Prenatal care, Basic Package, singleton pregnancy (after 6 weeks and until birth)
| Service name | Number of services in the package |
|---|---|
Blood typing and Rh factor test |
1 |
Non-invasive determination of fetal Rh factor in Rh-negative pregnant women |
1 |
Administration of Anti-D Immunoglobulin (RESONATIVE- 2 ml) at 28-30 weeks of gestation in Rh-negative pregnant woman with Rh-positive baby |
1 |
Antibodies in Rh-negative blood of a pregnant woman and Rh-positive blood of a baby’s farther |
2 |
Father`s blood typing and Rh factor test |
1 |
Haemolysin test (if indicated) |
4 |
Syphilis test |
2 |
HIV test |
3 |
Hepatitis B (HBV) test |
1 |
Hepatitis C (HCV) test (total antibodies) |
1 |
TORCH testing: |
1 |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
Complete blood count |
3 |
Ferritin blood test (latent iron deficiency) |
1 |
Thyroid function test: |
1 |
C-reactive protein (CRP) test (inflammation in the body) |
1 |
Coagulogram (blood coagulation indicators) |
2 |
Hepatic and renal function indices: |
2 |
Blood glucose (fasting venous blood) |
1 |
Screening for gestational diabetes (diabetes while pregnant) – a two-hour glucose tolerance test |
1 (and one additionally if indicated) |
Urinalysis, including a test for the presence of protein |
10 |
Urine culture (screening for asymptomatic bacteriuria) |
2 |
Urine protein (if indicated) |
2 |
A 24-hour urinary protein (daily urine) |
1 |
Colposcopy |
1 |
Mirror pelvic examination and bimanual examination |
1 |
Pap smear |
1 |
Colpocytology (if indicated) |
1 |
Smear on the flora |
1 |
Rapid test for amniotic fluid leaking (if indicated) |
1 |
Ultrasound before 11 weeks |
1 |
Expert ultrasound |
4 |
PAPP-A blood test |
1 |
Beta-hCG blood test |
1 (+1 if indicated) |
AFP blood test |
1 |
Estriol blood test (if indicated) |
1 |
Risk calculation for fetal chromosomal and some common congenital abnormalities |
2 |
Risk calculation for preeclampsia (pregnancy complications) |
1 |
Cervicometry (measurement of cervical length) if indicated |
1 |
Cardiotocogram |
6 |
Fetal biophysical profile (additional indicators of fetal condition) (if indicated) |
1 |
ECG on a pregnant woman |
1 |
Initial consultation with an obstetrician-gynecologist |
1 |
Follow-up consultation with the obstetrician-gynecologist, external examination, auscultation of fetal heart rate, measurement of blood pressure, pulse rate, body temperature; provision of detailed information about all received test/examination results |
10 |
Consultation with a general physician |
2 |
Consultation with a geneticist |
If indicated |
Consultation with an endocrinologist |
If indicated |
Consultation with an ophthalmologist |
If indicated |
Consultation with a psychologist (optional) |
1 |
Thyroid ultrasound on a pregnant woman |
1 |
Abdominal ultrasound |
1 |
Inpatient treatment (if indicated) |
2 days |
Responsible Parenthood School |
4 classes |
Transport of a pregnant woman to the healthcare facility (if necessary) |
1 |
Prenatal care, Basic Package, singleton pregnancy (after 14-20 weeks and until birth)
| Service name | Number of services in the package |
|---|---|
Blood typing and Rh factor test |
1 |
Antibodies in Rh-negative blood of a pregnant woman and Rh-positive blood of a baby’s farther |
2 |
Father`s blood typing and Rh factor test |
1 |
Non-invasive determination of fetal Rh factor in Rh-negative pregnant women |
1 |
Administration of Anti-D Immunoglobulin (RESONATIVE- 2 ml) at 28-30 weeks of gestation in Rh-negative pregnant woman with Rh-positive baby |
1 |
Haemolysin test (if indicated) |
4 |
Syphilis test |
2 |
HIV tests |
2 |
Hepatitis B (HBV) test |
1 |
Hepatitis C (HCV) test (total antibodies) |
1 |
TORCH testing: |
1 |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
Complete blood count |
3 |
Ferritin blood test (latent iron deficiency) |
1 |
Thyroid function test: |
1 |
C-reactive protein (CRP) test (inflammation in the body) |
1 |
Coagulogram (blood coagulation indicators) |
2 |
Hepatic and renal function indices: |
2 |
