Can I take sick leave
Nowadays it’s very difficult to take sick leave, you’ll say that your stomach hurts, they look at the chair, your cervix, and the therapist will also give you sick leave if the temperature is given, and your blood pressure is low, so this is the norm for pregnant women, they say... but the fact that you’re sitting in line makes you feel dizzy and almost unconscious you lose, they don’t believe it. In short, they check everything.
Articles on the topic (click to view)
- Is sick leave considered income?
- What to do if you have extended sick leave for pregnancy and childbirth
- What to do if your employer does not accept electronic sick leave
- What to do if you are not given sick leave
- How many days does it take for sick leave to arrive from the Social Insurance Fund?
- What to do if the place of work is not indicated on the sick leave
- Are sick leave taken into account when calculating maternity leave?
Is it possible to spend the entire pregnancy on sick leave?
The last few days have passed under the banner of a cold. On Friday, the 21st, my throat began to hurt treacherously, so the trip to Ivanovo was a big question. Of course, I really didn’t want to postpone it until another weekend, but it was decided to watch based on how I was feeling. On Saturday morning I did not feel any improvement in my condition, but I still figured that I would be able to complete the trip.
We set out at 10, arrived closer to 12. It was immediately decided that we would go to the Rio Shopping Complex, basically everyone shops there. As it turned out, there was only one row of children's clothes, but even that was hidden. These same eyes were so wide that I only had time to concentrate on one thing. The assortment is, of course, very large. And it’s so easy to get confused when you have no experience at all or an experienced friend by your side. And Maxim was of little use as an adviser. Most of the time he stood in the aisle with a cart, and I was already diving into numerous departments, trying to dig up something I needed. I received the most praise if I came out with a lot of bags and crossed off what I bought from the list.
As a result, we left 11 thousand in Rio. We bought a mattress for the crib), a set for the crib (canopy, bumpers, blanket, pillow, bed linen), another set of bed linen for a change, a transformable winter suit (now I’m furiously wondering whether this will be suitable for discharge or whether I’ll have to buy an envelope) , a towel with a corner (blue color - Maxim chose)))), a soft flannelette blanket, some clothes for me (a robe for the maternity hospital, pajamas and a nightie, convenient for feeding), and, of course, a lot of diapers, blouses, rompers, undershirts - slips, bonnets, booties, scratches for the baby. Of course, I’m just sure that I bought something wrong, something extra, and something I didn’t buy enough that I’ll have to run to the store for. But my friend reassured me and said that this is definitely the case and that this is normal) I also thought that we would always have time to buy more, and we would find someone to give the excess) Personally, it seems to me that I didn’t borrow enough things for the very first time, although I have several slips and bodysuits, given by my dad’s classmate, which are very tiny in size. By the way, they are all from Carters, they were ordered in America)
In general, we had a very fruitful trip, we even managed to buy some things cheaper than a friend bought at the same shopping center. And we only spent about three hours.
We drove back to Vladimir, of course, exhausted and tired. Before leaving, we stopped by McDuck, had a snack, exhaled, and went. The road flew by quickly. We were just exhausted to the limit. Maxim, who had not yet fully recovered, followed me in the store with red, watery eyes. My head felt like cast iron, and my nose was like a sick dog’s - hot and dry. In general, the illness knocked us down a little, but it’s great that we didn’t give up and still went.
My mother-in-law looked at our purchases rather indifferently, only saying that we seemed to have bought a bit too much. Mom asked me to show her everything on Skype and sat and smiled all the way, looking through the baby’s wardrobe. She said that we still have my children’s things left (so, I think, the piece of fruit won’t be left naked).
If we somehow survived Saturday, then Sunday, and especially the night from Saturday to Sunday, was not easy for me. I woke up all night because of a runny nose that overcame me. It was hard to breathe, it was very hot under the blanket, and because of all this I suffered from insomnia. I could hardly wait for the morning. Although it didn’t make me feel much better. All day I walked around like a zombie, disposing of paper tissues one by one. My throat still continued to hurt, so I continued to gargle it with baking soda. A friend recommended Chlorophyllipt, which was recommended to her in a private clinic, and another friend recommended Grippferon for a runny nose. My caring husband easily got ready to go outside and brought me the necessary medications. And how nice it was to receive, in addition to boxes of life-saving medicine, a bouquet of five red roses. I was so touched by this beyond words. Of course, flowers for no reason are the most pleasant flowers) Now the bouquet stands and pleases the eye. And in general, Maxim constantly sets an example of an exemplary husband: he is caring and attentive, and gives compliments (to me, sick and disheveled), and says how he loves, and strokes his stomach. Well, it’s just pure tenderness. How wonderful it is that everything is like this now.
