Sick leave pregnant women are given in the same way as any person with a common illness, this is due to the fact that in both cases, temporary disability occurs. But, nevertheless, there are some features, and a woman must know them in order to avoid disagreements with the employer.

Sometimes, employers are unscrupulous and try to get rid of a pregnant employee so as not to keep her workplace for a long time. For this, he will face criminal liability, therefore, in extreme cases, one should contact law enforcement agencies.

Since the end of April 2012, new rules for issuing sick leave have come into effect in Russia, including for women preparing for childbirth. For all interesting or controversial issues, you can contact the antenatal clinic, where there are lawyers, or the doctors themselves have the necessary information.

So, sick leave for pregnant women: when they give this leaflet, or from what period you can leave the decree, indicated in the legislation. According to it, from the 30th week of the term, a woman can receive maternity leave, its duration is 140 days (from the start of the leave, not childbirth). If childbirth begins earlier, and the woman did not have time to take a vacation, then the sick leave is issued after the fact, i.e. the countdown of days starts from the day of birth (and in this case it will increase to 156 days).

Modern women more and more often they refuse to go on sick leave, continuing to work up to 36-38 weeks, and this is their right, because the law gives women the right to choose when to go on maternity leave, but the employer is obliged to grant the right to leave starting from the 30th week of pregnancy. The main thing here is constant consultation with the doctor, who will decide whether the work represents later dates danger to the life and health of a woman or her baby.

Where to take a sick leave for a pregnant woman will tell you medical institution, in which a woman is registered, most often, a sheet is issued there, the main thing is to be generally assigned to a clinic and be observed by a doctor, otherwise difficulties may arise, you will have to take a lot of tests, undergo an examination, and only after that the doctor will be able to sign the sheet. It is also important to know how to take sick leave for a pregnant woman, because one day she cannot simply stop going to her job.

The procedure is simple, the doctor warns that you will need to take a vacation, long before the required time, then, depending on health or personal reasons, at 30 weeks (or later), the woman decides to go on vacation. She again turns to her gynecologist, who writes out a sick leave, in which she puts the expected date of birth.

With this sheet, the woman comes to her employer, who, in turn, may ask to write an application for leave, although the law does not oblige this, but this will be an extra safety net for the woman, because she will once again clearly write down the dates of her temporary absence from work . This will save her from unnecessary worries about the decency of the employer and whether she will receive payment for the entire vacation period.

Next, you need to find out how sick leave is paid for pregnant women. According to the new procedure prescribed by law, the employer must complete all paperwork and calculations within ten days and give them to the Social Insurance Fund. And it is this fund that will fully pay for the sick leave for pregnancy and childbirth, and this is precisely the difference from the leaflet issued for illness.

Sick pay for pregnant women is as follows:

the amount of the allowance is calculated, for this they add up the woman's monthly salary for the last six months, and divide it by the number calendar days during this same period. That is, the monthly salary is 30 thousand rubles. (all premiums and bonuses are also summed up here), they must be multiplied by 6, and the resulting amount divided by 180 days. Thus, it turns out 1 thousand rubles, and this will be the average daily earnings of a woman. Based on it, the Social Insurance Fund determines the amount of the benefit. If a woman worked less than 6 months, then the average daily earnings are calculated according to the period actually worked (from one to 5 full months).

calculate payment. The amount of the allowance is determined as follows: the average daily earnings (for example, 1 thousand rubles) are multiplied by the number of vacation days (usually 140 days). It turns out that the amount of payment will be 140 thousand rubles. at the same time, for the entire period of vacation.

But, in order to correctly calculate the amount, you also need to know how long sick leave is issued for pregnancy and childbirth. As mentioned earlier, in the normal course of pregnancy and the absence of health problems or complications, the vacation will be 140 calendar days (70 each, before and after childbirth). But a woman herself can decide how to distribute these days, it all depends on how long she will go on vacation. The sick leave can be increased in time and will be:

194 days when the pregnancy is multiple, and if complications occur during childbirth, then add another 16 days.

156 days, in case premature birth if the child survived during the first 6 days.

90 days before giving birth, when the woman lives in an area with high levels of radiation.

In addition, sick leave for pregnancy and childbirth is also required if:

the woman was artificially inseminated;

she adopted a child under the age of 3 months, the vacation will be 70 days;

the woman had an abortion, in which case the minimum rest will be 10 calendar days (maximum 30, at the discretion of the doctor).