Blood glucose (fasting venous blood) |
1 |
Screening for gestational diabetes (diabetes while pregnant) – a two-hour glucose tolerance test |
1 (and one additionally if indicated) |
Urinalysis, including a test for the presence of protein |
9 |
Urine culture (screening for asymptomatic bacteriuria) |
2 |
Urine protein (if indicated) |
2 |
A 24-hour urinary protein (daily urine) |
1 |
Colposcopy |
1 |
Mirror pelvic examination and bimanual examination |
1 |
Pap smear |
1 |
Colpocytology (if indicated) |
1 |
Smear on the flora |
1 |
Rapid test for amniotic fluid leaking (if indicated) |
1 |
Expert ultrasound |
4 |
Beta-hCG blood test |
1 |
AFP blood test |
1 |
Estriol blood test (if indicated) |
1 |
Risk calculation for fetal chromosomal and some common congenital abnormalities |
1 |
Cervicometry (measurement of cervical length) if indicated |
1 |
Cardiotocogram |
6 |
Fetal biophysical profile (additional indicators of fetal condition) (if indicated) |
1 |
ECG on a pregnant woman |
1 |
Initial consultation with an obstetrician-gynecologist |
1 |
Follow-up consultation with the obstetrician-gynecologist, external examination, auscultation of fetal heart rate, measurement of blood pressure, pulse rate, body temperature; provision of detailed information about all received test/examination results |
10 |
Consultation with a general physician |
2 |
Consultation with a geneticist |
If indicated |
Consultation with an endocrinologist |
If indicated |
Consultation with an ophthalmologist |
If indicated |
Consultation with a psychologist (optional) |
1 |
Thyroid ultrasound on a pregnant woman |
1 |
Abdominal ultrasound |
1 |
Inpatient treatment (if indicated) |
2 days |
Responsible Parenthood School |
4 classes |
Transport of a pregnant woman to the healthcare facility (if necessary) |
1 |
Prenatal care, Basic Package, singleton pregnancy (after 22-29 weeks and until birth)
| Service name | Number of services in the package |
|---|---|
Blood typing and Rh factor test |
1 |
Antibodies in Rh-negative blood of a pregnant woman and Rh-positive blood of a baby’s farther |
2 |
Father`s blood typing and Rh factor test |
1 |
Non-invasive determination of fetal Rh factor in Rh-negative pregnant women |
1 |
Administration of Anti-D Immunoglobulin (RESONATIVE- 2 ml) at 28-30 weeks of gestation in Rh-negative pregnant woman with Rh-positive baby |
1 |
Haemolysin test (if indicated) |
3 |
Syphilis test |
2 |
HIV tests |
2 |
Hepatitis B (HBV) test |
1 |
Hepatitis C (HCV) test (total antibodies) |
1 |
TORCH testing: |
1 |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
Complete blood count |
3 |
Ferritin blood test (latent iron deficiency) |
1 |
Thyroid function test: |
1 |
C-reactive protein (CRP) test (inflammation in the body) |
1 |
Coagulogram (blood coagulation indicators) |
1 |
Hepatic and renal function indices: |
1 |
Blood glucose (fasting venous blood) |
1 |
Screening for gestational diabetes (diabetes while pregnant) – a two-hour glucose tolerance test |
1 (+1 if indicated) |
Urinalysis, including a test for the presence of protein |
6 |
Urine culture (screening for asymptomatic bacteriuria) |
1 |
Urine protein (if indicated) |
2 |
A 24-hour urinary protein (daily urine) |
1 |
Colposcopy |
1 |
Mirror pelvic examination and bimanual examination |
1 |
Pap smear |
1 |
Smear on the flora |
1 |
Rapid test for amniotic fluid leaking (if indicated) |
1 |
Expert ultrasound |
2 |
Cardiotocogram |
6 |
Fetal biophysical profile (additional indicators of fetal condition) (if indicated) |
1 |
ECG on a pregnant woman |
1 |
Initial consultation with an obstetrician-gynecologist |
1 |
Follow-up consultation with the obstetrician-gynecologist, external examination, auscultation of fetal heart rate, measurement of blood pressure, pulse rate, body temperature; provision of detailed information about all received test/examination results |
8 |
Consultation with a general physician |
1 |
Consultation with an endocrinologist |
If indicated |
Consultation with an ophthalmologist |
If indicated |