In general, yesterday I was successfully ill/treated. On top of everything else, yesterday I had an apple day as prescribed by my doctor. One and a half kilograms of apples without a gram of additional liquid. I did it!!) Tonight went much easier, and the next morning I ended up in the residential complex. I was told to come in the morning after unloading to weigh myself. Damn, why didn’t they tell me that I had to skip the line?? Eh. My doctor went on sick leave, the manager took me in. She did this for a long time, constantly going somewhere. Around eleven she left altogether, saying that the reception was over. It’s good that there was a midwife left who saw pregnant women and those who just needed to look at the tests. There was an incident and one woman, who was not pregnant, climbed ahead of me. I called her impudent and tried to achieve zen. It didn’t work out very well, after all, I’m still sick, but I had to sit for 2.5 hours. Everything would be fine, but my fruit girl gave me such a concert that my stomach was just shaking - I didn’t know how to sit down so that she would be comfortable. But, it seems to me, I realized that she stretched her legs to the right, and under my heart there was her fruity, almost liquid, butt) Because under the left breast there is usually something round and hard sticking out, and under the right – kicks. We live happily.
The midwife weighed me and it turned out that since Thursday I had lost four hundred kilos!! It’s a pleasant feeling to see a minus value in the exchange card))) The pressure is still 120/80, the urine is ideal, as the midwife put it)) In general, they prescribed me “vitamins” - “Ascorutin” and “Methionine”, and “Brusniver”, so that the kidneys do not fail. Thank God, not a word about the hospital. Still, I don’t really want to go there)
This is our business.
Disability of a woman during pregnancy
If a pregnant woman refuses sick leave, no one has the right to force her
In most cases, doctors always strive to make pregnancy easier for a woman and even with the slightest deterioration in her physical condition, they even insist on issuing a sick leave certificate.
Every doctor is, first of all, a person who knows from personal experience what pregnancy is and is familiar with it through his own example or the example of his wife or relative. He wonderfully understands how difficult it can be even for a short period of time. It should be noted that the first three months are the most difficult to determine the cause of toxicosis.
There is a category of women carrying a child who take the state of pregnancy as some kind of disease and abuse it. They insist on special treatment, even if there is no reason to doubt their health. Such women often do not appear at work until maternity leave, regularly extending their sick leave.
There is one more important detail. In the treatment of women bearing a child, there is always a primary factor - to prevent complications from arising. The doctor first of all wants to be on the safe side. After all, it is much safer to extend the course of treatment for a young mother a little, to increase the observation period, rather than later encounter certain complications.
Women during pregnancy are recommended to undergo therapy in a hospital or at least undergo treatment during daily hospital visits.
They do not give sick leave to a pregnant woman
Hello everyone, girls!
Preparing for the birth of a baby takes a lot of energy and a woman’s health. But there are opportunities to arrange a vacation earlier.
Maybe I’m behind the times, what happened to the doctors? Why don't they give sick leave to pregnant women?
All my life I remember how many pregnant women spent sick leave almost until maternity leave. She worked in the gifts herself. I’m not going to abuse it, but I would like to rest for a week and a half!
Next is a tackle. In general, I feel normal, there is no toxicosis! BUT! Headaches have become more frequent, it looks like a migraine, because... In the evening, the pain in the forehead becomes more and more intense, and nausea begins.
This has already happened 4 times. I used to have such pain and vomiting when I was at school, but then it went away.
Now, during pregnancy, it started again! Last week the pain got so much worse, I ran to the toilet and actually threw up ((My lower back still hurts almost every day!
I sit on a chair 1-2 at work, I get up and it starts to feel pain in my lower back and leg, I walk with a limp!
Or at home, after cleaning and cooking while standing at the stove, it starts to hurt, sometimes it hurts so much that I can’t lie down, stand, or sit.
Maternity leave
Not only an obstetrician-gynecologist can open a sick leave
Decree previously referred to the period of time from the 7th month of pregnancy. From this time on, the woman had a legal basis not to go to work. But in fact, this is also a kind of hospital form for pregnancy and childbirth. Its duration is from 140 to 194 days.
