r...1958 perinatal survey (1 week) and 1958 perinatal suavey (3 .onths deaths) all births in the...
TRANSCRIPT
CONFIDENTIALQUESTIONNAIRE
SlIUAL N •. . .._---_._. ---
PERINATAL MORTALITY SURVEY
NATIONAL BIRTHDAY TRUST FUND
ON .. " 1.·· ,... IMe4 ... let uch 1lN~7 ..,.. ~.,... De ,.,...... ue ~flI ''I'"'' (rift, "'...... Klr," .lr4.1... 'ft....1t " ...'na. ,.. _ "'"'-'...la c'" _ "_". ""11. ".,. "se.• "'.,_,......._ \er II1 111II Wt'" .. _" ...._ 4,.... MJeroo c... ",."21.,.. .._ --... •_ ..~•.,... "'cll.
GINIUL INSTAUenONS
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UK Data Archive Study Number 2137: Perinatal Mortality Survey, 1958
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S£Ut:oXli\s ~E. LG(.oXrA :DE~
INTRODUCTION
..9
1958 PERINATAL SURVEY (1 week) and
1958 PERINATAL SUaVEY (3 .onths deaths)
All births in the week 3-9th March 1958 were surveyed, and a
questionnaire co.pleted about the circumstances of the biith., and
the background of the parents. This sa.ple of births beca.e the
basis of the National Development Study (HCDS) , a data set which is
already deposited with the Archive. The infor.ation froa the birth
study (PMS) was aerged with the MCDS data at 7, in some instances in
derived variables for., but a substantial a.ount was not.
In addition since numbers of deaths in one week were too saal1
to study perinatal mortality, the same infor.ation was collected for
all perinatal deaths in the month March, April and May 1958.
A coding fraae is enclosed, together with a copy of the
questionnaire.
10
.c""~tJ\ r~-;t_ N':H~12~,
R
1--:..... 1' ....l' ... _, I~..... ....,,'--'-.. " \ .
'>:ATIO"lAL nIRT'lDAY TRLST PCRl"lA'TAL MORTALITY C;l/R\"EY
x
hospital as booked caseHospital as unbooked case (1ncluding
emergency)Domici~i.ry - Midwife bookedDomiciliary - Hidw1fe unbookedN.H.S. '!ater"lity Home (G.P unit ""here
there is no res1dent Medical OrriceI')Private Nur~1ng ~ome
Private ~ard of ~ H 5 hasp. talElsev~ere (speci£y, e g tayi, 5treet,
d.mbull!Ulce, et~ )'10 rhl r and Baby H"me
1 Gnd.r 20,. 20 - 24 year.6 2' - 29 •7 )0 - )4 •3 ), - )9 • • 119 ~o - 44 •0 4, vea.rs and ov@r
V
7
~o.th of Birth (Q ,)
1 Jrd to 9th ~rch inclusi'e2 February) March, other than Jrd to 9th4 April5 'lay
y
X
County and St~~1ard Rer10n - Col 1
~oth@rI5 ~ge (Q 8)
Code direct, 2 digit. (~~tual ~ge from code 1to code 4 on Col 5)
XX No inroroa 6 1nnAgo Gro~ • Col 9
o12
Place of Delivery tQ 6 )
In.structt0"15
O. North ~estern
1. N'or'thern2 ~.st and Ve9t QjdlngsJ North h~dland
4 Ea,9tern5 London ~nd South Eastern6 Southern7 South Western8 Wales9 Midla.ndsX Scotland
CODl~G rD[~TIF:CAT~Oh PA~TIClL~~S
9.10(Swm>ary C~7d
CoU 14,13)
i(Stu:'.cary Car<;l
Col 12)
3(Su.mma.ry Card
Col. 1))
1 - 6
C'olUnll No
o:t-\L
11(Summary Card
Col 16)
12
Marit~l Status (Q.9)
Y HarriedX Singloo Wido~ed. divorced, 3eparatod1 Stable union2 Tvlcc married9 No in£ormatlon
Sccto-Economic Group (~ 11)
71).
(Y Qvcrcode used)
Y1 Group 1 - FarmersY2 • 2 - Agricultural Workers.
) ) - Higher Adcinl!1tratlve, Professionaland Managerial
4 4 - Other Administrative, Pro:fsseionaland Managerial
5 • 5 - Shopkeepers6 6 - Clerical Worker.7. 7 - Shop AS!ll!1tan't!l8 • 8 - Personal Sorvice9 9 - Foremen0 10 - Skilled Vorkers1 11 Semi-skilled •2 12 - lm!lkl11ed •
Y) • 1) - Armed ForcesX Not known IL\-
(b1&nk) '0 husband \"5"
Social Class (Q 11)
Y Retired or not ~alnrully occupiedo No in£ormation on occupation but sick or
unemployed1 Group I2 Group II, Group III4 Group IV~ Group V8 Student"9 DQad or permanently a~ay
X '.'at knovn(blank) So husband
(5 E Gr 8 fall~ into S C Groups 11, Ill, IV&nd V)
SOCIO-ECONOMIC/SOCIAL CLASS GROUPS (SocioEconom1C codes groupod by Social Cla~a Groups derived
tram codes an Col 12)
Social Class Group I (5.E. Group J)
Social Class GroupII (S.~ Groups 1.4,,)
Social Class GLoupIII(S E. Group. 6,7.9,
10.1) )
ColHigher Admin.Professional andKanll.ierial
Farmers, Shopkeeper.Other AdaLn Prot.ssional, and"ianageria!
ForemonShop \saistantsClerical WorkersSkilled Work ereA.rmod Forces
12
)
n. 5
4
~,60
Y)
12
14, l'
- ) -Col. 12
Social Class Group IV - Agricultural(S.E. Groups 2, 11) Workers Y2
Semi-skilledWorkers 1
30cial Class Group V - Unskilled Workers2(S.E. Group 12) - Personal Service 8
Remainder X and blank
Husband's Age (Q.12)
Code direct, 2 digit~.
XX. No information.
16.(Summary Card
Col. 40)
17, 18, 19.
20.
Mother's Weight (Q.19)
X. No information.Y. (Overpunch) 7 lbs or more with stones.6. 6 stone (or less) and below 7.7. 7 stone and bolow 8.8. 8 stone and below 9.9. 9 stone and belo'{ 10.O. 10 stor-~ and below 11.1. 11 stone and below 12.2. 12 stone and below 13.). I) stone and below 14.4. 14 stone and below 1'.,. l' stone and over.
Gestation Period J digits. (~.7,Q.20, Q.28)
XXX. No information of doubt.
Code in days from L.M.P, Refer to M.O. if anydoubts, off chart or if unreasonable byweight.
Gestation Groups of 7 day intervals punchedon Col. 57.
Place of Antenatal Care (Q. 2lb)
X. No information.1. Hospital or con2ultant only.2. Hospital or consultant plus other.J. L.H.A. alone or with lower.4. G.P. (surgery, nome or N. Home) only.,. G.P. plus midwifb,6. Midwife only.9. NONE.
•
3(
13
o1oJll. ... natal Vi~ ;;~ (q 21b) Total ~umb.r
Thi~ ha~ usua~ly ocen c'rrectly codod inlover 3qu~ro box 0n right of na1n block
X No ::Ln:forllla t iono ~ontl
1 1 only2 2 onlyJ J - 44 5 - 9.5 10 - 1<46. 15 - 197 20 - 2 'I
8 25 - 299 )0 or mor ...
22(Summary card
Col 41)
30
S~oking Pr::LO~ t, Pregnan£Y (q 23)
X No in:forr~t~Qn
o ~on ~moker. less than onc2 1 - 4 da~1/. cons~antly
) 5 - 9l. 10 - 145 15 196 20 - 247 25 - 098 )0 or me e
2)(Summary Card
Col 56)
3\
xo12)456789
No infor at10n~o change by 5 months~ow non 3moker, below 11 - 4 no'.. ).5 - 9? This part10 - 14 same code1.5 - 19 l 22 above.20 - 2425 - 29)0 or morc )Variable after 5 months
isa.
history orfactor
1n:forma'tionprev1ou~ pregnancies after 28 week.
and over
No'012)456789
X.ol.2)456789.
For 24, 2.5. 26, 27, and 28 note t~at a pr~v~ou~
multiple pregnancies counts as one unit for any
24 Parity (Q 24~(Sumcary Card
Col 46)
25. Abort1.ons (1 24) • 14X '0 inforcation
'6'!0 '0 previous .stillbirths or eC topic:I1 ) nu.:-ber of previ.oll"l II ... T" to "~ .
• I
26
- 5 -
PrLvious Prcm~tur~s (SIbs 802 or lcs~)(Q ~4)
LIV:: BIRTHS
xo129
No l.nform.:l.tionPara 0 or no pr~vlous premature live births
) numb~r of previous prematureetc. ) live births9 or more
27.
