The pregnant woman’s exchange card is the main and main document of any woman who is going to give birth to a baby soon. It is a small book or a booklet, the basic data on the woman in childbirth and the development of pregnancy are entered there.
Definition
An exchange card is a document issued to a woman when her pregnancy reaches 8 weeks. There, doctors throughout the period enter the results of the analysis and examinations, as well as information on how the pregnancy proceeds. It also contains information about previous births.
In some clinics, before the 20th week, the pregnant woman’s exchange card, a photo of which can be seen later, is stored in the antenatal clinic, and only after this period mother can take it with her.
At the 30th week, this document should always be with her at any place where she is present. Indeed, quite often premature births begin, and if this brochure does not exist, this can cause considerable problems when registering at the hospital. And also very good, if the doctors will prepare picture of the pregnant woman, as this may help them understand what is allowed to do and what not.
Structure
Exchange card pregnant form 113 / y consists of three main sections, which are filled initially in the antenatal clinic, and after - in the hospital.
- The first section is carried out immediately at the time of registration of a woman, namely, the leading obstetrician-gynecologist. It contains information about previous pregnancies, as well as about the features of bearing a child. In addition, after each examination, the doctor records the results of the examination. All analyzes that are so necessary for expectant mothers are also reflected in this section. It should be noted that the information presented here will become very important in the hospital, and if the girl has not passed the necessary examinations, then she has the right to go to childbirth only in a special department, which is designed specifically for such persons.
- This section of the pregnant woman’s exchange card provides data on the woman in labor, which are filled directly in the maternity hospital. This is done by an obstetrician, he describes the course of the birth process, the features of the postpartum period and the physical condition of the woman at the time of discharge. Such information is necessarily transmitted to the antenatal clinic, after which it is entered on a regular card.
- All data of the newborn is reflected in this section, which is filled in the maternity hospital. This is done by a neonatologist (pediatrician) and an obstetrician. They fully describe the birth, physical condition of the newborn, and also, if necessary, some features, if they are present. After filling in the information is transmitted to the children's clinic.
why
Usually, when a pregnant woman is issued an exchange card, she is told why she is needed and what to do next. This document contains all the important information about pregnancy, and further on childbirth and the newborn.
Doctors of the consultation, who are just engaged in pregnancy management, also fill out the brochure with detailed information and describe the state of health of the mother and her baby.
All of these data will be a godsend for the pediatrician-neonatologist of the hospital, which is just engaged in the state of health of the newborn and pediatrician children's clinic.
Thanks to the correct filling out of the document, any doctor can, if necessary, get acquainted with the features of carrying a baby, determine the indications for childbirth (cesarean section, natural), and also provide timely assistance in case of any types of complications and premature births.
What does a pregnant exchange card look like
It is most often presented in the form of a black and white brochure in A5 format, unlike a large card that has A4 format, it is also filled out by a doctor, but is constantly in the antenatal clinic. After the exchange card is issued to the pregnant woman, you need to take it regularly with you when going to the gynecologist.
Standard and similar copies are issued everywhere, minimal differences can only apply to a paperback (it happens that advertisements are applied to it that are thematically related to childbirth and pregnancy), forms (a small prospectus, a magazine).
The first pages contain fields for indicating the passport data of the pregnant woman, her medical biography, as well as for other information necessary for the birth process. On the last pages there are often tips for future parents about the moments of gestation and the first days of the baby's life.
For those who are interested in what a pregnant exchange card looks like, a photo of which can be seen in this article, it should be noted that it necessarily contains blank pages (graphs and tables), which are combined in three main sections. The first of them is filled by a consultation doctor, who is just engaged in pregnancy management.
It consists of the following main points:
- general information;
- previous operations and diseases;
- anthropometric source data;
- the beginning of the last menstruation;
- palpitations, position and first fetal movement.
In addition to the features of carrying a baby, the document contains information about previous pregnancies, abortions and childbirth. After each visit to the consultation, the doctor records the results of the examination and examination.
This part of the document also contains data on all the necessary tests of the pregnant woman. If such information is not provided, then the woman in labor must be placed in the department where pregnant women with infections are located.
Those who are interested in what a pregnant woman’s exchange card looks like, further it should be noted that there are two more sections in it that are already filled in the hospital. The obstetrician in the chapter on the woman in childbirth records data on the course of childbirth, the state of the mother at the time of discharge and in the postpartum period.
A section on the newborn is also present on the card, which is filled in by a neonatologist and obstetrician.
At the end of the document provides useful information for the expectant mother, which will help her cope with the difficult process of motherhood.
Original and copy
Since quite often it lost exchange card pregnant, but recently the original remains in the office of the women's clinic, and a copy is handed. It should also be noted that this is a strict reporting document, and in case of loss, many problems arise.
Future mothers should be aware of their actions, because they are being watched, not only for their condition but also the life of an unborn baby. Therefore, if such an important booklet is issued, then it should always be with the woman in labor. Even in the case of a banal exit to the store or a walk to a friend on the next street. Thanks to the card, which is constantly with the woman, in case of childbirth, an ambulance will help to get to the necessary hospital. Since if the center was chosen in advance, then the pregnant woman’s exchange card, a sample of which is presented below, will bear the seal and signature of the head physician.
