Start
nshd_48
FOLLOW-UP SURVEY
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
INSTITUTE OF CHILD HEALTH
At the LONDON SCHOOL OF ECONOMICS, HOUGHTON STREET, LONDON, W.C.2

Mother's Name

Generic text

Address

Generic text

If she has moved what is her present address?

Generic text

In what M. and C.W. Authority is it?

Generic text
IF SHE HAS MOVED TO ANOTHER M. AND C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
(Ring with a soft pencil the code number opposite the mother's answer.)

If mother not interviewed because she refused, was ill, etc., give reasons

Generic text
DETAILS OF CHILD BORN IN MARCH, 1946.

Is the baby born in March 3-9, 1946, living at home, with relatives, or adopted, or has he died?

1
Living at home
2
With relatives
3
Adopted
4
Ill in hospital
5
Living elsewhere, namely
6
Dead
X
No information
Other
If this baby has died, please fill in the following:-
qc_q2 == 6

Age at death ... months.

Age in months
Y
Question does not apply
X
No answer

Cause of death

Generic text

What is this baby's sex?

1
Male
2
Female

What was this baby's weight at birth? ... lbs. ... ozs.

lbs.
ozs.
DEVELOPMENT.

How many months old was baby when he Sat up alone? ... months

Age in months
XX
No answer

How many months old was baby when he Stood alone? ... months

Age in months
XX
No answer

How many months old was baby when he Walked several steps without support? ... months

Age in months
XX
No answer

How many months old was baby when he Cut his first tooth? ... months

Age in months
XX
No answer

How many months old was baby when he Said more than "mum" "dad" or "nan"? ... months

Age in months
XX
No answer

Are you now using napkins for this baby?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_7 == 1

Does he wear them by day only, by night only, or all the time?

1
Day only
2
Night only
3
All the time
Y
Question does not apply
X
No answer

Has this baby any DEVELOPMENTAL (CONGENITAL) ABNORMALITY, DEFECT or MALFORMATION?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_8 == 1

What type of abnormality has he?

Generic text
DOMESTIC ACCIDENTS.
Has this baby ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?
-
BURNS or SCALDS
BROKEN BONES
BAD CUTS or BRUISES
(If " Yes.")
qc_9 == 1

How many months old was baby when he had the accident? BURNS or SCALDS Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when he had the accident? BROKEN BONES Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when he had the accident? BAD CUTS or BRUISES Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

Where or by whom was he treated? BURNS or SCALDS

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer

Where or by whom was he treated? BROKEN BONES

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer

Where or by whom was he treated? BAD CUTS or BRUISES

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer

What part was hurt? BURNS or SCALDS

1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn't apply
X
No answer

What part was hurt? BROKEN BONES

1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn't apply
X
No answer

What part was hurt? BAD CUTS or BRUISES

1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn't apply
X
No answer

How did the accident(s) occur? Burns or scalds

Generic text

How did the accident(s) occur? Broken bones

Generic text

How did the accident(s) occur? Bad cuts or bruises

Generic text
INFECTIOUS DISEASES.

Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? WHOOPING COUGH

1
Yes
2
No
X
No answer

Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? GERMAN MEASLES

1
Yes
2
No
X
No answer

Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? MEASLES

1
Yes
2
No
X
No answer

Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? SCARLET FEVER

1
Yes
2
No
X
No answer
(If " Yes.")
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1

How many months old was baby when it started? WHOOPING COUGH Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when it started? GERMAN MEASLES Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when it started? MEASLES Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when it started? SCARLET FEVER Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

Where or by whom was he treated? WHOOPING COUGH

0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does'nt apply
X
No answer

Where or by whom was he treated? GERMAN MEASLES

0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does'nt apply
X
No answer

Where or by whom was he treated? MEASLES

0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does'nt apply
X
No answer

Where or by whom was he treated? SCARLET FEVER

0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does'nt apply
X
No answer

Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? CHICKEN POX

1
Yes
2
No
X
No answer

Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? MUMPS

1
Yes
2
No
X
No answer

Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? DIPHTHERIA

1
Yes
2
No
X
No answer
(If " Yes.")
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1

How many months old was baby when it started? CHICKEN POX Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when it started? MUMPS Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

How many months old was baby when it started? DIPHTHERIA Age ... months

Age in months
YY
Q doesn't apply
XX
No answer

Where or by whom was he treated? CHICKEN POX

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer

Where or by whom was he treated? MUMPS

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer

Where or by whom was he treated? DIPHTHERIA

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn't apply
X
No answer
IMMUNISATION.

