Passport

Chris Webby - Passport [prod. Nox Beatz] (September 2018).

congratulations! When your gynecologist gives you your maternity passport, the light blue exam booklet, you hold the confirmation that you are really pregnant. If you come from Austria, please read more about the mother-child-passport for Austria.

Your mother's passport documents the progress of your pregnancy - usually from the first check-up, when your doctor sees your child's small heart beating for the first time. Just when you're expecting your first child, the pale blue folder may initially raise a lot of questions. : BabyCenter helps you understand the passport - so it will not be a sealed book for you.

Why do I need a mother pass and do I always have to carry it with me?

Introduced in West Germany in 1961, the mother pass has been repeatedly updated and is extremely important for both mother and child. In 1950, 200 out of 100,000 mothers died in Germany, but today there are only ten thanks to the regular, good controls.

This review book details all data and findings collected during pregnancy and childbirth, including neonatal examinations and maternal postpartum surveillance. You should always have your mother's passport with you - this also applies to your holiday. Because: If complications occur during pregnancy or during childbirth, even a doctor who did not look after you, can read the previous findings and if necessary provide medical care based on these data.

If you are already expecting your second child, you can look up your passport, which accompanied you during your first pregnancy, from your records: Two pregnancies can be recorded in the booklet.

What is meant by serological examinations?

Already on the second and third page of the maternity pass it starts: As soon as the pregnancy is established, your doctor will carry out the serological examinations - which means nothing but blood tests. What and why exactly these tests are done, read here.

Why are previous pregnancies of interest?

As already described in the Mutterpass, all important information about previous pregnancies and births is collected here. It is equally important to also record abortions or abortions. Possibly, this information, which is entered on the fourth page in the passport, can react to problems that arise again at an early stage, orIn the run-up, measures can be taken that do not even cause these problems to occur.

Specials - are the checks out of line?

Totally right. There are now countless laboratory tests for which no field is provided in the maternity leave, as the health insurance companies usually do not pay the costs of these investigations. So here's a little space on the fourth page to document the results of these checks. In this field is z. For example, the examination date and the result of an amniotic fluid examination are recorded.

Anamnesis - a tough word for an easy-to-understand thing!

On the fifth page of your maternity record, your doctor records your previous medical history, that's the medical history. In it z. T. also queried data of close family members. Based on the 26 points to be queried in the A-part, a possible risk for the current pregnancy is determined or excluded. Please do not panic if the doctor classifies you as a ""high-risk"": it just means that you and your baby will be better monitored - eg. For example, you will not come to all four, but already after two weeks to the next check-up. For example, if you expect twins or are older than 35 years of age, it is automatically classified as a high-risk pregnancy, whether complications suggest or not.

In addition, your doctor will advise you on sensible behaviors during pregnancy. Areas such as nutrition, medicines, stimulants, the workplace, sports and travel should be addressed. If you follow a specific diet or diet (eg if you are a vegetarian), you should definitely address this as well!

During the pregnancy, the doctor may continue the questionnaire of the anamnesis on page six. Although you may not initially be considered a high risk bearing, complications that occur during pregnancy (eg, gestational diabetes) may make you such a person.

When is my baby coming?

Your doctor will ask you this question on your first visit. For this he needs from you the date of the first day of your last menstruation. If you do not remember exactly, that's not so bad either. With a bit of computer work, an experienced doctor, and the first ultrasound images, an estimated date can be determined, which is then entered on the sixth page in the mother pass. In addition, only about four percent of all babies come exactly on the calculated date on the world. If your pregnancy is more advanced, your doctor may correct your appointment. The date is used to control the timely development of the unborn child and is also used for the determination of maternity leave orPayment of the maternity allowance.

With the help of our deadline calculator, you can calculate the date of birth of your child!

The Gravidogram

No question: Pages seven and eight of your Maternity Pass will soon enjoy your undivided attention and that of your physician. Because here are the results of each check-up registered until birth. In addition to the data of the mother - blood pressure, weight, results of laboratory tests and palpation - the growth and prosperity of the unborn child is also accurately documented.

