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Mother-child passport checkups — what, when and why?

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Mother-Child Passport — Your Preventive Care Roadmap

In a nutshell: The Mother-Child Passport (in Austria) or the Maternity Passport/Yellow Booklet system (Germany) guides you through your entire pregnancy and your child's first years of life. All examinations are FREE and STRONGLY recommended.

Pregnancy Preventive Care

Week of PregnancyExaminationWhat's Done
Initial ExamConfirm pregnancyBlood count, blood type, rubella titer, HIV test
Weeks 9-121st UltrasoundBaby visible, heartbeat, multiple pregnancy check
Weeks 17-202nd Ultrasound (detailed screening)Organs, birth defects, size, amniotic fluid
Weeks 25-28Glucose test (oGTT)Rule out gestational diabetes
Weeks 29-323rd UltrasoundGrowth, position, amniotic fluid amount
Weeks 35-37Streptococcus B swab (Group B Strep)Plan prevention during labor
From Week 36CTG every 1-2 weeksBaby's heartbeat + contractions

After Birth — Baby Preventive Care (Germany: U-Examinations)

ExaminationTimingFocus
U1Right after birthAPGAR, major birth defects
U2Day 3-10Metabolic screening, hearing test
U3Week 4-5Hip ultrasound
U4Month 3-4Motor skills, reflexes, 1st vaccination
U5Month 6-7Grasping, rolling, vision
U6Month 10-12Standing, speaking, fine motor skills
U7Month 21-24Walking, 50+ words
U7aMonth 34-36Speech, vision, hearing
U8Month 46-48Coordination, social behavior
U9Month 60-64School readiness

Costs

  • Germany: All U-examinations + pregnancy preventive care = COVERED BY INSURANCE (free)
  • Austria: Mother-Child Passport examinations free + child care allowance requirement
  • Switzerland: Covered by basic insurance

Important: Don't Miss Your Appointments!

  • In some German states, attending U-examinations is MANDATORY
  • Bring your Yellow Booklet to EVERY doctor's appointment
  • Schedule appointments early — pediatric practices are often fully booked

This information does not replace medical advice from your doctor.

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