Midwifery Aid

The midwife is a valuable companion during pregnancy and the postpartum period. (Expectant) mothers who have statutory health insurance are entitled to the support of a midwife before and after birth. The costs are covered by the health insurance.

Text last updated: 2024-06-28

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The midwife settles her services directly with the health insurance company. A separate application is not necessary.

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Are you looking for a midwife? Check out our Midwife Search page for helpful information and places to go.

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Easily explained

What is midwifery assistance?

Midwifery assistance includes services provided by freelance midwives in the areas of prenatal care and support, obstetrics, services during the postpartum period and services in the event of breastfeeding difficulties or feeding problems for the child.

The costs are covered by health insurance. Midwife assistance can be used by any woman with statutory health insurance.

If you have private health insurance, you should contact your health insurance provider in advance to clarify whether the costs will be covered.

What services are covered by health insurance?

Midwifery assistance is provided by a state-certified midwife. The services include the following

During pregnancy:

  • Antenatal care
  • Counseling services
  • Help with pregnancy complaints or labor pains
  • Birth preparation in a group

During the birth: birth support in hospital, in a birthing center or during a birth at home

In the postpartum and breastfeeding period:

  • Postpartum care (daily home visit by a midwife until the 10th day after delivery, then up to 16 times within 12 weeks of the birth if required without a doctor's order)
  • Postnatal gymnastics in a group, the course must be started by the 4th month after the birth and completed by the 9th month after the birth
  • Breastfeeding advice (until the end of the breastfeeding period)

Beyond the breastfeeding period:

  • Help with the child's feeding problems (up to 9 months of age)
  • Support in special life situations (e.g. in the event of adoption or if the mother is ill)

A doctor's prescription is required for further assistance from a midwife.

Some health insurance companies reimburse other midwife services in full or in part (e.g. PEKiP courses etc.). Please contact your health insurance company directly.

If you have any questions about midwifery services, please contact your health insurance company.

This is still important

How does midwifery care work?

You can contact a midwife of your choice directly.
After presentation of your health insurance card, your midwife settles the services provided directly with the relevant health insurance company. However, only services that are regulated in the midwives' remuneration schedule can be billed.

When should I look for a midwife?

Depending on what you are looking for a midwife for, you can take action at different points in your pregnancy. You can find more information here on the family portal NRW.

Check entitlement

When am I entitled to midwife assistance?

You are entitled to midwife assistance if you have statutory health insurance.

If you have private health insurance, you should clarify the cost coverage with your insurance company before you make use of the service.

These costs arise

There is no cost to you for midwifery assistance.

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