Consultation with a psychologist (optional) |
1 |
Thyroid ultrasound on a pregnant woman |
1 |
Abdominal ultrasound |
1 |
Inpatient treatment (if indicated) |
2 days |
Responsible Parenthood School |
4 classes |
Transport of a pregnant woman to the healthcare facility (if necessary) |
1 |
Prenatal care, multiple pregnancy (after 6 weeks and until birth)
| Service name | Number of services in the package |
|---|---|
Blood typing and Rh factor test |
1 |
Antibodies in Rh-negative blood of a pregnant woman and Rh-positive blood of a baby's farther |
2 |
Father`s blood typing and Rh factor test |
1 |
Administration of Anti-D Immunoglobulin (RESONATIVE- 2 ml) at 28-30 weeks of gestation in Rh-negative pregnant woman with Rh-positive baby |
1 |
Haemolysin test (if indicated) |
4 |
Syphilis test |
2 |
HIV tests |
3 |
Hepatitis B (HBV) test |
1 |
Hepatitis C (HCV) test (total antibodies) |
1 |
TORCH testing: |
1 |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
Complete blood count |
4 |
Ferritin blood test (latent iron deficiency) |
1 |
Thyroid function test: |
1 |
C-reactive protein (CRP) test (inflammation in the body |
1 |
Coagulogram (blood coagulation indicators) |
3 (and > if indicated) |
Hepatic and renal function indices: |
2 (and > if indicated) |
Blood glucose (fasting venous blood) |
1 |
Screening for gestational diabetes (diabetes while pregnant) – a two-hour glucose tolerance test |
1 (+1 if indicated) |
Urinalysis, including a test for the presence of protein |
11 (and > if indicated) |
Urine culture (screening for asymptomatic bacteriuria) |
2 |
Urine protein (if indicated) |
Unlimited |
A 24-hour urinary protein (daily urine) |
Unlimited |
Colposcopy |
1 |
Mirror pelvic examination and bimanual examination |
1 |
Pap smear |
1 |
Colpocytology (if indicated) |
1 |
Smear on the flora |
2 |
Culture vaginal discharge |
1 |
Rapid test for amniotic fluid leaking (if indicated) |
1 |
Ultrasound before 11 weeks |
1 |
Expert ultrasound |
10 (and additionally if indicated) |
PAPP-A blood test |
1 |
Beta-hCG blood test |
1 (+1 if indicated) |
AFP blood test |
1 |
Estriol blood test (if indicated) |
1 |
Risk calculation for fetal chromosomal and some common congenital abnormalities |
2 |
Cervicometry (measurement of cervical length) if indicated |
Mandatory during each ultrasound |
Cardiotocogram |
6 |
Fetal biophysical profile |
1 (and > if indicated) |
ECG on a pregnant woman |
1 (and > if indicated) |
Initial consultation with an obstetrician-gynecologist |
1 |
Follow-up consultation with the obstetrician-gynecologist, external examination, auscultation of fetal heart rate, measurement of blood pressure, pulse rate, body temperature; provision of detailed information about all received test/examination results |
10 (and > if indicated) |
Consultation with a general physician |
2 (and > if indicated) |
Consultation with a geneticist |
If indicated |
Consultation with an endocrinologist |
If indicated |
Consultation with an ophthalmologist |
If indicated |
Consultation with a psychologist (optional) |
1 |
Thyroid ultrasound |
1 |
Kidney ultrasound |
1 |
Day-patient treatment |
If indicated |
Responsible Parenthood School |
4 classes (additional class with psychologist) |
Transport of a pregnant woman to the healthcare facility (if necessary) |
1 |
Inpatient treatment (if indicated) |
Up to 5 days |
Consultation with a vascular surgeon |
If indicated |
Neurological consultation |
If indicated |
Consultation with an infectionist |
If indicated |
Invasive prenatal diagnosis (amniocentesis) |
If indicated |
Prenatal Care, Maximum Care Package, singleton pregnancy
(After 6 Weeks and Until Birth)
| Service name | Number of services in the package |
|---|---|
Blood typing and Rh factor test |
1 |
Antibodies in Rh-negative blood of a pregnant woman and Rh-positive blood of a baby's farther |
2 |
Father`s blood typing and Rh factor test |
1 |
Non-invasive determination of fetal Rh factor in Rh-negative pregnant women |
1 |
