Vorsorge- und Früherkennungsuntersuchung Durchführung bei Schwangeren

§ 73 paragraph 2 number 4 Social Code Book Fifth Book (SGB V)
http://www.gesetze-im-internet.de/sgb_5/__73.html
Guidelines of the Federal Committee of Doctors and Health Insurance Companies on medical care during pregnancy and after childbirth (maternity guidelines)
https://www.g-ba.de/downloads/62-492-2676/Mu-RL_2021-09-16_iK-2022-01-01.pdf
Section 24c of the Fifth Book of the Social Code (SGB V)
https://www.gesetze-im-internet.de/sgb_5/__24c.html

The health insurance company covers the costs of the early detection examinations and tests necessary during your pregnancy.

The statutory prenatal care includes a detailed consultation in which your doctor will ask you about personal and family illnesses, your current health and your life situation. As part of the initial physical examination, your weight and blood pressure will also be measured and a blood and urine sample will be taken.
After the initial examination, the doctor will issue you with a maternity record. This record contains all the information that is important for your pregnancy and birth.
After the initial examination, further check-ups will take place, initially at intervals of four weeks. You can also attend these check-ups with a midwife. In the last two months of pregnancy, the interval between check-ups is reduced to around two weeks. At each appointment, the doctor or midwife will check your baby's heartbeat and your weight, for example. The hemoglobin level in your blood will also be monitored.
During the course of the pregnancy, a test for infection with hepatitis B (HBs antigen), an HIV test and a test for gestational diabetes are also offered.
Further offers include a (basic) ultrasound examination in the

• first trimester (9th to 12th week of pregnancy)
• in the second trimester (19th - 22nd week of pregnancy) and
  • In the second trimester of pregnancy, this examination can be performed either as a basic ultrasound examination or as an extended basic ultrasound examination.
• in the third trimester of pregnancy (29th - 32nd week of pregnancy).

All prenatal examinations are voluntary – this means that you can refuse an examination or test offered at any time without giving a reason.

• Electronic Health Card
• maternity pass (issued at the initial examination)

No

There are usually no costs for you.
Services that go beyond adequate, appropriate and economical care are not paid for by the health insurance company.

• You should contact your doctor, your midwife or your health insurance provider.
• Your contact person will provide you with information about prenatal care.
• They arrange appointments for examinations and check-ups.

The processing time depends on the individual case.

No

The "non-invasive prenatal test (NIPT)" for trisomy 13, 18 and 21 is not one of the generally recommended screening tests during pregnancy. The test is only paid for by statutory health insurance companies if you and your doctor are jointly convinced that the test is necessary in your personal situation or if other tests have shown evidence of trisomy.

No

• Statutory prenatal care includes a detailed consultation about illnesses, current health and life situation.
• Initial physical examination includes weight, blood pressure, blood and urine samples.
• Issuing of the maternity record with all relevant data on pregnancy and birth.
• Further checks initially every 4 weeks, in the last 2 months every 2 weeks.
• Follow-up appointments can be made with a doctor or midwife.
• At each check-up, the baby's heartbeat, the mother's weight and the hemoglobin content of the blood are monitored.
• Additional tests: Hepatitis B test (HBs antigen), HIV test, gestational diabetes test.
  • Ultrasound examinations:
  • Third trimester: basic ultrasound (9th-12th week of pregnancy).
  • Third trimester: basic or extended basic ultrasound (19th-22nd week of pregnancy).
  • Third trimester: basic ultrasound (29th–32nd week of pregnancy).
• All examinations are voluntary and can be refused at any time.

Authority for Labor, Health, Social Affairs, Family and Integration