When they give out an exchange card to a pregnant woman: what does it look like and what is it for? When and where is the main document of the expectant mother issued - an exchange card for a pregnant woman

Every pregnant woman is required to register with the antenatal clinic. This is done to track the course of pregnancy and timely prevention of pathologies. In consultation with the expectant mother, they draw up a list of documents that she needs for maternity leave, obtaining a maternity certificate and cash payments for childbirth and child care. One of the required documents is an exchange card for a pregnant woman.

What it is?

An exchange card is an official document that contains detailed information about gestation, about the pregnant woman, her health and the health of the father of the child. What the card looks like can be seen in the photo below.

The Ministry of Health has not provided a single template for the appearance of exchange cards, so medical institutions may vary the external form of the document, but its content must remain unchanged. Types of exchange card:

• the dispensary book of a pregnant woman in the form No. 113 - starts up in the LCD and looks like a small booklet or notebook;
• an exchange card issued to a pregnant woman in a maternity hospital, in the form No. 113 / y - as a rule, it is a folded sheet of paper.

The value of the exchange card

Why do I need an individual card for a pregnant woman and what is entered there? After reviewing this document, the doctor of any hospital will understand how the pregnancy goes, what tests the woman passed and how to treat her in the event of a pathology.

If a pregnant woman is transferred from one antenatal clinic to another, for example, in connection with a change of residence, she must give the medical card to her new gynecologist, who will receive all the necessary information from it. A woman does not need to remember what research she underwent and what diseases she suffered, because the expectant mother may not know all the circumstances of the pregnancy.

From a certain period of time, doctors advise pregnant women to carry the card with them. In the later stages, wherever a woman goes, she should have an exchange book in her purse. If the expectant mother becomes ill or premature labor begins, the doctor who came to the call will be able to familiarize herself with the contents of the document.

The dispensary card consists of 3 parts. The first is made in consultation. The obstetrician-gynecologist of the maternity ward, who conducted the birth of a woman, enters the data in the second. The third part includes information about the born baby, and it is also filled in at the maternity hospital.

General information about the woman

When a pregnant woman comes to the LCD for the first time, she gets a card. The first thing the nurse asks her when issuing a pregnant card is personal data. This information is entered on the first page of the document. It is required to identify the patient and maintain contact with her and her relatives.

Information about the pregnant woman:

1. FULL NAME. First, the expectant mother is asked for her personal data so that it is clear to whom the exchange card belongs. For reliability, the full name is rewritten from the passport.
2. Date of Birth. Age is an important parameter in the management of gestation. Women under the age of 18 and over 35 come under the close attention of gynecologists because of the likely difficulties in bearing a child.
3. Address and contact phone. This is required to maintain contact with the expectant mother. In addition to a personal phone number, women indicate the contacts of their next of kin. This is necessary if the pregnant woman is hospitalized and staff need to contact someone close to her. Urgent communication is necessary if laboratory tests show results that must be reported immediately.

Information about the health of the patient

On the next page, the nurse provides information about the woman's health status:

• what did a woman suffer from during her life;
• whether there are chronic ailments;
• allergy to drugs, if any;
• blood type;
• Rh factor;
• hereditary diseases;
• whether there were pregnancies before, miscarriages, whether she had an abortion.

Any infectious, inflammatory disease or disease of another origin can affect the current gestation. Chronic diseases of the cardiovascular, endocrine, respiratory, urinary or other systems require special attention from doctors and the appointment of specialized tests and studies.

It is important for gynecologists to know if a woman has been pregnant before. The course of pregnancy depends on how many gestations, abortions or miscarriages she had. For example, miscarriages may indicate chronic miscarriage, and curettage abortion leaves scars on the endometrium of the uterus.

If a woman has hereditary diseases in her family, then she is usually prescribed a genetic analysis to check whether the pathology has been transmitted to the child. With severe chromosomal abnormalities, the question of terminating the pregnancy may arise.

Information about the health of the father of the child is also entered on the card. Chronic or hereditary diseases of a man can also affect the development of the fetus.

pregnancy data

After all the data about the woman and the father of the child are entered into the card, the nurse proceeds to enter information about the current gestation. This item is filled gradually, as you visit the gynecologist. The following information is entered in the medical record:

• what is the account of gestation;
• date of the beginning of the last menstruation - from this date the calculation of obstetric weeks will begin;
• Estimated term of delivery - is calculated based on the expected onset of pregnancy;
• increase in body weight of a woman;
• start date of accounting.

