About the exchange card
Such a document is introduced in the women's consultation by an obstetrician-gynecologist who watches the expectant mother. On her hands give an exchange card after 20 weeks of pregnancy. There are data on the state of health of women. They are discharged from a pregnant card. In the exchange card there is a record of her professional activities, the surrounding woman in labor, her blood group, the features of the course of pregnancy, complications, if they were, of the diseases transferred. This medical document also contains information about previous births, pregnancies, miscarriages, abortions, if any. The data of studies and examinations during the gestation period are included in the exchange card, the pelvic size of the pregnant woman, her blood pressure, fetal position and palpitation, the dynamics of its development and ultrasound studies, the preliminary date of delivery are indicated. The map also contains data on the visit of a future mother to a woman's consultation, an opinion of an ophthalmologist, a dentist, an otolaryngologist.
Thus, the card contains all the information necessary for the specialist about the course of pregnancy. In the last term of the term doctors recommend that future mothers wear this document and the passport is always with them, because sometimes birth can be premature. Then the doctor will have all the information about the woman in childbirth, and there will not be superfluous questions. If it happens that a woman will go to the hospital without an exchange card, and therefore without full information about health, she will be placed in the infectious department.
After delivery, this medical document is recorded on their course, the type of anesthesia used, the presence or absence of complications. Information about the newborn is recorded by the neonatologist, who watches the baby in the children's ward of the maternity hospital. This information on the weight, the growth of the baby at birth and on the day of discharge from the hospital, inscribed points on the Apgar scale, lists of vaccinations and feeding. In the maternity home the exchange card is divided into three parts. The first remains in the history of the woman in childbirth. The second part is transferred to the women's consultation, the third - to the children's consultation at the place of residence.
About additional documents
If a woman plans to get not only basic medical services,she wants to give birth with her husband, then in the maternity hospital she will need the MHI policy, the birth certificate, the contract with the maternity home. The partner must have the results of fluorography and a passport.
The generic certificate for a future mother is issued at the 30th week of pregnancy in a women's consultation, if it was observed there for the last 12 weeks. The function of this document is to materially interest medical institutions. After all, for every ticket of such a certificate, the maternity hospital receives a financial reward. The state specifically launched the program of birth certificates for material incentives for maternity hospitals and women's clinics. The document itself consists of the root, which remains with the mother in childbirth, and three coupons. The first of them remains in the women's consultation, the second and third are provided to the hospital. Talon No. 2 remains there. The third is given to a children's polyclinic. A woman has the right to medical care in the hospital and without a generic certificate. But still it is desirable to have it with you.
The policy of compulsory medical insurance is evidence that the future mother is registered in the system of free medical insurance of Russia. In the hospital you can take the policy itself or a plastic card.
As for the contract with the maternity home, then at the request of the woman can be concluded and paid. Then it must also be taken with you.
Many women are wondering whether they have the right to choose a maternity home or a doctor with a generic certificate. This right guarantees paragraph 2 of Art. 30 Fundamentals of the RF legislation on the protection of public health, taking into account the consent of the doctor himself. According to the contract of compulsory medical insurance, future mothers can choose a medical and preventive institution.