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Having a Child
In this guide, you will find all the on pregnancy planning, childbirth, postpartum, and the childhood period, presenting all the services the state provides in this sector.
- The process of becoming a parent begins with planning your pregnancy.
- Before giving birth, you need to prepare some things and documents before going to the hospital.
- After your child's birth, you need to get a birth certificate and register your child at the polyclinic.
- In early childhood, it is necessary to register your child in kindergarten and then in school.
- During pregnancy and childbirth, you will also have the right to rest and receive financial support.
You'll be introduced to everything your child needs, including kindergartens, school admission, local healthcare center registration, vaccinations, benefits, and much more.
When the Pregnancy Test is Positive
Step 1
Contact Your Family Doctor
Schedule an appointment online with your family doctor for a check-up. Your doctor will examine you and may schedule a consultation if necessary.
Step 2
Learn About Your Due Date
An ultrasound examination will be performed during the consultation to confirm the pregnancy and determine the due date.
If the pregnancy is confirmed, your family doctor will refer you to the women's consultation department. You will be registered there and receive prenatal care starting from the 12th week of pregnancy.
Step 3
Choose Your Pregnancy Doctor
Remember that you have the right to choose your medical facility and your doctor for pregnancy care. However, you must first obtain the required documents from your polyclinic (local health center) and family doctor. Then, you can select a doctor from any clinic for pregnancy care.
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You must submit an extract from your personal medical card from the local health center (polyclinic) to the women's consultation department of the medical institution you have chosen.
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In some cases, you may also need to submit a certificate stating that you were not registered as pregnant at the previous medical institution. You will be informed about this requirement in advance by the hospital.
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An individual card will be opened for you in the medical institution you have chosen (it is called the “Individual Card of Pregnant and Parturient Woman”).
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The attending physician will regularly record all data related to your prenatal and postpartum care on your card. This includes results of examinations, complaints, appointments, and other relevant information.
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You will also be informed about what free medical services you can access.
Every person born in the Republic of Armenia is registered at the local health center (polyclinic) of their place of residence upon discharge from the maternity hospital. An individual medical record is created for each person at the polyclinic, where their health information and regular check-up records are maintained.
Attention
All residents of the Republic of Armenia can register at the polyclinic and choose a doctor, whether or not they were born in Armenia. Find more information about medical care in polyclinics.
You can be served free of charge if:
- You are a citizen of the Republic of Armenia.
- You are not a citizen of the Republic of Armenia, but you are in a registered marriage with a citizen of the Republic of Armenia.
- You have the status of a refugee and an asylum seeker in the Republic of Armenia.
- You are a family member of a serviceman or a serviceman of the Russian Border Guards stationed in the territory of the Republic of Armenia.
What to Expect During Pregnancy?
You should visit the doctor managing your pregnancy at the following intervals:
- 1 visit before the 12th week of pregnancy
- 2 visits in the 2nd trimester
- 5 visits in the 3rd trimester
Additional visits will be made as necessary and as directed by your doctor.
The first visit is very important. It is carried out during the 8th-12th week of pregnancy. This visit determines whether the pregnancy poses any risks to your health and if the fetus is developing appropriately.
During the visit, the healthcare provider will ask questions about your and your family's medical history and record the information. They will also:
- Palpate your abdomen
- Listen to your heartbeat
- Check your lungs and breathing
- Measure your blood pressure, weight, and height
This initial visit allows for the following:
- Determining the precise dates of pregnancy
- Assessing the course of fetal development
- Identifying the number of fetuses
- Determining the position of the fetus (within the uterus or the vagina)
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It is performed between the 11th and 16th weeks of pregnancy.
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During the screening, the baby's anatomical structure and risk of developing chromosomal abnormalities are assessed.
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The examination involves an ultrasound, but a venous blood sample must also be taken to check for two specific hormones. Deviations from the normal levels of these hormones can increase the risk of the baby developing certain chromosomal abnormalities.
In the second trimester, you should make 2 visits.
First Visit (18th-22nd week):
- It is important to visit the doctor during this period.
- The fetus has grown significantly, allowing a more accurate examination of its vital organs.
Second Visit (28th week):
- Visit the doctor at the 28th week of pregnancy.
- During this visit, your blood will be tested for iron levels and glucose tolerance.
- If you have Rh-negative blood, your antibody levels will also be determined.
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The second screening is performed during the 18th-22nd week of pregnancy. The anatomical structures of the fetus and the development of internal organs are examined.
