What is an exchange card? This is a medical document that, after reaching a certain period, is given to a pregnant woman in a women's consultation. In the exchange card from the medical card of the pregnant woman, various information about the state of health of a woman, her environment, type and type of activity, peculiarities of the course of pregnancy, complications, if any. Also, it indicates information about previous pregnancies and childbirth, about the procedures and tests that the woman underwent during the gestation of the baby. In general, the card contains a complete picture of the course of pregnancy. Until the 20th week of pregnancy, the card is kept in a women's consultation, and after it is given out. After 30-32The woman's duty is to carry her everywhere with her. The fact is that at this time, especially with a confluence of special circumstances, premature births (God forbid, of course) are possible. If in this case the exchange card is with you, this will greatly facilitate the situation. After getting into the hospital, you can provide full information about yourself, which will help doctors to decide what exactly in your case you can do and what not.
The exchange card consists of three "blocks". The first concerns statements about the state of health of a woman during the bearing of a baby. In the second there is information about childbirth. The third block is filled in the maternity hospital and transferred to the children's polyclinic, it indicates the data on the newborn.
To make it clearer how this looks, let's list the main points, contained, for example, in the first block of the exchange card.
- Surname, name, patronymic name of the pregnant woman.
- Date of birth.
- The height, weight, and size of the pelvis. Separately, there is an increase in weight.
- Information about previous pregnancies (if they existed), peculiarities of their course, as well as information on previous births, the number of children in the family.
- Information on abortion and preterm labor.
- All the diseases that have been carried over the course of a lifetime. Particular attention is paid to diseases such as jaundice, tuberculosis, rubella, measles and so on.
- Chronic diseases. It is very important. The fact is that the presence of any disease (for example, bronchial asthma, diabetes mellitus, etc.) significantly affects not only the course of pregnancy, but also the course of labor and the postpartum process.
- Results of analyzes and surveys.
- The group and the Rh factor of the blood of a pregnant woman, as well as her husband.
- The first stirring of the fetus.
- Fetal position, presenting part, palpitation
- Estimated height and weight of the fetus. This is determined based on the results of ultrasound.
As for the second and third components of this medical document, both of them are filled directly in the maternity hospital. The second block indicates information about how the child was born, whether there were complications, whether anesthesia was applied (if so, which one), and so on. This part is given to a woman before discharge from the hospital for transfer to a women's consultation, where she was registered. The third block is also filled in the maternity hospital, but not by midwives, but by neonatologists working in the children's ward and observing the state of the baby's health. They record all the data about the child: the surname, name, patronymic, date of birth, height and weight (at birth and at the time of discharge), features of the condition, presence of any diseases, birth injuries, etc. Points got a kid on the Apgar scale, made vaccinations and, if so, what, when it was first applied to the breast and exactly how his mother feeds: milk or a mixture. This ticket is given to a young mother also at check-out. The place of his presentation is the children's polyclinic.