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PMSMA in India: How to Get a Pregnancy Check-Up

A practical guide to the PMSMA antenatal clinic on the 9th of the month, the second- and third-trimester service, high-risk follow-up and how to find a participating facility.

In this guide

What is PMSMA, and who is it for?

Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is a fixed-day antenatal-care programme for pregnant women in the second and third trimesters. The National Health Mission describes clinics on the 9th of each month at designated government facilities, with a minimum package of check-ups, investigations, counselling and identification of pregnancies needing closer follow-up. It adds a specialist-focused visit to routine antenatal care; it does not replace regular pregnancy appointments.

PMSMA appointment preparation card
Pregnancy trimester and due dateFacility and clinic dateMCP card and reportsQuestions or symptomsReferral and next visit

What can happen during a PMSMA visit?

Ask which checks are available at that facility

The National Health Mission describes a minimum antenatal package and services such as investigations, medicines including iron-folic acid and calcium where indicated, counselling and a clinician’s assessment. What can be done on the day depends on the facility level, staff and current supplies. Ask where a test or ultrasound will be arranged if it is not available there.

Bring records if you have them, but still seek care if you do not

Carry your Mother and Child Protection (MCP) card, previous reports, medicine list and questions if readily available. If papers are missing, ask the health worker how the visit can proceed and how records can be retrieved or updated. Do not delay urgent care because a document is unavailable.

High-risk pregnancy follow-up and urgent care

Extended PMSMA describes additional doctor visits

National guidance for Extended PMSMA describes three additional antenatal follow-up visits with a doctor or obstetrician for a woman identified as high risk, along with referral linkage to an appropriate facility. Ask the local ANM or ASHA who will arrange the next visit and whether your district has an active follow-up process.

Plan the referral before a complication becomes urgent

Ask which First Referral Unit or higher-level centre can manage the condition, how you will reach it, and what to carry. The local team can explain transport arrangements under applicable services. If serious symptoms or an emergency develop, use urgent care now rather than waiting for a scheduled PMSMA date.

PMSMA pregnancy check-ups: FAQs