of treatment: independently, by referral from a doctor, or by being delivered by ambulance.
General studies
Maternity clinics provide free examinations:
- Ultrasound three times during the entire period of pregnancy (10-14 weeks, 20-24 weeks, 32-34 weeks) or more often in the direction of a gynecologist;
- fluorography for all relatives of a pregnant woman living with her.
You do not have to pay not only for the study itself, but also for consumables used during work (for example, alcohol, syringes, cotton wool).
Laboratory research
Orders of the Ministry of Health and other regulations provide for free tests for pregnant women, including:
- General clinical tests: flora smear, general blood and urine test, Nechiporenko and Zimnitsky tests, coagulogram (bleeding duration, platelets, blood clotting time).
- Biochemical: bilirubin, fibrinogen, total protein, urea, blood sugar, creatinine, prothrombin index.
- Serological: blood group, blood test for syphilis, hepatitis, Rh factor, determination of antibody titer if Rh is negative.
- Antibody titer to infections affecting fetal development
- Cytological: oncocytology
- Additional (according to indications): bacteriological studies, colpocytology, serum iron, external hysterography, cardiotachography, etc.
Manipulations and physiotherapy
- Physiotherapy (according to indications): electrosleep, electrophoresis and others
- Manipulations (as prescribed by the doctor: intravenous injections, intramuscular injections and others.
Free some medicines and vitamins
The list of medications provided to pregnant women free of charge is provided for by Order No. 748 of October 6, 2008 “On drug provision for pregnant women.” It contains a small list of medications and multivitamin complexes that will help a woman bear and give birth to a healthy baby (taken according to indications).
To receive a free medicine or purchase it with a 50% discount, you must:
- Register with your local antenatal clinic;
- After the examination, obtain a prescription from your doctor and a list of pharmacies where you can purchase it.
The list includes only vitamins, drugs for anemia and iodine deficiency with a list of trade names of drugs:
- Multivitamins (revit, gendevit, complivit, vitrum Prenatal, zithrum Centuri, Megadin Pronatal, multi-tabs, supradin, teravit, ferravit, elevit prenthal);
- Iron supplements(maltover, fenyuls, ferretab complex) - with low hemoglobin;
- Folic acid(folacin) - in the first 3 months of pregnancy;
- Vitamin E (vitrum, zithrum vitamin E, tocopherocaps, alpha-tocopherol acetate);
- Potassium iodide (iodomarin, iodine balance, potassium iodide, microiodide).
It is impossible to get medicine on preferential terms at the first pharmacy you come across, since for this, health authorities must enter into an appropriate agreement with the pharmacy. Check with your gynecologist where exactly you can take advantage of the benefit.
Is it possible to get benefits when being seen in a private clinic?
The draft stipulates that a woman can receive benefits only if she is registered with a state/municipal antenatal clinic. But some women are observed and give birth in private clinics. However, a birth certificate and free medications are issued only if you register with a government agency.
In this case, in order for a woman to receive the necessary medications and vitamins absolutely free of charge or at a minimal cost, she should simply be observed simultaneously both at the state antenatal clinic at her place of residence and at a private doctor.
Benefits at work
In addition to medical benefits, pregnant women are also entitled to benefits at work. Many of them are known to most workers:
- prohibition of dismissal of a pregnant woman at the initiative of the owner (Article 261 of the Labor Code of the Russian Federation);
- reduction of production standards (Article 254 of the Labor Code of the Russian Federation);
- prohibition of overtime, night work, business trips (Article 259 of the Labor Code of the Russian Federation);
- prohibition of working with harmful factors with the obligatory preservation of previous earnings (Article 254 of the Labor Code of the Russian Federation);
- availability of paid leave for pregnancy and childbirth (Article 255 of the Labor Code of the Russian Federation);
- leave until the child reaches three years of age (Article 256 of the Labor Code of the Russian Federation);
- the ability to establish a part-time or weekly work schedule (Article 93 of the Labor Code of the Russian Federation).
But there are a number of benefits that not all pregnant women know about. For example, a pregnant employee has the right to use her annual leave at a time convenient for herself (even violating the vacation schedule) or tying it to the beginning or end of maternity leave (Article 260 of the Labor Code of the Russian Federation). Also, an employee can use vacation before six months of work at the enterprise in the first working year (Article 122 of the Labor Code of the Russian Federation).