It directly depends on how difficult the birth process was and on the number of children born. This form is issued by the attending physician, namely the gynecologist in this antenatal clinic, together with the head of the department.
This is important to know: Is sick leave included in the probationary period?
Absolutely every pregnant woman can qualify for sick leave, regardless of the period. This is possible even at the first visit to the antenatal clinic. Such treatment should be no later than the 30th week of pregnancy or the 28th week if more than one fetus is pregnant.
No one can force a pregnant woman to take sick leave if she does not have such a desire.
Disability during pregnancy
According to the law, until the 30th week of pregnancy, a woman is obliged to fulfill her work obligations. This is often quite difficult. Common illnesses such as colds, bronchitis, and cough are also possible. And this is accompanied by pregnancy symptoms such as vomiting or nausea, sleep disturbances, pain in the back and joints.
Can a woman apply for sick leave in such situations? Definitely yes. If there are diseases of a different nature or any complications, a woman going to work has the legal right to receive such a form. If the deterioration in health is caused by a problem of a non-gynecological nature, she should contact a general practitioner for such a document.
If additional consultation is necessary, the therapist will write a referral to specialized specialists: ENT specialist, neurologist, ophthalmologist, etc. Problems of a gynecological nature are dealt with exclusively by the gynecologist in the antenatal clinic.
Certificate of incapacity for work issued by a general practitioner
Poor health of a pregnant woman as a reason to go on sick leave
A pregnant woman can get a consultation with a general practitioner either at the clinic at her place of residence or at the antenatal clinic. A visit to such a specialist may be due to the following symptoms:
- increase in body temperature;
- chills;
- pain in the throat area;
- discomfort when swallowing;
- presence of cough;
- presence of a runny nose
- ear pain or migraine.
All of the above symptoms are a direct sign of a cold or respiratory disease of viral etymology. If such symptoms are present, the general practitioner alone prescribes a sick leave for a period of 3 to 5 days. If, upon re-examination, the woman has not recovered, the doctor must extend the period of such a sheet for another 5 days.
If after 10 days the woman does not get better, the hospital therapist can add more only after an examination together with the head of the department, who certifies this document with his seal. To issue sick leave due to an acute respiratory illness for more than 10 days, there must be solid arguments.
If there are any, then the woman carrying the child is recommended to be hospitalized or receive inpatient treatment. What complaints do you most often see a general practitioner with? The most common complaints are pain in the back, lumbar region, and legs. The pain causes inconvenience to the expectant mother, hinders movement, and interferes with work. A sick leave certificate for such complaints can be issued by a neurologist.
The therapist may refuse to issue a sick leave certificate. This happens when there are deviations from the norm in test results, but without any clinical manifestations. For example, a slight decrease in the level of hemoglobin in the blood without accompanying dizziness, low blood pressure or fainting.
Expert opinion
Polyakov Pyotr Borisovich
Lawyer with 6 years of experience. Specialization: civil law. More than 3 years of experience in drafting contracts.
In such circumstances, the doctor's recommendation would be to take iron supplements. The hospital doctor will not be able to prescribe, since the results of the analysis do not interfere with the performance of official duties.
The therapist cannot issue a sick leave based on complaints of low blood pressure. Especially if this fact was not confirmed when measuring blood pressure in the doctor’s office.
How to get sick leave without getting sick, even from a therapist
Depending on the circumstances, you can obtain a document in different ways, and this article will discuss the main ones in detail.
What is sick leave?
It is also called a certificate of temporary incapacity for work. First of all, this is the reason for financial payments during illness. In addition, its presence confirms that the reason for absence from work was indeed valid. Sick leave is also issued to women during pregnancy and to one of the parents if caring for a sick child is necessary.
Many people think that a sick person can receive sick leave solely on their own, when going to a clinic. In fact, the mother or father of a sick child can also receive it. Unemployed citizens (as well as stateless people with medical insurance) can also count on sick leave if thirty days have not yet passed since the end of the employment relationship.
The attending physician can issue sick leave for up to 15 days, a paramedic and dentist - up to 10 days. After this period has expired, it may be further extended by the medical commission. No later than 6 months after closure, you must submit the closed sheet to your employer.
To fill, you will need a black gel or capillary pen. You can fill out the sheet on your computer if it is convenient for you. All entries are made strictly in block letters of the Russian language. The use of a ballpoint pen is unacceptable. A two-digit code is used to indicate the cause of disability.
