Today we will talk about what an individual card of a pregnant woman and a puerperal is, as well as why it is needed. This document reflects the condition of a woman throughout the entire period of pregnancy from the moment of her first visit to the clinic and until the end of the postpartum period. Where is it stored, who fills it up and where does it go later, after giving birth - the answers are in the article.
What is an individual card for a pregnant and postpartum woman?
"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 for a maximum of up to the 12th week, and it is better to come a week or two earlier. At the same time, it should be borne in mind that in the antenatal clinic, a pregnant woman will be observed only from the eighth week of pregnancy. It is at this time that the doctor begins to maintain a special document -an individual card of a pregnant woman and a puerperal (form 111/y).
When applying for the first time, a woman needs to go to the registry office so that the registrar can identify her by her passport and issue a coupon for an appointment with a local gynecologist, who will monitor her condition in the next few months. If the expectant mother wants to be guided not by the district 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 woman and the puerperal and the exchange notification card. This is not surprising, because these are two documents that contain almost identical information, only they are called differently. The first is a card that is always in the medical institution where the woman is registered. It is a working document of a gynecologist. Complete information about the woman, anamnesis, as well as the results of current medical studies (blood, urine and feces tests, ultrasound diagnostics, cardiograms, etc.) are entered into it.
An exchange card is practically the same, with the only difference being that it is given to a woman at 22 weeks of gestation (and sometimes immediately, upon registration). She must come with this document to every appointment with the doctor and go with him to the maternity hospital. The data in the exchange is duplicated precisely from the individual card of the pregnant woman and the puerperal. Filled, it is given into the hands of a woman in order tothe expectant mother, having got to the hospital, including ahead of schedule, could provide he alth 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 a woman carrying a child, and the fetus itself. To assess the normal development of pregnancy, it is important to observe these processes in dynamics, not missing dozens of important diagnostic indicators. An individual card of a pregnant woman and a puerperal is an ideal document that helps the doctor to manage the patient, easily analyze changes in her physiological parameters and various laboratory tests.
Also, in case of loss of a pregnant exchange card, which happens quite often, her supervising doctor will be able to restore the document. This is especially important in cases where a woman has difficulty bearing a fetus or has a history of miscarriages, premature births or other problems.
Rules for filling out the card
An individual card of a pregnant woman and a puerperal (in the Republic of Belarus and the Russian Federation the document is filled in according to a single form) begins with personal information about the woman in labor. The midwife must enter her passport data into the brochure: full name, address of registration and residence, as well as telephone number, indicate the contact person (husband, parents).
Then the card is filled in directly by the doctor, who makes an examination and collects the history of the expectant mother. First of all, he is interested in the presence of herchronic diseases and other he alth problems. It is also important whether she had previously suffered from such infectious diseases as rubella and chickenpox, whether she or her close relatives had hepatitis, tuberculosis, oncology, genetic abnormalities, mental disorders. During the first visit, the doctor writes the woman a referral for tests and ultrasound. With their results, she should come in 1-2 weeks. After the midwife writes information about laboratory tests in the card. In the future, this procedure will be repeated monthly. The analyzes themselves are glued on the last page of the brochure. Also, a sheet with the results of an ultrasound examination and a cardiogram are attached to it.
During each visit to the antenatal clinic, the gynecologist interviews the pregnant woman, listens to her complaints and makes appropriate prescriptions. In addition, he must perform a series of manipulations:
- measure the circumference of the abdomen and the height of the bottom of the uterus;
- weigh the woman;
- measure blood pressure;
- check if she has swelling;
- check the position of the fetus in the womb, listen to its heartbeat.
The data obtained during these studies are recorded in the card, it is also necessary to indicate the gestational age and the date of the next doctor's visit. In the individual card of the pregnant woman and the puerperal, a record is made that the woman went on maternity leave, indicating the number of the disability certificate.
What happens to the pregnant and postpartum card after childbirth?
After giving birth card alsocontinue to lead. The gynecologist supervising the woman enters into the document information about the date of birth, as well as about their course. The postpartum period lasts 42 days, and in case of any complications, appropriate notes are entered in the card. All this time, the brochure is kept 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.