Has this baby been immunised against DIPHTHERIA?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_12 == 1

How old was he when immunised (i.e., had his first injection)? ... months

Age in months
YY
Question does not apply
XX
No answer
(If " No.")
qc_12 == 2

Why hasn't he been immunised?

Generic text
MISCELLANEOUS ILLNESSES.

At what age did this baby have his first cold? ... months

Age in months
XX
No answer

How many colds has he had during the three months, December 1, 1947 to March 1, 1948? ... colds

How many
X
No answer

Does he have them in Winter or Summer or both?

1
Winter
2
Summer
3
Both
Y
Question does not apply
X
No answer

Does anybody else in the family have frequent colds or catarrh. If so, who?

1
Mother
2
Other children
Other person, namely
X
No answer
Other

Has this baby ever had a LOWER RESPIRATORY INFECTION, i.e., bronchitis, broncho pneumonia or pheumonia?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_14 == 1

How many months old was baby when he first had a lower respiratory infection? ... months

Age in months
YY
Question does not apply
XX
No answer

How many times has he had a lower respiratory infection? ... times

How many
Y
Question does not apply
X
No answer

Where or by whom was he treated?

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer

Has this baby ever had FITS or CONVULSIONS or DIARRHOEA (i.e., the passage of liquid stools)? FITS OR CONVULSIONS

1
Yes
2
No
X
No answer

Has this baby ever had FITS or CONVULSIONS or DIARRHOEA (i.e., the passage of liquid stools)? DIARRHOEA

1
Yes
2
No
X
No answer
(If " Yes.")
qc_15_i == 1 || qc_15_ii == 1

How many months old was baby at the first attack? FITS OR CONVULSIONS Age ... months

Age in months
YY
Question does not apply
XX
No answer

How many months old was baby at the first attack? DIARRHOEA Age ... months

Age in months
YY
Question does not apply
XX
No answer

How many attacks has he had in all? FITS OR CONVULSIONS No. of attacks ... fits

How many
Y
Question does not apply
X
No answer

How many attacks has he had in all? DIARRHOEA No. of attacks ... attacks

How many
Y
Question does not apply
X
No answer

Where or by whom was he treated? FITS OR CONVULSIONS

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer

Where or by whom was he treated? DIARRHOEA

0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer
FEEDING.

At what age was the baby completely weaned from the breast? ... months

Age in months
OO
At birth
YY
Not yet weaned
XX
No answer

At what age was he completely weaned from the bottle? ... months

Age in months
OO
Never bottle fed
YY
Not yet weaned
XX
No answer
INFANT WELFARE.

Have you ever taken the baby to an Infant Welfare Centre?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_17 == 1

How many weeks old was he when you first took him to the L.W.C.? ... weeks

Age in weeks
YY
Question does not apply
XX
No answer

How many times did you take him in the first year? ... times

How many
YY
Question does not apply
XX
No answer

How many times did you take him in the second year? ... times

How many
YY
Question does not apply
XX
No answer
BABY'S SLEEPING ARRANGEMENTS.
(Health Visitors please check these answers if possible.)

Does he sleep in a room by himself or in a room with others?

1
By himself
2
With others
X
No answer
(If " with others ")
qc_18 ==2

How many others sleep in his room? ... children (under 15) ... adults (15 and over)

How many
How many
Y
Question does not apply
X
No answer

Does he sleep in his own cot or with others?

1
Own cot
2
With others
Y
Question does not apply
X
No answer
USE OF NURSERIES.

Does this baby go (or has he ever gone) to a day or other nursery?

0
No
1
Yes, Municipal or voluntary day nursery
2
Yes, Municipal or voluntary residential nursery
3
Yes, factory day nursery
4
Yes, other, namely
X
No answer
Other
(If baby is going or has gone to a day or other nursery)
qc_19 >= 1 && qc_19 <= 4

How many months old was he when you first took him? ... months

Age in months
YY
Question does not apply
XX
No answer

Why did you take him?