Here is a detailed explanation of some standard entries:

  • Fundus status: It gives information on the height of the uterus, measured on the pubis bone (symphysis socket = S), on the navel (N) or on the costal arch (Rb). The unit of measurement is called the cross finger. ""S + 3"" means z. For example, the uterus ends three fingers wide over the pubis. ""N + 1"" means it extends one finger across the navel.
  • Infancy: Especially at the end of pregnancy, it is important to know, with regard to childbirth, whether the baby is in pelvic end position / breech position (BEL), lateral position (QL) or in the skull position (SL) in the uterus.
  • Heart sounds: A ""+"" says that the child's heart sounds can be heard or seen.
  • Child Movements: A + signifies that the child is moving.
  • Edema / Varicosis: Here are possible water retention in the tissue (usually in the legs, but also in feet and hands) recorded and the occurrence of varicose veins.
  • Weight: Regular weighing of the mother is used to check if weight gain is within normal limits. A tiresome topic, since there is only a guideline (between 10 and 15 kilos). Often this number is exceeded without any reason for concern. In any case, a healthy, balanced diet is important!
  • RR system / diast. : Here, the repeatedly measured blood pressure is recorded. Deviations from the ""normal pressure"" up or down will be treated by your doctor if necessary. Especially with hypertension may cause concern, in conjunction with protein in the urine, could be suspected of preeclampsia.
  • Hb (Ery): Regular blood tests tell you if you have iron deficiency. If so, your doctor will prescribe you an iron supplement.
  • Sediment (protein, sugar, nitrite, blood): Every time you visit your doctor, you will need to take a urine sample. The practice laboratory can detect inflammation or changes in kidney function, the risk of diabetes and urinary tract infections early. Protein in the urine may indicate a problem with the kidneys.
  • Vaginal Examination: The condition of the uterine cervix and the cervix (length, firmness and cervix status) are also checked regularly by the doctor. In addition, the vaginal secretion is examined for its acidity (ph value) and for bacteria.
  • Risk no. according to catalog B: If there are special physical and psychological burdens or other special features according to the catalog B of the anamnesis (see above), entries could be made here.
  • Other / Therapy / measures: Prescribed medicines (eg an iron supplement), initiated examinations (eg amniocentesis) or additional laboratory results are recorded here.

Childlike heart sounds and contractions

With appropriate necessity (indication), from the 26th or 28th week of pregnancy, the recording of the child's heart sounds and labor (cardiotocography, abbreviated CTG) is a precautionary measure. For this, over a period of about half an hour, the child's heart rate and the possible labor of the mother are recorded. So take some time with you. The test results are noted on the ninth page in your passport.

Why are only three ultrasounds recorded in the passport?

More ultrasound examinations are not officially planned. D. H. Your health insurance company will only pay for three screenings unless it is medically necessary. No question, every expectant mother would like to monitor her child's growth every week by monitor, but the experts argue about the need for more than three examinations. However, anyone who can or wants to invest the necessary euros can offer each gynecologist additional ultrasound examinations. There is a whole range of screenings that are performed, but usually not paid by the health insurance companies. (Small tip: questions cost nothing!)

In the maternity pass, however, only one screen per semester is taken into consideration on the tenth and eleventh pages. The first between the 9th and 12th week gives the doctor information on whether the embryo has properly implanted in the uterus, so there is no Bauchhöhlen- or ectopic pregnancy and whether the small heart beats. The second ultrasound between the 19th and 22nd week in particular makes malformations of the unborn child visible. And the last between the 29th and 32nd week shows the general development of the child. Each time, however, your doctor will control the heart activity of the child, its location in the uterus, and, through growth measurements, the timely development of the unborn child. If further comments or ultrasound examinations are required, these will be noted or documented on page 12 or 14.

The following distances and lengths can be measured:

  • the crown-rump length (SSL)
  • the fruit sac (FS)
  • from temple to temple (BPD biparietal head diameter)
  • from forehead to back of the head (FOD (frontococcipital head diameter))
  • head circumference (KU)
  • from ventral side to abdominal side (ATD abdomen transverse diameter)
  • from navel to backbone ((APD anterior posterior diameter))
  • abdominal circumference (AU abdominal circumference)
  • the femur (FL femur length)
  • and the humerus (HL humeral length)

The results can be entered in the standard curves on page 13.In addition, the amount of amniotic fluid and the seat of the placenta are controlled.

And what's in the end?

The maternity leave concludes with the final exam on pages 15 and 16, the so-called epicrisis. Here, the information on pregnancy, childbirth, the puerperium and gynecological examination are summarized six to eight weeks after birth.

Explanations are probably only necessary here for the terms ""Apgar number"" and ph value (umbilical artery): With the so-called Apgar test, the doctor assesses the state of health of the child after one, five and ten minutes after birth. The highest value is 10-10-10, but please remember: This number is not a seal of approval and not a graded test that your baby has to pass! The ph value of the umbilical artery provides information about the stress load of the child during birth.

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