Prenatal Record - National Archives and Records Administration

Reproduced at the National Archives
F'orrn Ite'TI '-'u'lloers ttnk:Pd to nata Items on
OI:I•H, Pene"'t Pren'ltal Hlstnrv
ITE"'
OATA
ON TTF'Ii! CARO
rnttll! JO NIJ~ FPOII! Tl'l DATA TrF:114 NUF'
4986 •••• VAR 54 54 S'llokln~ n1storv: ctqarettl."s uPr jay flOW, co:Jer1: S'IIOICer, non-smoker
4 491 ••• 08•8 030R 11 18 F'or'll OB•R dAte (:Jayl
4 490 ••• 08•8 0308 1" 16 Form n~-8 dAti." (110)
4 49? ••• oa-8 o3oA 19 10 F'nrm 116•8 dAtP ( yr)
4 4994 •••• VlR 7'5 80 Perfn=tt"l follow uo vtsft, OB•8, rtate of first C111n/,av/vr>
4
4987 •••• VlR
55 "ib Pre-natal vt!lllts, total nu'lloPr
,
6
493 ••• na-8 o3oA 21 11 S1clr fn any WAY
7 494 •••08•8 030~ 2?. ?2 Heoadacht'
8 495 ••• 08·8 o3o8 23 ?3 VIsual disturbance
c, 49~ •••oa-a 030" 24 24 llf"atrn~ss: n11111hness; :lfz:~:ln_!!ss
to 497 ••• 08•8 030~ 2"i ?5 Vtutft t na
to 5t9CJ •••• VAR 307 307 Vn~lttna hy trimester of report
tl HA ••• oa-8 o3oA 21> ?b Pl91n, ab::I.,IIIPO, nelvfs, bar<
12 499 ••• 08•8 0308 27 ?7 Urtnarv urqPnry: 1ysurl'l
H t] o;oo ••• os-a 01011 2fl 28 DfarrheA
H
14
so1 ••• ns-a o3oA 29 29
•
• > 15
'50? ••• 08•8 03011 30 30
.....
15
519R •••• VAR
301> 306
w
16
!i01••• ns-8 0108 31 31
0'1
@
I
(X)
Colrt: snre throatr
Ff'Yf'r
Fevf'r by trimester
Eve inflan~•atton
cougt-t
of rf'oort
17 '504 ••• na-8 0308 32 n Rash; skin contfftfon
18 50'5 ••• 08•8 03011 33 H Jlllun:ltcf'
18 5?00 •••• VAR 3011 308 Jaundtcf' hy trimester of reoort
19 '506 ••• 08•8 OlOA 34 34 swollPn atand~
?.0 '50'7 ••• ns-8 030A J" 15 Cnld ~ores
?1 o;oR ••• ns-8 03011 Jf; 3b Bolls: ab!IICPssed teeth
22
o;oq ••• os-8 O'OII 37 17 F.arache
23
5tn ••• ns-8 030A 311 18 sweJltna nt tPet or lPQS
24 5201 •••• VAR 309 ]09 E~ema nan~s or face by trtrnPster of rPport
24 511 ••• 08•8 OlOA 39 19 swelltna of nan1s or f