Where and how to get it
Where and how to get sick leave? Obviously, the hospital can issue you sick leave. Another place where you can get a document is every paid clinic that has the right to issue the relevant documents.
During pregnancy, weight
If things are really bad and get there
Source
Facilitated working conditions
A pregnant woman has the right to light work
What should a pregnant woman do if she works hard enough but has no symptoms of illness? Women who are pregnant have legal grounds for easier working conditions. This is not a sick note. A woman is required to go to her place of work, but the workload should be much lower.
A certificate stating the need to improve working conditions is issued by a gynecologist. Such a document must be submitted to the manager with a statement in a certain form. Lighter working conditions imply a reduced work schedule, a complete absence of harmful factors, comfortable working conditions, etc.
Despite the fact that pregnancy is not a disease at all, a woman needs a different work schedule and opportunities for rest. Therefore, if the attending physician recommends issuing a sick leave or a certificate stating the need for easier working conditions, it is advisable to follow his advice.
This thematic video will introduce you to the rights of pregnant women:
What is maternity leave?
This is a period that begins at 30-1 weeks of pregnancy and lasts 194 days. Women who are carrying twins are entitled to sick leave 2 weeks earlier.
However, the law does not prohibit women from continuing to work until childbirth. But such a desire must be entirely voluntary. That is, the employer does not have the right to deny an employee legal sick leave.
Several categories of persons have the right to maternity benefits:
- working women;
- citizens who were laid off and registered within a year after the date of dismissal;
- female soldier (contract)
- IP;
- female students (required to confirm full-time study). It does not matter on what basis the training takes place: paid or budget-funded.
That is, the basis for calculating maternity benefits is the fact of deduction of insurance payments to the FS.
Sick leave for pregnancy
Women who have registered as an individual entrepreneur and voluntarily make contributions must continuously make payments for 6 months in order to declare their right to such benefits.
A woman who has adopted a baby (no more than 3 months old) is also entitled to such benefits. At the same time, it must meet the above stated requirements.
The benefit is issued on the basis of a Certificate of Incapacity for Work. This document is issued from the 30th week of pregnancy. If a multiple pregnancy is confirmed - from the 28th.
Can a pregnant woman be incapacitated for work: the nuances of obtaining a certificate of incapacity for work
During pregnancy, women can feel differently; most of them feel unwell in the early stages, as this period is characterized by toxicosis. For such women, doctors are always ready to issue a special sheet and leave them to rest so as not to aggravate their condition.
In this case, the doctor may increase the woman’s time on sick leave in order to be on the safe side and not cause complications.
But there are other women who have good health and well-being, but at the same time try to get a certificate of incapacity for work so as not to attend work, and thus wait for maternity leave.
Doctors may refuse to give a woman sick leave because they will not see clear grounds for excluding her from work. Therefore, when turning to a doctor, you need to remember that first of all you need to think about the health of your baby and your well-being, and it is better not to think about the purpose of obtaining a certificate of incapacity for work.
Many doctors recommend that pregnant women who complain about their health or well-being go to the hospital for an inpatient stay, or stay in the hospital at least during the day, since in this way the woman will always be under supervision.
Therefore, before receiving a certificate of incapacity for work, you need to think about whether such sacrifices are necessary, and whether you really feel so bad that you can go to the hospital.
Sick leave
Sick leave is an official document
A certificate of incapacity for work, or sick leave as it is also called, is a form that indicates the patient’s inability to fulfill his work obligations at the current moment.
Such a form is prescribed not only during the illness, but during the rehabilitation period after an illness or injury. And when carrying a child, it can be difficult to do work even more than when there is a particular illness.
Which doctor can a pregnant woman contact for such a document? This may be the gynecologist leading the pregnancy. Depending on the problems bothering the pregnant woman, this may be a doctor - therapist, urologist, neurologist, ENT specialist.
Sometimes people confuse the terms “illness” and “disability”. For example, if you have lost your voice after suffering from laryngitis, this is sufficient grounds for issuing sick leave to a teacher or salesperson. And if a seamstress or loader has lost his voice, then he will have to explain why the lack of voice prevents him from working. Such details may become a reason for the attending physician to refuse to issue a sick leave. This often causes violent indignation among patients.
How can a pregnant woman get sick leave? Which doctor should I contact for such a document? What complaints will the doctor take into account?
