Can a gynecologist give sick leave during pregnancy without going to the hospital?

Is it possible?

For what period?

How to get sick leave during pregnancy?

When do they give? We all know that when a woman reaches a certain advanced stage of pregnancy, she goes on long maternity leave.

In case of a singleton pregnancy, this period begins upon reaching 30 weeks , and in case of a multiple pregnancy (two or more children) at 28 weeks (Article 255 of the Labor Code also informs about the duration of the certificate of incapacity for pregnancy and childbirth).

It is believed that at this stage it becomes difficult for the expectant mother to cope with her job responsibilities and she needs to devote maximum of her strength and energy to preparing for childbirth.

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

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

An expectant mother should not take possible pain and discomfort lightly. They may be the first warning signs to which you need to respond in a timely manner and, if possible, be under the supervision of your attending physician.

Thus, we can conclude that at any time, starting from the moment you learned that you are in an interesting situation, and no one has the right to refuse to issue you a sick leave certificate , if there really is poor health and a threat to mother and child.

Grounds for extradition

Sick leave (SL, certificate of incapacity for work) refers to documentation that confirms the inability of an employed person to work during a given period. The main reason for such situations is not always illness. Inability to perform work duties can occur both during recovery and during pregnancy due to general malaise.

A distinction should be made between the terms “disability” and “illness”. For example, the absence of a voice due to laryngitis is an unconditional basis for issuing a BC to a teacher or consultant in the goods department. The situation would look rather dubious when, for the same reason, such a document is issued to a typesetter or loader. As for pregnant women, doctors are ready to provide them with sick leave if they feel unwell in most cases.

According to current legislation, an expectant mother can receive maternity BC from the seventh month for a period of 140-194 days, depending on the nature of the course of labor and the number of babies born (Article 255 of the Labor Code of the Russian Federation). The document is presented by the treating gynecologist at the LC at 30 weeks or up to 28 weeks when carrying several children at once. In this case, you can not take such a sick leave and work until the birth at your own request.

Who can give?

Who can give sick leave for pregnancy?

Upon discovering her interesting situation, a woman should contact a gynecologist at her home address and register for pregnancy at a medical institution.

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

It doesn’t matter in what form your pregnancy is monitored, the main thing is that your condition is monitored by a qualified doctor .

In addition, a pregnant woman is examined by other specialists, who, if any abnormalities are identified, may offer sick leave during pregnancy. Such doctors include an endocrinologist, dentist, ENT specialist, ophthalmologist, immunologist, cardiologist.

At the gynecologist

Do gynecologists give sick leave during pregnancy? A gynecologist is a specialist who will manage your pregnancy from the moment it is discovered until the birth itself. Even if the course of your pregnancy is favorable, you will see this specialist very often, because his responsibilities include constant monitoring of your condition . Therefore, if complications and negative factors are detected in the gynecological field, your local doctor has all the authority to issue you sick leave for pregnancy.

The most common reasons for receiving sick leave are:

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

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

At the therapist

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

During pregnancy, women are examined by various medical specialists, after which the general practitioner makes a conclusion about the woman’s condition.

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

These reasons often include:

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

Seeing a therapist

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.

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.

Sick leave during pregnancy: only due to illness?

Indeed, a normal pregnancy in a healthy woman is a physiological process and cannot be regarded as a disease. However, due to serious hormonal changes and the resulting changes in all organ systems, the well-being of the expectant mother may be disrupted, sometimes quite significantly. It is not surprising that performance in such cases also suffers significantly. Since many women continue to work during pregnancy, in cases of deterioration in health, the question of sick leave arises. In what situations are pregnant women entitled to sick leave, and in what situations is there a high probability of being refused, and what to do in such cases?

Sick leave during pregnancy

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

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

Certificate of incapacity for work for pregnancy and childbirth

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

Sick leave during pregnancy: on a general basis

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

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

In this regard, pregnant women are recommended, if possible, to avoid crowded places and contacts with sick people (relatives, colleagues), especially during an influenza epidemic - the most dangerous acute respiratory viral infection. The best option would be to stay at home, of course, if no one in the family is sick. It is quite difficult to obtain sick leave for preventive purposes, therefore, if possible, it is recommended to take vacation, time off, work from home, etc. during an epidemiologically unfavorable period). Going to the clinic for sick leave, where most sick people go, is most likely not the best option, especially since issuing a certificate of incapacity for work in the absence of illness and compelling reasons for receiving it may be refused.

If you fail to protect yourself and you catch a cold, then, of course, the appearance of a runny nose, cough, sore throat, increased body temperature, feeling weak, tired and other signs of a cold during pregnancy requires a mandatory visit to a general practitioner (calling a doctor to your home) and registration of sick leave.

