200

Blank No. Series II. Form B. 6.

[in margin]23[in margin]
12 - What knowledge of sexual physiology had you before marriage?
b) how did you obtain it? None may have read
a book or two but does not remember. [deleted]34 years[deleted]
13 - Number of times married. If more than once additional blanks
will be furnished you to answer the following questions separately
in regard ot each marriage?
14 - Number of years married? 34 yrs
15 - Do you habitually sleep with your husband? b) what reasons
for so doing or not? No - in beginning yes - changed to
separate beds because they did not sleep well, when 2d child
was born about 18 yrs ago
16 - Number of conceptions? 3
17 - Number of children? [inserted]2[inserted] State in connection with each a) date
of birth? b) sex? c) whether healthy or not? d) note any
characteristic and the cause. e) note either immediate
or after effect on your health of the birth of each of your
children. g) give time of first menstruation after birth
of each child.
a) born 1896 girl, healthy; very vital & nervous temperament. after birth
better health.. Nursed child 9 mo. [??] - does not remember
b) born 1902 girl, 8 lbs, not strong, nursed child for short period
had much trouble about food. mother had threated[?] eclampsia. Mother's
health O.K.

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