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?
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.
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.
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These reasons often include:
- exacerbation of allergic reactions;
- cold;
- the presence of chronic diseases, as well as their exacerbation;
- bad test results.
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.
Validity
The period for issuing a certificate of incapacity for work for a pregnant woman is identical to the traditional sick leave for all employees. The treatment time is determined only by the attending physician. However, the maximum period should not exceed 15 days. The medical commission can extend it only during inpatient treatment. If we are talking about restoring health in a sanatorium, the BL is extended for up to 24 days. If treatment is ineffective, a new sick leave should be opened, followed by sending the pregnant woman to the hospital. If her health is constantly at risk, then the medical commission has the right to “protect” the expectant mother from work duties for up to 10 months.
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.
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.
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.
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.
Sick leave issued by a gynecologist
Long-term sick leave is issued only for hospital treatment
A gynecologist deals with complaints that are characteristic of pregnancy. Almost every woman is familiar with them. It can be:
- presence of physical weakness;
- dizziness;
- increased fatigue;
- sleep disorders;
- vomiting or nausea;
- pulling pain in the abdominal area;
- vaginal discharge.
Previously, a gynecologist in a antenatal clinic had the right to issue sick leave for a fairly long period with regular examinations. As of today, these rules have become stricter. Now, with the popular diagnoses of “toxicosis” or “threat of miscarriage”, a pregnant woman is required to undergo a course of therapy in a hospital.
This can be either treatment with a round-the-clock stay in the hospital, or a visit to the day hospital for tests and prescribed procedures. For inpatient treatment, the grounds must be justified.
Sick leave issued in an inpatient department can be quite long. If necessary, it can be extended for the entire period of gestation. It is also possible to go to work for a short period of time.
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:
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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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How to take sick leave during pregnancy?
Pregnancy is not a disease, although sometimes it is more difficult to bear than any disease. Fatigue, drowsiness, nausea, swelling - this is just a small list of the problems that any woman may encounter. And with this, all expectant mothers have to go to work and do it efficiently.
But sometimes your health deteriorates so much that it is impossible to work. And then pregnant women go to the gynecologist to take sick leave. Is it possible?
Sick leave
A certificate of incapacity for work, or sick leave, is a document confirming a person’s inability to work at the moment. This does not always happen during illness - you can be unable to work during the rehabilitation stage. And during pregnancy it can be difficult to work without any illnesses.
Who can give sick leave during pregnancy? This is done by the attending physician - therapist, gynecologist, urologist, ENT, neurologist - depending on the complaints that the patient has addressed.
Many people confuse the concepts of illness and disability. For example, loss of voice after suffering from laryngitis is an absolute indication for sick leave for a teacher or a consultant in a store. And the loader or typist will have to explain why he cannot do his job without a voice. These nuances may be associated with the doctor’s refusal to issue a sick leave certificate, which causes indignation among patients.
Disability of pregnant women
Usually, most doctors always meet them halfway and issue sick leave at the slightest indisposition. Any doctor has encountered pregnancy either through his own example, or through the example of his wife or relatives, and knows how difficult it can sometimes be even in a short period of time. Moreover, it is in the first trimester that pregnancy is usually difficult to tolerate due to toxicosis.
However, some expectant mothers abuse their position, perceiving pregnancy as a disease. And even if no one has to doubt their health, they require special treatment. Such patients often try to go on sick leave over and over again so as not to appear at work before maternity leave.
There is a third nuance. In the treatment of pregnant women, priority is given to one thing - to prevent complications. And doctors often try to play it safe. For them, it is safer to treat the expectant mother a little more than necessary, leave her under observation, and prescribe medications.
Pregnant women are often offered hospitalization in a hospital or at least the option of a day stay in the hospital.
Maternity leave
Previously, this was the name for the period that began from the 7th month of pregnancy and allowed a woman not to go to work legally. In fact, this is also a sick leave - for pregnancy and childbirth. It is given for a period of 140 to 194 days, depending on the complexity of the birth and the number of children born.
This sick leave certificate is issued by the attending physician - gynecologist in the antenatal clinic together with the head. Every woman has the right to receive sick leave for pregnancy and childbirth, regardless of the period when she first appeared at the antenatal clinic. The main thing is that this happens before the 30th week of pregnancy (before the 28th in the case of twins or triplets). If a woman wants to continue working until she gives birth, she will not have to go on sick leave against her will.
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.
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.
Disability during pregnancy
Until the 30th week, expectant mothers need to work. And this is not always easy. And the most common diseases can overtake us - acute respiratory infections, runny nose, bronchitis. They are usually accompanied by frequent pregnancy companions - nausea or vomiting, painful insomnia, back and joint pain, leg cramps.