And one more rule can greatly help pregnant women. According to Part 3 of Art. 254 of the Labor Code of the Russian Federation, pregnant women retain their average salary during outpatient examinations. This means that, firstly, the boss cannot prohibit going to the antenatal clinic during working hours, and secondly, he is obliged to pay for the examination time in the amount of the average salary. You just need to remember to take a certificate that you really were in a medical institution
Requirements for working conditions for women during pregnancy
According to SanPiN 2.2.0.555-96
How to exercise your rights
So, the legislation provides some benefits for pregnant women; you just need to know your rights and insist on providing benefits. If your rights are violated, do not hesitate to argue and write complaints to various authorities.
- As a rule, immediately after the threat to write a statement to the Department of Health, the Labor Inspectorate or the prosecutor's office, the whole problem instantly disappears, and the issue is resolved very quickly.
- First, you should go to the head doctor or the head of the antenatal clinic. It is quite possible that the conflict will be settled fairly quickly.
- If you cannot resolve the issue, then you should write a complaint to the regional health department, the Social Insurance Fund, the Ministry of Health, or the prosecutor's office.
- You can also call the hotline or send an email request through the online form.
It is advisable to indicate all recipients in the request. This reduces the chances of unsubscribing, since the authority’s management sees that the request was sent not only to them. As a rule, after such requests, the attitude towards the patient instantly changes, and everyone suddenly “remembers” the benefits provided.
If you have questions about the topic of the article, please do not hesitate to ask them in the comments. We will definitely answer all your questions within a few days. However, carefully read all the questions and answers to the article; if there is a detailed answer to such a question, then your question will not be published.
80 comments
Pregnancy is a natural and wonderful state for every woman. The anticipation of a new life should not be overshadowed by stressful situations and any legal delays.
Unfortunately, sometimes the following happens: an obstetrician-gynecologist recommends that a pregnant woman take a certain medication that she cannot purchase due to financial difficulties.
There is no need to be upset, you just need to carefully study the list of medications that a woman in an interesting position can receive absolutely free. Maybe the drug the doctor recommended will also be here?
Legislative regulation of the issue
Due to the fact that life expectancy has decreased and the birth rate has decreased significantly, a nationwide project called “Health” was launched in 2006.
The innovation lies in the implementation, the main goal of which is to improve the quality of medical services provided in the antenatal clinic and maternity hospital.
In accordance with Article 41 of the Constitution and Art. 20 Fundamentals of the legislation of the Russian Federation on health protection, the provision of medical care in a state or municipal institution must be provided free of charge.
Providing free medicines regulate orders Ministry of Health and regulations of the constituent entities of the Russian Federation. The main document is Order No. 748, dated 2008, which prescribes medications that are prescribed to pregnant women free of charge or with a 50 percent discount.
The provision of paid services in medical institutions is not prohibited, but they should not replace the free medical care required by law for a pregnant woman.
Receipt rules
Decree of the Government of the Russian Federation No. 987, adopted at the end of 2007, and Order No. 748 of October 6, 2008 state that in order to receive free medicines it is necessary to consistently do the following:
The time of bearing a baby is a very important period for any woman. The health of the unborn child depends on the moral calm of the mother and on her proper nutrition. This period requires a colossal amount of vitamins and minerals.
In the first trimester, the processes of proper consolidation and development of the fetus occur, therefore it is impossible to do without the following components:
- Folic acid. Experts believe that it is necessary to start taking this drug at a time when the couple has just begun to dream of having a child. Thanks to folic acid, the brain structure of the fetus is formed normally, and intelligence and psychological capabilities also develop well. The drug is available both in pure form and as part of multivitamin complexes.
- Vitamin B6 (pyridoxine) is an effective fighter against toxicosis and manifestations of a nervous nature. It is also a preventative against calf cramps. The greatest need for the component occurs in the second month of pregnancy, because It is at this time that the baby’s nervous system is formed.
- Vitamin A (retinol) is a drug for the proper intrauterine development of the future human being. Intensive growth is observed by the end of the 3rd month, therefore, in order for body parts to increase proportionally, the amount of vitamin in a woman’s body must be sufficient.
- Vitamin E (tocopherol) is an important component for early pregnancy, because it has a positive effect on the formation and maturation of the placenta and prevents its detachment. In addition, the production of many female hormones depends on vitamin E, some of which are necessary for the formation of breast milk.
The second trimester of pregnancy is the calmest time, because the woman has already said goodbye to toxicosis, the threat of miscarriage is insignificant, and there is still enough time to rest before giving birth. But, despite such a calm environment, it is not recommended to stop taking vitamins. For example, the body needs:
- Iodine is a component needed by the thyroid gland, which is responsible for how the child’s skeleton is formed and the child’s mind is developed. Numerous studies indicate that children with mental retardation are most often born in areas where water and soil contain little iodine. An expectant mother whose body lacks this component is recognizable by the following signs: obesity, dull color of hair, nails, skin, etc.
