Exchange card of a pregnant woman: what it looks like when issued

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

The exchange card of a pregnant woman is the main and main document of any woman who is about to give birth to a child. It is a small booklet or a booklet, it contains the basic data about the woman in labor and the development of pregnancy.

Definition

An exchange card is a document issued to a woman when her pregnancy reaches 8 weeks. There, doctors throughout the entire period contribute the results of analysis and examinations, as well as information about how the pregnancy is proceeding. It also contains information about previous births.

In some clinics, until the 20th week, the pregnant woman's exchange card, the photo of which can be seen below, is stored in the antenatal clinic, and only after this period has come, mommy can take it with her.

At the 30th week, this document must be constantly with her in any place where she is present. After all, preterm births often begin, and if this brochure is not available, this can cause considerable problems when registering for a maternity hospital. And also very goodif doctors have a ready picture of the condition of the woman in labor, as this can help them understand what is allowed to do and what is not.

Structure

The exchange card of the pregnant form 113 / y consists of three main sections, which are filled initially in the antenatal clinic, and after - in the maternity hospital.

1. The first section is de alt with immediately at the time of the woman's registration, 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 tests 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 maternity hospital, and if the girl has not passed the necessary examinations, then she has the right to enter the birth only in a special department, which is just designed for such people.
2. 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 the 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 into a regular card.
3. 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 childbirth, the physical condition of the newborn, as well asneed some features, if they are present. After filling, the information is transferred to the children's clinic.

Why do you need it

Usually, when a pregnant woman is given 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 later on childbirth and the newborn.

Doctors of the consultation, who are just involved in the management of pregnancy, also fill out a brochure with detailed information and describe the state of he alth of the mother and her baby.

All of the above data will be a godsend for the pediatric neonatologist of the maternity hospital, who deals with the he alth of the newborn, and the pediatrician of the children's clinic.

Thanks to the correct filling of the document, any doctor, if necessary, can familiarize himself with the features of bearing a baby, determine the indications for childbirth (caesarean section, natural), and also provide timely assistance in case of any type of complication and premature birth.

What does a pregnant woman's exchange card look like

Most often presented in the form of an A5 black and white brochure, unlike the large A4 card, it is also filled out by a doctor, but is constantly in the antenatal clinic. After the exchange card is issued to a pregnant woman, she should be regularly taken with her when going to the gynecologist.

Standard and similar copies are issued everywhere, minimal differences can only concern the paperback (it happens thatadvertisements that are thematically related to childbirth and pregnancy), forms (small brochure, magazine).

On the first pages there are fields for specifying the passport data of the pregnant woman, her medical biography, as well as for other information necessary for the birth process. The last pages often contain advice to future parents about the moments of gestation and the first days of a baby's life.

For those who are interested in what a pregnant woman's exchange card looks like, the photo of which can be seen in this article, it should be noted that it must contain blank pages (charts and tables), which are combined by three main sections. The first of them is filled in by the consultation doctor, who is in charge of managing the pregnancy.

It consists of the following main items:

• general data;
• surgeries and illnesses;
• anthropometric baseline data;
• beginning of last period;
• heartbeat, position and first fetal movement.

In addition to the peculiarities of bearing a baby, the document contains information about previous pregnancies, abortions and childbirth. After each consultation visit, the doctor records the results of the examination and examination.

This part of the document also contains data about all the necessary tests for a pregnant woman. If such information is not provided, then the woman in labor must be placed in the department where there are pregnant women with infections.

For those who are interested in what an exchange card looks like for a pregnant woman, furtherit should be noted that there are two more sections in it, which are already filled in the maternity hospital. The obstetrician in the chapter on the woman in labor records data on the course of labor, the mother's condition at the time of discharge and in the postpartum period.

The newborn section is also included in the chart, which is completed by the neonatologist and obstetrician.

At the end of the document, useful information is provided for the expectant mother, which will help her cope with the difficult process of motherhood.

Original and copy

Since the exchange card of a pregnant woman is lost quite often, recently the original remains in the office of the antenatal clinic, and a copy is handed out. It should also be noted that this is a strictly accountable document, and in case of loss, many problems arise.

Expectant mothers should be aware of their actions, as they monitor not only their condition, but also the life of the 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 the event of the onset of childbirth, an ambulance will help you get to the necessary maternity hospital. Since if the center was chosen in advance, then on the pregnant woman's exchange card, a sample of which is presented below, there will be a seal and signature of the head physician.