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The doctor may refer you for a biochemical blood test based on the screening results.
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Visits become more frequent during the third trimester.
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You will visit your doctor twice a month until the 36th week of pregnancy and then weekly until delivery.
The third screening is performed during the 30-34th week of pregnancy
- The purpose of this screening is to identify possible congenital defects that will manifest later in the fetus.
- There are a number of congenital defects that can only be detected at this stage of pregnancy; for example, defects of the musculoskeletal or genitourinary system.
What is Dopplerography?
- Dopplerography is an examination accompanying the third screening.
- It reflects the blood flow of the mother and child, allowing the identification of circulatory disorders.
- The examination helps the doctor ensure the child is developing normally and receiving sufficient nutrition and oxygen. Dopplerography also allows for the growth rate of the fetus to be checked.
- According to the examination results, the doctor takes measures for the further course of pregnancy and successful delivery.
Medical Concerns During Pregnancy
If you experience any of the following signs or symptoms, you should contact your doctor immediately, regardless of the date of your next scheduled visit.
Consult a doctor if you have any of these symptoms:
- High fever
- Persistent itching of the skin, rash
- Nausea and vomiting in the first half of pregnancy
- Swelling of the hands and feet, varicose veins
- Weakness, irritability, insomnia
- Headache, dizziness, fatigue
- Frequent urination, pain, burning during urination
- Diarrhea, constipation
- Abundant non-bloody vaginal discharge
- Change in the amount or nature of vaginal discharge
Also, seek medical advice in case of contact with infectious patients
Seek immediate medical attention at the nearest hospital or call an ambulance (1-03) if you have:
- Vaginal bleeding
- Difficulty breathing
- Leaking amniotic fluid
- Pain in any location, especially in the abdomen, chest, and upper abdomen
- Visual impairment, severe headache, dizziness, general weakness, indifference to surroundings
- Nausea and vomiting in the second half of pregnancy
- Loss of consciousness, convulsions
- Changes in fetal movements: very high activity, weakening, or absence of movements
Preparing for Childbirth
Start preparing for childbirth a few weeks in advance. Pack the necessary items for you and your baby, along with all the required documents listed below.
- Identification document
- RA citizens: Passport or ID card
- RA residents: Passport or residency permit
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An exchange card that contains the necessary information about the course of pregnancy and the expected birth. It will be given to you at the antenatal clinic in the 30th week of your pregnancy.
- Slippers and cotton socks
- A robe, 2-3 cotton nightgowns (nightgowns should be as comfortable as possible for breastfeeding)
- A few cotton panties (synthetic underwear is not allowed), disposable panties, and 1-2 packs of sanitary napkins.
- Disposable waterproof sheets
- Nursing bra and bra pads
- Cracked nipple cream
- Lip gel (lips tend to crack during childbirth)
- Toothbrush and toothpaste
- Shampoo, soap, sponge
- Towels
- Glass, plate, spoon, knife, fork
- Mobile phone with charging cable
- Care products, comb, hair clip, mirror
- Clothes and shoes for discharge day
- Baby soap
- Pre-diaper cream
- Diapers
- Disposable waterproof sheets
- 3-4 sets of clothes (bodysuit, jumpsuit, bib, cardigan, cotton socks, hat, apron)
- Blanket
- Towel
- Clothing for the discharge day
- Safe travel seat for children aged 0+
Discharge from the hospital depends on the health of both you and your baby
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Vaginal Birth: If the birth was vaginal and there are no complications for either you or your baby, you may be discharged from the hospital 3 days after the birth with the doctor's permission.
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Cesarean Section: If the birth was via cesarean section, you may be discharged from the hospital 5 to 7 days after the operation with the doctor's permission and supervision.
Please note: In both cases, discharge from the hospital is only possible if your baby is registered at a polyclinic.
Vacation
During pregnancy and early childhood, you can access several types of leave:
- Pregnancy and Childbirth Leave: This leave is calculated and provided in full for the periods of pregnancy and childbirth.
- Paternity Leave: Within 30 days after the birth of a child, the father of the newborn may be granted a paid leave of five working days upon his request.
- Childcare Leave: Only one parent can take childcare leave until the child reaches the age of three years old.
Benefits
When you have a child, you can receive several types of benefits, including:
- A lump sum for maternity
- A lump sum for the birth of a child
- A monthly allowance for caring for a child up to two years old
- Monthly allowances for the birth of a third and subsequent children
Obtaining a Birth Certificate
The state registration of a child's birth is carried out by the Civil Status Registration Agency (CRA, also known as ЗАГС) of the Ministry of Justice of the Republic of Armenia.