Is sick leave required in such a situation? Yes, in case of illness or pregnancy complications, a working woman has the right to a certificate of incapacity for work. If poor health is associated with a common, non-gynecological illness, you should consult a physician. If necessary, he will refer you to specialized specialists - ENT, ophthalmologist, neurologist. Problems related to pregnancy are dealt with by a gynecologist at the antenatal clinic.
Therapeutic certificate of incapacity for work
The therapist can advise pregnant women in a clinic at their place of residence or in a antenatal clinic. You should contact him with the following complaints:
- temperature increase;
- chills;
- sore or sore throat, discomfort when swallowing;
- cough;
- runny nose;
- headache or ear pain.
All these are symptoms of a cold or viral respiratory diseases, bronchitis. In case of such complaints, the therapist alone issues a certificate of incapacity for work for 3–5 days, depending on the condition. After the next examination, he can extend it for another 5 days if the patient continues to be sick. Over 10 days, sick leave is extended only after a joint examination with the head of the department and is certified by his seal. For sick leave for acute respiratory infections lasting more than 10 days, there must be good reasons. If they do exist, the pregnant woman should be offered hospitalization for inpatient treatment.
What else do you see a therapist for during pregnancy? A common complaint is pain in the back, in the lumbosacral spine, radiating to the leg. Painful sensations prevent the expectant mother from walking, sitting, and working at full capacity. A neurologist can also issue sick leave in this situation.
Sometimes the therapist refuses to issue a sick leave certificate. This may occur with changes in tests that are not accompanied by clinical manifestations. For example, with a slight to moderate decrease in hemoglobin without dizziness, severe weakness, decreased blood pressure or fainting. In this situation, the doctor can only recommend iron supplements to the pregnant woman, since the test does not affect her ability to work.
As a rule, therapists do not issue sick leave for complaints of low blood pressure, especially if this is not confirmed when measured by a doctor.
Sick leave from a gynecologist
You can safely contact a gynecologist with complaints characteristic of pregnancy. They are familiar to any woman. Most often this will be:
- severe weakness;
- dizziness;
- fatigue;
- drowsiness or insomnia;
- nausea and vomiting;
- nagging pain in the abdomen;
- vaginal discharge.
But if previously a gynecologist in a antenatal clinic could give a certificate of incapacity for work for a fairly long period with periodic examinations, now the rules have become stricter. Common outpatient diagnoses of “toxicosis of pregnancy” and “threat of miscarriage” now require hospital treatment. This may be a 24-hour stay or a daily visit for tests and medical appointments.
For inpatient treatment, the indications must be justified. A certificate of incapacity for work issued in a hospital can be quite long. If necessary, it continues for the entire period of gestation with short-term trips to work.
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.
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.
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.
Features when receiving sick leave
If the clinic was chosen correctly, then the patient has the right to receive a certificate of incapacity for work when he recovers. The following features should be taken into account:
- Retrospective documentation is not completed;
- The document can only be issued by the date of admission for treatment;
- A sheet is issued from the moment of illness or at the end of treatment.
It happens that a person gets sick in the evening, so he goes to the center after work. In this case, sick leave opens from tomorrow. This day will be paid as usual, and if the person was not at work, then absenteeism will result.
Grounds necessary for opening sick leave during pregnancy
How to get sick leave during pregnancy? When do they give?
Almost all expectant mothers are aware of when and how to get sick leave when they are due to go on maternity leave.
If the pregnancy is singleton, this is done when it reaches 30 weeks, and if the birth of two or more babies is expected, it is done at 28 weeks. This is stated in Article 255 of the Labor Code of the Russian Federation. At the same time, the expectant mother receives a birth certificate.
However, today we will focus on when and how sick leave is issued in the periods preceding the required maternity leave.
Sick leave for pregnant women is provided on the same principle as for other categories of citizens, with one significant difference: the concept of “disability” for pregnant women is interpreted much more broadly and cannot necessarily be caused by illness.
Moreover, during outbreaks of acute respiratory or infectious diseases, pregnant women working in crowded conditions are simply recommended to obtain a sick leave certificate and wait out the danger at home.
And of course, it goes without saying that sick leave is issued to a pregnant woman in case of any complications, disorders or deviations during pregnancy.
Forced “leave” can also be provided in case of unsatisfactory results of tests or diagnostic studies and in some other cases provided for by the main legal act regulating the procedure for issuing certificates of incapacity for work - part 7 of Order of the Ministry of Health and Social Development of the Russian Federation No. 624n dated June 29, 2011.
