Prenatal Record - National Archives and Records Administration

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Drugs in Pregnancy (cont.) 6044 6045 6046 6047 6048 6049 6050 6051 6052 6053 6054 6055 6056 6057 6058 6059 6060 6061 6062 6063 6064 6065 6066 6067 6068 6069 6070 6071 6072 6073 6074 6075 6076 6077 6078 6079 6080 6081 6082 6083 6084 6085 6086 6087 6088 6089 Sulfa Cream (vag.) 6099 lysette (vag. ) 6101 lycinate (vag.) 6102 Baculin (vag.) 6103 RC-C-122-R (vag.) 6104 Cooper creme (vag.) 6105 Contra squares (vag.) 6106 Mu-col (vag.) 6107 Furestral Vag. Supp. 6108 Zestabs Contraceptive 6109 Rocky Mountain Spotted Fever Vaccine 6110 BIP 6111 Paratyphoid Shot 6112 Vacagen 6158 Rabies Vaccine 6666 Bacillus Calmette Guerin Poison Ivy Vaccine 7024 Allergy Shots 7101 Hypos en 7102 Poll en Vaccine 7103 Dust Extract 7104 Triple Typhoid 7105 Catarrhalis Vaccine 7106 Mumps Vaccine Staphylococcus Vaccine Pertussis Vaccine . Black Widow Antitoxin Yellow Fever Vaccine Cholera Immunization Typhus Shots Measles n.o.s. Po1i o , n . o . s . Diphtheria Toxoid Typhoid Immunization Influenza Shots Measles, Killed Measles, live-oral Polio, Killed Polio, live-oral Smallpox Tetanus Toxoid Floraquin Furacin Mycostatin, vag. Sporostacin Sultrin Cream 7107 7113 7114 7115 7116 7117 7118 7119 7121 7122 7123 7124 7125 7126 7127 7128 7129 7130 7133 7134 7136 7143 7144 Oral Contraceptives, n.o.s. Duraform (vag.) Vaseline and vag. Kotnex Cream &vag. Delta Contraceptive Jelly Aquacort Vag. supp. Ortho-Cream Stoma sept in Triform Pulsatilla Nigra Ora-Jel &Contraceptive Blue Seal Vag. Gel Conatopins Devegan Unknown if Phenergan- Hasp. SO Only General Anesthesia, n.o.s. Biomydrin Hibitane Cycloserine Durycin A.S. Dicrystacin Achrocidin V-Kor Signemycin Glucosamine Polymagma Triquin Azo-Gantrisin Azo Gantanol Suladyne Hydrozet Semets Cepacol Thantis Tracinets Mysteclin Candettes 6090 Del fen 7145 Pent ids 6091 Emko 7146 Biosulfa 6092 Orthogynol 7147 6093 Precept in 7148 6094 Lorophyn 7149 6095 Zonitore 7150 6096 Certane 7151 Candie ill in Pomalin Pyridium Tri-Sulfa Bradosol larylgan Urobiotic Pen-Tabs Pen-Alba Gantricill in Aldiazol Trisulfaminic Spectrocin T Cosa-Tetrastatin 6097 Koromex 7152 Achrostatin 6098 Tetanus Antitoxin 7153 Terracydin Reproduced at the National Archives II.A.370 OB-15
. Drugs in Pregnancy (cont.) 7154 Sul-Pondets Troches 7155 Bio-Kets 7156 Ilosone Sulfa 7157 Orabiotic 7158 Neo-Delta-Cortef 7159 Cremomycin 7161 Synthaloids 7162 Mesulfin 7163 Supronal 7164 Quintess-N 7165 Aura1gan 7170 Dri 1ito1 7171 Tetraci1lin 7172 Pentazets 7174 Syndecon 7175 Pondets 7176 Rhinitis Mix 7177 Co1ymycin 7203 Opium 7204 Pantopon 7205 . Opi urn-Be11 adonna 7206 Pabi zo1 7207 Colbenemid 7208 Parepectolin 7209 Do1oni 1 7210 Phelantin Kapseals 7211 Copaine with Codeine 7212 Asafen 7213 A1ysine 7214 Pabalate 7215 Phenaphen 7216 Edrisal 7217 Anacin 7218 Percodan 7219 Darvon Compound 7220 Daprisa1 7221 Excedrin 7222 Fiorina1 7223 Axoto1 7224 Trigistic 7225 Parafon 7226 Arrestin 7227 Ethecodene 7228 Phen #3 7229 Nebra1in 7230 Opta1idone 7231 Emagrin 7232 Hycodan 7233 Lumaspirin with Hyocyamus 7234 #844 7235 P1exona1 7241 Tranquil 7242 Madricidin 7243 Passiphen 7244 Copavin 7245 Trancoprin 7246 Pentagesic 7247 Librax 7248 Triaminicin 7249 Bladder Sedative Mix 7250 Mephergan 7251 Donnozyme 7252 Aludrox 7253 Paadon 7254 Dovacet Capsules 7255 Rebutal 7256 Wygraine 7257 Anadol 7258 Be1barb 7259 Hasacode 7260 Sedaphen 7261 Hasamal 7262 Synirin 7263 Barbidonna 7264 Acogesic 7265 Va1octin 7266 Bellerga1 7267 Phenocin DA 7268 Acetylphen 7269 Nembudeine 7270 Empiral 7271 Antispasmodic Elixir 7272 Midrin 7274 Sigmagen 7275 Rotase-Mitte 7276 Pamine with Phenobarbital 7278 Defencin 7279 Robaxisal-Ph 7280 A1goson 7281 Trigesic 7282 Mebaroin 7283 Aspirin Compound 7284 Zarumin 7285 Cofedrine 7286 4S/8S 7287 Kamumodic 7289 Penscope 7290 Ethobra1 7291 Phenobell 7292 Ropad 7293 Butigetic 7294 Nembu-Donna 7236 · Quieta 1 7295 Eskaphen B 7237 Arcade 7296 Kanulase 7238 Ch1oranodyne 7326 Citrophen 7239 Robaxi sa1 7327 Hycomine 7240 Serenitas 7328 Sinutabs Reproduced at the National Archives II.A.371 OB-15
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NINCDS COLLABORATIVE PERINATAL PROJ
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NINCDS COLLABORATIVE PERINATAL PROJ
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INTRODUCTION DOCUMENT OBJECTIVES AN
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Forms The first forms used in the s
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Reproduced at the National Archives
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selection. A n1n was used for patie