If a woman is registered with an antenatal clinic at an early stage (up to 12 weeks), then she is entitled to lump sum, regardless of whether it works or not, the amount is about 500 rubles, plus district coefficients and allowances.

The state is trying to support pregnant women and young mothers, so it has taken responsibility for paying sick leave benefits, and has also introduced criminal liability for employers that infringe on the rights of pregnant women.

Often a pregnant woman does not feel well. How can she get sick leave for disability?

When is sick leave not allowed?

From the first weeks of pregnancy, a woman has health problems. In the morning she is painfully sick, sometimes she vomits, she feels general weakness, pulling pain in the lower abdomen, she cannot stand stuffy rooms. If a woman works at the same time and decides to see a doctor with her symptoms to get a sick leave, she will most likely be refused, promising that after 12 weeks all discomfort will disappear.

However, sometimes, in some cases, it is possible to obtain a partial exemption from work.

How can I get a certificate temporarily exempting from work?

All workplaces, as a rule, are certified for harmfulness. Some professions, due to health hazards, require cash bonuses. Many of them have little effect on the general health of a woman, but during pregnancy they pose a danger to the normal development of the fetus. Because of this, a pregnant woman, almost from the first days of her new position, can apply for exemption from work in working conditions that endanger the health of her and her unborn child. Moreover, the release for the entire period of pregnancy up to childbirth.

What needs to be done for this?

1. The personnel department of the enterprise or the labor protection engineer is obliged to issue a certificate indicating the list of professional features of the woman's work that pose a threat to her condition.
2. Contact your gynecologist at the state clinic, who will confirm the fact of pregnancy and documentally refer the woman to an expert medical commission, which will give the go-ahead to receive an exemption certificate. It is possible to register for pregnancy a little later - after passing all the examinations. With such legal issues, it is better to contact the clinic at the place of residence, since commercial medical institutions do not have the right to issue such documents.
3. At the appointed time, when the expert commission of the polyclinic is working, you should come there, having with you a referral, an outpatient card, a passport, a certificate from the place of work. During the reception of this commission, a woman receives an official exemption from work activities that are harmful to health.
4. Submit your certificate to the Human Resources Department.

Occupational hazards from which a pregnant woman should be exempted

• Vibration (applies to truck drivers and all types of public transport).
• Lifting and moving goods manually.
• Toxic fumes - gasoline, lead, ammonia, acetone, lead, formaldehyde, etc., dust aerosols that can cause birth defects in a child.
• Low or high temperature.
• Contact with pathogenic microbes.
• Radiation dangerous to the fetus.

A complete list of adverse factors can be found at the chairman of the WEC.

A VEC certificate is not required to receive a long-term sick leave for such hazards as overtime, night shifts, business trips to a place so remote that it is impossible to return home in one working day, additional working hours on weekends.

On the side of the mother in such cases is labor legislation and it is enough just to inform the personnel department about your condition.

Exemption from work

A release certificate should not be confused with a sick leave certificate. It does not exempt from the obligation to go to work every day. However, if the working conditions do not agree with those indicated in the certificate, the head of the enterprise must provide the pregnant woman with another place of work for the period of bearing the child, while retaining the previous one for her. Another option is to free the pregnant woman from all occupational hazards at her original place of work.

When is sick leave issued?

Any disease, be it a cold, an infection, an injury, in which work is impossible, entitles a pregnant woman to demand sick leave on a full basis until she is fully recovered.

This means that state regulations apply to them in the same way as before pregnancy.

Which, in turn, means: the sick leave is issued by the same doctor of the clinic or hospital, who considered it possible to temporarily completely release the pregnant woman from work. For example, a doctor in the gynecological department of a hospital or an obstetrician in a polyclinic - with a threat of termination of pregnancy, with preeclampsia, abortion; ENT - with sinusitis, the therapist - with bronchitis, the surgeon - with a burn.

When released from work due to illness, the sick leave is paid on a general basis. That is, the amount charged depends on seniority and from the salary for the last two years.

- this is far from a disease, but often a woman endures it much more difficult than the flu or a cold. Pregnant women are prone to increased fatigue, bouts of nausea, swelling, and drowsiness.

And this is only a small fraction of all the possible manifestations that almost every woman encounters during pregnancy. Despite all of the above, a woman in position still needs to work and do it at the proper level.

Sick leave - an official document

Certificate of incapacity for work, or 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 issued not only during the illness, but during the period of rehabilitation after an illness or injury. And when carrying a child, it can be difficult to do work even to a greater extent than with a particular disease.

