Pregnancy at work
Employees' right to paid time off for antenatal care
All pregnant employees have the right to paid time off to attend antenatal care appointments. Antenatal care covers not only medical examinations but also, for example, relaxation classes and parentcraft classes.
However, the right to time off only applies if the appointment is advised by a midwife, health visitor or registered medical practitioner (eg a doctor).
Therefore, you are entitled to ask for evidence of antenatal appointments - except in the case of the very first appointment.
You can request that the employee shows you:
- written documentation from a registered medical practitioner, a midwife or a health visitor confirming that she is pregnant
- an appointment card or some other document showing that an appointment has been made
Payment during time off
You must pay the employee her normal hourly rate during the period of time off for antenatal care.
Calculate the rate by dividing the amount of a week's pay by the number of the employee's normal working hours in a week. The normal working hours will usually be set out in her contract of employment.
If her weekly working hours vary, you should average them over the previous 12 complete working weeks. If the employee has yet to complete 12 weeks' service, estimate the average in light of:
- what could be reasonably expected from her contract of employment
- the work pattern of any fellow employees in comparable jobs
Overtime is counted only if it is required and part of the normal working pattern.
Find out how to calculate a week's pay on the Directgov website - Opens in a new window.
Complaints relating to time off for antenatal care
A pregnant employee could bring an unlawful discrimination and/or unfair dismissal claim to a tribunal if you:
- dismiss her or treat her unfairly because she tried to exercise her right to time off for antenatal care
- unreasonably refuse her time off for antenatal care
- deny her normal rate of pay during such time off
A pregnant employee can bring a claim regardless of whether or not:
- she actually has the right to paid time off for antenatal care
- that right has actually been infringed
All she has to have done is act in good faith in seeking to assert the right.
See the page in this guide on pregnant workers, and dismissal and discrimination.
Fathers-to-be and time off for antenatal appointments
Fathers - and same-sex partners - do not have the legal right to time off to accompany pregnant employees to antenatal appointments. However, you can permit them this time off anyway - which can be paid or unpaid.
Alternatively, you could:
- allow fathers to take time off and make up the time later
- suggest they take paid annual leave
Subjects covered in this guide
- Introduction
- Ensuring the health and safety of pregnant workers
- Employees' right to paid time off for antenatal care
- Pregnant workers, and dismissal and discrimination

Acas Helpline
08457 47 47 47

Actions
- Download pregnancy and work guidance from the BIS website (PDF, 1.08MB) - Opens in a new window
- Use our interactive tool to find out how to manage new and expectant mothers in your workplace
- Download guidance on fathers-to-be and antenatal appointments from the BIS website (PDF, 274K) - Opens in a new window
- Pay calculation information on the Directgov website - Opens in a new window
- Download advice on parents' rights at work from the Acas website (PDF, 494K) - Opens in a new window
- Managing working parents online courses on the Acas website (registration required) - Opens in a new window