Results of analyzes and studies

Throughout the gestation period, it is necessary to pass a number of mandatory tests and undergo a diagnostic examination. If a woman is at risk, for example, due to age, the presence of chronic ailments, hereditary anomalies, she is assigned additional studies.

Information about analyzes:

1. Tests for human immunodeficiency virus, hepatitis B and C, STIs. They take it three times: when registering with the LCD, for a period of 29-31 weeks, before delivery at 38 weeks.
2. Hemostasiogram. This is a comprehensive study that shows the number of platelets, prothrombin index. It is rented three times: when registering, at 23 and 33 weeks.
3. UAC and BAC. The first is done four times: in the early stages, in the middle of the term, at 32 weeks and immediately before childbirth. Biochemical analysis is taken 2 times, it allows you to identify pathological and infectious-inflammatory processes in the body.
4. Glycemic level. The first time the sugar level is measured at the initial visit to the consultation, and the second time at 30 weeks. If glycemia is elevated, then a number of specialized studies are prescribed.
5. OAM. Rented regularly, before visiting a gynecologist. Helps to detect inflammatory processes in the urinary system.
6. Vaginal swab. Needed to study the vaginal microflora and detect infections of the genital organs.

Also in this section of the card enter data on the following studies:

• ultrasound sonography readings at 11-13 weeks, 21-23 weeks and 31-33 weeks;
• pressure;
• measurements of the pelvic bones;
• whether staphylococcal toxoid was introduced.

Fetal condition

An obligatory section contained in the exchange card is information about the baby. They allow you to draw conclusions about normal intrauterine development or its delay.

The doctor enters the following information here:

• the moment of the first movement of the child in the mother's abdomen;
• embryo development - data are entered based on sonography;
• the frequency of the heart muscle of the fetus, measured from 8 months;
• the approximate weight of the baby, which is calculated on the basis of ultrasound at 37 weeks;
• presentation, occupied by the fetus at 38-40 weeks;
• whether there are congenital anomalies;
• manipulations that were performed on the fetus, in the presence of deviations.

Data on attendance of special courses

Many LCDs offer mothers-to-be a variety of courses to help them prepare for motherhood:

1. Psychological preparation for the birth of a child. Conducted by a psychologist together with an obstetrician-gynecologist. A pregnant woman is explained what changes occur to her body, what will happen during and after delivery. Usually the course includes 10 lessons, which start from the 29th week of gestation.
2. Mothers School. The knowledge of how to care for a baby does not appear in a mother with the birth of a baby by itself. The school of mothers includes lectures on the development of the baby, its anatomy and physiology, practical classes in swaddling, bathing, feeding babies.
3. Physiotherapy. Many fitness centers offer fitness, yoga or aerobics for pregnant women. If there are no contraindications, then gynecologists recommend that women attend physical education classes to strengthen muscles.

If a woman attended such courses, then the information is entered into an individual card issued to a pregnant woman. The name of the courses, their duration and time of attendance are entered there.

2 part of the exchange card

The second part of the exchange card is filled out by an obstetrician-gynecologist at the maternity hospital. It contains the following:

• personal and contact information of the woman in labor;
• date of admission to the maternity hospital;
• date and time of delivery, how long the birth lasted, how much time elapsed between the outflow of amniotic water and birth;
• how exactly did the birth take place - with the help of a caesarean or in a natural way;
• whether the attempts were stimulated, whether anesthesia was injected, whether an episiotomy incision was made, whether there were ruptures and how many stitches were placed;
• what problems arose during the passage of the birth canal by the child and what measures were taken;
• height and weight of the baby at the time of appearance and on the day of discharge;
• personal data of the medical worker who filled out the card.

This sheet is given to the mother who has given birth in the maternity hospital when she is discharged. She should take him to the LC, where she was observed during the gestational period.

part 3

In the third part, information about the born baby is indicated, they are entered by the neonatologist of the maternity hospital. It contains the following:

• description of the birth process - single or multiple gestation, date and time of the birth of the child, complications that have arisen, birth injuries, if any;
• gender of the baby;
• how the baby behaved at birth, whether it screamed, whether resuscitation was required;
• the value on the Apgar scale used to assess the condition of the newborn;
• when the baby was put to the breast;
• what vaccinations were made;
• baby parameters;
• whether there are congenital pathologies, birth injuries, whether there were infections and other ailments while in the hospital;
• the general condition of the baby at the time of discharge - his weight, height;
• baby care tips.