Maternity leave period: when can you leave, how many days does it last
The long-used phrase “maternity leave” is the same sick leave that is issued in connection with pregnancy and childbirth. Every woman who goes to the hospital before giving birth and registers can receive such a sheet. The length of time spent on sick leave for pregnancy and childbirth is purely individual, as it depends on the course of labor and the number of children born.
On average, maternity leave lasts from 5 to 6.5 months.
You can obtain a sick leave certificate, which is issued during pregnancy and childbirth, from your attending gynecologist, but you must remember that you can get such a certificate after seven months of pregnancy. But if there is an opportunity and desire to work until the birth itself, the woman has the right not to go on sick leave.
This is important to know: Is it possible to close sick leave retroactively?
How to take sick leave if there are no obvious signs of illness
to the doctor at the clinic and put 500 rubles into the card, bat your eyes - you need sick leave! In general, find out if you have such a thing that you can be sick for 3 days without sick leave, it’s still paid, at least in our company it’s like that.
How come they don’t give it without a temperature? If you call home and there are other symptoms of a cold, just say that the temperature has been lowered - this is not prohibited)). And if you really want a fake disease, you have to pretend that radiculitis is very difficult to check, neurologists give a diagnosis in 99.9% of cases. One minus is that you will have to go for an x-ray.
In the morning you call a doctor to your home, at the reception you give the reason for the call; your throat hurts, your muscles ache, in the evening the temperature was 38.
Once they gave me a black eye, I went to the doctor, I noticed bangs, I sat there coughing, they said everything hurt, everything was so bad, and nothing, they gave me sick leave for a week without any 500 rubles.
1 I don’t know about 500 rubles, I think it’s more expensive because... fake ones sell for 3,000 rubles, I don’t recommend buying them, because... Social insurance checks them for authenticity and then problems may arise at work.
I know that you can be sick for 1 day at the employer’s expense, the rest of the days are paid for by social insurance, which is pennies. Although, at our work, the accountant is loyal and does not deduct from the salary and does not particularly require sick leave)))
When my husband needs to mow his head, he complains of osteochondrosis (he actually has problems with his back). Like, my back was twisted, I couldn’t breathe. He taught half of his friends that you need to speak in order to get sick leave.
5, the fact of the matter is that 300 are asked by “hucksters” who make money from this, and the doctor from the hospital does not do business on sick leave, so for 500 rubles it will not be difficult for her to write in the hospital ORZ and everything will be official.
damn, and even with a fever and without a voice, I crawl to work, although I can take more
Source
Simplification of working conditions and the concept of easy work
If a woman feels fine, but the work process becomes difficult for her, she can receive a certificate of light work. In this case, the woman should contact a gynecologist, and he will issue this certificate, which is presented at the place of work. This way, you can reduce your workload during pregnancy and improve your schedule, for example, get a shorter work day.
You can obtain a certificate of light labor at your own discretion, after consultation with a gynecologist, or listen to the doctor’s advice about obtaining a certificate of light labor.
Off the books
The first three months are the most difficult and dangerous. This is the period when the female body is actively fighting a foreign body, and therefore all the beauty of pregnancy in the first trimester is accompanied by strong and changeable discomfort. That is why it is important to register with a local hospital as early as possible in order to protect both yourself and your baby from negative consequences.
Read more: How to fill out application 14001 when changing director
But it also happens that a woman feels unwell or other alarming signals even before registration. But even in this case, pregnant women are guaranteed sick leave. There are two options for obtaining a certificate of incapacity for work before registering with a gynecologist.
So, first of all, this is a call to the house for an ambulance. The paramedic gives a referral for an examination by a gynecologist, who must confirm the fact of pregnancy. Confirmation of this fact provides grounds for automatic registration. And, of course, given the visit to the emergency department, the pregnant woman will undergo inpatient treatment.
The second way is to visit general doctors, in particular a therapist. The doctor will study the etymology of the disease and give a referral to the gynecological office. If a woman went to an appointment and received confirmation of her condition, then she should return to the therapist to complete the registration of sick leave during pregnancy.
For how long are sick leave issued?
Women are given a long period of rest during pregnancy and childbirth, when the timing becomes quite serious. This is a general rule that applies to everyone.
Specific numbers have the following description:
- Upon reaching 30 weeks, when the pregnancy is singleton.
- 28 weeks - when three or more children are born.