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

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

Dizziness, fainting. Dizziness and fainting are more serious symptoms, as they indicate hypoxia (oxygen starvation) of the brain, which can lead to falls and injuries. They are most often caused by hypotension, toxicosis and low glucose levels, sometimes anemia. All these conditions require correction and, at a minimum, treatment on an outpatient basis with the issuance of a sick leave certificate. Among the causes of dizziness and fainting also include heart and vascular diseases with sharp fluctuations in blood pressure, injuries and diseases of the brain and spinal cord, pathology of the vestibular apparatus - all these conditions require consultation and treatment with appropriate specialists (cardiologist, neurologist, otolaryngologist, etc.).

If a pathology is detected, a certificate of incapacity for work is issued and treatment is prescribed.

Dizziness can also occur during the normal course of pregnancy, and in such cases it is not a valid reason for issuing a certificate of incapacity for work. The causes of dizziness can be severe fatigue, chronic lack of sleep, or sudden standing up. Eliminating these causes usually solves the problem of dizziness.

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

During pregnancy, almost half of women experience low back pain. Most often, this pain is associated with increased load on the spine and weakening of the abdominal muscles due to their overextension. Typically, such pain appears after the 5th month of pregnancy, sometimes it can radiate to the leg, and decreases and goes away in the last weeks of pregnancy or after childbirth. It intensifies after physical activity, prolonged walking, prolonged standing, or sitting. Less commonly, the cause of lower back pain can be various neurological diseases, for example, a herniated disc, lumbar radiculitis, which require observation and treatment by a specialist. Pain in the back and joints often prevents the expectant mother from walking, and can also bother her while sitting, interfering with her ability to work.

It is necessary to take into account that if back pain bothered a woman before pregnancy, then while she is expecting a child, the probability of their occurrence increases to almost 100%. With the listed complaints, it is recommended to contact a therapist or neurologist, who, if the symptoms are severe, will issue a certificate of incapacity for work.

Cases where pain in the lumbar region is accompanied by an increase in temperature, pressure, the appearance of edema, frequent urination with the release of cloudy urine, require mandatory consultation with a doctor and, as a rule, hospital treatment, as they indicate kidney disease, which has an adverse effect on the course of pregnancy and condition of the fetus.

Headache. The causes of headaches during pregnancy vary. Most often, headaches in expectant mothers are caused by an increase or significant decrease in blood pressure; migraine (although usually as pregnancy progresses, migraine attacks become less frequent or do not bother you at all); Tension headache occurs due to cervical osteochondrosis, overstrain of the muscles of the neck and shoulder girdle. Also, headaches can appear with inflammation of the paranasal sinuses - sinusitis, with problems with teeth and gums, certain eye diseases (glaucoma) and allergic reactions, in stressful situations, with lack of sleep, physical or psycho-emotional fatigue.

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

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

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

However, you should not abuse this opportunity beyond necessity. In a number of cases (if a certificate of incapacity for work is refused due to the absence of compelling reasons), you can try to solve the problems that have arisen in another way: obtaining a certificate of the need for light work, an agreement with the administration, the employer to perform work at home, taking leave, etc.

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

• The doctor can issue sick leave for a period of no more than 15 days.
• The question of further extension of the certificate of incapacity for work is decided by a medical commission with the participation of the head of the department. By decision of the medical commission, sick leave for a pregnant woman can be extended to 10 (in some cases up to 12) months.
• Also, a paramedic and a dentist have the right to issue sick leave for a period of no more than 10 days.

Only for expectant mothers

With all problems associated with disruption of the normal course of pregnancy and all the symptoms caused by this, you should contact your attending physician, the obstetrician-gynecologist who is managing the pregnancy.

*Toxicosis of the first half of pregnancy. Almost every second woman experiences nausea and vomiting in the early stages of pregnancy. If these symptoms manifest themselves in a mild form, treatment on an outpatient basis is allowed, although in such a situation, most likely, the expectant mother will be offered treatment in a day hospital (if such an opportunity exists). Of course, in such cases, the woman is given a sick leave by the doctor of the medical institution where she is being observed for pregnancy or by the doctor at the day hospital. In more severe cases, with very frequent vomiting, due to the danger of severe electrolyte and other metabolic disturbances that adversely affect the health of mother and child, hospitalization and treatment in a hospital are recommended with the mandatory issuance of a certificate of incapacity for working women.

