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Please give the following details for each pregnancy:-
Date of delivery (mth. and yr.) | Sex of child | Birth weight (to nearest ¼ lb.) | Result of delivery (live, birth, stillbirth or miscarriage) | If not surviving please give age at death | |
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Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge | Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge | Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge | Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge | Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge | |
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