The third part of the exchange card is transferred to the children's clinic, to which the mother and the baby are attached. Based on these data, the clinic creates a separate card for the child.

When is the document issued?

An exchange card is given in the LCD as soon as a woman registers. This should be done as early as possible, preferably at week 8. This is necessary for the timely detection of pathologies and monitoring the health of the mother and embryo. Up to 21 weeks, the card can be kept by the doctor, but then it must be handed over to the patient. She must keep this document with her at all times.

What to do if the card is lost? You should not worry, you can contact your doctor and request a double. All analyzes are duplicated in an individual card, which is stored in the LCD. If the woman in labor was not registered and immediately got to the maternity ward, then the card is entered in the maternity hospital.

This important document is issued to every pregnant woman, but not everyone knows what it is for.

Medical document recorded data exchange card
It is important to remember the pregnant phase
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What an exchange card looks like, how to use it, the gynecologist usually tells the pregnant woman when she is issued.

Why is it necessary?

Consider why you need an exchange card.

1. This includes all the data of the expectant mother.
2. At each visit to the gynecologist, he makes a record of the course of pregnancy in the form.
3. Includes the results of all analyzes conducted surveys.
4. Also, here doctors leave their conclusions about the health of a pregnant woman - narrow specialists.
5. An exchange card is required for a pregnant woman when she is issued a birth certificate.
6. It includes information, as well as all the details about the course of childbirth, information about the child.

When a mother-to-be is given a card, she must carry it with her. This is especially important in the later stages, since at this time childbirth can begin unexpectedly.

When is it issued?

As a rule, such a form is entered when a woman is registered, usually on the first day. However, the terms when doctors issue an exchange card to a pregnant woman in her hands depend on the place of residence. In some cities and regions, it is given only in the second half of pregnancy.

A medical document that will indicate the features of the course of pregnancy

To get a card, you must confirm the fact of pregnancy. To do this, a woman must either undergo an examination by a gynecologist, or go for an ultrasound scan, or donate blood for analysis. If the expectant mother refuses all these actions, the doctor will not be able to register her.

In addition, when an exchange card is issued to a patient, she must provide:

• passport;
• compulsory medical insurance policy;
• SNILS (pension insurance card).

To receive this form, the expectant mother must visit a gynecologist at least once, pass the necessary tests, otherwise she may have certain difficulties with admission to the maternity hospital. A woman in labor may not end up in the medical institution that she would like, and will most likely end up in the observational department of the maternity hospital.

Some believe that it is much easier to buy a document and if there is a fake exchange card for a pregnant woman, then you can not visit a gynecologist for 9 months. However, it is not.

The data from this form is extremely important for the management of childbirth, so the expectant mother herself should be interested in complete and reliable information. It is not worth risking your health, and even more so the health of your unborn child, for such an insignificant reason.

If all the necessary procedures have been completed and certificates have been provided, the doctor does not have the right to refuse the woman to register and draw up such an important document.

Features and rules for obtaining

There are times when a future mother may have problems regarding the dispensary book. Answers to the most frequently asked questions can be found below.

What information is entered on this form?

The exchange card records data on the course and the results of the examinations passed

Such a form becomes the main medical document throughout the entire period of bearing a child. What it looks like usually depends on the medical institution, but the internal structure always remains the same.

The exchange card of the pregnant sample of 2015 contains the following sections:

1. Information from women's consultations about women's health.
2. Information from the maternity hospital about childbirth and the woman in labor.
3. Information from the maternity hospital about the newborn.

The doctor from the antenatal clinic enters:

• all personal data about a woman carrying a child;
• information about the health of the expectant mother before pregnancy;
• detailed information about the course of pregnancy.

All facts relevant to the course of pregnancy and childbirth are also entered:

• all past illnesses;
• information about the outcome of previous pregnancies;
• test results, ultrasound;
• risk factors.

It is important to remember that your health information is completely confidential.

All the woman's visits to the gynecologist are also noted, indicating the results of the examination, the doctor's recommendations, the current gestational age.

After labor, the obstetrician-gynecologist enters into this form all the information about childbirth:

• date;
• flow features;
• complications;
• the use of any medications or surgical aids.

