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The Falling off of Birthrate is due
1 - Voluntary restriction of birthrate by contraconceptive methods for economic reasons
2 - a) To increasing selfishness of men: man wishes companionship of wife unhampered by children. 3 cases. II women: dangers of childbirth to women - 1 case women who desire a life of ease and social freedom
3 - Physical maladjustments due to a) lack of consideration of the woman by too frequent coitus destroying psychologic sex impulse. b) lack of understanding of slower time reaction in women making marital relation for the woman without the normal physical response. This leaves organs of woman over congested.
4 - Physical maladjustments a) Dyspareunia due (1) Physical terror through mutual consent - 1 case. 2) Unusual angle of long axis of vagina causing undue suffering to woman - 2 cases. 3) Physical disproportion
Note: The maladjustments in marriage occasionally occur at the first consumation of the marital relation. The woman comes to this new experience of life often with no knowledge. The woman while she may give mental consent often shrinks physically. Her slower time reaction deprives her of all physical response. Or (2) too often her training has instilled the idea that any physical response is coarse, common & immodest which inhibits proper part in this relation.
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Blank Form A.
1. Name in full.
2. Address.
3. Date of birth. February 8th 1867
4. Place of birth. New Gloucester Maine. Temperment.
5. Where educated : give degress if any. Occupations before marriage giving length of time spent in each. Pa. State College. Taught music more or less for five years. During that time taught two terms of country school. Practiced piano a great deal over two or three years during [?] [?] and four years.
6. Nationality of mother. American.
7. Nationality of father. American.
8. Age of mother when married. About twenty-five.
9. [deleted] 10. [deleted] Age of father when married. About twenty-seven.
10. General health of parents. Well & robust.
11. Nationality of husband. American.
12. [deleted] Age of [deleted] [inserted] Date of Birth of [inserted] husband. [deleted]at present time.[deleted] 1869
Notes: Perfectly well baby until a mo. old. [?] sudden change of food impaired digestion, [?] trouble, sleeplessness, nervousness.
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BLANK NO. - 1 Form B Date. April 11th / 92 1- Age when married? Twenty -two. 2. General health a) before marriage? b) Since marriage. (a.) Fairly well but no strength or endurance. At time of marriage, in very poor health. (b.) Health improved rapidly. but conception [was?] occured.
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Blank No. / 2.
9. Did conception occur by choice or by accident? Accident
10. Habit of intercourse? Average number of times per week? per month? Two or three times. per year? Before conception, once or at most twice per month
11. Was intercourse held during pregnancy? No. If so, a) how often? b) did you desire it at this period? Ocassionally during first months, not at all during last half - or more.
12. At other times have you any desire for intercourse? Yes. a) How often? Once or twice a month. b) At what time relative to your menses? Immediately after. Ocassionally just before - and rarely at some other times. Except in 1st case, it is scarcely ever except when there is some outside exciting cause
13. Is intercourse agreeable to you or not. Usually. Do you always have a venereal orgasm? No. 1. - when you do, a) effect immediately afterward b) effect next day
2. - When you do not, effect immediately after? b) effect next day?