1
Mother working
2
Mother ill
3
When Mother confined
4
Other reasons, namely
Y
Question does not apply
X
No answer
Other

Is he still being taken?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If baby not sent to nursery)
qc_19 == 0

Would you have liked him to go to a nursery?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If mother would have liked him to go to a nursery)
qc_19_d == 1

Why didn't he go to one?

1
None available
2
Mother not eligible
3
Baby ill
4
Other, namely
Y
Question does not apply
X
No answer
Other
THE MOTHER.

Are you helped with the housework?

1
Yes, all the time
2
Yes, regularly part-time
3
Yes, occasionally
4
No
X
No answer

Are you working now? (i.e. doing paid work inside or outside the home.)

1
Yes
2
No
X
No answer
(If " Yes.")
qc_21 == 1

What is your occupation?

Generic text

Is it whole-time or part-time?

1
Whole-time
2
Part-time
Y
Question does not apply
X
No answer

Who looks after the children when you are at work?

1
Relations or friends
2
Day Nursery
3
Residential Nursery
4
Mother works at home
5
Paid help at home
6
Other, namely
Y
Question does not apply
X
No answer
Other

Did you have a post-natal examination by a doctor after your child was born in March, 1946?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_22 == 1

How many weeks after the birth of your baby were you examined? ... weeks

How many
Y
Question does not apply
X
No answer
(If mother not examined)
qc_22 == 2

Why did you not have a post-natal examination?

Generic text
Have you suffered, since the birth of your baby in 1946, from BREAST ABSCESS, BACKACHE, BLADDER TROUBLE, VAGINAL DISCHARGE, PROLAPSE (fallen womb), or PILES?
-
BREAST ABSCESS
BACKACHE
BLADDER TROUBLE
VAGINAL DISCHARGE
PROLAPSE
PILES
(If " Yes.")
qc_23 == 1

Where or by whom were you treated? BREAST ABSCESS

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Where or by whom were you treated? BACKACHE

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Where or by whom were you treated? BLADDER TROUBLE

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Where or by whom were you treated? VAGINAL DISCHARGE

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Where or by whom were you treated? PROLAPSE

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Where or by whom were you treated? PILES

0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? BREAST ABSCESS

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? BACKACHE

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? BLADDER TROUBLE

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? VAGINAL DISCHARGE

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? PROLAPSE

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Are you still suffering from any of these? PILES

1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer

Have you been fitted with a ring to keep your womb in place?

1
Yes
2
No
X
No answer

Have you had either an increased or a decreased loss of blood at your menstrual periods since the birth of your baby in 1946?

1
Increased
2
Decreased
3
Same as before
X
No answer

Have you been pregnant since your child was born in March, 1946?

1
Yes, once
2
Yes, twice
3
Yes, more than twice
4
No
X
No answer
(If " Yes.")
qc_26 == 1 || qc_26 == 2 || qc_26 == 3

How did the pregnancy end? (i.e. live birth, still birth, etc.)

Generic text

At what date did the pregnancy end?

Generic date
THE DWELLING AND HOUSEHOLD.
How many are there in your household (including the baby born in 1946 and any later births) who are-
-
Less than 5 yrs. of age ... infants
5 yrs-14 yrs. 11 mths. of age ... children.
15 yrs. or older (including self, husband, older children, relations, lodgers and domestics) ... adults
Total in household

How many living rooms and bedrooms (including kitchen if used as a living room but excluding if other type of kitchen, scullery or bathroom) are occupied by you or the members of your household ... rooms

How many

Is there a kitchen for your use?

1
Yes
2
No
X
No answer
(If " Yes.")
qc_29 == 1

Is the kitchen shared with another household?

1
Yes
2
No
Y
Question does not apply
X
No answer

Do you use the kitchen as a living room?

1
Yes
2
No
Y
Question does not apply
X
No answer

Is there a bathroom for your use?

1
Yes
2
No
X
No answer

How do you obtain hot water?

1
Running hot water
2
Gas or electric copper
3
Boiling kettles
4
Other method, namely
X
No answer
Other
PLEASE MAKE ARANGEMENTS FOR THE MOTHER TO BRING HER BABY TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.