Administration of Anti-D Immunoglobulin (RESONATIVE- 2 ml) at 28-30 weeks of gestation in Rh-negative pregnant woman with Rh-positive baby |
1 |
Haemolysin test (if indicated) |
Unlimited |
Syphilis test |
2 |
HIV tests |
3 |
Hepatitis B (HBV) test |
1 |
Hepatitis C (HCV) test (total antibodies) |
1 |
TORCH testing: |
1 (+1 if indicated) |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
Screening for Chlamydia trachomatis infection (PCR testing) |
1 |
Complete blood count |
3 (and > if indicated) |
Ferritin blood for expanded diagnosis of anemia |
1 (and > if indicated) |
Thyroid function test (TSH, free T3, free T4, ATPO, TGAB) |
1 |
C-reactive protein (CRP) test (inflammation in the body) |
1 |
Coagulogram (blood coagulation indicators) |
2 (and > if indicated) |
Hepatic and renal function indices: Total blood protein; Urea. |
2 (and > if indicated) |
Blood glucose (fasting venous blood) |
1 |
Screening for gestational diabetes (diabetes while pregnant) – a two-hour glucose tolerance test |
1 (+1 if indicated) |
Urinalysis, including a test for the presence of protein |
11 (and > if indicated) |
Urine culture (screening for asymptomatic bacteriuria) |
2 |
Urine protein (if indicated) |
Unlimited |
A 24-hour urinary protein (daily urine) (if indicated) |
Unlimited |
Colposcopy |
1 |
Mirror pelvic examination and bimanual examination |
1 |
Cytologic smear |
1 |
Colpocytology (if indicated) |
1 and > |
Smear on the flora |
2 (and > if indicated) |
Smear on the flora |
1 |
Rapid test for amniotic fluid leaking (if indicated) |
1 and > |
Ultrasound before 11 weeks |
1 |
Expert ultrasound |
4 (if indicated – unlimited) |
PAPP-A blood test |
1 |
B-hCG blood test |
1 (+1 if indicated) |
AFP blood test |
1 |
Estriol blood test (if indicated) |
1 and > (for assessment of fetal condition) |
Risk calculation for fetal chromosomal and some common congenital abnormalities |
2 |
Risk calculation for preeclampsia (pregnancy complications) |
1 |
Cervicometry (measurement of cervical length) |
Unlimited (if indicated) |
Cardiotocogram |
Unlimited (if indicated) |
Fetal biophysical profile (additional indicators of fetal condition) (if indicated) |
Unlimited |
ECG on a pregnant woman |
Unlimited (if indicated) |
Initial consultation with an obstetrician-gynecologist |
1 |
Follow-up consultation with the obstetrician-gynecologist, external examination, auscultation of fetal heart rate, measurement of blood pressure, pulse rate, body temperature; provision of detailed information about all received test/examination results |
From 10 and > if indicated |
Consultation with a general physician |
2 and > if indicated |
Consultation with a geneticist |
If indicated |
Consultation with an endocrinologist |
If indicated |
Consultation with an ophthalmologist |
1 and > if indicated |
Consultation with a psychologist (optional) |
1 |
Thyroid ultrasound on a pregnant woman |
1 |
Kidney ultrasound |
1 |
Responsible Parenthood School |
4 classes (additional class with psychologist) |
Transport of a pregnant woman to the healthcare facility (if necessary) |
1 |
Breast ultrasound |
1 |
Consultation with a vascular surgeon (surgeon) |
If indicated |
Neurological consultation |
If indicated |
Consultation with an infectionist |
If indicated |
Consultation with a cardiologist |
If indicated |
Ultrasound of lower limbs |
If indicated |
Thrombophilia panel (screening for potential risk factors for thrombosis) |
If indicated |
Invasive prenatal diagnosis (amniocentesis) |
If indicated |
Stay of a pregnant woman in the hospital of the medical institution (on testimony) |
up to 5 days |
Prenatal Care for pregnant women with diabetes, Sweet Mummy Package, singleton pregnancy
(After 6 Weeks and Until Birth)
| Service name | Number of services in the package |
|---|---|
Mother`s blood typing and Rh factor test
|
1 |
Father`s blood typing and Rh factor test |
1 |
Blood antibody by Rh factor in pregnant with rhesus negative blood type and Rh positive child type blood type |
2 |