Which doctor can a pregnant woman apply for such a document? This may be the leading pregnancy gynecologist. Depending on the problems that bother the pregnant woman, it can be a general practitioner, urologist, neuropathologist, ENT.

Sometimes the terms "illness" and "disability" are confused. For example, if you lost your voice after suffering from laryngitis, this is sufficient reason for a hospital teacher or salesperson to be discharged. And if a seamstress or a loader has lost his voice, then he will have to explain for what reason the absence of a voice prevents him from working. Such details may be the reason for the denial of a hospital discharge by the attending physician. Often this causes violent indignation in patients.

How can a woman in a position get a sick leave? Which doctor should I contact for such a document? What complaints will be taken into account by the doctor?

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, with the slightest deterioration in her physical condition, even insist on issuing a sick leave.

Every doctor, above all a person who personal experience knows what pregnancy is and is familiar with it on his own example or the example of his wife, relative. He wonderfully understands how difficult it can be even at the minimum time. It should be noted that it is the first three months that are the most difficult about the cause of toxicosis.

There is a category of women carrying a child who accept the state of pregnancy as some kind of illness and abuse it. They insist on a special attitude towards themselves, even if there is no reason to doubt their health. Such women often do not appear at the workplace until the very end, regularly extending the sick leave.

There is another important detail. In the therapy of women bearing a child, there is always a paramount factor - to prevent complications from arising. The doctor first of all wishes to be reinsured. After all, it is much more reliable to extend a little course of treatment for a young mother, to increase the observation period, rather than to face these or other complications later.

Maternity leave

The hospital can open not only an obstetrician-gynecologist

The decree previously called the period from the 7th month of pregnancy. Since that time, 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 apply for a 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 if carrying more than one fetus.

No one can force a pregnant woman to go on sick leave if she herself 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 hard enough. Common illnesses such as colds, bronchitis, and coughs are also possible. And this is accompanied by such symptoms of pregnancy as vomiting or nausea, sleep disturbances, pain back, joints.

Can a woman claim sick leave in such situations? Definitely yes. In the presence of diseases of a different nature or any complications, a woman going to work has a legal right to receive such a form. If the deterioration in well-being is caused by a non-gynecological problem, she should apply for such a document to a general practitioner.

If an additional consultation is necessary, the therapist will write a referral to narrow-profile specialists: an ENT specialist, a neuropathologist, an ophthalmologist, etc. Problems of a gynecological nature are handled exclusively by a gynecologist in a antenatal clinic.

Disability certificate issued by a general practitioner

Poor health of a pregnant woman as a reason to go on sick leave

A pregnant woman can receive a consultation from a general practitioner both at the clinic at the place of residence and at the antenatal clinic. A visit to such a specialist may be due to such symptoms:

1. increase in body temperature;
2. chills;
3. pain in the throat;
4. discomfort when swallowing;
5. the presence of a cough;
6. the presence of a runny nose
7. ear pain or migraine.

All of the above symptoms are a direct sign colds or respiratory diseases of viral etymology. In the presence of such symptoms, the therapist single-handedly writes out a sick leave for a period of 3 to 5 days. If the woman has not recovered during the second examination, the doctor must extend the term of such a sheet for another 5 days.

If, after 10 days, the woman does not get better, the hospital therapist can pour only after examination together with the head of the department, who certifies this document with his seal. To discharge a sick leave due to an acute respiratory illness for a period of more than 10 days, there must be solid arguments.

If there are any, then the woman carrying the child is recommended hospitalization or inpatient treatment. With what complaints do you most often visit a general practitioner? The most common complaints are: pain in the back, in the lumbar region, in the legs. Pain is uncomfortable expectant mother, hinders movement, interferes with work. A sick leave certificate for such complaints can be issued by a neuropathologist.

The therapist may refuse to issue a sick leave. This happens with deviations from the norm in the performance of tests, but without any clinical manifestations. For example, a slight decrease in the level of hemoglobin in the blood without concomitant dizziness, lowering blood pressure or fainting.

The therapist cannot issue a sick leave based on complaints of low blood pressure. Especially if this fact was not confirmed when measuring pressure in the doctor's office.