Present weight (without clothes) ... lbs. ... ozs.

lbs.
ozs.

Present standing height ... ft. ... ins.

ft.
ins.
HEALTH VISITOR'S COMMENTS.
(Health Visitors should not ask these questions, but should fill them in from their own knowledge or observation.)

Does this family live in-

1
A whole house?
2
Part of a house?
3
A flat?
4
Furnished rooms?
5
Other, namely
Other

Who owns the dwelling?

1
Occupier
2
Council
3
Charitable Trust
4
Private Landlord
5
Other, namely
Other

Is there a yard or garden attached to this dwelling in which the baby may be left in its pram?

1
Yes
2
No

Please comment freely on the state of the dwelling, its repair, dampness, light and ventilation

Generic text

Please comment freely on the bodily care of the baby. Are his clothes clean and in good repair?

Generic text

Please give your assessment of (a) the state of the dwelling, and (b) the bodily care of the baby. State of the dwelling

1
Good
2
Fair
3
Poor

Please give your assessment of (a) the state of the dwelling, and (b) the bodily care of the baby. Bodily care of the baby

1
Good
2
Fair
3
Poor

How long did this interview take? ... minutes

How many
End

nshd_48

FOLLOW-UP SURVEY
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
INSTITUTE OF CHILD HEALTH
At the LONDON SCHOOL OF ECONOMICS, HOUGHTON STREET, LONDON, W.C.2
Mother's Name
Generic text
Address
Generic text
If she has moved what is her present address?
Generic text
In what M. and C.W. Authority is it?
Generic text
IF SHE HAS MOVED TO ANOTHER M. AND C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
(Ring with a soft pencil the code number opposite the mother's answer.)
If mother not interviewed because she refused, was ill, etc., give reasons
Generic text

DETAILS OF CHILD BORN IN MARCH, 1946.

Is the baby born in March 3-9, 1946, living at home, with relatives, or adopted, or has he died?
1
Living at home
2
With relatives
3
Adopted
4
Ill in hospital
5
Living elsewhere, namely
6
Dead
X
No information
Other
qc_q2 == 6
Age at death ... months.
Age in months
Y
Question does not apply
X
No answer
qc_q2 == 6
Cause of death
Generic text
What is this baby's sex?
1
Male
2
Female
What was this baby's weight at birth? ... lbs. ... ozs.
lbs.
ozs.

DEVELOPMENT.

How many months old was baby when he Sat up alone? ... months
Age in months
XX
No answer
How many months old was baby when he Stood alone? ... months
Age in months
XX
No answer
How many months old was baby when he Walked several steps without support? ... months
Age in months
XX
No answer
How many months old was baby when he Cut his first tooth? ... months
Age in months
XX
No answer
How many months old was baby when he Said more than "mum" "dad" or "nan"? ... months
Age in months
XX
No answer
Are you now using napkins for this baby?
1
Yes
2
No
X
No answer
qc_7 == 1
Does he wear them by day only, by night only, or all the time?
1
Day only
2
Night only
3
All the time
Y
Question does not apply
X
No answer
Has this baby any DEVELOPMENTAL (CONGENITAL) ABNORMALITY, DEFECT or MALFORMATION?
1
Yes
2
No
X
No answer
qc_8 == 1
What type of abnormality has he?
Generic text

DOMESTIC ACCIDENTS.

Has this baby ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?

-
BURNS or SCALDS
BROKEN BONES
BAD CUTS or BRUISES
qc_9 == 1
How many months old was baby when he had the accident? BURNS or SCALDS Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_9 == 1
How many months old was baby when he had the accident? BROKEN BONES Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_9 == 1
How many months old was baby when he had the accident? BAD CUTS or BRUISES Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_9 == 1
Where or by whom was he treated? BURNS or SCALDS
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
Where or by whom was he treated? BROKEN BONES
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
Where or by whom was he treated? BAD CUTS or BRUISES
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
What part was hurt? BURNS or SCALDS
1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
What part was hurt? BROKEN BONES
1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
What part was hurt? BAD CUTS or BRUISES
1
Head or neck
2
Trunk
3
Arm or hand
4
Leg or foot
Y
Q doesn&#39;t apply
X
No answer
qc_9 == 1
How did the accident(s) occur? Burns or scalds
Generic text
qc_9 == 1
How did the accident(s) occur? Broken bones
Generic text
qc_9 == 1
How did the accident(s) occur? Bad cuts or bruises
Generic text

INFECTIOUS DISEASES.

Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? WHOOPING COUGH
1
Yes
2
No
X
No answer
Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? GERMAN MEASLES
1
Yes
2
No
X
No answer
Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? MEASLES
1
Yes
2
No
X
No answer
Has this baby ever had WHOOPING COUGH, GERMAN MEASLES, MEASLES or SCARLET FEVER? SCARLET FEVER
1
Yes
2
No
X
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
How many months old was baby when it started? WHOOPING COUGH Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
How many months old was baby when it started? GERMAN MEASLES Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
How many months old was baby when it started? MEASLES Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
How many months old was baby when it started? SCARLET FEVER Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
Where or by whom was he treated? WHOOPING COUGH
0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does&#39;nt apply
X
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
Where or by whom was he treated? GERMAN MEASLES
0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does&#39;nt apply
X
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
Where or by whom was he treated? MEASLES
0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does&#39;nt apply
X
No answer
qc_10_i == 1 || qc_10_ii == 1 || qc_10_iii == 1 || qc_10_iv == 1
Where or by whom was he treated? SCARLET FEVER
0
Not treated
1
Hosp. I-P
2
Hospital O-P
3
Nurs. Home
4
Private Dr.
5
Chemist
6
Other
Y
Q does&#39;nt apply
X
No answer
Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? CHICKEN POX
1
Yes
2
No
X
No answer
Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? MUMPS
1
Yes
2
No
X
No answer
Has this baby ever had CHICKEN POX, MUMPS, or DIPHTHERIA? DIPHTHERIA
1
Yes
2
No
X
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
How many months old was baby when it started? CHICKEN POX Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
How many months old was baby when it started? MUMPS Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
How many months old was baby when it started? DIPHTHERIA Age ... months
Age in months
YY
Q doesn&#39;t apply
XX
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
Where or by whom was he treated? CHICKEN POX
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
Where or by whom was he treated? MUMPS
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_11_i == 1 || qc_11_ii == 1 || qc_11_iii == 1
Where or by whom was he treated? DIPHTHERIA
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer

IMMUNISATION.

Has this baby been immunised against DIPHTHERIA?
1
Yes
2
No
X
No answer
qc_12 == 1
How old was he when immunised (i.e., had his first injection)? ... months
Age in months
YY
Question does not apply
XX
No answer
qc_12 == 2
Why hasn't he been immunised?
Generic text

MISCELLANEOUS ILLNESSES.

At what age did this baby have his first cold? ... months
Age in months
XX
No answer
How many colds has he had during the three months, December 1, 1947 to March 1, 1948? ... colds
How many
X
No answer
Does he have them in Winter or Summer or both?
1
Winter
2
Summer
3
Both
Y
Question does not apply
X
No answer
Does anybody else in the family have frequent colds or catarrh. If so, who?
1
Mother
2
Other children
Other person, namely
X
No answer
Other
Has this baby ever had a LOWER RESPIRATORY INFECTION, i.e., bronchitis, broncho pneumonia or pheumonia?
1
Yes
2
No
X
No answer
qc_14 == 1
How many months old was baby when he first had a lower respiratory infection? ... months
Age in months
YY
Question does not apply
XX
No answer
qc_14 == 1
How many times has he had a lower respiratory infection? ... times
How many
Y
Question does not apply
X
No answer
qc_14 == 1
Where or by whom was he treated?
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer
Has this baby ever had FITS or CONVULSIONS or DIARRHOEA (i.e., the passage of liquid stools)? FITS OR CONVULSIONS
1
Yes
2
No
X
No answer
Has this baby ever had FITS or CONVULSIONS or DIARRHOEA (i.e., the passage of liquid stools)? DIARRHOEA
1
Yes
2
No
X
No answer
qc_15_i == 1 || qc_15_ii == 1
How many months old was baby at the first attack? FITS OR CONVULSIONS Age ... months
Age in months
YY
Question does not apply
XX
No answer
qc_15_i == 1 || qc_15_ii == 1
How many months old was baby at the first attack? DIARRHOEA Age ... months
Age in months
YY
Question does not apply
XX
No answer
qc_15_i == 1 || qc_15_ii == 1
How many attacks has he had in all? FITS OR CONVULSIONS No. of attacks ... fits
How many
Y
Question does not apply
X
No answer
qc_15_i == 1 || qc_15_ii == 1
How many attacks has he had in all? DIARRHOEA No. of attacks ... attacks
How many
Y
Question does not apply
X
No answer
qc_15_i == 1 || qc_15_ii == 1
Where or by whom was he treated? FITS OR CONVULSIONS
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer
qc_15_i == 1 || qc_15_ii == 1
Where or by whom was he treated? DIARRHOEA
0
Not treated
1
Hospital In-Patient
2
Hospital Out-Patient
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Question does not apply
X
No answer