28
Previous Large (8Ib 140z or more) (Q 24)LIVE OR STILLBIRTHS
X ~o Infor~ation
o Para 0 or no previous large babies.1 ) number of pr~v1.ous large 11.v~ or2. etc ) stillbirths9 9 or moro
Total ~umbor of Previous St111blr~hs and~conatal D~aths (Q 24)(l.t week & 7 - 28)
X ~o Lnformatlono Para 0 or no pr~vlous 5 B or ~ N.D1 ) number of prcVJ.ou3 5 B or2 etc.) ~ N D's9 9 or more
PrevJ.ous Toxaemia, A P H or Caesarean (Q 24)
x '10 Inf'ormationO. Para 0 or no previous toxaemia, A.P H or
Caeaarea.n
3* 1 Provious toxaemia only2 Provious A P H. onlyJ Previous C S on~y
4 Previous toxaemia + A P H5 Prov:1.ou~ "toxaeu:.1a + C S.6 PreVl.OU9 \ P H • C s7 P-:-9Vl.OUS toxac:l:l1a, A ?H and C S
JO. J1(Su.mu::ary Card
Cola. 59.50)
J2
Height o~ ~oth~r (Q 23)
xx ~o informationCode in whole incha~
N D 61i, 61t. 61t nIl ~ 61le not reeorded ~r measured by midwifeovereode Y on )1
Book1ns (~ 26b)
Y Domiciliary.X. Hasp! tal.O. NHS. Maternity Home1. Private Nursln« Home.2 Private wnrd of N.M S Hospltll.) Other place (~pec:1.~Y),7 rfot;her and Baby Home9 lio booking
15
)J D1a~tolic 9 P n~for~ 20 w~ak3 ~d risL tomaXl.mu_ ('l 29,J.).... OTE 0111 apIJ11 .... s if 8 P recorded before
20 .... (.("Ok!:!
X No ~n!or-c~l.on or no~ ~pplicablo
1 Ll..sS than 9u2 90 or ~or(. with riso 1 .... 53 than 10J 90 or ~orL ~ith rise 10 or ~ore
O. No toxacm~o. (fox Group r)y With toxac,i~ (All other Tax Groups)
TOXkSMIA GROUPS PUNCHED I~ COL 58
)4. ~a~1m~1 Diastol!c B P (1 29b)
x. No Lnformetion1 Less than 902 90 to 99J 100 to 1094. 110 and over
J. Protain prC8cnt, all other
no in£ectiorlni'l3ctionpresont
a.bc) (Chec-<i:lclamps:laprcs~nt)
Cl. )1
scc 1.£
c s U. te.k.n.C 5 U. taken,
ECLAMPSIANo informationVat present~lbumln present,Albumin present,
''0Xo12
Albu~inuria and Eclampsia~ )2 to
)S
WITH ECLJ....-lPSU5 ~o l.nformatlan6 'Ilot present7 Present in C S.U • no infection8 C.S U I protein, and infec~~on present9 Protein pr~~Qnt, all other
)6 Blood Group (Q J4a)
X No informationo ~ot tasted and no recordY A PiS1. B pos2 A B poaJ 0 poa4 Not known ABO •• po~ •.'5 A neg6. B ne«.7 A B. neg8 0 neg9 ~ot known h B 0 , ncg
)7 Haomoglobin (Q )5~)
X 10 1nformntiono Not testod. .,1 60';:, - 69',. 19 to 10 4 gram~)2 Undor 60~ Undor 9 gra~s)
9 70~ or ov~r (10' gr8m~ or over)
16
)8
)9(Summary Card
Col 49)
X-nay (Q Jb)
X "0 jnform~tion
o ~o X- ray1 Chest only2 Chu~t ~lld ~b~om2n~1
J thl.st 'lnci P~lvilr_try
4 Chc.st, \.;dom nal and Pl.lvim~try
5 Abdomin~l only6 I\bdominal an'l Pc.lVLmetrv7 Pclvin~try c~ly
Obstetric and ~r~nancy Abnorr~litie~ (Q 37)
Note that th~5C arc. eompli~cntnry with col. qO
Di3proportion nay noed bringing forward frOmnext po:l.ge
Y (Overcode) 1£ more than one abnormalityX No informat~on
o No abnormality listed in 371 Dt&bctc~
2 llo-artJ Active T B4 InfluenzaS German ~ea51e5
6 Disproportion, suspect or proven7 External ~~r5ion
8 Epilepsy9 Other 1ncluding - V R Pas • anaemia admittQ~
for treatment where Hb b~lov 60~. Hydramn1c5Pyelitis. P ID. Chicken pox, Hyperemesisadmitted, cte
40(Summary Card
Col 50)
xo
1
2)
45678
Blccd1n in Pre nanc and Before Delviery37 'ate question 7 in labour for intra
partum haQmorrha«eNote link w~th vaginal b eoding before28 weeks~ osp~c1ally codes 0 and 8
No inf'ormationVO bleeding I or J~ PH, of any sort .!.D1 no nofrom. column J9Accidental A P H (placenta praevia ~~cluded)onlyPlacenta Pr&cvia onlyAll other un~peciried A P H includingintrapartum haemorrhage, from Q ~7 only.Accidental + vaginal pro 28PlnC~L·~ ~r&cvia + vaginal pre 28Unspec A P.H + v~gin~l pre 28Va~inal bleeding pru 28 onlyVc A P H or vaginal bleeding but J9 positive
Includes vurs~g
labour. raIse'~l •
fa\
Admission to Hospital (Q )8a)Home but ~xcludes ~dmlss1on vlthlabour, or ruptu.ed ~Mbr~cs
X No infornl:l t iono No ad!:llss:1on1 ~dm~ssion for tox~cmia
2 ~doission for other than toxr~Mla
) \dlfl!saion for to"("\",nl1n and othor .. 17'4-(
~2.
4J.
44.
Differs here from 4J.
- tl -
e of Labour or Delive Adcission (~. J9)Chock with 1 time of stagos and membranesand induction etc.
Y. Not ~dmitted ~uring labour.X. Admitt~d ~uring labour as booked case.O. Admittod during labour as emergency.1. Booked ~t n hospital but admitted to
another bocause of holiday etc. i.e. Dotto b~ rega~dec a3 emergency.
Duration est St~ge (~.41)
HOURSNote code 8.
X. No information.O. No first stage (elect. C.S.)1. Under J.2. J and under 6.J. 6 and under 12.4. 12 and under 24.5. 24 and under 48.6. 48 and under 72.7. 72 and over.8. III defined.
Duration 2nd Stage (Q. 41)
MINUTES
X. No information.O. No secor..d stage (some vaginal, some C. S. )1. Undar JO.2. JO - under 60.J. 60 - under 90.4. 90 - under 120.5. 120 - under 150.6. 150 - under 180.7. 180 - under 210.8. 210 - unde::, 240.9. 240 or over.
Duration Membranes Ruptured (Q. 42)
HOURS
X. No informa.ion.O. Not ruptured pre delivery.1. Under J hours.2. J - under 6.J. 6 - u~der 12.4. 12 - under 24.,. 24 - under 48.6. 48 - under 72.7. 72 - 1:""l.der 120_.8. 120- under 168.9. 168 and over (7 days).
18
(sucunary CardCol. 66)
.J.lluu'"'''l.un \ ,. ~JO}
Ch~ck th~t the patient was not in labour.
C~lccl: ..... 1~~1 'icr orr_~cs RL.ptur..:d tiMe.
(a.B.E. ~~~n failed not count~d).
X.a.l.2.J.'L5.6.7.8.9.y
No 1nfol"'ctDCio •~o ln~uctlon ~s specifl.ed below.axytocl~ but nO surgical.~ow Surgical ) ThescHieh Surglcal ~ ~{1 t:'lOl tD.K. s~rg_~al I axytccir.O.B.E. oe~~rc~en or C:1P only.Low surg~cal. ) TheseHl.gh 31.rg:!.-::o.l) \(l. thD·K. 3urgl.cal) axyt)cina.B.E./oectrogene or strlp.axytocin =U labour only.
X. No ~nfer~at10n.
a. Vertex a.T. '/hen so spec. (D.T.A.).1. Vertex a.h.2. Vertex a.p.J. Breech.4. Shoulder.5. F~ce.
6. Brow.7. Vertex + hand.
De11very Gr~~ (~. 46)
x. No infor~atlon.
48.(Summary Card
Col. 52)
~EC.ot>ED
'a4< •al.1:X;.lY.l.
~2X.
,2.JX.
J.'4x.. _4.
5.6.7.
8j..
No tra~ned person prC5tn~ - breech.No tra nad person present - otherSpo~tancous - Vertex a.p.
" - Face and Brow- Vertex a.A. and Hand.
Forceps - Face and Brow.n _ Vertex ,A. and Hand.
Ceesaraan Sect10ns - elcct1ve11 ft _ LJ. Labour.
Breech - Spontaneous" - Assisted or Extracted.
Internal Verslon.DestructJ.ve.Laparo-=om~r•Sponta,eous Shoulders.