The duration of the certificate of incapacity for work in the case of pregnancy and childbirth is written in the Labor Code of the Russian Federation, in article 255.
The legislators considered that given such deadlines, the citizen would have serious difficulties in performing her work duties. Preparing for the birth of a baby takes a woman’s strength and health.
But there are opportunities to book your vacation earlier. For example, during the first trimester of pregnancy. The baby's development needs to be monitored. The main thing is the presence of solid and valid reasons. The doctor and the employer must understand that ignoring them only leads to negative consequences.
Expectant mothers are advised to listen to any pain and what leads to discomfort. If you respond to problems in time, it is easier to get rid of complications later.
No one has the right to refuse to issue sick leave certificates. The rule applies throughout the entire pregnancy. It doesn't matter what time frame we're talking about.
Is it possible for a pregnant woman to take out a certificate of incapacity for work in the first trimester?
According to Article 255 of the Labor Code of the Russian Federation, a woman goes on long maternity leave for a period of 30 weeks. If she is carrying two or more children, then the vacation begins 14 days earlier (28 weeks). It is believed that a woman can no longer fully cope with her job responsibilities and must prepare for childbirth in a homely, calm environment.
Often expectant mothers wonder: can they count on sick leave in the first trimester? After all, this is the time when the baby develops all the necessary functions for proper development. The answer is yes, yes, they can.
The doctor will not issue a sick leave if the patient feels lethargy, irritability and fatigue, which is common to experience during this period. But if, during the examination, the doctor discovers serious problems that entail serious consequences for the mother or child, outpatient or inpatient treatment will be prescribed.
Important! If you experience pain and discomfort in the abdomen or lower back, you should immediately consult a doctor.
As a result, every woman at any stage of pregnancy can take sick leave in the following cases:
- if she really doesn't feel well;
- if there is a threat to the life of the mother or child.
In these situations, no one has the right to refuse to issue a sick leave certificate.
Who has the right to give sick leave?
When detecting the first deviations and feeling unwell, women should contact a gynecologist. After that they register. The services of private and public clinics are equally suitable. The main thing is that the condition is monitored by a doctor with sufficiently high qualifications. The form of observation and other features are not paid attention to.
It is required to undergo examination by doctors of other specialties, including:
- Cardiologist.
- Immunologist.
- Ophthalmologist.
- Laura.
- Dentist.
- Endocrinologist.
- Service with a gynecologist
Gynecologists are doctors who monitor pregnancy throughout the entire period, from the initial stages until the moment the child is born. Even when there are no complications, visits to doctors are necessary. The responsibilities of such doctors include constant monitoring of the patients' condition.
Here are some of the reasons why local doctors most often issue sick leave:
- Pathologies associated with fetal development.
- Problems with uterine tone.
- Complaints due to increased blood pressure.
- The appearance of edema.
- Deterioration in health.
- The occurrence of infections and sexually transmitted diseases.
- Threat associated with termination of pregnancy.
- Toxicosis.
Even if the complaint does not relate to gynecology, it should not be ignored. It's better to just tell your doctor about your current condition. Based on the results of the conversation, he writes out a referral to a doctor of a certain profile. Next, he identifies the level of malaise and issues a certificate of incapacity for work.
Who gives the ballot?
The moment a woman realizes that she is in an interesting situation, she must register with a public hospital or private clinic. It is important that the pregnancy is monitored by your doctor from the very beginning. During the entire pregnancy, a woman should be examined by specialists who identify various abnormalities and prescribe appropriate treatment if necessary.
These doctors are:
- ophthalmologist;
- ENT;
- dentist;
- cardiologist;
- immunologist;
- endocrinologist
Therapist
The general practitioner does not constantly monitor the pregnant woman. But under certain circumstances he is obliged to issue her a sick leave certificate. After visiting all the necessary specialists, the pregnant woman is sent to a therapist, who writes a report on her condition. It often happens that it is during this examination that diseases that threaten the health of the mother and child are revealed.
The reasons why a therapist refers a patient for treatment are as follows:
- an allergic reaction that worsened during pregnancy;
- ARVI;
- presence and exacerbation of chronic diseases;
- tests are not normal.
All of the above reasons may be the basis for outpatient or inpatient treatment.
Gynecologist
A gynecologist observes a pregnant woman before giving birth. Even if everything goes well, regular visits to this specialist are required. In case of complications during pregnancy, the local doctor has every right to issue the patient sick leave for pregnancy.