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, researcher is more likely to look
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TABLE 3. Abbreviations for Person,
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TABLE 4. Definition of Person, Time
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TABLE 4. Definition of Person, Time
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CONTENTS AR-1/0B-1 OB-2 OB-3 OB
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AR-1 Obstetrical Administrative Rec
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DEFINITION OF CODES {Continued) FOR
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... 1;:: I ~ .J.I'40JI.!9d jl5 !
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ADMINISTRATIVE RECORD MANUAL PHS-30
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ADMI!liSTRATIVE RECORD ;fl.A.TI.TUA
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-· IID'~7-- '·"'-- ':!e- ~ l·-~
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OB-1: OBSTETRICAL· ADMINISTRATIVE
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Par. 3 10 - Religion. Record as Cat
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OB-2 Reproductive History Form OB-2
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COLIII:•IOoa-& ,.., REPRODUCTIVE
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DEFTIITTION OF CODES (Continued) FI
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1 Reproduced at the National Archiv
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R~PRODUCTI\~ HISTORY (Con't.) C3-2
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REPRODUCTIVE HISTORY (Con•t.) C3-
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OB-3 History Since Last Menstrual P
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eoL"-aooa.a ACV. n-et • HISTORY S
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DEFINITION OF CODES (Continued) FOR
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DEFJNITION OF CODES (Continued) FOR
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"' 1: : ~~ :; "':J. !~ ~ ~ :~ ~ ; :
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HISTORY SINCE LAST 1-ENSTRUAL PERIO
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HISTORY SINCE ~T MENSTRQ~ P~RIOD {C
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OB-4 Gynecological History Form OB-
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COL.,.-aaaa-4 RIEV. tt-11 • GYNEC
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DEFINITION OF CODES GYNECOLOGICAL H
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DEFINITION OF CODES (Continued) FIE
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'? I~ 1: :1\ j; t:: t; ....J 7 ,.
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GY1~F..COLOGICAL HISTORY (Con't.) O
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08-5 Recent Medical History Form 08
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DEFINITION OF CODES RECENT MEDICAL
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DEl!'INITION OF CODES (Continued) F
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ILL..'1ESS OR DISABILITY CODES (Con
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RECENT MEDICAL HISTORY (Con 1 t) OB
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OB-6 Past Medical History Form OB-6
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z PAST MEDICAL HISTORY (Interviewer
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DEF'll'UTION OF CODES PAST MEDICAL
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DEF'INli'ION OF CODES (Continued) F
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DEFINITION OF CODES (Continued) u.
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DEFINITION OF CODES (Continued) FOO
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PAST HEDICAL HISTORY (Con't) Item 1
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HISTORY TAKEN BY PAST MEDICAL HISTO
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OB-7 Infectious Disease and System
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COLIII.•I00 ..7 ,... INFECTIOUS D
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C:OLft-IOOa-7 1··· INFECTIOUS DI
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DEFINITION OF CODES nlFECTIOO'S DIS
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DEl''ll'IITION OF C:JDES ( Conti:::
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i i :a :: ·• 1: !: ! I! ::
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l!:i i!;T!IJIJ;: IIJ;;:..f,;:l·: .