49.(SuI!llDary Card
Col. £J)
Indicatl.on (Q. 46a)
X. No ln~ormatl0n.
a. No abnormallty.1. Cord prcsen.at- jn or prolapse2. Heconlum. •J. Foetal Heart.4. Mecvnl.u~ and foetal heart.5. Other reason.
• 19
JV.
51.
J.lU1UJ. .. t;10nal J'1lalge~ia (Volatile) (Q. 48a).
X. No information.O. Not available.1. Ga~ and air only.2. Trilene only.J. Gas and air and Trilene.4. Ga~ and oxygen.5. No indication for analgesia.6. Contraindication, e.g. asthma, T.B., foetal
distress.7. No til!le.8. Refu~ed.
nnalgesic Drugs (Q. 49a). Single Entry.
X. No information.O. No drugs listed ~n this column.1. Pethidene (demerol), Peth1lorfan.2. Opiate (not peth.), Morph1ne, Omnopon, Heroin.J. Both peth1dene and opiate.4. Other analgesic or hypnotic, c.g. Chloral,
barbiturate, Not Atrop1nc.
52. Listed Drugs (Q. 49U). Multiple - add Y ifmore than one drug. Analgesic and Hypnotic.
X. No information.O. No drugs of this type.1. Chloral, Welldorm.2. Barbiturate.J. Heroin.4. Largactil (chlorpomazine).5. Sparine (promazine).6. Phenargan (promethaZine).7. Doriden.8. Oblivon.9. Other.
Anaesthotic (Q. 50). Check that this is forDELIVERY and not for Romovel of Placenta or Repa1r
53.(Summary Card
Col, 54)
10Y. Nono.X. Goneral.O. Spinal,1. Local.2. Pudendal Block.9. No information.
4 '1.5.6.7.8.
Same as codes Y-2 whong1v0n for E.U.A. up to2 hours before delivery
54. Delivored by (q. 51)O. No trained person (e.g. B.B.A., Pol..c oman et c. )
\ \ 1, Midwife.2. Consultant Obstetrician.3. Registrar.4. Hospital M.O.5. G.P.6. Medical Student. 207. Pupil Midwife.8. Other.
Delivery-Supervision Group~ punched in Col. 79.
\0 I
\')..
56(Su.:lmar / Card
Col 55)
\3
S~nlor Pcr~on PT~scnt ~t D~livcry (~ 51)Gnu b,~ ,Jo.lr.;~ "'.9 3~ For doubt.ful athors plcas,-u3k Cou£ 1n t~~s ord~r of prcf~rcncc -
2 Lon..Jul ta.n::J H.:,~l..:3 traT4 1I09pito.l 0 (nny nn<.1~.::Jth... tist).5 G P1 Hlc.Wl.f(.6 M~dl.cnl ~tudcnt
7 Pup1l ~l.d'lf~
o .. 0 trained
§Q (:; 5J)
X "'lo t knOW'"'l
1 I.l.LE2 FEH.r..l. EJ Intcrs(.x
57 Ce.stntion Groups(Summary Card )'-'-'"../~ ...
Col 61) L ~ e OY Undor 196 days (axel ges t not k,nO"'Tl)",S 0 196 - 202)'> 1 20J 20920 2 210 - 2163' J 217 22J "", 4 224 - 2JOif' - 2J1 2J7J 0
~,~ 2J6 - 244
14-.. \'5' 245 - 251 ,J' 6 252 - 25&
V/ 259 - 2653 AO 206 - 272 "3'n 27J - 279 "
~~bEt> 4i'Q X2 2Bo - 26~
1/ I ~J 261 - 29J.,.ax4 294 - JOO'>'.3 X5 J01 - J07 "¥ .....X6 J08 - J14 "",f X7 J15 J21 ,W'X6 )22 days :on"" 0"'- r (c .. cl gcst no t knovn)
lik. X9 'la t knovn
Toxaeoll'L Groups
Normal - on ~oxae~lc
Purv assent1al hypertensionE H tn-~"'~ia - moderata
" - severe_ protc~nurla - C 5 U • non
in!'ectlvcR _ proteinuria _ non C S U
?urn toxa~~la - mild- :noderstc~ scvero_ proto1nuria - C ~ U , non
inf'ocl1ve- prQt~1n~ria - non C.S U.
Uncla~~1ri~d toxa~nia - mile- modc.rato- ::IOVCI"f;I
56(Summary Card
Col 70)
\(..-,'1-
o12J4
,6789
Xl~2
'JX4
" • --_... .
21
58 TOXacrlia Group~ (cont~ )
Xb Lnclasslfied 7oxav;:da - prot, inuri..l. -non C 5 U
X7 t'ncl... l'5S1.1._d protc.lnur1.3x8 Ecl~rrpsl.iJ.
},.9 It... 'a.l.nu .... r
59 55)
.l..thDrug~
(sJ.nr1e ... ~ thoutLntry) Drugs
(Coraml.nc. lobeline, Ynnd1d,lcthidronc)
\~
51
X No 1nforr~t10n
o No r~susc .. tatlon or only pl~in or na~~l
o<ygo, or incubator1 Intragastr.l.c oxygen2 E'dltr8ch.... al oxygenJ 1 .. 2~ ~outh to ~outh
5 None or plain oxygenL Intragastr:lc7 Endotrac"leal8 1 + 29 ~outh to Qouth
Drugs to Baby (Q .56) 'lJ.thCI" for resc.3cl.tationor la ter {\1ul t J.plc - add Y if more than on~
drug)
X '10 inforna t iono No drug,:g1 Coranlnc (nikethamide)2 Lobeline and other ~ticulants
) Scdat1VCS4 ~ntagonl~ts. l~thidronc, nalorphlna,
i..vRlorfan.5 Synkavit, Vl.kustab6 SulphonaQides7 Pe:nic1l11.n8 Streptoi1ycin9 Other antl.b10tic!I. to:rra::-.ycin. aurcoi:lycin,
tetracycll.ne, erythro~c1n, novobiocin
Baby Illness (~ 59) Check:lf tr~n!lforred for'lEDIC...L r8ason~
xoy
Vithout 2Transfer J.
456
With 7Transfer 8
9
'10 inf'ormation~o disease or transf~r (~cdical)
He~moly~ic diseaseR~!Ip1ratory or ce:rebralOther :lnfection.sOther conditionsHA~Clolytic
HaonorrhagicRespiratory or cerebralOthpr infoctionsOth~r condit1on3~
62 Honth of Doath (~ 60)
o Survivor (l:l/~birth. lived)J d~Qd in ~nrch
4 d i Jd in apr!!Ili .........
lri. I
22
- I) -
COLm4NS 61-65 and 68-74 .~E USEP FOR DEATHS
6).(Summary Card
Col. 56)
64.(Su=ary Card
Col. 57)
65.
l.. ...68.(Summary Card
Col. 77)
Time of Death
O. S.D. 1.ac. ove::- 24 l">rs pre labour (ante-partum) .
1. S.B. 'I3.C. perJ.partum. (Intrapartum).2. S. B. 1'1<';::. d. k. when died (unspec J.f'ied) •). S.il. FRESH - 1st stage.4. S.B. FRESH - death in 2nd stage.6. N.N.D. lli,~er JO mins.7. N.N.D. 1st week (under 7 days).8. N.~.D. 7 days but under 28 days (2nd to
4th wee!e).
Cause of' _ lath G~oups punched J.n Col. 80.
Age at Death
x. '?Kt l v fornatJ p S.B.Y. Under JO mins.O. Over JO nJ.ns, under 1 day.1. 1 day and over, and under 2 days.2. 2 )J. ) 44. 4 55. 5 66. 6 77. 7 108. 10 149. 14 28
P.~. ClassJ.fJ.cation
O. No P.H.1. P.M. done, macro. report only.2. P.M. done, ~acro. + micro.6. Re-assessed.
Gt'os Ti'\ ." 00 I'::IPrJ.rnary Cause of Death
X. Congenital abnorma1J.ty.Y. Other J.nfections.O. No major lesion.1. TraW!1a.2. Trauma + Asphyxia.J. AsphyxJ.a.4. PneUl:1OT!J.a.5. Rhesus.6. Hyaline Membrane.7. Massive Pulmonary Haemorrhage.8. I.V.H.9. Miscellaneous_.- (blank) No P.M.
?
'"\ I
23
70.
Sveondary Causes er DeathUce Y for overeode if wultiple.
onF,enit~l abnornality.No. r lesion.
1. Trau!...·a.2. Trau;:Ja + ASphYxr-a-.-_______J. Asphyxia. _________4. Pn"Ui:lon:la. ________5. Rhc 5 us. __________6. Hyaline ~enbrane. ---__7. Na.;sivc Pu:;'mo:lary Haeoorrhage.8. LV.H.9. M:lscellanaous.- (blank) No P.~.
71.
X. Not exar.:ln3d.Y. Gros~ inQaturity &S only lesion.
---O.--NQ_ h:l:3 tolog:l.eal les ion.1. Hyil1na-liembrane.2. MaS6:l.Ve Pulbon~ Haemorrhage.J. Resorpt:lon atelec~asis.