The pediatrician must enter into it information about the height, weight of the child, the Apgar score, data on vaccinations, diseases, and the nature of feeding.

How is this form used?

To receive, you need to pass a series of tests at least once.

Such an important document must be kept throughout pregnancy. It does not replace a medical card in a hospital or antenatal clinic, but it is very important for the woman herself, since only from this document, if necessary, doctors from other medical institutions will be able to find out all the necessary data about the patient's health.

There are rules for using this form:

• must be carried with you at every visit to the gynecologist;
• must be presented when visiting other specialists so that they make a record of the examination;
• only doctors can enter data here, independent entries or entries by unauthorized persons are not allowed;

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The information published on the site is for informational purposes only and is intended for informational purposes only. Site visitors should not use them as medical advice! The editors of the site do not recommend self-medication. Determining the diagnosis and choosing a treatment method remains the exclusive prerogative of your doctor! Remember that only a complete diagnosis and therapy under the supervision of a doctor will help to completely get rid of the disease!

The exchange card of a pregnant woman is a document of every expectant mother. Issued in the antenatal clinic. It contains information about the ongoing pregnancy, with the help of which the doctor gives an objective assessment of the state of health of the woman in labor and chooses the appropriate tactics of obstetric care.

The exchange card consists of three parts, which are filled in by a gynecologist in consultation, a doctor who took delivery, and a neonatologist for a children's clinic. This document cannot replace a regular medical record, but with its help a woman can ask a doctor for information of interest to her about the course of her pregnancy.

An exchange card for a pregnant woman is a form that begins to be filled out from the moment a woman enters the pregnancy register. But a woman will receive this document in her hands only by 28 weeks to present it at the maternity hospital.

An exchange card is issued to a pregnant woman after passing all laboratory and diagnostic examinations that confirm or refute the presence of congenital malformations in a developing fetus and complications in a future mother.

The document indicates the passport data of the woman, the date of the last menstruation, a history of infectious diseases, chronic pathologies, Rh factor, blood type, information about previous pregnancies and childbirth, the number of abortions, and the features of the current pregnancy.

The pregnancy exchange card looks like a black and white brochure that has standard sizes and an official look. In different regions, an exchange card for pregnant women is issued depending on the established rules: some women receive it in their hands immediately after registration, others only after reaching 28 weeks of pregnancy.

The only rule that applies in all cases with an exchange card is the limitation on the period of its issuance: no later than 30 weeks. When registering at the maternity hospital, this card will be asked first of all, and if it is not at hand, the woman will be determined to give birth in the infectious diseases department.

During pregnancy, the doctor enters the results of the studies carried out into the exchange card and the dispensary book of the pregnant woman. Several times during pregnancy, a woman takes laboratory tests of blood and urine, a smear from the vagina.

The doctor also systematically examines the volume of the abdomen, an increase in the uterus, the fetal heartbeat, the weight of the woman and the presence of edema. The card records the data of electrocardiography, planned ultrasound examinations and fetal cardiotocography in the third trimester of pregnancy.

In addition, a woman must be examined by the following specialists: an ophthalmologist, a therapist, an endocrinologist and a dentist.

Section to be completed in the antenatal clinic

The exchange card includes three parts. The first one is filled in by a doctor observing a woman in a consultation from the moment of registration. In the document, he carefully enters data on the health status of the future mother after the examination and laboratory diagnostic tests.

This list of information includes:

• Data on past infectious diseases and the presence of chronic pathologies, which is important for predicting the course of pregnancy.
• Information about pregnancies and childbirth that a woman has had in the past. If the previous pregnancy proceeded with complications or the birth began prematurely or went through, the doctor chooses the appropriate tactics for managing the pregnancy, takes preventive measures to prevent such consequences. The fact is that the likelihood of recurrence of complications increases with each new pregnancy.
• Information about abortions. Induced or spontaneous abortion can lead to certain difficulties in carrying a pregnancy. It is necessary to inform the doctor about the number of abortions and the timing of their implementation. →
• Date of last menses. This is also significant information, with the help of which the doctor accurately determines the expected day when the child will be born.
• Registration date. The first day of a woman's appearance in the gynecologist's office for pregnancy is also recorded in the exchange card. Registration should be no later than 12 weeks of pregnancy. This is important to prevent possible complications that often occur in the first trimester - the most important stage of pregnancy, when the laying of the main organs and systems of the fetus takes place, and additional medical supervision will be useful. In addition, all women registered before 12 weeks receive a small cash allowance.
• Information about the fetus: the beginning of the first movement, features of growth and development - size, location in the uterus, ultrasound data, the presence or absence of congenital malformations.

