The exchange card of the maternity ward is designed to ensure the continuous monitoring of a woman and her baby in an obstetric hospital, a women's clinic and a children's polyclinic. The information that is contained in the exchange card is very important for any doctor, whether it is a pediatrician of a child's polyclinic or a maternity home, a specialist who examines a woman during pregnancy and after childbirth in a hospital environment where a woman gave birth, or polyclinics, etc.
This document consists of three parts, or coupons:
- Information from a woman's consultation about a pregnant woman. It contains information about the period of pregnancy, the features of the course of previous pregnancies, previous births and subsequent periods of recovery, that is, what is of great importance for a specialist who watches delivery for a woman and a pediatrician in a maternity hospital. Important information is mandatory tests for the exchange card.
- Information of the maternity ward of a hospital or maternity home about a woman. This part is written before discharge from the obstetric hospital and is intended for transfer to a women's consultation.
- Information from the maternity ward about the newborn. It is written in the children's department of the obstetric hospital for further transfer to the children's polyclinic.
Mandatory pregnancy tests
Examination for Rh factor and blood group. This procedure is carried out twice, at the very beginning of the gestation period and just before the onset of labor. It is obvious that these factors will not change during pregnancy, but due to complications in blood transfusion of the wrong group are very serious and usually doctors in such cases prefer to be reinsured. This especially applies to the case when the father of the child has a Rh factor positive, and a negative woman.
Blood test for the presence of syphilis, HIV, hepatitis B and C. It is used to determine the degree of vulnerability of the woman's organism to these infections. It goes without saying that during pregnancy no one will conduct treatment for viral hepatitis, but with HIV and syphilis there are a number of medication measures that reduce the likelihood that this pathology will be present in the child.
General blood test . It is held with an approximate frequency of every two months. This is a very simple test, but it provides a lot of information for the doctor, allowing him to judge the state of the woman's body. Most often, experts are interested in such indicators as hemoglobin level and the indicator of red blood cells, as anemia is quite often observed in pregnant women, and this allows her to recognize and start therapy with the help of gland and diet preparations in time. Also, the analysis allows you to know about the presence of foci of chronic infections.
Blood chemistry. This procedure provides information on how the liver, kidneys, and the gastrointestinal tract work. It allows you to know by the level of glucose, whether the pancreas normally works, namely, its area that is responsible for the production of insulin, which the body needs for normal glucose uptake.
General urine analysis. This test is conducted to determine how the organs of the urinary system work. According to its results, one can say whether the kidneys work normally, whether gestosis has begun or to what extent the disease is.
Taking a smear to study the flora of the urethra, the vagina and the cervical canal. This procedure allows the gynecologist to examine the state of the birth canal of a pregnant woman. If the deviations from normal indicators are diagnosed, then this may indicate that there is an infection. In this case, additional tests are carried out using the PCR method. However, even if the test gives a positive result, that is, the infection is still present, then do not worry - the specialist will necessarily take measures for treatment.
In addition, often a pregnant woman begins thrush (vaginal candidiasis). It depends on the changes in the hormonal balance, the immune status of the organism, the state of the flora of the vagina, etc. A smear test can help to quickly identify pathology and prescribe appropriate treatment.