- An application for registering a child's birth is submitted to the CRA through service centers and medical institutions.
- In the case of the birth of two or more children at the same time, the state registration of the birth of each child is carried out separately.
To obtain a child's birth certificate, you will need:
- An extract from the medical document on the child's birth provided by a doctor
- If the child's parents are married:
- A document confirming the state registration of the parents' marriage or the data of the marriage act.
- If the marriage document was issued in another country, an Armenian translation by a licensed translator is required.
- In the event of the death of a parent:
- A document confirming the state registration of death or the data of the death act.
- In the event of the divorce of the parents:
- A document confirming the divorce or the data of the divorce act.
- In the event of a birth outside a medical institution and without medical assistance:
- A DNA test.
- A document confirming the age and sex of the child, provided by the medical organization or the child's local guardianship and trusteeship body.
- In cases of surrogacy:
- The contract signed with the surrogate mother
- DNA determination of the child, its biological mother, and the surrogate mother.
- Identity documents of the child's parents.
- For documents in another language:
- An Armenian translation certified by a licensed translator.
Apply in-person for a birth certificate
Paternity Acknowledgment
The state basis for recognizing paternity may be:
- A joint application of the child's mother and the person acknowledging himself as the child's father.
- An application of the person acknowledging himself as the father of the child.
- A notarial act executed in accordance with the RA Law "On Notaries" or a corresponding court decision.
For state registration of paternity, the following are required:
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In the case of a joint application by the persons recognizing themselves as the father of the child and the mother of the child:
- Their identity documents.
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If the registration of paternity recognition is carried out after the state registration of the child's birth:
- The child's birth certificate or the data of the registration act.
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If the application for paternity recognition is submitted before the child's birth:
- A medical certificate confirming the pregnancy of the child's mother (issued by a doctor).
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In the case of an application by the person recognizing himself as the father of the child without the mother of the child:
- The identity document of the person recognizing himself as the father
- A document issued by a competent authority on the absence of the child's mother (the mother's death certificate, a court decision that has entered into legal force on recognizing her as incompetent or deceased or missing or on depriving her of parental rights).
- A DNA test result confirming the biological father of the child.
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In the case of an adult:
- The person's written consent to the recognition of paternity.
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If the child has reached the age of 10 and the state registration of paternity recognition will result in a change of his/her name or surname:
- The child's written consent.
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If the applicant is acting through a legal representative:
- A notary's act approved by the court or the relevant court decision that has entered into legal force
- The applicant's identity document.
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If the original documents are in another language:
- An Armenian translation certified by a licensed translator.
Apply in-person for state registration of paternity recognition
Polyclinic Registration
How to register a child at a polyclinic:
- Present the certificate confirming the child's birth (provided by the maternity hospital) to the polyclinic of your choice.
- A doctor will be assigned to the child at the polyclinic.
- After filling in the necessary data, the doctor will register the child at the polyclinic and later make a home visit to register the child’s current data.
- After registering the child at the polyclinic, the doctor will constantly contact you to take appropriate measures in case of any issues related to the child’s health.
Annual Medical Checkup
Annual medical check-ups are very important for a child's health. They allow you to identify and prevent diseases and health problems at the earliest possible stage.
Doctors recommend that you undergo a preventive medical examination at least once a year: the absence of complaints does not mean there are no health problems. Symptoms of diseases can appear much later, so be consistent with your and your child's health.
Vaccinations
The most effective way to prevent infectious diseases is vaccination, thanks to which a child will be protected from a number of infections and diseases from the day of birth.
The implementation of preventive vaccinations is the state policy of the Republic of Armenia, which is provided to the population free of charge.
Kindergarten Registration
You can register your child online for a state kindergarten after they turn two years old, up to and including December 31st of the given year.
Please note that state kindergartens in Armenia are free.
- The child's birth certificate or public service number certificate
- The passport or identity card of one of the parents
- A document proving the child's registration: a passport, public service number certificate, or a registration certificate issued by the police passport department.
Register your child at kindergarten online
Apply online to receive a certificate of address registration
School Admission
When should a child be enrolled in school?
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You can enroll your child in school if he or she is 6 years old or will be by December 31 of the given year.
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Admission is organized from June 1 to September 1 of the given year.