Section to be completed in the maternity hospital

This section includes a detailed description of the following items:

• Date of birth. It is necessary in order to issue a birth certificate for a child, as well as to obtain a sick leave if the birth was complicated.
• Features of childbirth. At this point, the doctor indicates the duration of the birth process, the duration of the "dry" period after the discharge of water, the complications that have arisen in the woman in labor and the child. This information is relevant for the prognosis of the course of the postpartum period.
• Surgical interventions in childbirth. Cesarean section, episiotomy, forceps - all this is recorded in the exchange card with the obligatory listing of the indications that served as the reason for the operative birth.
• The use of anesthesia. The method of anesthesia is described in detail, which is important to exclude possible consequences after the birth of a child.
• Information about the condition of the newborn, his height and weight.

Section for children's clinic

The third part of the card is filled in by a neonatologist within the walls of the maternity hospital and issues a document to the woman for transfer to the children's clinic.

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So, yesterday we discussed the need to maintain an exchange card and the nuances of filling it out, and today we will discuss with you point by point what and how to fill in an exchange card so that you yourself can evaluate and tell the doctor certain features of filling out your pregnancy documents. Accurate and detailed filling out of the exchange card is important so that the doctor can, after reading your card, get a complete picture of you - how is your health, what difficulties can you expect during pregnancy and how the birth will be planned - natural or by caesarean section. All this can be understood with the correct filling of documents and communication with the patient.

Filling out an exchange card with a women's consultation.

In the antenatal clinic, the first part of the exchange card is filled out, which indicates information about the woman and the course of her pregnancy, in a special order. Let's see how doctors fill out the card, what needs to be indicated and why.

First of all, the doctor fills in your passport data - first name, patronymic and last name, it is important to indicate the exact age, since very young women under 18 years of age and older women after 35 years of age more often than usual may have problems during pregnancy. The exact address will also be indicated both by registration and by actual residence - this is necessary for emergency cases, if a woman in labor (or her relatives) needs to be quickly found, but she does not answer the phone. Usually, the woman’s phone number is also indicated - home and cell, as well as close relatives - usually her husband, for emergency communication if necessary.

Further, data on the woman's diseases, both general (pyelonephritis, bronchitis, sinusitis), and gynecological operations, are entered into the card. It is especially important to identify hereditary and chronic pathologies, since they can have the most adverse effect on the course of pregnancy, the correct development of the fetus and the course of childbirth. It is even important what diseases a woman suffered in childhood, because with rickets the pelvic bones can be deformed, which will significantly complicate childbirth, in the absence of indications of childhood infections, separation from patients will be necessary. If there are problems in a feminine way, during pregnancy and childbirth they can become aggravated, which leads to complications in pregnancy and childbirth.

Then you must complete the section on the course of previous pregnancies or childbirth, if this is not the first pregnancy. If any complications occurred in previous pregnancies and childbirth, then in the postpartum period, the doctor will have to more carefully monitor the current pregnancy in order to exclude the influence of negative factors and the tendency to various pathologies during early or late pregnancy. So, late or early toxicosis of pregnant women, threats of abortion, and the development of anemia during pregnancy are specific. If the past birth was pathological, it is necessary to carry out the prevention of complications of pregnancy and childbirth this time. You will need special supervision in the postpartum period.

It is indicated in the card what kind of pregnancy is on the account, and what kind of childbirth will be, how many children a woman has. Since it is important for predicting the course of pregnancy that not all pregnancies ended in childbirth, it is indicated whether there were abortions, in what year at what time, since after abortions there is a high risk of inflammatory processes in the area of ​​\u200b\u200bthe appendages or uterus, which can increase the risk of adverse the course of pregnancy this time and can lead to pathologies in childbirth. If earlier there were episodes of premature birth - then when and in what period it happened, what was the reason for their occurrence. This is necessary to prevent preterm birth at the same time.