If the card does not appear at this serious moment, then the ambulance will determine the woman in labor at the nearest territorial maternity hospital, fully following their instructions. Since alreadyit is clear how important this document is, it is better to always carry it with you. Therefore, it is often a copy that is given to a woman, since in case of loss it can be easily restored, so it is better to always carry it with you.

Required documents to obtain

In order to receive an exchange card for a pregnant woman, documentary evidence is required, and not just a positive test. To do this, it is necessary to undergo an examination by a gynecologist and ultrasound (ultrasound), and sometimes an additional blood test for hCG (human chorionic gonadotropin) is required. For registration you will need:

• mandatory pension insurance card;
• passport;
• CHI policy (compulsory he alth insurance).

With all the listed papers, a woman goes to a consultation for a period of 12 weeks, where she receives the necessary document.

When an exchange card is issued to a pregnant woman

The official deadline for obtaining 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 responsible for issuing it. For all examinations, a woman in labor must carry this document with her, since before 22–23 weeks she will just finish undergoing all examinations, and their results must be entered there.

Doctors of some consultations do not make duplicates 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 could be provided with qualified medical care. It should be noted that due to what is written in the pregnant woman's exchange card, this document can even replace a medical certificate, for example, for 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 procedures, it is then that an assistant and a doctor fill it out along with a personal hospital card.

Terms of Use

1. After an exchange card is issued to a pregnant woman, the woman is automatically responsible for its safety. Some clinics keep it 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 maintain its decent appearance, which can deteriorate significantly after 8 months of use, it is recommended that you immediately purchase a hard-backed cover for it.
2. After the start of the 30th week of the term, every pregnant woman must always carry such a card with her. This rule has only one goal, namely, if necessary, to provide her with qualified medical care, since doctors will be able to take into account all the details of the development of the fetus and the he alth of the mother. The likelihood that a woman will need such assistance only increases as her due date approaches.
3. There is a small percentage of women in labor whodo not plan to register, so they will not be able to receive such a document until they reach 30 weeks, in addition, in order to still be able to pick up the card, they will need to undergo a full medical examination and pass all the necessary tests.

Fixation of test results

When a pregnant woman's exchange card is handed out, mom must wear it at every appointment at the antenatal clinic, as the results of various tests will be recorded there. Throughout the process, several times during pregnancy, such necessary tests as a blood test for infections and diseases, a vaginal smear, as well as a complete blood count, which shows the condition of the woman as a whole, are carried out. Before each visit to the doctor, a woman in labor must 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 the sugar is slightly too high, but still it should not go beyond the level of the permissible parameter.

But there is no protein in the urine in a good scenario, and if this is still not the case, it may indicate preeclampsia in pregnant women. This disease leads to a deterioration in the functioning of the kidneys, brain and blood vessels. Therefore, in order to identify this complication in time, pregnant women must constantly give 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, weighs, determines the presence of uterine tone, edema, and also listensfetal heartbeat. This data is regularly included in the brochure.

In addition, the mandatory studies that must be entered on the card are:

• Ultrasound in each of the three trimesters;
• electrocardiogram;
• at the end of pregnancy - fetal cardiotocography.

The conclusions of such doctors as an oculist, therapist, ENT, endocrinologist (if indicated), and a dentist are regularly entered.

What to do if the card is lost?

If this happens, then there is no need to worry, as the doctor will be able to start 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

1. If, upon receiving the card, the girl noticed that she was not like everyone else, then do not panic. Sponsors are often involved in the production of this document, so it can contain a lot of advertising.
2. When they give an exchange card to pregnant women, it happens that women lose them. If the expectant mother was constantly examined by a gynecologist, then there is no need to worry, since all records must remain in the antenatal clinic. Based on these data, the doctor will be able to carry out the restoration.
3. Many girls, especially primiparas, are interested in how many weeks should pass before they need to go to a consultation to get registered. The optimal period is considered to be 7-12 weeks. During this period, the doctor will definitely not have questions with confirmationpregnancy, and it is also possible to detect the presence of pathologies.
4. If there is a desire to register in a private clinic, 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 conduct a pregnancy in parallel, since without this document there will be problems with admission to the maternity hospital.