4. R&sorpt:lon atelectasis -:-I.P.~~.
5. Eaeoorrhag:lc PneuDonia.6. Bronchopneuoon:la.7. Intr :terine Pneu~on:la.
8. I.P.rt. Mecon:lu~ Aspiration.9. I.P.A. other.
Other Lung H:lstology (Micro.)Use Y for overcode :If multiple.
X. Not 2xao:lned.O. No lesion.1. Hyaline Meobrane.2. Mass:lve H8.emorrhag~.
J. Scanty HaeDorrhagc.4. Intcrst:ltial Haenorrhage.5. Pul~onary oedema.6. Inhalat:lon of Deconiuo!dobris.7. Pneuoonia. •8. EI:lph}'sema.9. Gross lcoaturity.
~-
-~---------
72. M:lsccllaneous PathologyY (overcodc) only codes 1 - 4 Day be multiple.
X. Diagnosis uncertain.O. N:l1.1. Pneuoothorax.2. Eophysana.J. HaecoperitoneuI:l.4. lle"onlUD aspiration.5. C ••6. RhGsus.7. Asphyxia-Trau~a.
8. No cause found.9. C~reb~o-Respiratory. 24
7J· Plac'.ntal '.Ioight
X. ~ot t'/I:~ 1~hert.
Y. Loss tho.n 250 g:J.o. 250 - 299 Gm.
4\ 1. JOO - J49 go.2. J50 - 399 r;r.J. 400 - 4 119 gr-I.4 . 450 - 499 go.5. 500 - )49 gn.6. 550 - '::;99 gm.7. 600 - 649 gn.8. 650 - 699 g.,.9. 700 ..
74. Plac~ntal Patholo7V
WithoutHistology
1
1'li th
Histology
X. Not cxar;u.n",d.Y. Nor~al ~acro. and ~icro.
o. Norn31 n~cr~. not eX&~1n~d ~1cro.
1. hll chorlonltls.2. Retroplacental H'go onlyJ. Retroplac. + lnfa~ctlon
4. Infarctl0n5. Other abnoroallty.6. Retroplacental H'ge only7. Rctrop1ac. + lnfarctlon8. Infarctl0n9. Other abnor~o.lity.
75, 76, 77. Welght of Baby in Ounces - 3 Cols. (Q. 54)(Sumnary Care'
Cols 74 75 76) Actual wel~ht In ounces. 4~ - 4-5. , . ~
75.(Summary Card
Col. 74)
XXX. No infor::Jation.XOX. EstJ.Gatud welght over 51b. 8oz.
(2500 graos + ) •XXO. Estl0ated weight 51b 8,:;z. or less.
(Under 2500 graos) •
Blrth 1, .:>ight Groups
D\ 3. Under 1000 gro,:;Js Under 036 ouncesDc 4. 1000- 1499 " OJ6 - 052 "" : 5. 1500- 1999 OD - 070' "~ _ 6. 2000- 21199 071 - 088 "
7. 2500 - 2999 r8? - 105 " 4-<c, - 4-----=t8. 3000- 3499 106 - 123 "9. 3500- 3999 124 - 141 "
~3*3. 4000- 4499 142 - 158 "Y4. 4500- 4999 159 - 176 n
Y5. 5000- 5499 .. 177 - 193 ,.Y6. 5500 graos &. over 194 oz. and ovorY7 • No inforoation.Y8. Estirlated weight 2500 gracs and over.Y9. EstiClated WEllght under 2500 graos.
10. Re!ponsibility Groups
only.+ otl.•not
Y3.
Y6.Y7.
Xl. llospital Booked le Doliverod - J.NC Hospito.J.X2. _ ANC HospitalX). _ ANC Other or
known otc.Y4. Dooicili~ry Booked & Delivered - ANC Hosp1tal
+ Other.- ;:NC L.H.A.
~",l one, or 'W'1 tlLower.
- ,-.NC G. P. only.-. ~ Midwife '"
G.P.- No ANC or not
known etc.01. Dor:1l.ci11ary Bool:ud, Hosp1t!l.1 Deliv"red.02. N.R.S. Uat~r~1ty Homo Booked and Delivered.0). N.R.S. ~at"rn1ty Hone Booked, Hospital Delivc=:~
04. Pr1vat~ Nurs1ng Hone Booked and Delivered.05. Unbooked, Hospital Delivered.06. Unbooked, Dooic1l1ary De11vered.07. Residue - Hospital Delivered.08. Res1due - rOoic1liary Delivered.09. Residue - G.P. Un1t Delivered.
O. Reoainder.
79. Delivery-Supervision Groups
O.1.
2.
J.
4.5.
6.
7.8.9.
X.
Y.
No tra1ned person present.Delivered by Consultant Obstetrician orReg1strar.
Delivered by Hospital M.O.: Supervised byConsultant Obstetrician or Registrar.
Delivered by Hospital M.O.: Other or noSupervision.
Delivered by G.P.Delivered by Midw1fe: Supervised by ConsultantObstetrician or Registrar.
Delivered by M1dwife: Supervised by HospitalM.O.
Delivered by Midwife: Suporvised by G.P.Delivered by Midwife: No supervision.Delivered by Pupil Midw1fe or Medical Student:Supervised by Midwife.
Delivered by Pupil Midwife or Medical Student:Supervised by Doctor.
Delivered by Pup1l Midw1fe or Medical Student:•no supervi51on.
26Asphyxia.prior to labour Mac. SB. •in labour - first stage Fresh SB.in .~bour - second stage Fresh SB.1n labour - ~acerated.
1. Congen1tal Malfornation.2. Stillbirth prior to laboU1, no cuase found
despite histology.J. Stillbirth in labour, no cause found despite
histology.Trauoa.Trauna +AsphyxiaAsphyxiaA.5phyxiaA.sphyxiaRhesus.
: I" /
4.5.6.7.8.~.
X".
Causes of Death Categor1es - Stillbirths30.(Summary Card
Col. 78)
80.
- 17 -
Causes of Death Catcgor1es (Contd.)
X2. Stillb1rth in labour, no h1Stology.X3. Macerated stillbirth prior to labour, No P.M.X4. Stillbirth in labour, no P.M.
Causes of Death Categor1es - Neonatal Deaths
X5. Congen1tal Malforcation.x6. Infections other than pneuconia.X7. Atel~ctas1s only wi~h histology.X8. No cause found desp1te H1stology.X9. Traul.Ja.yJt. Trauoa + J-~sphyxia.
Tl. .!t.sphyxia.Y2. Pncunonia.Y3. Rhesus.Y4. Hyalino Heobrane.Y5. Hass1ve puloonary haeoorrhage.Y6. Intraventricular haecorrhage.Y7. M1scellaneous neonatal death.Y8. Residue neonatal deaths, nO histology.Y9. Res1due neonatal deaths, no postoortem.
~\V ~\~L.. "" \Jt-\M:QS
~TlI!:R
B
NATIONAL DIRTHDAY TRUST PERINATAL MORTALITY COURVEY
Mother's Ase (Q 8)
~onth oC Birth (Q 7)
County a~d St~~1~rd Region - Col 1
Instruct1.0"15
1. Jrd to 9~h March inc1usive2. February.J. March. other than Jrd to 9tb4. April •.5. Hay.
Place oC Delivery (Q.6 )
Scri~l Numb~T (top right)
Y Hospital as booked caseX Hospital as unbooked case (1ncluding
emergency)o Domiciliary - Hidvl£e booked1. Domiciliary - HldviCe unbooked2. N H.S. Maternity Home (G.P Unit where
there is no resident Hed1cal Officer),. Private NurSLnK Home4 Private ward DC N.H.S. hospital5. El.evhere (_peei£y••. g taxi, etreet,
aMbUlance. etc.),7 ~other and Baby Home
o North Western1 Northern.2 Zast and Vest ~id1n~3
J North ~ddland
4 EfL9tern5 London and South Eastern6 Southern7 South Western8. Wales9 MidlandsX Scotland
CODI~L IDCVTIF:CATION PAaTlrt~ArlS
l. Under 205. 20 - 24 year.6 25 - 29 •
\'::f- 7. 30 - 34 •8. 35 - 39 •9 40 44 • • 28o. 45 y.ars and over
Code d1r.c~. 2 digit. (actual age from code 1 X\"-_' ':= ~i!:~t~o~C~05d~.t4p;0;;.nilic;o;;.1'!1""••9_) _.- 1J! 1~. Ho ~o4~~ion
AgO SloUpS Cbi. 9
\"a
8(Summary Card
Col. 13)
9.10(S..........,. Card
Co.!.•• 14.13)
C'olul"Ul No
i(Swr..J::l.ary Card
Col 12)
1 - 6
11.eSUllLIJary Card
Col 16)
12.