If the cause of the complaint is not related to a gynecological disease, then the gynecologist must give a referral to a specific specialist who determines the cause of poor health and, as a result of the examination, issues or not a certificate of incapacity for work.
Other doctors
A regular sick leave certificate can be issued to a pregnant woman by any doctor who has diagnosed her with a disease related to his specialization. This specialist can be not only an obstetrician-gynecologist or therapist, but also a neurologist, surgeon, ENT specialist, immunologist, ophthalmologist and any other doctor.
Seeing a therapist
Expert opinion
Polyakov Pyotr Borisovich
Lawyer with 6 years of experience. Specialization: civil law. More than 3 years of experience in drafting contracts.
General practitioners are not required to monitor pregnant women constantly. But these specialists also have the right to issue sick leave certificates, if there are appropriate grounds.
Therapists usually make their conclusions after undergoing examinations by doctors of other specialties. That is, when a complete picture of the state of health is at hand. There are often situations when it is during the final examination that the therapist will identify factors that even require inpatient observation in one of the nearest hospitals. Then the corresponding directions are drawn up.
Here is a list of the most common reasons:
- Negative results after testing.
- Chronic diseases. Especially with the acute stage.
- Cold.
- Aggravated allergic reactions.
- In the case of early stages and toxicosis
The rules here are the same as for other general situations. You will need to contact a gynecologist if, even in the early stages, poor health makes you fear for the future of both the child and the mother herself. Sick leave is issued if there is no doubt that such a situation negatively affects the outcome of the pregnancy.
Gynecologists themselves often remind patients that they can undergo inpatient treatment. Another thing is when a citizen did not have time to register.
This is important to know: Is it possible to close sick leave without a child?
General doctor
The therapist has an indirect relation to the pregnancy, but his conclusion is mandatory at the beginning of the term and immediately before going on maternity leave. In addition, he can conduct unscheduled examinations on the initiative of the pregnant woman or on the recommendation of the gynecologist.
Considering that a therapist is a specialist who is authorized to issue certificates of incapacity for work due to various types of diseases, he can also provide sick leave for pregnancy. The main feature of such certificates of incapacity for work is the possibility of self-treatment at home.
To receive sick leave from a therapist, you must have at least one of the following indications:
- the occurrence of allergies;
- colds;
- poor test results;
- chronic ailments of a pregnant woman.
If a pregnant woman asked a gynecologist for help in providing sick leave, complaining of general malaise, the doctor would refer the woman to a therapist. It is he who is authorized to issue certificates of incapacity for work on such grounds.
When a woman is not yet registered
Children quickly pick up problems if left unchecked. The weakness of a small body and small size can end badly for pregnancy in general.
Therefore, constant monitoring throughout the first trimester becomes a mandatory requirement for everyone. The gynecologist may offer to undergo treatment in a hospital setting.
But sometimes it happens that expectant mothers do not have time to think about registering. Then you shouldn’t refuse sick leave. The procedure just has a few additional nuances:
- The first stage is to call a doctor at home to report how you are feeling.
- After this, the patient is taken to the hospital.
- An examination is performed on a gynecological chair.
- Registration at the place of residence is completed automatically when information regarding pregnancy is confirmed.
If she has the strength and opportunity, the woman herself can attend an appointment with a local therapist. From him they receive a referral for examination by a gynecologist. Then they also register. Even the lack of registration documents is not a reason to refuse to provide medical care.
In the early stages of toxicosis
How to go on sick leave during pregnancy with toxicosis? If a woman feels unwell in the early stages of pregnancy and is seriously afraid for her health and the life of the child, she needs to go to the antenatal clinic with her local doctor and explain what is happening . A gynecologist is obliged to issue a sick leave if there is reason to believe that the reason may affect the positive outcome of the pregnancy.
This practice is quite common and often gynecologists themselves remind their patients about the opportunity to be treated in a medical institution. Therefore, if you are registered, you should not have any problems getting sick leave .
The doctor issues you a sick leave certificate and sends you for treatment to the appropriate institution.
It’s a completely different matter when the expectant mother has not yet managed 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 passed on to the baby and, due to the fact that he is still too small and weak, the pregnancy will end in failure, barely having time to begin.
Therefore, gynecologists closely monitor their patients throughout the first trimester of pregnancy and often offer to stay in the 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 telling him about how you feel unwell. You must be taken to the hospital and examined in a gynecological chair. If the fact of pregnancy is confirmed, then you are automatically registered at your place of residence and sent for treatment with a sick leave certificate.