If the card does not appear at this serious moment, the ambulance will determine the woman in labor at the nearest territorial maternity hospital, fully following her instructions. Since it is already clear how important this document is, it is better to always carry it with you. Therefore, often a woman is given a copy, because in case of loss it can be easily restored, so it is better to always carry it with you.
Documents required to receive
In order to receive a pregnant exchange card, documentary confirmation is required, and not just a positive test. To do this, you must be examined by a gynecologist and ultrasound (ultrasound), and sometimes requires an additional blood test for hCG (human chorionic gonadotropin). For registration you will need:
- compulsory pension insurance card;
- passport;
- MHI policy (compulsory medical insurance).
With all the listed papers, the woman goes to the consultation for a period of 12 weeks, where she receives the necessary document.
When a pregnant card is issued
The official deadline for receiving such a document is not specified anywhere, it depends on the rules that are prescribed in a particular region. Most often, the card is issued after 8 weeks, and the district doctor is engaged in its issuance. All examinations a woman in labor is required to carry this document as 22-23 weeks, she had just finished passing all the tests, and their results must be recorded there.
Doctors of some consultations do not duplicate and issue such a document at the 28-30th week of pregnancy. At this moment, every woman must have a card in her hands so that, if necessary, she can be provided with qualified medical care. It should be noted, due to the fact that they write in the pregnant woman’s exchange card, this document can even replace a medical certificate, for example, for playing sports in the pool, as doctors certify it with their signatures and seals of the clinic.
Sometimes the original card is issued before the 22nd week, for example, when a woman enters the pathology department, as this greatly simplifies all the procedures, it is then that an assistant and a doctor are involved in filling out it together with a personal hospital card.
Terms of use
- After the exchange card is issued to the pregnant woman, the woman is automatically held responsible for her safety. Some clinics keep it in their place until the 30th week in order to prevent loss and damage. And others still give it to expectant mothers immediately at the time of registration. In order to keep it presentable, which, when worn can significantly worsen over 8 months, it is recommended to purchase immediately cover with a solid foundation for it.
- After the beginning of the 30th week of the term, every pregnant woman must always carry such a card. This rule has only one purpose, namely, if necessary, provide her with adequate medical care, as doctors will be able to take into account all the details of the fetus and the mother's health. The likelihood that a woman will need such assistance, with the approach of the planned date of birth only increases.
- There is a small percentage of women in labor who do not plan to register, so they will not be able to get such a document before they reach 30 weeks, in addition, in order to still have the opportunity to pick up the card, you will need to undergo a full medical examination and pass all the necessary tests.
Fixing test results
When issued card exchange hands on a pregnant, her mom must be worn at each meal in the antenatal clinic, as there will be recorded the results of various tests. Throughout the process several times during a pregnancy carried out the necessary tests such as a blood test for infection and disease, vaginal smear and complete blood count, which shows the status of women in general. Before each visit to the doctor, a woman in labor should give urine. This is done in order to check the level of sugar, as well as the presence of protein. It is considered normal if sugar is a little overpriced, but still it should not go over the level of an acceptable parameter.
But there is no protein in the urine in a good situation, but if nevertheless this is not so, it may indicate gestosis of pregnant women. This disease leads to a deterioration of the kidneys, brain and blood vessels. Therefore, in order to identify this complication in time, pregnant women must constantly take urine for analysis. And the results are regularly entered into the exchange card to make it easier for doctors to track the dynamics.
In addition to all these tests, at each appearance, the doctor measures the volume of the abdomen, the length of the uterus, performs weighing, determines the presence of uterine tone, edema, and also listens to the fetal heartbeat. This data is regularly entered into the brochure.
In addition, the mandatory studies that must be included in the map are:
- Ultrasound in each of the three trimesters;
- electrocardiogram;
- at the end of pregnancy - cardiotocography of the fetus.
Regular fit conclusion of such doctors as an eye doctor, therapist, ENT, endocrinology (when indicated), and dentist.
What to do if the card is lost?
If this happened, then you do not need to worry, as the doctor will be able to get a new document. It should be noted that very often a woman is given a copy in her hands, so the original can be restored.
Important information
- If, upon receiving the card, the girl noticed that she was not the same as everyone else, then do not panic. Quite often sponsors are involved in the production of this document, so a lot of advertising can be present on it.
- When they give an exchange card to pregnant women in their arms, it happens that women lose them. If the expectant mother was constantly examined by a gynecologist, then you should not worry, since all the records necessarily remain in the antenatal clinic. According to these data, the doctor will be able to recover.
- Many women, especially nulliparous, wondering how many weeks must elapse before will need to apply to the consultation to be registered. The optimal period is 7-12 weeks. During this period, the doctor will definitely not have any questions with confirmation of pregnancy, and there is also the opportunity to detect the presence of pathologies.
- If there is a desire to register with a private clinic, then it is better to first ask if they can issue an exchange card there. If not, then maybe you should still apply to another institution or to conduct a pregnancy in parallel, because without this document will be problems with the arrival to the hospital.