Har1t~1 Status (Q 9)
Y liarrJiIldX Sln«10o Yidoved, divorced, .eparatod1 Stabl" union.2 Twice married9 No 1nrormation
Sccia-Economic Group (~.ll)
(Y ovorcode used)
01 Tl Group 1 _ Farmers~1LY2 " 2 - Agricultural Workers.()~ ) J - Higher Adcinl~tratlve. ProfessionalalL and Managerial-ir 4 4 - Other Administrative, ProCe.sional
iand Kana«erial
65 " 5 - Shopkeepers
6 - Clerical Workers7. " 7 - Shop As.slstantl!!l8 8 - Personal Sorvice.9 9 - Foremen
i0 "10 - Skilled Workers
'1 11 _ Semi-.kl11ed n\: 2 12 - Unsk111 ed
YJ 1) - Armed Forces, ~_ Not known
(blank) No husband
1)
~\
Social Clase (Q 11)
Y Retired or not «a1nfully occupiedo No inrormation on oeeupation but .sick or
unemployed1. Group :I2 Group 1.:1, Group III4 Group IV5 Group V8 Students9. Dead or perman.ntly awayX Hot known
(blank) No husband.(S.E Or 8 ~alls 1n~o 5 C. Groups II, III. IV
and V).
SOCIO-ECONOKIC/SOClAL CLASS GROUPS (Soo1oEconomic cod•• SToupod by Social CIa.. Group. d.r~v.d
~ro. cod•• on Col 12)
Soc!al Claas Group I (S E. Group )
Hisher Ad.mi.nProfessionalK&nacerial
and
Col. 12
)
Social Cl••• GroupIXI(5.£. Group. 6.7.9.
10,1)
Social Clas. GroupII(S ~. Groups 1,4,5)
- Farmer•• Shopkeeper.Other Admin. Pro~e ••1onal. andKa.na se;lal
For••onShop A••istantsClerical WorkersSkilled Vorker.Araod Force.
TI, 5
4
976 •o
YJ
29
14. 15
- ) -Col. 12
Social Class Group IV - Agricultural(S.E. Groups 2. 11) Workers Y2
Semi-skilledWorkers 1
30cial Class Group V - Unskilled Workers2(S.E. Group 12) - Personal Service 8
Remainder X and blank
Husband's Age (Q.12)
Code direct, 2 digit~.
XX. No information.
16.(Summary Card
Col. 40)
17. 18, 19.
~b-2.r
20.
Mother's Weight (Q.19)
X. No information.Y. (Overpunch) 7 lbs or more with stones.6. 6 stone (or less) and below 7.7. 7 stone an~ below 8.8. 8 stone and below 9.9. 9 stone and belo~ 10.O. 10 stor.s and below 11.1. 11 stone and below 12.~. 12 stone and below 1).). 1) stone and below 14.4. 14 stone and below 15.5. 15 stone and over.
Gestation Period ) digits. (~.7,Q.20. Q.28)
XXX. No information of doubt.
Code ~ days from L.M.P. Refer to M.O. i~ anydoubts, off chart or if unreasonable byweight.
Gestation Groups of 7 day ~tervals punchedon Col. 57.
Place of Antenatal Care (Q. 2lb)
X. No ~formation.
1. Hospital or con~ultant only.2. Hospital or consultant plus other.). L.H.A. alone or with lower.4. G.P. (surgery, home or N. Home) only.5. G.P. plus midwi~,
6. Midwife only.9. NONE. • 30
'Yltunat81 Vi:!l·.u (Q 21b) To'tal Number.This ha~ usua~ly bean c~rr.ctly coded 1nlower ~quaro bOE on right oC mnin block
:io
X No informationo None1 1 only2 :2 only). ) - 44 ~ - 95 10 - l~
6. 1~ - 197 20 - 2'~
8 25 - 299 JO or mor ...
22.(Summary cQ.rd
Col 41)
'SI
Smoking Pr10r t, Pregnan~ (Q 23)
X No inrorr-~tion
o Non ~moker, less than onc2. 1 - 4 da~ly. constantly) ~ - 94 10 - 14~ 1~ - 196 20 - 247. 25 - 29.8 30 or me e
2)(S\UImlary Card
Col ,0)
Smoking in ?re~.ancy (Q 2)a)
X No inror Rtiono No change by 5 months1 Now non smolcer. belo.... 12. 1 - 4 no", }J .5 - 9 ~ Tb!_ part la4 10 - 14 same code ••.5 1.5 - 19 I 22 above.6 20 - 247 2~ - 298 '0 or mero )9 Variable .~t.r 5 months
history atfactor.
1nt'oT'U'atlonprevious presnanciee a~ter 28 week.
and. over.
NoNo12)4,6789
xol.2.J.4.,6.789.
For 24, 2.5. 26, 27. and 28 note that & previousmultiple pregnanele. counts as one unit ror any
24. Parity (Q 24~(Summary Card.
Col. 46)
Abortions (q 24)
X No in~oraation.
o No provious stillbirths1 ) nUi:'ber oC orov1 n1l"
U-I
~or ectopico",h ... ,...,. ......
31
26
- 5 -
Frovious Prcm~tur~s (,lhs 80% or lcas)(Q 24)LIV~ BIRTHS
X No inCormationO. Para 0 or no pr~vlous premature livo births1 l numhur of previous pro mature2 etc. live births9 9 or more
27 Previous Large (81b 1401: or mOTe) (Cl 24)LIVE OR STILLBIRTHS
X No inl'ormat!on
sfc,o. Para 0 or no previous large babiesl. ) number of pr~viou5 large livu or2. etc ) stillbirths9 9 or mora
28
2Q
)0, )1(SWlm:ary Card
Cob. 59.50)
Total Number o~ Previous Stillbirths and~conatal Deaths (Q 24)(1st week & 7 - 28)
x. No ~ormatlon
o Para 0 or no previous 5 B. or M.N.D.1 l number o-r prcv10us 5 B or2 etc. N N.D'a.9 9 or .ore
Pr.V~OU8 Toxaemia, A.P.H •. or Caesarean (Q 24)
X Ho informationo Para 0 or no prevloua toxaemia, A.P.B. or
Caeaare&n1. Provious toxa.mia o~y
2 Previous A.P,R. only) Previous C 5 only4 Provious toxaemia + A P.H.~. Provious toxaemia + C.S.6 Previous d.P.H. + c.s.7. Previoue toxaemia, A.P.B. and C.S.
Be~ght of Moth~r (Q.2S)
XX. No intormationCode in whole inches.N.D 61,. 61t. 61t all ~ 61.It not recorded ?r ~eaeurod by midwifeovereode Y on )1
)2. Book1n" (Q.26b)
Y. Domiciliary.X. JIoepitalO. N H.S. Katernity Hom.. ~
1 Private Kursins Hom••2 Private ward ot M.R.S. Ho.pita1.). Othor place (specity).7 Hother and Baby Ho.e.9. Ho bODkin«
32
- 6 -
JJ Diestoli~ e p no fore 20 vcaks ~d risu toll'1t1.x1mu_ (!.t. 290)NOTE onlf appll(.~ if B P recorded before
20 wc('k~
X No infor=~tion or not cpplic3blo.1 L(,.S8 than 902 90 or ~orc with rise l~ss than 10.J 90 or ~oro with rise 10 or ~or••o No toxacm~a (Tax Group I)y Vith toxae~i& (All other Tax. Groups)
TOXJ...EMIA GROl7S PU~CKED 1'1 COL. 58
J4. Maxlmu.,) Diastolic B P (1 29b)
X No informetion1. Less than 902 90 to 99J 100 to 1094. 110 and over.
t&ken, no inrectlortaken, In~actlon
pro.ont
(=l. J1 abo) (Che«scc ie ~clampsla
prc!lent)
C.S.u.C.S.U
ECLAMPSIANo informationNot presentAlbum~ present,AlbumLD present,
Albu~inuria and EclampsiaQ.)2 toNO
x.o12
J5
J. Protein present, all other.
WITH ECu"iPSIA.S. No inrormatlon6. Not present7 Present LD C.S.U., DO infection.8 C.S.u., protein. and infect~on present9 ProteLn pra.ent. all other.
J6 Blood Group (Q. 34a)
X No in£ormnt1ono. No~ toeted and no record.T A p~.1. B po.2. A.B. po••J. 0 pas.4. Not known ~.B.O•• pas.~. A. ft_&,6. B ne«.7. A.B. nee8. 0 n_ ..9. Not known ~.B.O•• no«
J7 Haomoslobin (Q )'~).
x. '~o in.1"oreat1ono Not testod1. 6~~ _ 69'.. (9 to 10 r. «rams)2 Undor 6~ (Under 9 grams)9 7~ or over {lO 5 crame or
•over}
33
J7140
)8
)9.(Summary Card
~~49)
5"0
~}lt'i""I
40(SWlUDAry Card
Col. 50)
x.nay (Q J6)
X ~o informationo lJo X- ro.y1 Chc!it only2 Cho~t and ~bdominal
). t.hU3't and Pelvimr.try4 Chc~t. Ahdom nat and PLlvime'trY5 Abdomin~l only6 Abdominal ilnd PLlv~motry
7 Pclvirn~try only
Ob5tctric and rr~nancy ~bnor~nlitle~ (Q
Note that these ar~ eompliccnt.ry with col
Di~proportion oay need bringing rorvard fromnext po.go
Y (Overcode) if more than ona abnormalityX No informationo No abnormality listed in 371 Diabetes2 Hl.artJ Active T B4 Inf'lucnza5. German Hea:51e~
6 D~3proportion, suspect or proven7 External vorsion8 Epilepsy9 Other ~ncludin« - Y R Pas. anaomia admittc~
for treatment whero Hb b~lov 6o~. Hydramn1csPyelitis. P I D.• Chicken pox, Hyperemesisadmitted, ete
Bleeding in Pregnancy and DQ~ore DelvieryJ7} ~ question 47 in labour Cor intra
partum haemorrha«_Note link with vaginal b:9Qd~& borore~eelu~ espocially code. 0 and 8.
