Today we’ll talk about what an individual card is for a pregnant woman and a woman in childbirth, as well as why she is needed. This document displays the condition of a woman throughout the entire period of pregnancy from the moment of her first visit to the clinic until the end of the postpartum period. Where it is stored, by whom it is filled, and where it disappears afterwards, after childbirth, are the answers in the article.
What is an individual pregnant and puerperal card?
A “correct”, planned pregnancy should occur under the supervision of specialists who monitor the physical and psychological state of the mother and the development of the fetus until the very birth. A woman should be registered at the maximum until the 12th week, and it is better to come a week or two earlier. It should be borne in mind that in a antenatal clinic, pregnant women will be observed only from the eighth week of pregnancy. It is at this time that the doctor begins to keep a special document - an individual card of the pregnant woman and the woman in childbirth (form 111 / y).
At the initial application, a woman needs to go to the registry so that the passport registrar identifies her personality and issues a coupon for an appointment with the local gynecologist, who will monitor her condition in the next few months. If the expectant mother does not want to be led by a local obstetrician-gynecologist assigned to her place of residence, but by another specialist, she needs to contact the head of the antenatal clinic.
Do not confuse with an exchange card!
Many unknowingly confuse the individual card of the pregnant and the puerperas and the exchange-notification card. This is not surprising, because these are two documents that contain almost identical information, they are only called differently. The first is the card, which is always in the medical institution where the woman is registered. It is a working document of a gynecologist. It contains full data on the woman, an anamnesis, as well as the results of current medical studies (blood, urine and feces, ultrasound diagnostics, cardiograms, etc.).
An exchange card is almost the same, with the only difference being that it is issued to a woman’s hands during pregnancy for 22 weeks (and sometimes immediately, when registering). She must come with this document to every doctor’s appointment and go to the hospital with him. The data in exchange are duplicated precisely from the individual card of the pregnant woman and the woman in childbirth. Completed, it is handed over to a woman so that the expectant mother, once in the hospital, including ahead of schedule, can provide health workers with all the information about the course of her pregnancy.
Why is this document needed?
The prenatal period lasts as long as 38 weeks. During this time, many changes occur with the body of the woman carrying the child and the fetus itself. To assess the normal development of pregnancy, it is important to monitor these processes in dynamics, not missing dozens of important diagnostic indicators. An individual map of the pregnant woman and the puerperal is an ideal document that helps the doctor guide the patient, easily analyze changes in her physiological parameters and various laboratory tests.
Also, in case of loss of a pregnant exchange card, which often happens, her supervising doctor will be able to restore the document. This is especially important in cases where the bearing of the fetus in a woman occurs with difficulties or in the history of miscarriages, premature birth or other problems.
Card Filling Rules
An individual card of the pregnant woman and the woman in childbirth (in the Republic of Belarus and the Russian Federation the document is filled out in a single form) begins with personal information about the woman in childbirth. The midwife must enter in the brochure her passport data: name, address of registration and residence, as well as phone number, indicate the contact person (husband, parents).
Then the card is filled directly by the doctor, who makes an examination and collects a history of the expectant mother. First of all, he is interested in the presence of chronic diseases and other health problems. It is also important whether she had previously suffered such infectious diseases as rubella and chickenpox, whether she or her immediate family had hepatitis, tuberculosis, oncology, genetic abnormalities, and mental disorders. During the first visit, the doctor prescribes the woman a referral for tests and ultrasound. With their results, she should come in 1-2 weeks. After the midwife writes information about the laboratory tests to the map. In the future, this procedure will be repeated monthly. The tests themselves are pasted on the last page of the brochure. Also attached to it is a sheet with the results of an ultrasound scan and a cardiogram.
During each visit to the antenatal clinic, the gynecologist interviews the pregnant woman, listens to her complaints and makes appropriate instructions. In addition, he must conduct a series of manipulations:
- measure the circumference of the abdomen and the height of the bottom of the uterus;
- weigh a woman;
- measure blood pressure;
- check if she has swelling;
- check the position of the fetus in the womb, listen to his heartbeat.
The data obtained during these studies are recorded in the map, it is also necessary to indicate the gestational age and the date of the next visit to the doctor. In the individual card of the pregnant woman and the woman in childbirth, an entry is made that the woman went on maternity leave, indicating the number of the certificate of incapacity for work.
What happens to the pregnant and puerperas card after childbirth?
After birth, the card also continues to lead. The gynecologist supervising the woman enters in the document information on the date of birth, as well as on their course. The postpartum period lasts 42 days, and in case of any complications, appropriate notes are entered into the card. All this time the brochure is stored in the office of the obstetrician-gynecologist in a special cell, then it is transferred to the archive of the medical institution. The authenticity of the document is confirmed by the signatures of the attending physician and the head of the gynecological department.