Let's look at the situation in more detail.
For how many days is the newsletter issued?
How many days sick leave is issued for cystitis depends on the patient’s condition and the clinical picture of possible concomitant pathologies.
If the acute inflammatory process in the bladder is not accompanied by complications, release from work is given for three days. After which, during the re-examination (based on the results of treatment), the doctor decides on the advisability of extending the notice. Correctly selected therapy allows you to cope with uncomplicated cystitis in a week.
The presence of complications extends the treatment period to one and a half weeks. If the symptoms of inflammation cannot be stopped, by decision of the medication commission, the sick leave is extended (until the pathological signs are completely eliminated). At the same time, the reasons for the failure of therapy are considered and the treatment protocol is changed.
Patients with chronic cystitis are given the necessary recommendations and prescribed drug therapy. After completion of the treatment course, the effectiveness of treatment is monitored.
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How to take sick leave from a gynecologist for a pregnant woman
The most important specialist for a pregnant woman from the first day of pregnancy detection until successful delivery is her leading obstetrician-gynecologist. Constant monitoring of the course of pregnancy allows him to feel even slight negative urges.
In this regard, he is not only authorized, but also obliged to provide the patient with a temporary disability certificate. Moreover, it is not at all necessary that the pathology concerns strictly his professional sphere. In addition, the gynecologist observing you may (is obligated) to prescribe you free vitamins for pregnant women.
The greatest dangers lie in wait for a pregnant woman and her unborn baby in the very early stages. It is at this time that a woman’s body should be especially protected. After all, not only she herself, but also the unborn little person can suffer from the slightest negative influences.
Even minor pain or occasional discomfort should be considered as an alarm bell. If a non-core pathology is detected or suspected, the gynecologist is obliged to refer the pregnant woman to a specialist, and the patient has the right to insist on providing her with sick leave.
As for the most common reasons for issuing sick leave, we note the following:
- Presence of toxicosis;
- Prenatal hypertonicity of the uterus;
- Risk of miscarriage;
- Anomalies of intrauterine development of the fetus;
- Swelling of the limbs;
- Infectious and venereal diseases;
- Increased blood pressure;
- Frequent general malaise.
By the way, the last circumstance is nothing more than a universal reason and excuse to ask the doctor for sick leave at any convenient time.
Other negative factors during pregnancy are also likely, forcing the doctor to play it safe against possible complications and issue sick leave.
If necessary, the patient can be redirected to a specific specialized specialist - therapist, pulmonologist, hematologist, cardiologist, otolaryngologist and others. Depending on the degree of complexity of the patient’s condition, they also have the right to be issued a sick leave.
Do they give sick leave at a paid clinic?
- Remember that even in a paid clinic, sick leave is not issued “retroactively” - only from the day you contact a specialist.
- A certificate of incapacity for work can be issued in a private clinic either immediately upon application (in which case you need to bring it with you to the follow-up appointment) or upon discharge.
- If you go to a private clinic after work and feel unwell, open a sick leave from the next day. The fact is that the employer will not be able to pay for one day both according to the wage schedule and due to disability.
- Do not forget about important points: only a private clinic with a license can issue sick leave, and the type of document does not differ from the usual one issued in public clinics.
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Private medical clinics are popular among Russian patients because they provide an expanded range of services, modern equipment, and the opening hours of paid medical institutions allow you to choose a convenient time to visit a doctor. In this regard, many working citizens ask the question: “Do they give sick leave in a paid clinic?”
How can a pregnant woman take sick leave from a therapist?
Managing the pregnancy process is not the direct responsibility of the local therapist, but this specialist also has the right to issue sick leave certificates if there are good reasons for this, such as:
- Poor test results or ultrasound, ECG and other studies;
- Fever, flu, sore throat, colds;
- Exacerbation of chronic diseases in the patient;
- The appearance of allergic reactions;
- Pain syndromes, for example, headaches, ears, vertebrae, and so on.
You need to know that in the absence of clinical signs, if changes in analytical parameters are not so significant, it is not always possible to obtain a sick leave from a therapist. For example, with a moderate decrease in hemoglobin levels, he can simply prescribe iron supplements.
To summarize: the easiest way for pregnant women to get sick leave is directly from the gynecologist, who sees her in a clinic or residential complex. It is easy to obtain a sick leave from a local physician, or one of the specialized specialists whose competence is the detected pathology.
At the same time, the doctors themselves, following the precepts of Hippocrates and the desire to once again play it safe, are interested in providing working pregnant women with additional days of rest.