If your strength allows, you can come to an appointment with your local therapist and, having received a referral from him to be examined by a gynecologist, also go on sick leave.
The 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 standard sick leave for other employees. Only your doctor can determine the amount of time needed for treatment.
About the duration
The terms of sick leave for pregnant women and ordinary documents are no different from each other, they remain the same. Only a doctor can help determine exactly how long it will take to restore health.
The maximum validity period of one sick leave issued by a doctor is 15 days. This rule also applies to workers of any category, not just pregnant women. The duration of rest can be reduced if a dangerous condition is not identified. Such actions will not be illegal.
How to ask for sick leave
The therapist is obliged to issue sick leave if a pregnant woman exhibits symptoms of viral or colds. The doctor is unlikely to want to risk your health and will decide to play it safe if you complain of the following symptoms:
In addition, you can take a sick leave from a doctor in case of exacerbation of allergies or chronic diseases. The maximum time for which it is possible to receive sick leave in this case is 10 days. And the doctor has the right to add another 5 days after a secondary examination of the patient.
In case of hospitalization
If it is determined that the condition is dangerous for the mother and baby, a special commission is convened. But the decision of such commissions remains valid only if treatment is carried out not at home, but in a hospital. One of the important conditions is hospitalization of the patient. You cannot do without documentation according to all the rules.
In the case when the first period of treatment has expired, and residual effects still persist, doctors can decide to extend the rest time. It is often advised to move to a sanatorium for better care. This is a legal decision that cannot be challenged. The duration of treatment is 24 days.
The main goal of a sanatorium-resort treatment regimen is complete protection from work stress. Such rest also contributes to a faster gain of strength.
On what grounds can you go on sick leave during pregnancy?
In order to understand whether you need additional treatment or not, a medical commission is convened, which, after reviewing your documents, doctor’s notes and examining the patient, makes a conclusion about the condition. This commission, by its decision, can extend the period of disability leave to 10 months .
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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 thorough, serious , identified during examination and could lead to irreversible consequences for the mother and child.
Regarding the extension of sick leave
The general rules remain the same here; in each situation, only a number of nuances need to be taken into account.
When visiting a clinic.
If a patient turns to representatives of a hospital facility for sick leave and its extension, it means that the treatment itself takes place at home. The attending physician in such a situation does not have the right to make decisions regarding extension alone.
A medical commission will have to be convened to decide whether the patient needs an extension. The conclusion about the condition is made based on the study of several factors: doctor’s notes, documents and examination of the patient herself. After the commission makes a decision, the period of sick leave can be extended to a maximum of 10 months.
In the case of a hospital.
The examination is carried out when the first period of sick leave ends. Then they decide what kind of help from doctors is needed next. In a hospital setting, sick leave stay is increased by no more than 10 days.
After sanatorium-resort follow-up treatment.
Here the decision is made by the management of the institution itself. This is necessary if there is no improvement. Even after the sanatorium treatment is over. The law sets a maximum period for such situations - 24 days.
Duration
According to the law, the maximum number of days on sick leave in an outpatient setting is 15 days. It can be extended beyond 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 everyone - both women and men. Pregnancy is no exception.
A pregnant woman can be placed on conservatorship, and then her sick leave can last more than two to three weeks.
The doctor may suggest that the pregnant woman undergo treatment in a sanatorium, in which case the 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 from the workplace for more than four hours, he faces dismissal. Therefore, it is better to inform your superiors about your absence from work and your intentions to see a doctor in order to receive sick leave.
Can they extend it 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 sick leave. The commission reviews all certificates, doctor’s reports and tests.
Based on this, the commission decides whether there is a need to extend sick leave. If there is such a need, the commission has the right to increase the duration of sick leave to ten months.
After inpatient treatment, during an examination, the doctor decides whether it is necessary to extend the stay in the hospital. If a pregnant woman has indications for continued treatment, her stay in the hospital can be extended for up to ten days.
As for sanatorium-resort treatment, sick leave can be extended for another 24 days if the pregnant woman has not recovered.
How long will it take?
The minimum period of sick leave for all Russian citizens is three days. Thus, the expectant mother can receive a certificate of incapacity for work for at least three days. The reasons for receiving such a sick leave can be very different: high or low blood pressure, fever and chills, etc.