*Threat of miscarriage. Symptoms of a threatened miscarriage are pain in the lower abdomen, the appearance of discharge from the genital tract, and tension in the muscles of the uterus (increased tone of the uterus). The appearance of such signs often indicates serious disturbances in the normal course of pregnancy, so the attending obstetrician-gynecologist will most likely insist on hospitalization. If the expectant mother refuses, in some cases outpatient treatment is allowed with strict adherence to bed rest and mandatory compliance with medical recommendations. Of course, in all of the above cases, the expectant mother is given a sick leave certificate.

If sick leave is not given...

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

A trend in recent years is the frequent refusal of a doctor to issue a sick leave certificate allowing a woman to stay at home in such situations: usually the doctor recommends treatment in a day hospital or hospitalization in the pregnancy pathology department. This is explained by the fact that if there is a high risk of normal pregnancy and miscarriage, a woman may require emergency care, which is easier to provide in a hospital.

Duration

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

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

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

The attending physician may prescribe a slightly shorter period of sick leave if your condition requires this.

During hospitalization

If your condition raises concerns for the life and health of the child, then sick leave for pregnant women can be extended by decision of a convened medical commission . Such a decision is valid only if the woman is hospitalized and is being treated not at home, but in a medical facility.

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

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

Which doctor opens a sick leave?

Inflammation of the structural tissues of the bladder organ is a serious pathology. It does not go away on its own and drug therapy cannot be avoided. The only question is who can appoint her.

In case of acute signs of illness, when a serious condition and attachment to the toilet do not allow one to independently get to the clinic, a sick note is opened by a therapist who comes on call. Based on a physical examination, auscultation and percussion (palpation, tapping and auscultation), he makes a preliminary diagnosis and prescribes symptomatic treatment to relieve pathological symptoms.

After 3 days, the woman must attend an appointment with a therapist for a detailed examination:

1. Laboratory tests (urine and blood).
2. Analysis for tank seeding.
3. Ultrasound examination of the peritoneal organs.

Extension

In the clinic

Since you came to the clinic to renew your certificate of incapacity for work, this means that you carried out all the treatment at home. The attending physician alone cannot decide to extend your sick leave.

In order to understand whether you need additional treatment or not, a medical commission is convened, which, after reviewing your documents, doctor’s 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 .

In the hospital

If you are being treated in a hospital setting, then after your sick leave expires, you are examined and a decision is made as to whether you need medical care or not.

Hospital stay can be extended by 10 days.

Extension of sick leave after sanatorium-resort follow-up treatment

If a pregnant woman has not recovered after follow-up treatment in a sanatorium, then its management may decide to extend the certificate of incapacity for work for some more time for recovery. The main thing is that the period does not exceed the 24 days established by law .

Upon expiration, if the pregnant woman has not returned to normal condition, a new sick leave is opened for her and she is again sent for treatment to a medical institution.

Sick leave in a paid clinic

A certificate of incapacity for work is an official document issued by a medical institution to prove that a person was absent from work due to illness. In the presence of a bulletin, everyone has the right not only not to go to work, but also to receive payment for sick days, according to established interest rates, which depend on the accumulated insurance period and average earnings.

1. The building itself belongs to the owner.
2. Equipment and other property are properly decorated and belong to the owner.
3. The number of mandatory number of employees, which depends on several important factors and is calculated according to a special system adopted in the Russian Federation.
4. The education of medical staff corresponds to their functions.
5. Employees have at least three years of work experience according to the declared classification.
6. There are permits for the use of special medical equipment, as well as non-technical instruments.
7. The quality of the services provided is constantly monitored.
8. The rules for obtaining, storing and using medicines are observed.
9. Document flow complies with legal requirements.
10. Conditions have been created for regular training of employees, which must be carried out at least once every five years.

Duration of sick leave

Maximum number of days

The medical commission has the authority to release the expectant mother from work for a maximum period of up to 10 months , if the condition of the pregnant woman so requires.

Minimum number of days

The standard minimum duration of sick leave not only for pregnant women, but also for all categories of workers is 3 calendar days . If the doctor believes that this period is enough for a pregnant woman to return to normal, he can issue a certificate of incapacity for work for the next three dates.

Easy work

What to do if there are no signs of illness or complications, but it is becoming increasingly difficult to work? Expectant mothers have the right to light work. This is not a certificate of incapacity for work - you will have to go to work, but the load will be significantly reduced. A certificate of the need for light work must be given by a gynecologist, then it is presented to the employer with a corresponding statement.

Light work implies the absence of occupational hazards, a reduced schedule if necessary, and more comfortable working conditions for the expectant mother. Although pregnancy is not a disease, it requires a different regime of work and rest. And if the doctor suggests using a certificate of incapacity for work or a certificate of light work, it is better to listen to his recommendations.

Before maternity leave

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

Grounds for issuing sick leave

The basis for issuing a certificate of incapacity for work is the woman’s poor health, unsatisfactory results of tests, ultrasound or examination .