Non-invasive definition of Rh-status of the fetus on the blood of the pregnant woman with Rh negative blood type and Rh positive type of blood of the parent of the child |
1 |
Introduction of anti-rash immunoglobulin in 28-30 weeks with rhesus negative blood type of pregnant and Rhesus positive status of the fetus or with an indefinite Rh-status of the fetus |
1 |
Blood hemolysins (antibodies in the blood group) - on indications |
4 |
Blood test for treponemus (syphillis) |
2 |
Blood test for HIV |
2 |
RAPP-A (from 10w. to 13w. of pregnancy) |
1 |
B-CGL (from 10w. to 13w. of pregnancy) |
1 (+1 if indicated) |
PFR (from 10w. to 13w. of pregnancy) |
1 |
AFP (15-18 weeks of pregnancy) |
1 |
Protein urine - on indications |
Unlimited |
Asthion - according to testimony |
1 |
Blood hepatitis C blood count (total antibody) |
1 |
Hepatitis B (HBV) test |
1 |
Blood test for TORCH infection: Ig G and IgM toxoplasma infection Ig G and IgM cytomegalovirus infection Ig G and IgM Herpes simplex type I and II types Ig G IgM rubella |
1 |
Bacterial cultures on Streptococcus agalactiae (Streptococcus group B, urogenital material + antibioticogram) |
1 |
An expanded blood test |
3 (and more on testimony) |
Ferritin of blood (index of iron depot in the body) |
1 (and 1 on testimony) |
Venous blood sugar |
Not limited by testimony |
Blood analysis on glycosylated hemoglobin level |
Not limited by testimony |
TTG (thyroid stimulating hormone - an indicator of thyroid function) |
1 (and 1 on testimony) |
Blood on SRB (indicator of inflammation in the body) - on testimony |
1 |
Coagulogram (blood coagulation index) |
2 (and more on testimony) |
Total protein of blood |
1 (and 1 on testimony) |
Blood albumin |
1 (and more on testimony) |
Alanine aminotransferase in the blood |
1 (and more on testimony) |
Blood aspartate aminotransferase |
1 (and more on testimony) |
Creatinine of blood |
1 (and more on testimony) |
Urea blood |
1 (and more on testimony) |
Blood bilirubin and thracian |
1 (and more on testimony) |
Sowing urine to bacteriuria |
1 (and more on testimony) |
General urine test, including urine protein test |
10 |
Daily urine protein - according to indications |
Unlimited |
Urine analysis for Nechiporenko - on testimony |
1 |
Cytological examination of the cervix smear |
1 |
Microscopy of the vaginal smear |
2 |
Sowing vaginal discharge to the flora |
1 |
Express-diagnostics on leakage of amniotic fluid - on testimony |
1 |
Ultrasound of the fetus to 11 weeks |
1 |
Ultrasound of the fetus is expert |
4 |
Fetal ultrasound (11-12 weeks) |
1 |
Fetal ultrasound (20-21 weeks) |
1 |
Fetal ultrasound (29-30 weeks) |
1 |
Fetal ultrasound from 34 week |
1 |
Fetal ultrasound - control (determination of the number of amniotic fluid, doplerometry, etc.) - on testimony |
4 |
Cervikometriya (measurement of the length of the cervix) - on testimony |
2 |
Ultrasound of the thyroid gland of a pregnant woman |
1 |
Ultrasound of the kidney is pregnant |
1 |
Ultrasound of the abdominal cavity of the pregnant woman - on testimony |
1 |
The calculation of the risk of chromosomal abnormalities of the fetus (on 13,18,21 chromosomes), preeclampsia in pregnant women and the risks of delayed development of prenatologists with the help of a special program in terms of pregnancy from 11w.1d. to 11w. 6d. |
1 |
CTG of the fetus (fetal cardiogram) |
5 |
ECG on a pregnant |
1 (and 1 on testimony) |
Consultation of obstetrician-gynecologist, primary |
1 |
Consultations of the obstetrician-gynecologist secondary |
Unlimited |
Consultation of the endocrinologist |
4 |
Consultation of the therapist |
3 |
Consultation of an ophthalmologist - on the testimony |
1 |
Consultation of the neurologist - on testimony |
1 |
Consultation of the vascular surgeon - on testimony |
1 |
Consultation of genetics - on testimony |
1 |
Consultation of a psychologist - on testimony |
1 |
School of Responsible Parenthood |
4 lessons |
Transportation of a pregnant woman to a medical institution (if necessary) |
1 |
Stay of a pregnant woman in the hospital of the medical institution (on testimony) |
up to 5 days |