X No inrorma~lon.
o No bleeding, or ,~ P.H , of' a.ny sort .!!if! nonof"rom column J9
I Accidental A P.H (placenta praevia excluded)only
2 Placenta Praevia only.). All other unspeci~ied A P H includin«
intrapartum haemorrha«_, Cram Q 47 o~y.
4 Accidental + vasinal pra 28, Plnc~~·~ pr.ov!a + va«inal pre 286 Unspec A.P H + vaS1nal pr. 287 VasLnQl bl.edln« pra 28 only.8 ~o A P H or vnSlnal bleedLng but J9 positivQ.
1Dclud.. Nur.~labour. tal.e
'~l. Admission to Ho~pital (Q )83)Homo but ~%eludes ~dmlssion withlabour, or ruptured ~mbrnno.
X. No inrorm~tion
O. No C1dl:1is.10n1 Admission tor to%~cm!Q
2. _dmission f"or other than toxn~mia.~) \d.ls.1on tor toxn~miQ Bnd othor
34
, 42.
43.
- l:l -
e or Labour or Delive Ad~ission (~. 39)Chock with 1 timo of stagos and ~embranes
and induction etc.
Y. Not admittod ~uring labour.X. Admitt~d ~uring labour as booked case.O. Admittod during labour as emergency.1. Booked at n hospital but admitted to
anoth~r bocause of holiday etc. i.e. notto be roga~dec uS emergency.
Duration 1st St~~ (~.41)
HOURSNote codo 8.
X. No information.O. No first stage (elect. C.S.)1. Under).2. 3 and under 6.3. 6 and under 12.4. 12 and under 24.5. 24 and under 48.6. 48 and under 72.7. 72 and over.8. III defined.
44. Duration 2nd Stage (Q. 41)
MINUTES
X. No information.O. No second stage (some vaginal, some C. S. )1. Undar )0.2. )0 - under 60.3. 60 - under 90.
foG, 4. 90 - under 120.5. 120 - under 150.6. 150 - under 180.7. 180 - under 210.8. 210 - unde=- 240.9. 240 or over.
Duration Membranes Ruptured (Q. 42)
HOURS•
"
Dirrera here from 43.
X. No informa~ion.
O. Not ruptured pre delivery.1. Under 3 hours.2. 3 - under 6.3. 6 - Q~der 12.4. 12 - under 24.~. 24 - undor 48.6. 48 - under 72.7. 72 - ~·""lder 120 ...8. 120- under 168.9. 168 and over (7 days).
• 35
(Sul:llllary CardCol. 66) Ch~ck that the patient was not in labour.
Ch.::..cl-:. '\011 ~oll 'lcr or<: :'OoC 5 nt...pturcd tim~.
(O.B.E. \,,:J.,"n faL!.ed not count"d).
X.O.1.2.J.IL
5.6.7.8.9.Y.
No informa"t io' .No ln~uction ~s spocifled below.OxytOC1~ but no surgical.Low Surgical ) ThescHieh Surgical) Witho, tD.K. s~rg_~al) OxytccinO.B.E. oa=wrc~en or r~ip only.Low surgical. ~ TheseHlgh sl.::-g:!-cal I '1'1 thD K. surglcal) Oxyt0cinO.B.E./oe~trogene or strlp,Oxytocin :n labou::- only.
48.(Summary Card
Col. 52)
49.(Su=ary Card
Col. £J)
X. No infor~ation.
O. Vertex O.T. "lhen so spec. (D.T.A.).1. Vertex O.i..2. Vertey. 0.".J. Breech.4. Shoulder.5. Face.6. B::-ow.7. Vertex + hapd.
Dellvery Gr(':~ (t;<. 46)
X. No infor~atl0n.
0"04. No tralned pGrson present - breech.<
~~.Ol. No tra ned person present - otherCl) IX. Spo~taneous - Vertex O.P.1'4 1 Y • " - Fac e and Brow~ 1. - Vertex O.A. and Hand.ob- 2X. Forceps Face and Brow.O*-~2. ' - Vcrtex .A. and Hand.ot JX. Caesarean Sectl0ns - elective~ J." "- :In Labour.\0 :4X. Breech - Spontaneous\' <_4. " - ;_ssisted or Extracted.l~ 5. Internal Verslon.\') 6. DestructJ.ve.l4- 7. Laparoto!IJ;'.\~ffl. Sponta~eous Shoulders.
Indication (Q. 46a)
X. No information.O. No abnormalJ.ty.1. Cord prcscntat" ~n or prolapse.2. Meconium. •J. Foetal Heart.4. Meconlum an~ foetal heart.5. Other reason. 36
, -
. ,X. No inforcation.O. Not availabl~.
1. Gas and air only.2. Trilcne only.3. Gas and air and Trilene.4. Gas and oxygen.5. No indication for analgosia.6. Contraindication, e.g. asthma, T.B., foetal
distress.7. No til!le.8. Refused.
51. hnalgesic Drugs (Q. 49a). Single Entry.
X. No information.O. No drugs listed in this column.1. Pcthidene (dcmerol), Pethilorfan.2. Opiate (not path.), Morphine, Omnopon, Heroin.3. Both pcthidene and opiate.4. Other analgesic or hypnotic, e.g. Chloral,
barbiturate. Not Atropine.
52. Listed Drugs (Q. 49a). Multiplemore than one drug. Analgesic
X. No information.O. No drugs of this type.1. Chloral, Welldorm.2. Barbiturate.3. Heroin.4. Largactil (chlorpomazine).
- add Y ifand Hypnotic.
Anaesthotic (Q. 50). Check that this is forDELIVERY and not for Removal of Placenta or Reps1r
53.(Summary Card
Col. 54) Y. None.X. General.O. Spinal.1. Local.2. Pudendal Block.9. No information.
4.\5.6.7.8.
Same as codes Y-2 whongiven ~or E.U.A. up to2 hours before delivery
Delivered by (Q. 51)
37•
O. No trained person (e.g. B.B.A., Pol~coman etc.)1. Midwife.2. Consultant Obstetrician.3. Rogistrar.4. Hospital M.O.5. G.P.6. Medical Student.7. Pupil Midwife.8. Other.Delivery-Supervision Groups punched in Col. 79.
IQI
55
56(Sul:Ul1ar; Card
Col 55)
57(Summary Card
Col 61)
58(SulllJaary Card
Col. 70)
Senior Person Pro.cnt ut Dolivery (~ 51)Cnn b~ 3~~e ~s 54 For doubtful othors plQas~
Q3k Code In th~8 ordor of preferonce -
2 Con.,Ju 1 tan tJ Hee~strar
4 Hospito.l d 0 (any anu.:'3th,)t.1.st)5 G I'1 l>Ii~wir(.
6 kodical ~tud~nt
7 Pup11 Hid.i£co No trained
~ (~ 5))
X 'lot kno ....n1 1-L~Lr::
2 FE><-J.EJ Intersex.
GeSUl.t10n GrOU05)'~~y...
L_20Y Under 196 days (axel gest not known) O("s 0 196 - 202 , 0'1-:;J:; 1 20) 209 ~330 2 210 - 216 ,
'b13 ' ) 217 - 22) ,
". 4 224 - 2)0 " oc..;J3 5 2)1 - 2)7
~}jf,6. 2)8 _ 2447. 245 - 251 ,
3' 8. 252 - 256 ,
a~,/- 259 - 265 , t\3 XO 266 - 272 , \i3' Xl 27) 279.-." X2 280 - 286
~¥I X) 28/ - 29) ,¥1x4 294 - )00
knownl
"..J X5. )01 - )07 ,i''''X6 )08 )14 •¥fX7. )15 - )21 ,""'X8. )22 days en'" ovar (exel. sest no'
1'ik.1C9 • No. known 1\
Toxael:l.ll'l. Groups
0 Normal - r on toxaec:dc ~~1 Pur. essential hypertension2 E H. tn-~~~i. - mod.rata 103) - ••vere
non ':,}4 • • - proteinuria - c.s.u .m£ectivc
"IIJ5 • • - prol.o.1.nuri&. - non c.s U6 l'urc tOXj],r..,ia - mild ~,7 - .adorato.8 ':.- .cvero
?~9 _ protoinur1.a - c.c; U . non1.n.Coctlv8
Xl. • , . prl)ta1.nJria - non c.s.u.
