How to register pregnancy

pregnant girl with an umbrella

You are an expecting mother!

We are glad to assist you during this important period, i.e. period of pregnancy carrying and childbirth. 

Pregnancy is a wonderful period in a woman`s life. The period devoted to a new life growing inside you. Along with an unfamiliar happiness, a new sense of responsibility is also developing.  

Maternity in the Republic of Kazakhstan is protected and encouraged by the state.

Pursuant to Article 77 of the Code of the Republic of Kazakhstan as of July 07, 2020 “On People's Health and Healthcare System” (hereinafter: Code), citizens of the Republic of Kazakhstan have the right for:

1) obtaining a statutory free medical assistance;

2) freely selecting a doctor and medical organization.  

Pursuant to Article 81 of the Code stipulating rights and responsibilities of pregnant women in the field of public health, pregnant women should:

1) in the period up to 12 weeks register at a medical organization at a place of residence to get a medical assistance within a statutory free medical assistance and (or) statutory social medical assistance;

2) follow medical recommendations during a pregnancy period, childbirth and after giving birth. 

Thus, a pregnant woman should visit an obstetrician-gynaecologist at a place of actual residence. 

Upon the first visit of a pregnant woman regarding her pregnancy, an obstetrician-gynaecologist gets consent from a woman or her legal representative and starts to gather a medical background, asks a pregnant woman whether she or relatives have had socially significant and other somatic diseases, multifetal pregnancies, children with congenital defects and hereditary diseases. Also, a doctor pays attention to diseases that a woman suffered from in childhood and as an adult (somatic and gynecological ones), operations, transfusion of blood and its components; gathers an epidemiological anamnesis.

After an examination, an obstetrician-gynaecologist determines a pregnancy period, registers a woman with pregnancy up to 12 weeks and prescribes an initial set of mandatory laboratory examinations to a pregnant woman (full blood count, common urine analysis, blood group and  rhesus factor, serosurrey for syphilis (blood sampling for Wassermann reaction), examination for HIV infection after a preliminary consultation and obtainment of consent,examination for hepatitis markers: HBsAg (hepatitis B) and anti-HCV (hepatitis С),blood sugar examination, examination of blood for maternal seromarkers in the period from 11th week (0 days) to 13th week (6 days) from the first day of the last period, blood for ТОRCH infections, bacteriological examination of midstream urine (urine culture), microscopic examination of vaginal material for aerobic and optionally anaerobic microorganisms, bacterioscopy vaginal smear to check bacterial contamination and cervical smear).

A doctor sends a pregnant woman to a maternal screening to detect risks related to chromosomal pathology and congenital disorders (development defects) of unborn child: ultrasound screening in the first trimester of pregnancy from 11th to 13th week.

After examination, a doctor determines pregnancy duration and registers a woman with pregnancy up to 12 weeks at the date of visit to a medical organization. 

An obstetrician-gynaecologist enters all the data received during an examination and screenings to an individual profile of an obstetric patient in the form 077/у as well as to a prenatal record in the form 048/у which is issued to a pregnant woman during a first visit and is kept by her within the pregnancy period to be provided at a clinic at a place of registration; when visiting other medical organizations; when receiving an in-patient care; when visiting reception and diagnostics departments of medical organizations delivering around-the-clock medical assistance.   

An obstetrician-gynaecologist discusses an antenatal care, recommends medical and preventive activities during a first trimester (intake of 0.4 µgr of folic acid within the first trimester). A date of the next visit is arranged in 7-10 days from the date of pregnancy registration.

Last update: 22.09.2021