Midwifery assistance

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

Text last updated: 2024-06-28

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

This is where I can turn to

Are you looking for a midwife? On our page Finding a midwife you will find 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 followingDuring 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 homeIn 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.

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How does midwifery assistance work?

You can contact a midwife of your choice directly.
After presenting your health insurance card, your midwife will invoice the services provided directly to the relevant health insurance company. However, only services that are regulated in the midwives' fee 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 times during your pregnancy. You can find more information here on the NRW family portal.

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

You will not incur any costs for midwife assistance.

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