-~U Unclas~lfiod toxaLoia - 1!l11~.
X). • - modcr&to .X4 , , - :Jovortln • •
It I • 38
58 Toxaoclia Group~ (contd )
X6 Uncln~51fled 7ox8~~ia - proteinuria -non C 5 U
X7 Unclu~5if~~d proteinuriaXB Ecl.c.lI'",p~ laX9 Ih.::la 1nd... r
59 R.SU5C1t~t10~ (~ 55 )
(lunrle ....:lthout
l".ntry) Drug~
(Coraminc, lobQline. vandld,lcthidrono)
W,1.thDrugs
X No 1nforr~tion
o No r~3usc~tatlon or only plain or nas~l
oxygu~ or incubator1 Intragastric oxygen2 Endltrachoal oxygenJ 1 + 2~ Mouth to rlouth5 None or plain oxygenG Intragastr1c7 Endotrnc"leal8 1 + 29 ~outh to couth
'10 inCarnationNo drug:iCoraninc (nikethamido)Loboline and othor sticulantsSedativesAntagonl~t5. l~thidron~. nnlorphino,
l~vl!I.lor:fan
Synkavi~. Vika.~ab.
Sulphonacide.PenicillinStreptomycinOthor an~ib~otlcs, t~rramyc1n. aureomycin,tetracycl1ne. erythrornyeLn. novobiocin
61
~D~ru~g~.~~t~o-!8~a~b~y (Q 56) Either for resu3cltation~, or la tar {'lul tiple - add Y if' more than onc
drug)
~~ ~£i~~4
U5~;31 83)..9
Baby Illness (n 59) Chock it tran.torred t'orMEDICAL reasons
xoy
V1~hout 2Transt'er J.
456
Vi th 7.'l'ranst'or 8
9.
No i.nl'oTIII&tlon.Ko disoase or tran.t'~r (oedieal)Hacmoly~ic disea••R~spiratory or cerebralOther inrectlonsOther conditionsHncmolyt le.HaonorrhaglcRcsplra~ory or cerebralO~her 1ntoctionsOther eonditlons~
•62. Month or Doath (Q 60)
n Survivor (liJ~birth. lived)3 died in March4 di..:Jd in ....pril 39
- 13 -
COLm4~S 63-65 and 68-74 f~E USEP FOR DEATHS
6J.(Summary Card
Col. 56)
Time of Death
O. S.B. flae. over 24 prs pre labour (anto-partum) •
1. S.B. 113.c. peripartu!il. (Intrapartum).2. S.B. Ma~. d.k. when died (unspecified).J. S.D. FRESH - 1st stago.4. S.B. FRESH - death in 2nd stago.6. N.N.D. unGar JO mins.7. N.N.D. 1st week (undur 7 days).8. N.N.D. 7 days but under 28 days (2nd to
4th week).
Cause of .3ath Groups punchod in Col. 80.
64. Age at Death(Su=ary Card X. 1tG jnfprnati p S.B.
Col. 57) Y. Under JO mins.O. Over JO mins, under 1 day.1. 1 day and ovor, and under 2 days.2. 2 JJ. J 4
36 4. 4 55. 5 66. 6 77. 7 108. 10 149. 14 28
P.~. Classification
O. No P.M.1. P.M. done, macro. report only.2. P.M. done, ~acro. + micro.6. Re-assessed.
X. Cengenital abnormality.Y. Other 1nfections.O. No major lesion.1. TraUl!la.2. Trauma +
Asph. a.P nonJ.a.Rh.osus.Hyaline Membrane.Massive Pulmonary Haemorrhage.I.V.H.
9. Miseollaneous_.- (blank) No P.M.
1"~"""oll'J( (Pr1mary Cause of Death
,,- ~ !~-4.068.(SummaIT Card
car. 77)
• 40\":J/
Svcondary Causes cr DeathUce Y f~r overcode if oultiple.
X. _ongen~t~l ~bnor~ality.
No J:!ajor lesion.Trau!:"a.Tr~;:la + A.sphyxia.:"sphyxia.Pncui:1onl.a.RhC5
,~~y~.~ine Menbrane.Ma~sivc Pu:~o~ary Haeoorrhage.
8. LV.H.9. MiscellBneous.- (blank) No P.M.
70. Pri~ary Lung Lesion (~icro.)
X. Not exar.in3d.Y. Gross icoaturityO. No hlstologlcal1. Hyal~ne MeID e.2. Massiv uonary Haemorrhage.
n»~rption atelectasis.Rcsorption atelectasis - I.P.A.EaeoorrhaglC Pneuoonia.nronchopneuDon1a.Intr :terine Pneu~onla.
I.P.h. Mecon~uD Aspiration.LP.A. other.
Other Lung H~stology (Mlcro.)Use Y for overcode if multiple.
71.
J.4.5.6.7.8.9.
Not "':lCao~ned.
No lesion.Hyaline Meobrane.Mass~ve Haemorrhage.Scanty Haeoorrhago.Interst~tial Haenorrhage.Pu1~onary oedema.Inhalation of oeconiuc/dobris.Pneuconia. .EophyseliJa.Gross icnaturity.
72. Miscellaneous Pathology~ Y (overcod"') on1y codes 1 - 4 may be mu1tiplo.
S-q.. X. Diagnosis uncertain.
fr O. N11.1. Pneunothorax.
It 2. Eophysema.J. HaeooperitoneuD.{'ct. 4. NeronlUO aspiration.
loo 5. c. . .tq 6. Rhesus ..\,)... 7. Asphyxia-Trau~a.
""'3. 8. No cause found. • 411c1Cf- 9. C~rebro-Respiratory.
.r . 7J . Placontal Iloight
X. Not wei{\"hed.Y. Loss than 250 g~.
o. 250 - 299 ITrn.1. JOO - )49 {\"O.
2. J50 - J99 gr.
toS' J. 400 - 4 119 gr,.4. 450 - 499 g:->.5. 500 - 549 go.6. 550 - ::;99 g&1.7. 600 - 649 gn.8. 650 - 699 ff.:J·9. 700 +
74. Placental PatholoTV
WithoutHistology
1
11/1 th
Histology
X. Not cxarn1ned.Y. Norca1 macro. and micro.o. Nornal c~cro. not exa~1n~d ~1cro.
1. hll chor1on1t1s.2. Retroplacental H'go onlyJ. Retroplac. + 1nfarct1on4. Infarction5. Other abnormal1ty.6. Retroplacental H'ge only7. R2troplac. + 1nfarct1on8. Infarct10n9. Other abnormality.
75, 76, 77. We1ght of Baby in Ounces - J Cols. (Q. 54)(Sullll:lary Card
Cols 74 75 76) Actual wei~ht in ounces.. , , ~
XXX. No infor~ation.
XOX. Est1r.atcd weight over 51b. 8oz.(2500 gracs +).
XXO. Est1cated weight 51b 8cz. or loss.(Under 2500 grans).
75.(Summary Card
Col. 74)
Birth W~ight Groups
J. Under 1000 graIas Under OJ6 ounces4. 1000- 1499 11 036 - 052 JI
5. 1500- 1999 JI 0" - 070"'" 11
•6. 2000- 2499 11 071 - 088 11 •
7. 2500- 2999 11 "89 - 105 11
8. JOOO- 3499 11 106 - 123 11
9. 3500- 3999 JI 124 - 141 11
~*3. 4000- 4499 11 142 - 158 11
Y4. 4500- 4999 11 159 - 176 11
Y5. 5000- 5499 11 177 - 193 JI
Y6. 5500 grat:lS &> over 194 oz. and overY7. No inforoation.Y8. Estioated weight 2500 gracs and over.Y9. Esticatod ll'Qight undor 2500 grans.
• 42
only.+ otl••not
Do1ivored - ANC HOl!lpit~
- Jl.NC Hospital- ANC Othur or
known otc.Docici1inry Booked & Delivered - ANC Hospital
+ Other.- J.NC L.H.A.
"lone, or wi tJLower.
- ,·.NC G.P. only.-. : Midwife ..
G.F.- No ANC or not
known etc.DOD1ci11ary Boo~ud, Hospital Delivered.N.H.S. NatQruity Home Booked and Delivered.N.H.S. Haternity Ho~e Booked, Hospital Delivc~~~
Private Nursing Home Booked and Delivered.Unbooked, Hospital Delivered.Unbooked, Donic1l1ary Delivered.Residue - Hospital Delivered.Res1due - ronici11ary Delivered.Rcsidue - G.P. Unit Delivered.Recainder.
~. ~niibil'ity Groupl!l00 ~
~I Xl. lIoapitll.l Booked &:0).. X2.tP.J XJ.
0'+ Y4.
fP~ Y5.
~-~~~t. Y6.
~ n.~t Y8.
C)'i 01.\0 02.,\ OJ.1"1- 04.\~ 05.
\~06.07.
le". 08.l=. 99.,e o.