Next, you need to indicate the period of the last menstruation, and indicate the first day of normal menstruation. This makes it possible to calculate the duration of pregnancy and the expected date of your birth. Next, the terms of pregnancy for the first visit to the doctor are indicated, this also helps to clarify the date of delivery and gives the doctor an idea of ​​\u200b\u200bhow to plan the pregnancy. The card also indicates the total number of visits to the doctor, since according to special medical orders there is a special plan for doctor visits and observations of a pregnant woman. According to it, a woman with an uncomplicated or complicated pregnancy visits the doctor a strictly regulated number of times so that her examination and observation is complete.

If the pregnancy is proceeding normally, this will be ten visits to the doctor:

The first visit, then ten days later with the results of tests and examination by specialists, then the woman goes to the doctor once a month until 28 weeks, twice a month until 36 weeks, and then every seven to ten days until delivery.
- if pathologies or any threatening factors are detected, the terms for visiting a doctor are set for each woman individually. If necessary, the doctor prescribes additional tests.

It is necessary to indicate the timing of the first movement of the fetus, which is important to clarify the timing of childbirth, while the timing of the first movement in a woman with a first pregnancy differs from the timing of the one who gives birth again.

It is important to indicate all the features during this pregnancy, which could somehow affect further childbirth and will provide useful information to the doctor of the maternity hospital. Many complications during pregnancy can significantly affect the process of childbirth, the method of delivery, and further, the postpartum period.

First of all, you need to measure and accurately indicate all the dimensions of the pelvis, there are several of them. The pelvis can be narrow in one or more sizes if the numbers differ by 1.5-2 cm or more. With a narrowing of the size of the pelvis, there is a possibility that the fetus, when it grows up to the due date, may not pass through the birth canal. But there may also be birth canals of a quite normal size, while the size of the fetus is high and creates a state of a relatively narrow pelvis - that is, relative to the child. The dimensions of the pelvis are specified several times during pregnancy, and they are also correlated with the dimensions of the head and body of the fetus, its weight.

Also, a woman’s weight and body proportions are measured, since with low stature there may be anatomical features of the spine and pelvis, which can cause a state of a clinically narrow pelvis and cause difficulties in bearing a child. It is important to measure the weight and fix it initially, since the final weight gain of the woman will be calculated from this weight, on average, the expectant mother can add from 10 to 15 kg, depending on the physique and initial weight at the first appearance. If a woman has a weight deficit for height, she can add up to 15-17 kg, if the excess is no more than 9-10 kg.

As the baby grows and develops, it is important to note the position that he occupies in the uterus. This factor is crucial during childbirth, since the most optimal for childbirth is the head presentation of the baby in a special position. With other presentations, the issue of delivery will be decided based on the specific position of the child in the uterus and the possibility of natural childbirth towards the end of the term. The fetus takes its final position in the uterus after 32-34 weeks, before this rock it can turn over several times. Pathological presentations are the oblique position of the fetus, transverse, facial, pelvic and others. But in 95% of women, by the time of birth, the babies are in the correct position in the uterus. If the fetus does not unfold by 32 weeks, this gives the doctor a reason to prescribe special methods of gymnastics for the woman so that the fetus turns over in the uterus into the desired position.

Next, the doctor determines the presenting part of the fetus - this is the part that stands in the pelvic area and will be the first to pass through the birth canal. With the head location of the fetus, the presenting part should be the occipital part, so the head will enter the pelvis in the smallest size. But it can also be the presenting face, forehead, crown. This is worse for childbirth and increases the risk of injury - the size of the head becomes not the smallest size in the pelvis. With a breech presentation, there may be an ass, legs with buttocks, or only legs. All these data are important for deciding on the management of childbirth - whether it will be a natural delivery or childbirth is better through a caesarean section.

It is also important to note in the exchange card such indicators as the heart rate per minute in the fetus, determined by an obstetric stethoscope, which is applied to the abdomen and listened to. By the number of heartbeats per minute, the condition of the fetus is determined when it is comfortable in the mother's stomach: if the heart rate reaches 140 beats per minute and the rhythm is clear and precise. If the rhythm is disturbed, one can think of hypoxia, problems with the placenta, or any other complications. In the place where the heartbeat is heard more clearly, one can judge how the baby lies in the uterus - legs or head down. The heartbeat of the fetus in the exchange card begins to be recorded from 32 weeks, at each visit to the doctor, and the data is noted in the card.

Tomorrow we will fill out analyzes and observation diaries, as well as the second and third parts of the map.

Why an exchange card for a pregnant woman?