- Calcium, which determines how correctly the skeleton, endocrine system and kidneys of the unborn baby will be formed. Large amounts of calcium are found in fermented milk products and cabbage. But, if the food is rich in animal fats, then the absorption of this component will occur much more slowly.
- Iron – saturates cells with oxygen. The circulatory system cannot function normally if the body is low in iron. Thanks to the microelement, cholesterol metabolic processes are improved and toxins accumulated in the liver are neutralized. Anemia may develop due to iron deficiency.
The third trimester of pregnancy is the end of expecting a baby. Right now, all processes related to the formation of the baby are being completed, and the expectant mother is planning the date of departure to the obstetrics facility. This period is no less responsible than the previous ones, so it is important to continue to adhere to the diet and saturate the body with a complex of essential vitamins and minerals:
- Vitamin D – prevention of rickets in the unborn baby. The formation of the heart and blood vessels also depends on this microelement.
The state supports families with children and pregnant women, therefore free medications for pregnant women are provided. To receive medications, you must be registered with the antenatal clinic.
Who is eligible for free medications during pregnancy?
In 2019, all pregnant women can receive free medications, subject to registration at the antenatal clinic. Yu.
Vitamins and medications are prescribed to women after the 30th week of pregnancy (if the pregnancy is multiple - after the 28th week). For payment, funds included in the birth certificate are used, which will be given to the expectant mother in labor at the antenatal clinic.
If the cost of drugs does not exceed 990 rubles, then they are provided free of charge. If the cost is higher - with a 50% discount.
Attention! The drugs are prescribed once by an obstetrician-gynecologist.
Most social support measures are targeted. This means that especially needy citizens can receive them. But Medicines are prescribed to all pregnant women without exception, as well as to young children.
Important! Benefits are given with the goal that the expectant mother can improve her health, and in the future the health of the baby.
Legislative framework
Not all women know that they are entitled to free prenatal vitamins and medications. Lists of medications are not always posted in clinics and antenatal clinics.
The Moscow Health Department clarified that a list of medications should be available in all hospitals (letter No. 48-12-2932 dated August 2008).
2 legal acts on the provision of medicines:
- Government Decree No. 987;
- Order of the Ministry of Social Development No. 72 n dated 02/01/2011.
There is a “Health” project in our country. According to this project, expectant mothers receive birth certificates. Thus, the focus is on improving service in medical institutions.
Attention! The basis for receiving medications is a certificate from an obstetrician.
Here are excerpts from the approved list:
- Vitamin E,
- Vitrum Prenatal,
- Iron (III) hydroxide polymaltosate,
- Iron fumarate with folic acid,
- Intensive,
- Multi-tabs Classic,
- Multi-tabs Perinatal,
- Complex,
- Ferretab complex,
- Ferrovit,
- Ferrovit forte,
- Elevit Prenatal.
It is important to remember your rights and apply for benefits, because raising and having children will require large expenses.
Nuance! There are medications that you have to pay for. These include Hyper-swarm SD, Fraxiparine. The order was adopted by the capital's Department of Health.
Paid services exist in hospitals along with free services. However, paid services cannot replace what is provided for free by law.
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What medications are free for pregnant women?
Local authorities are adjusting the list of drugs. This is due to the fact that each Russian region has its own characteristic diseases. For example, residents of the Tver region experience iodine deficiency. Pregnant women in Moscow are often diagnosed with fetal hypoxia.
Vitamins occupy most of the list of medications. After all, they are the ones that are absolutely necessary to preserve women’s health and give birth to healthy offspring.
List of medicines in 2019:
In addition to medications, expectant mothers have the right to other free assistance:
- service from a gynecologist;
- appointment with other doctors in the direction of a gynecologist;
- medical procedures and physiotherapy.
How to stock up on free medications during pregnancy
- You must register with the consultation no later than three months of pregnancy.
- Wait until the receptionist issues a medical card.
- Visit your doctor and get a prescription. Please ensure that all fields of the form are filled out correctly.
- You can get medications at the institution with which the clinic has signed an agreement on servicing beneficiaries.
Prescriptions for vitamins and medicines can be obtained either from a public hospital or a private clinic.
What to do if your doctor refuses to write a prescription for free medications
It’s not for nothing that they say: forewarned is forearmed. Some expectant mothers receive a doctor's prescription and go to the pharmacy to buy vitamins at their own expense. In fact, there is no need to do this.
