An exchange card for a pregnant woman is the most important document of a woman expecting the birth of her baby. What does it contain, what is it for and why is it so important for any woman in an "interesting" position?
What is an exchange card and what is it for?
An exchange card for a pregnant woman is a document that reflects all the necessary tests, examinations and conclusions of doctors, all the necessary additional information. As a rule, this card consists of three parts, one of which is filled out by the doctor of an antenatal clinic or a paid clinic, depending on where the woman is registered. All information about the course of childbirth and about the baby will then be filled out here. The part about childbirth will return to the consultation, and the part about the child will go to the children's clinic.
If a pregnant woman for any reason enters the hospital without an exchange card, then she will be forced to give birth in the observational department, or even in the infectious diseases department, since she is considered not examined, which means she is potentially sick.
What does the exchange card contain?
This is filled in by an antenatal clinic or a paid doctor:
1. Surname, name, patronymic, home address.
2. What kind of woman has suffered from general, infectious, gynecological diseases.
What is pregnancy and childbirth, abortion. Features of the course of previous pregnancies.
3. Date of the first day of the last menstrual period. It is from this day that the obstetric gestational age is calculated.
4. Duration of pregnancy on the date of registration.
5. The total number of visits.
6. Date of the first fetal movements
7. Size of the pelvis, weight, height. Weight gain is measured at each visit and should average 10-11 kg during pregnancy.
8. Features of the course of pregnancy.
9. Position of the fetus in the uterus, heart rate per minute.
10. Results of blood tests for HIV, syphilis, viral hepatitis B and C. Analysis for blood group and Rh factor, clinical blood and urine tests, feces analysis for helminths.
11. Blood pressure, pressure graph starting from the 30th week.
12. Date of issue of the certificate of incapacity for work for prenatal leave. (at 30 weeks)
13. Estimated date of delivery and fetal weight.
14. The result of ultrasound examinations at 10-14 weeks, at 20-24 weeks, at 32-34 weeks.
15. Conclusion of an ophthalmologist, dentist, otolaryngologist, therapist. Endocrinologist's conclusion - if indicated.
This will be filled in for you in the hospital:
19. Date and characteristics of the course of labor (duration, complications in the mother and fetus).
20. Operational benefits in childbirth. It is indicated whether there was a caesarean section, and the indications for it are listed.
21. Anesthesia (applied or not, what, effectiveness).
22. The course of the postpartum period.
23 Discharged (on what day after childbirth).
24. Condition of the mother at discharge.
25. The condition of the child at birth, in the maternity hospital and at discharge.
26. Weight of the child at birth and at discharge.
27. The growth of the child at birth.
28. Does the mother need patronage (testimony).
For a children's clinic:
29. From what pregnancy the child was born. What week of pregnancy the birth took place. Previous pregnancies ended in artificial abortions, spontaneous childbirth, including those with a dead fetus.
30. Childbirth is single, multiple. It is indicated how the child was born, if the birth was multiple.
31. Features of the course of labor (duration, complications in the mother and fetus).
32. Anesthesia (whether applied, what kind). Efficiency.
33. The course of the postpartum period.
34. Discharged (on what day after childbirth).
35. Condition of the mother at discharge.
36. The gender of the child.
37. Weight at birth, at discharge. Growth at birth.
38. The state of the child at birth according to the Apgar scale.
39. Did you shout right away?
40. Have revitalization measures been carried out (what)?
41. Applied to the breast for the first time in a maternity hospital (on what day of life).
42. Feeding (breastfeeding, expressed milk of the mother, donor, formula).
43. The umbilical cord has disappeared (on what day of life).
44 Did you get sick or not? Diagnosis, treatment.
45. At discharge.
46. Vaccination.
