80

Blank No 9 Series II Form B 6
12 - What knowledge of sexual physiology had you before marriage?
b) How did you obtain it
Know what sexual intercourse was, told by others
13 - No. of times married - once
14 - No of years married
15 - a) Do you habitually sleep with your husband?
b) What reason for so doing or not?
a) always until children were born; then
apart for fear husband (doctor) might bring con-
tagious diseases to children. Did not habitually
sleep together after 2nd child was born.
16. No of conceptions 3
17. No of children 3
1. girl. born 3 yrs + 8 mo after marriage. Healthy until
mother lad typhoid fever. Child was nursed during this
time baby never well after. Baby died of scarlet fever & dyphtheria
at 1 yr. old.
2 - girl born 3 yrs after first child. Crying baby
had colic for 3 mo. Grew constantly at this time (mother
did washing day before this baby's birth.) was an-
noyed by a servant constantly before this baby
was born. menstruated 9 mo after this baby's
birth. Father had taken morphine for 2 yrs before this baby's
birth. Not a confirmed habit. No Effect.
3 - Girl. (born 2 yrs & 8 mo after 2nd childs birth)
Healthy but did not walk until 19 mo old. Had large ankles
& wrist joints. Grew well & seemed strong. Had a slight fall
on her knee, which began to swell. Protrusion on one side
of ribs. Had measles which did not come out well (Rickets)

-141-