Sick leave issued by a gynecologist

Sick leave with a long period is issued only for treatment in a hospital

A gynecologist deals with solving complaints that are characteristic of pregnancy. Almost every woman is familiar with them. It can be:

• the presence of physical weakness;
• dizziness;
• increased fatigue;
• sleep disorders;
• vomiting or nausea;
• painful sensations of a pulling nature in the abdomen;
• vaginal discharge.

Previously, a gynecologist in a antenatal clinic had the right to write out a sick leave for a fairly long period with regular examinations. As of today, these rules have become stricter. Now, with popular diagnoses of "toxicosis" or "threat of miscarriage", a pregnant woman is required to undergo a course of therapy.

This may be treatment with a round-the-clock stay in the hospital, as well as a visit to a day hospital for testing and performing prescribed procedures. For inpatient treatment, the grounds must be substantiated.

The sick leave issued in the inpatient department can be quite long. If necessary, it can be extended for the entire period of gestation. Short term work is also possible.

Lightened working conditions

A pregnant woman has the right to light work

What should a pregnant woman do if she works hard enough, but there are no symptoms of the disease?
Women who are carrying a child have legal grounds for. This is not a sick note. A woman is obliged to go to the place of work, but workloads should be an order of magnitude lower.

The need to alleviate working conditions is prescribed by a gynecologist. Such a document must be provided to the head with a statement of a certain form. Lightweight working conditions mean the complete absence of harmful factors, comfortable working conditions, etc.

Despite the fact that pregnancy is not a disease at all, a woman needs something else and the opportunity to rest. Therefore, if the attending physician recommends writing out a sick leave or a certificate of the need for facilitated working conditions, it is advisable to follow his advice.

The thematic video will acquaint you with the rights of pregnant women:

Pregnancy is not a disease, although sometimes it is more difficult than any disease. Fatigue, drowsiness, nausea, swelling - this is just a small list of the problems that any woman can face. And with this, all expectant mothers have to go to work and do it well.

But sometimes the state of health worsens so much that it is impossible to work. And then pregnant women go to the gynecologist to take a sick leave. Is it possible?

Sick leave

A certificate of incapacity for work, or sick leave, is a document confirming the inability of a person to work in this moment. This does not always happen during an illness - you can be disabled at the stage of rehabilitation. And during pregnancy, it can be difficult to work and without any diseases.

Who can give sick leave during pregnancy? This is done by the attending physician - therapist, gynecologist, urologist, ENT, neuropathologist - 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 a hospital teacher or a consultant in a store. And the loader or typesetter will have to explain why he cannot do his job without a voice. These nuances may be associated with the refusal to issue a sick leave by a doctor, which causes resentment among patients.

How to get a disability certificate for a pregnant woman? Who can issue it - a therapist or a gynecologist? What complaints should be made to them?

Disability of pregnant women

Usually, most doctors always meet them halfway and issue a sick leave at the slightest indisposition. Any doctor has experienced pregnancy either by his own example, or by the example of his wife, relatives, and he knows how difficult it is sometimes even for short term. Moreover, it is in the first trimester that pregnancy is usually difficult to tolerate due to toxicosis.

However, some future mothers abuse their position, perceiving pregnancy as a disease. And even if no one has any doubts about their health, they require special treatment. Such patients often try to take sick leave time after time so as not to appear at work until 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’s easier to treat the expectant mother a little more than necessary, leave it under supervision, and prescribe medication.

Pregnant women are often offered hospitalization or at least the option day stay in the hospital.

Maternity leave

Previously, this was the name of the period that began from the 7th month of pregnancy and allowed the 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 is issued by the attending physician - gynecologist in the antenatal clinic together with the head. Every woman has the right to receive a sick leave for pregnancy and childbirth, regardless of the time when she first appeared in 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 childbirth, she will not have to go on sick leave against her will.

Disability during pregnancy

Until the 30th week, expectant mothers need to work. And it's not always easy. And diseases can overtake the most common ones - acute respiratory infections, runny nose, bronchitis. They are usually accompanied by frequent pregnancy companions - nausea or vomiting, excruciating insomnia, back and joint pain, leg cramps.

Is sick leave required in such a situation? Yes, in case of illness or complications of pregnancy, a working woman has the right to a disability certificate. If poor health is associated with a common, non-gynecological disease, you should consult a therapist. If necessary, he will refer to narrow specialists - an ENT specialist, an ophthalmologist, a neuropathologist. Problems related to pregnancy are dealt with by a gynecologist in the antenatal clinic.

