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Final Report (PDF, 2132K) - Measure DHS

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SKIPI237 I Did you •ee anyone tor• check on thisI pregnmncy? YES ..................... 1NO ...................... 2 a - 240238 Who• dld you •ee?PROBE FOR TYPE OF PERSON AND RECORDQUALIFIED.MOSTDOCTOR .................. 1 -NURSE OR MIDWIFE ........ 2 -TRADITIONAL BIRTHATTENDANT .............. 3 -RELATIVE ................ 4 -OTHER ................... 5 -NO ONE .................. 6 - 240239 When did you have your last menstrual period? DAYS AGO .......... I L i JWEEKS AGO ......... 20 t JMONTHS AGO ........ 3 n l fBEFORE LAST PREGNANCY. 996NEVER MENSTRUATED ..... 997240 When during her monthly cycle do you thinka woman has the greatest chance o5 becomingpregnant?DURING HER PERIOD ....... 1RIGHT AFTER HER PERIODHAS ENDED .............. 2IN THE MIDDLE OF THECYCLE .................. 3JUST BEFORE HER PERIODBEGINS ................. 4AT ANY TIME ............. 5OTHER ................. 6(specify)11113

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