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INF~TIOUS DIS~S~ ;~D SYSTEM REVIEW
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OB-8 Repeat Prenatal History Form O
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I. ftATIIMT IDfNTIPICATIOM REPEAT P
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~ :: : j: ~ : I~ =r ; Ia ~ ~ !~ ;
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,;.-~ 1•1. 1J;,.... - ~ .. u;W'o'
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OB-9 Prenatal Record Form OB-9, Pre
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C:OL.II.·- I•It NU\E IHOSPITAL
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•• 'HISTORY NO. diRIRXL IXXMI l
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~~J2ITTIGN OF CODES (Co~~i~ued) FCa
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DEFINITION OF CODES (Continued) FOF
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DEF~~ION OF CODES (Continued) PELVI
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DEFTIHTION OF CODES (Continued) FQR
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ZEFT1ITTIO:i OF CODES (Con"'c:..!!U
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DEFINITION OF CODES ( Con~inued) FC
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:t , I~ I ~ It II! I~ ::: .. ~ .. ~
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!:: llil\41.0 ~ ~~ ~'~"'~ -N OB-9 -
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PRENATAL RECORD (Con 1 t) PRESENT P
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PRENATAL RECORD (Con 't) complete a
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PRENATAL RECORD (Can't) EVALUATION
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PRENATAL RECORD (Con't) GENERAL IDl
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OB-42 Past Medical History Form OB-
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-· eoL"-aooa-..a 08-42 PAST MEDICA
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Instruction Manual for Obstetric Fo
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OB-43 Initial Prenatal Examination
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COL ..-3008-41 UIIYe 10.U) 1. PATIE
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DEFINITION OF CODES miTIAL PRENATAL
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DEFINITION OF CODES (Continued) FOB
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DEF'INITION OF CODES (Continued) FO
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I ,rnrn:r s YIN.Ct:l S6¥:;~rn I
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I, I'ATIENT IDENTI,.ICATIDN OB-43 I
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OB-10 Return Visit and Laboratory R
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DEFTIUTION OF CODES (Continued) FOR
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DEFINITION OF CODES (Continued) FOB
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4/16/61 OB-10 RETURN VISIT AND LAB
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~"........ ,... ~,_~.a., RETURN VIS
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OB-44 Prenatal Observations Form OB
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..... C:Ol..llt-IOOa-44 1. PATIENT
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:FDRMS 03-10 DEFINITION OF CODES (C
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DEFINITION OF CODES (Continued) ~·
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Instructional Manual for Obstetric
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OB-45 Laboratory Record Form OB-45
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DEFllUTION OF CODES LABJRATORY RECO
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DEFJNITION OF CODES (continued) FIE
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DEFINITION OF CODES (continued) FOR
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DEFINITIDN OF CODES (continued) FOR
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DEFTIUTION OF CODES (continued) FOR
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DEFINITION OF CODES (continued) FIE
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DEFINITION OF CODES (continuted) FI
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DEFTIHTION OF CODES (continued) FIE
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DEFTIUTION OF CODES (continued) FIE
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Page 341 and 342: OB-11 Record of Current Pregnancy F
Page 343 and 344: CO~A·3C03·11 lltEV. '7·58 I. PAT
Page 345 and 346: RECORD OF CURRENT PREGNANCY (For Fo
Page 347 and 348: ,... RECORD OF CURRENT PREGNANCY IN
Page 349 and 350: OB-46 Physician•s Clinic Record,
Page 351 and 352: COLR-1001-4e 4-a I. PATIENT IDENTII
Page 353 and 354: Instruction :\l:J.nual for Obstetri
Page 355 and 356: OB-12 Summary of Hospitalization fo
Page 357 and 358: SUMMARY OF HOSPITALIZATION FOR ANY
Page 359 and 360: SUMMARY OF HOSPITALIZATION FOR ANY
Page 361 and 362: ':.::-•••suMMARY OF HOSPITALI
Page 363 and 364: OB-47 Summary of Antepartum Hospita
Page 365 and 366: · COLIII-IOOa..7 (CHANGIED 2-8a)
Page 367 and 368: Instruction Manual for Obstetric Fo
Page 369 and 370: OB-15 Drugs in Pregnancy Form OB-15
Page 371 and 372: Reproduced at the National Archives
Page 373 and 374: PH S.300S.18 ..... PATIENT IDENTIFI
Page 375 and 376: .... PMS•3003•18 PATIENT IDENTI
Page 377 and 378: PHI·IOOI .. 1B P"TIENT IOENTIFIC"T
Page 379 and 380: PATI~NT IDENTIFICATION OB-15 DRUGS
Page 381 and 382: ..... PHS .. 3003 ... 11 PATII!NT I
Page 383 and 384: Reproduced at the National Archives
Page 385 and 386: DEFINITION OF CODES DRUGS lN PREGN
Page 387 and 388: Drugs in Pregnancy (08-15) Blank 0
Page 389 and 390: Drugs in Pregnancy (cont.} 2128 Par
Page 391: Orugs in Pregnancy (cont.) 4256 Hyo
Page 395 and 396: 1 Drugs in Pregnancy (cont.) 7482 O
Page 397 and 398: Drugs in Pregnancy (cont.) 9169 917
Page 399 and 400: Drugs in Pregnancy (cont.) 9949 995
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Prenatal Record - National Archives and Records Administration

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