FEEDING.

At what age was the baby completely weaned from the breast? ... months
Age in months
OO
At birth
YY
Not yet weaned
XX
No answer
At what age was he completely weaned from the bottle? ... months
Age in months
OO
Never bottle fed
YY
Not yet weaned
XX
No answer

INFANT WELFARE.

Have you ever taken the baby to an Infant Welfare Centre?
1
Yes
2
No
X
No answer
qc_17 == 1
How many weeks old was he when you first took him to the L.W.C.? ... weeks
Age in weeks
YY
Question does not apply
XX
No answer
qc_17 == 1
How many times did you take him in the first year? ... times
How many
YY
Question does not apply
XX
No answer
qc_17 == 1
How many times did you take him in the second year? ... times
How many
YY
Question does not apply
XX
No answer

BABY'S SLEEPING ARRANGEMENTS.

(Health Visitors please check these answers if possible.)
Does he sleep in a room by himself or in a room with others?
1
By himself
2
With others
X
No answer
qc_18 ==2
How many others sleep in his room? ... children (under 15) ... adults (15 and over)
How many
How many
Y
Question does not apply
X
No answer
qc_18 ==2
Does he sleep in his own cot or with others?
1
Own cot
2
With others
Y
Question does not apply
X
No answer

USE OF NURSERIES.

Does this baby go (or has he ever gone) to a day or other nursery?
0
No
1
Yes, Municipal or voluntary day nursery
2
Yes, Municipal or voluntary residential nursery
3
Yes, factory day nursery
4
Yes, other, namely
X
No answer
Other
qc_19 >= 1 && qc_19 <= 4
How many months old was he when you first took him? ... months
Age in months
YY
Question does not apply
XX
No answer
qc_19 >= 1 && qc_19 <= 4
Why did you take him?
1
Mother working
2
Mother ill
3
When Mother confined
4
Other reasons, namely
Y
Question does not apply
X
No answer
Other
qc_19 >= 1 && qc_19 <= 4
Is he still being taken?
1
Yes
2
No
Y
Question does not apply
X
No answer
qc_19 == 0
Would you have liked him to go to a nursery?
1
Yes
2
No
Y
Question does not apply
X
No answer
qc_19 == 0
qc_19_d == 1
Why didn't he go to one?
1
None available
2
Mother not eligible
3
Baby ill
4
Other, namely
Y
Question does not apply
X
No answer
Other

THE MOTHER.

Are you helped with the housework?
1
Yes, all the time
2
Yes, regularly part-time
3
Yes, occasionally
4
No
X
No answer
Are you working now? (i.e. doing paid work inside or outside the home.)
1
Yes
2
No
X
No answer
qc_21 == 1
What is your occupation?
Generic text
qc_21 == 1
Is it whole-time or part-time?
1
Whole-time
2
Part-time
Y
Question does not apply
X
No answer
qc_21 == 1
Who looks after the children when you are at work?
1
Relations or friends
2
Day Nursery
3
Residential Nursery
4
Mother works at home
5
Paid help at home
6
Other, namely
Y
Question does not apply
X
No answer
Other
Did you have a post-natal examination by a doctor after your child was born in March, 1946?
1
Yes
2
No
X
No answer
qc_22 == 1
How many weeks after the birth of your baby were you examined? ... weeks
How many
Y
Question does not apply
X
No answer
qc_22 == 2
Why did you not have a post-natal examination?
Generic text

Have you suffered, since the birth of your baby in 1946, from BREAST ABSCESS, BACKACHE, BLADDER TROUBLE, VAGINAL DISCHARGE, PROLAPSE (fallen womb), or PILES?