Depending on the woman’s condition, the gynecologist prescribes treatment for her on an outpatient or inpatient basis.

It is also recommended that pregnant women take sick leave during outbreaks of fungi and other infectious diseases , since their work is a potentially dangerous place where there are large crowds of people.

Terms

In addition to determining the order in which certificates of incapacity for work are issued and taken, it is important to find out about the possible deadlines for outpatient and inpatient treatment.
This will help you figure out how to take sick leave for as long as possible. As a general rule, initial disability documents are issued for 15 days. If, at the end of this period, no resolving symptoms are observed, then in order to extend treatment, a commission is convened, which will take information about the illness and the amplitude of recovery and, if necessary, extend the sick leave.

Do they give sick leave at a paid clinic?

Paid clinics also issue sick leave, but sometimes you have to pay extra for them. Many people complain that they are forced to pay not only for the appointment, but also for sick leave. I personally don’t see the point of going to paid clinics to get sick leave if you’re really sick. With the policy, you can go to any free clinic, and there you can receive sick leave absolutely free of charge. ┌──────────────────────────────────────── ───────── ───┬───────────────────────────────────── ────────┐ │ Has the right to issue a leaflet │ Does not have the right to issue a slip ──────── ─────────────┼─────────────────────────── ───────── ─────────┤ │- attending physicians of state, municipal and│- emergency medical care institutions; │ │private medical institutions licensed for │ - blood transfusion institutions; │ │medical activities*; │- medical workers in hospital emergency departments│ │- doctors engaged in private practice who have│institutions; X │ │license for medical activities*; │- medical and physical education clinics; │ │- attending physicians of specialized│- balneological hospitals and│ │(anti-tuberculosis) sanatoriums if there are│mud baths; X │ │licenses for medical activities*; │- special-type healthcare institutions│ │- attending physicians of research clinics│(centres of medical prevention, disaster medicine,│ │institutions (institutes), including clinics│forensic medical examination bureau); │ │prosthetics or prosthetic construction - as agreed by │ - healthcare institutions for supervision in │ │with the Ministry of Health and Social Development; X │sphere of consumer rights protection and well-being│ │- paramedics and dentists of medical organizations -│person X │ │in some cases, by decision of the local authority│ X │ │health care management, agreed with│ X │ │regional office of the FSS │ X │ ├──────────────────────────────────────── ───────── ───┴───────────────────────────────────── ────────┤ │ * including work (services) for the examination of temporary disability

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Do they give sick leave at a paid clinic?

Both state and non-state medical organizations issue bulletins according to a single algorithm. To draw up a document, it is necessary to first record the fact of illness or injury. To do this, you need to contact your local or attending physician, who will perform an examination and confirm its presence. On the same day, a certificate of incapacity for work is opened. It is given to the patient during outpatient treatment or kept by the doctor while in the hospital. This fact does not allow the employee to go for treatment wherever he wants, but narrows the circle to those medical institutions that have the right to issue an official sick leave. It is not always clear to the average person whether it is possible to get sick leave in a private clinic or whether this is the prerogative of exclusively state medical institutions.

Can a gynecologist give sick leave in a paid clinic?

Therefore, the sick leave certificates we issue are absolutely legal and are issued on official forms, and are also supported by the personal seals of our attending physicians. Unlike fly-by-night companies that deliver sick leave certificates to any metro station or address, our medical centers are located at specific addresses and we are always ready to confirm the authenticity of the documents we issue.

• ambulance stations;
• blood transfusion stations;
• reception departments of medical institutions;
• balneological institutions, mud baths;
• medical organizations with a special status (prevention centers, disaster medicine centers, forensic medical examination bureaus);
• government agencies exercising supervision in the field of healthcare.

Please note => Square for beneficiaries

Recommendations for expectant mothers: how a pregnant woman can take sick leave

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.

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.

Do they give sick leave for 2021 at a day hospital?

Calculation of sick leave in 2021 is carried out according to a certain algorithm.

It involves a number of successive stages: determining the total income received over 2 years; calculation of average income for 1 day; accounting for the number of days on sick leave; application of the experience coefficient. , then in order to pay for sick leave you must take the specified maximum amount! First you need to determine your earnings for the previous 2 calendar years.

If an employee has recently joined a company, a certificate of the amount of salary and other payments that each employer is required to issue upon dismissal will help in the calculations.

The final step is to determine the total amount of the temporary disability certificate.

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You need to multiply the amount of the daily benefit by the number of days in accordance with the sick leave provided.

IMPORTANT! The maximum period for which the attending physician can issue a sick leave certificate is 15 days, and for those issued by a paramedic or dentist - 10 days.