Therapeutic sick leave

The therapist can advise pregnant women in the clinic at the place of residence or in the antenatal clinic. He should be contacted with such complaints:

• temperature increase;
• chills;
• sore or sore throat, discomfort when swallowing;
• cough;
• runny nose;
• headache or earache.

All these are symptoms of a cold or viral respiratory diseases, bronchitis. With such complaints, the therapist single-handedly 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 get sick. For more than 10 days, the sick leave is extended only after a joint examination with the head of the department and is certified by his seal. For a sick leave for acute respiratory infections lasting more than 10 days, there must be good reasons. If they really are, the pregnant woman should be offered hospitalization for inpatient treatment.

What else do they turn to the therapist during pregnancy? A common complaint is pain in the back, in the lumbosacral spine, radiating to the leg. Pain interfere with the expectant mother to walk and sit, to work at full strength. A neurologist can also issue a sick leave in this situation.

Sometimes the therapist refuses to issue a sick leave. This may be with changes in the analyzes that are not accompanied by clinical manifestations. For example, with a mild to moderate decrease in hemoglobin without dizziness, severe weakness, low blood pressure or fainting. In this situation, the doctor can only recommend iron preparations to the pregnant woman, since her analysis does not affect her ability to work.

As a rule, hospital therapists do not issue sick leaves 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 specific to pregnancy. They are familiar to any woman. Most often these will be:

• severe weakness;
• dizziness;
• fatigue;
• drowsiness or insomnia;
• nausea and vomiting;
• drawing pains in the abdomen;
• vaginal discharge.

But if earlier a gynecologist in a antenatal clinic could give a certificate of incapacity for work for a sufficiently long period with periodic examinations, now the rules have become tougher. The common outpatient diagnoses "toxicosis of pregnancy" and "threatened miscarriage" now require inpatient treatment. This may be a round-the-clock stay or a daily visit for tests and medical appointments.

For inpatient treatment, indications must be justified. A disability certificate issued in a hospital can be quite lengthy. If necessary, it continues for the entire period of bearing a child with short-term exits to work.

light labor

And what to do if there are no signs of illness or complications, but it is also becoming more and more difficult to work?

Expectant mothers have the right to easy work. This is not a sick leave - you will have to go to work, but the workload 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 mode of work and rest. And if the doctor offers to use a certificate of incapacity for work or a certificate of light work, it is better to listen to his recommendations.

Gathering in maternity leave, it is worth knowing in advance how sick leave is paid during pregnancy. During this period, a woman needs care, and the state guarantees the preservation of the workplace, special social benefits.

How sick pay is paid during pregnancy before maternity leave

One of the difficult issues is the payment of periods of incapacity for work for special categories of workers. The employer must know to whom and in what amount he makes payments. Employees of the organization must remember their rights and insist on their observance.

Knowing how sick leave is paid during pregnancy according to the law, you can protect your rights.

Pregnant women can get sick just like other employees. In addition, during this period, urgent hospitalization may be required to maintain the health of the mother and unborn child. According to the law, a sick leave of the established form is issued in a medical institution.

The amount of payments will depend on the official length of service in a particular organization:

• less than two years - 60% of average earnings are calculated;
• from 5 to 8 years - 80%;
• with an experience of 8 years or more for the period of incapacity for work, they are paid in the amount of 100% of the average wage.

The employer may voluntarily establish other payments and additional types of workers' compensation.

How is maternity sick leave paid?

Working pregnant women are legally guaranteed special payments. For a period of 30 weeks, the employee goes on vacation, which is called “maternity leave”. It is provided for a total of 140 days. It is drawn up on an approved form, some features are distinguished in its design.

• Such a document is drawn up by a limited number of medical specialists. First of all - an obstetrician-gynecologist or a general practitioner. If these doctors are not available, then the paramedic or midwife.
• The time for issuing a certificate of incapacity for work is calculated by the doctor. This date is mandatory for the employer. The employee may choose to continue labor activity on a universal basis.
• Vacation is paid in 100% of the amount from the social insurance fund.
• When multiple pregnancy the number of days of incapacity for work increases to 194 and is also paid in full.
• In case of complicated childbirth, a woman is issued an additional sick leave. It is added to maternity leave and is paid at 100%.

The employer does not have the right to refuse the employee to pay maternity leave, this is contrary to the law.

A pregnant woman can catch a cold or go to the hospital long before the decree. In this case, the amount of compensation depends on the length of service. Sick leave for pregnancy and childbirth is paid at 100%, regardless of length of service, position and other indicators.