-
BREAST ABSCESS
BACKACHE
BLADDER TROUBLE
VAGINAL DISCHARGE
PROLAPSE
PILES
qc_23 == 1
Where or by whom were you treated? BREAST ABSCESS
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Where or by whom were you treated? BACKACHE
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Where or by whom were you treated? BLADDER TROUBLE
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Where or by whom were you treated? VAGINAL DISCHARGE
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Where or by whom were you treated? PROLAPSE
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Where or by whom were you treated? PILES
0
Not treated
1
Hospital In-Patient
2
Hospital O-P
3
Nursing Home
4
Private Doctor
5
Chemist
6
Other
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? BREAST ABSCESS
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? BACKACHE
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? BLADDER TROUBLE
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? VAGINAL DISCHARGE
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? PROLAPSE
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
qc_23 == 1
Are you still suffering from any of these? PILES
1
Yes
2
No
Y
Q doesn&#39;t apply
X
No answer
Have you been fitted with a ring to keep your womb in place?
1
Yes
2
No
X
No answer
Have you had either an increased or a decreased loss of blood at your menstrual periods since the birth of your baby in 1946?
1
Increased
2
Decreased
3
Same as before
X
No answer
Have you been pregnant since your child was born in March, 1946?
1
Yes, once
2
Yes, twice
3
Yes, more than twice
4
No
X
No answer
qc_26 == 1 || qc_26 == 2 || qc_26 == 3
How did the pregnancy end? (i.e. live birth, still birth, etc.)
Generic text
qc_26 == 1 || qc_26 == 2 || qc_26 == 3
At what date did the pregnancy end?
Generic date

THE DWELLING AND HOUSEHOLD.

How many are there in your household (including the baby born in 1946 and any later births) who are-

-
Less than 5 yrs. of age ... infants
5 yrs-14 yrs. 11 mths. of age ... children.
15 yrs. or older (including self, husband, older children, relations, lodgers and domestics) ... adults
Total in household
How many living rooms and bedrooms (including kitchen if used as a living room but excluding if other type of kitchen, scullery or bathroom) are occupied by you or the members of your household ... rooms
How many
Is there a kitchen for your use?
1
Yes
2
No
X
No answer
qc_29 == 1
Is the kitchen shared with another household?
1
Yes
2
No
Y
Question does not apply
X
No answer
qc_29 == 1
Do you use the kitchen as a living room?
1
Yes
2
No
Y
Question does not apply
X
No answer
Is there a bathroom for your use?
1
Yes
2
No
X
No answer
How do you obtain hot water?
1
Running hot water
2
Gas or electric copper
3
Boiling kettles
4
Other method, namely
X
No answer
Other
PLEASE MAKE ARANGEMENTS FOR THE MOTHER TO BRING HER BABY TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.
Present weight (without clothes) ... lbs. ... ozs.
lbs.
ozs.
Present standing height ... ft. ... ins.
ft.
ins.

HEALTH VISITOR'S COMMENTS.

(Health Visitors should not ask these questions, but should fill them in from their own knowledge or observation.)
Does this family live in-
1
A whole house?
2
Part of a house?
3
A flat?
4
Furnished rooms?
5
Other, namely
Other
Who owns the dwelling?
1
Occupier
2
Council
3
Charitable Trust
4
Private Landlord
5
Other, namely
Other
Is there a yard or garden attached to this dwelling in which the baby may be left in its pram?
1
Yes
2
No
Please comment freely on the state of the dwelling, its repair, dampness, light and ventilation
Generic text
Please comment freely on the bodily care of the baby. Are his clothes clean and in good repair?
Generic text
Please give your assessment of (a) the state of the dwelling, and (b) the bodily care of the baby. State of the dwelling
1
Good
2
Fair
3
Poor
Please give your assessment of (a) the state of the dwelling, and (b) the bodily care of the baby. Bodily care of the baby
1
Good
2
Fair
3
Poor
How long did this interview take? ... minutes
How many
Name

1948 Questionnaire