,_ • I. •
79. De1ivery-Supervis1on Groups
O. No trained person present.1. Delivored by Consultant Obstetrician or
Registrar.2. Delivered by Hospital M.O.: Supervised by
Consultant Obstetric1an or Registrar.J. Delivered by Hospital M.O.: Other or no
Supervision.4. Delivered by G.P.5. Delivered by Midwife: Supervised by ConsultanT
Obstetrician or Rogistrar.6. Delivered by M1dwife: Supervised by Hospital
M.O.7. Delivered by Midwife: Supervised by G.P.8. Delivered by Hidwife: No supervision.9. Delivered by Pupil Midwife or Medical Student:
Supervised by Midwife.X. Delivered by Pupil Midwife or Medical Student:
Supervised by Doctor.Y. Delivered by Pupil Midwife or Medical Student:
•no supervision.
Causes of Death Categories - Sti1lbi
43Asphyxia,prior to labour Mac. SB. l
in labour - first stage Fresh SB.in _~bour - second stage Fresh SB.in labour - macerated.
1. Congenital Ha1.forna~~~
2. Stillbirth 0 1aboU1, no cuase founddes il!lto1ogy.
J~.~~~~birth ~ labour, no cause found despitehistology.
Trauca.Trauna +AsphyxiaAsphyxiaAsphyxiaAsphyxia.Rhesus •.
4.5.6.7.8.~.
x•.
GO.(Summary Card
Col. 78)
·.~ ., \ "
80.
- 17 -
Causes of Death Cate
X2. Stillbirth in lab r, no histology.X3. Macerated still rth prior to labour, No P.M.X4. Stillbirth in abour, no P.M.
Causes of D th Cate ories - Neonata1 Deaths
Co en1ta1 Malformation.fections other than pneumonia.
Ate1cctas1s only with histology.No cause found despite Histology.
X9. Trauoa.Y;. Trauoa + Asphyxia.'Yl. J<sphyxia.Y2. Pneuoonia.Y3. Rhesus.Y4. Hyalin.) Hembrane.Y5. Mass1ve pu100nary haecorrhage.Y6. Intraventricular haemorrhage.Y7. M1sce11aneous neonata1 death.Y8. Residue neonata1 deaths, no histology.Y9. Residue neonatal deaths, no postmortem.
c\-\+ NEW \llEtot .....
4S"'-<. CA-lt) NuH6~
':\--\~ SEtt\1t\.. N\Jt.t6Q. Cclut&-nJ t.t&b t1aM'~ "-'0'& - o:»\.. =T- t\....\"" ~ \.~.,.... (c.t4)
\S-\b 0\ \.el~" (eM)
\~-\, "'~ "9LuM~N~E. ,,~)
\C\-~ (g~ \\ \t.1eC) LUfJ~S. w-,- (Or)
~ \-).. a... 'ft&M...,. \J-)'" ( 6-)
~3-il"" ~'\ld \I), (10<:")
a.tr-1.\::> ~I ~~ .. c.GM&lWI!O w-f (~)
~~ ~'~6- Ut&leNOW ....
(,0\- "'='"o. ~~ ~s"Te.I.'"
, • ,",0 a."t"'\4..a ....~. ~,. tI'''b WG'T 9. \b ".hrS
". t'ot-~ "'\~, I)Nb
4-. 5lPlS~ ...
~. ,~... fItlto.lC) \. ~ «'" ~'"f'EIt. ....b. ~~tol
1-; ~~ \A,)CS""nfILN
q. ~'-es
C\. ~,,~ \-.fIr-"U) S
~. s.c..o-r~~b
• 45
aa .:...:. "-' ,'; " u ,cm-
till: ilJ.57
0 2 , 0, C
1. 4 - , 9 .. \2 6 1·- •J 8 9.9 •
• 10 - 11~!' .., 12 l).Q
6, )4 l~LQ ..16 17. 1'
1 It, ., "" 20
~So
'!\ _~~==_=::=::====::;::::;:=l...:;:lr="=,n~-:r'=k:;:.,:;'="='_::.=~=.:::$:::t=o:;::\:;r;:.:;f:;.;:::J=5;::. J::::6;;:::>:;:.;::;T=O::::;:l:::;:P=l:;"::'C::"=d=O=C==l=~ 'n l -: 26 1) ~IIA"" w.'«ht of or.Rn 1. Dot JUiovt\ •
...... "e j. pun~h..d
where none ot the .eichta ar_ known.code • 0 1. IN!'cbed 4n col. 7!Cp Lanstb) and the r.mela~ cnl~
lef't blank.
J) cod_cola
X 1. an t-po••lbl. code tOI
1 - 20 aDd ••10. 23 - 26.
,', Bal>L- Onset Sywp!9aa (rer. 41)
~o"'el (I H,... ...p~cl1'ie~ 9. S.B •
" • " • ~phyxll.". X. :Ia.aut't1clont "lntoraatioll
p '\0' < I n"Ii:~-:io bluII O. ~o""ll OD•• t 1••• thlul. 1 ::hJ1
..t._ • qt>hy:r.i" 1. "ormal. on•• t re.t .f 10 , rl
.' , lAt.:lr.r p ,~""1(' u. 2 'Ior"l, on..... 2nd " 1rd ~,
ut." ..... .:1 J fl011St\1 , on.et la.tftr .... 1.. _ ;.0'-
\,,, mouth 4. Uor••l. onalltt. "f't.· 7'h d'
o. n.... ,.\ •• Poor t'rOao biJ"'~n
~ Poor. onea't T""Jo,,-r .~ ,0- 'I ,
6, Poor. oll,e~ 2nd '" Jrd dhy1. Poor. on,et !I'l. .... r lot ..,&10,,"
8 Poow:". all'.'; "f1;.r 10' ..,,,.1<
9.X
o.1.
28 "by _Pi'p,••l (re~. ~Z)
S.B.
1D.u~~101.D~ ~o~~loD
1n.tltutlOD&~ throueboutID.tltutloaal birth. routin••arly traD.~er
(.UAlY proa )
2. 1n.tltutloDal ••••rc.noy traD.~.r
) :tn1l~·1t1\'tlone.l. di.d. at bOllle
t..tltutl0aAl t.- .a_ ~lrUl• ...-ts.-
21 ooatlJwod
7.e.
a..- ~a.I"b,
All .'be..
11._ aad re .,.......
earl, ......,....(_iAl, _.)
-wo....,. .......,....
Den- CIW.l ceh.pn (n', ':J),. ..•.X. 1aea1"rio:l.••' iato..-t:l_
o. ".pu.t"•• ~r .11...
1. Deteriorated, __ lfiN
2. • ••p.t.ratoZ'J' 'i..tre••~,. ·Cold·.~
~. eo...bral
,. "'Jar dof'ol'Uty
6. zat'.o'tlCIII.
7......u.I. All otb.r
T. Budden de.t~ or aoll.p••
lDault'lol'Dt 1ato~t:l.aa
Ul
COIInll.loae &1_
TvUoIUac al_•..t1....... or .~r aloaeCOD'na1..1oa. 11ft. tit. bl•••iDc :rrc. _tIl
Tritobiq w:Lth bloo4iq rro. _ ...
R.,tl'.aD'" er atber yitb bl.~ ,..._...
'0 "by -C,r"ol "p' (re", 52)14.&,. •.•.~~ 11:.
~O.
~I' 1.
~ Z.
~ ,.U-I ~.
"-1. ,.q.s 6.
&4+7 •
0'" a ••d
Ia.urt'iol.at taro~'l_
ABttbiot:l. at b1r~
Aatlb10'&10 la'... , but .1tb~ 12 u, ot' d.ath
1•••1'
Osy.... a' b:Lzotll
0.,...,. 1.'.rOsy.... a' b:L,.... _
Vi•• a.OporaU... (:lJlol. ho,,-)
Other
- P'PRT (re", 5')•Tt it' ..re tJIaa ...
S.B•• 0 tr••'''11;1:
31
r
]2 ..by - I'sp' 1.
(ret. 60)
G•• 'T' U' _ ...
C9 ODe ood••••d
S.B.Iaa.rrl01.at lD'O~tlob
UJ.
0.4... or .ol.r._
a,po".r.1a (J.••• tbaD "OP)'Cold' ....l'l.d oth.r thaa aboy.~or tat.a'loft.
~111.1 or ~t.raal ~'.otloa
J'aWldl0•..,.....zi.Vo.ltl..
]3 "by - '1'D' 2.
(r.t. 'J.)1-..;'..:..'_S;:.~B:.... ..,.c.-.:..:~:;.;ln:.::..-='1.:::-CD_L_~...;... _~ Xo IJuu:r'lo1eat In'or-tlon
':9. O. 1Iil.
t~ 1. Si.... iD .h...
~2. ly.'0110 .ar.er
~~3. a ••pi...tory di.'r•••
~ 4. Cyaaotio .t•••k.
~ ,. CoU.p••
':tl 6 PoUor
~ 7 Ha'lIOrrbap f'ro. bow.l
108 Ra....rrbap .l••vb....
..t
tnrt ., *1t'...,1,op' x.(ret. 66) IQo.
111.
0.. ~T' l' ..re tballl~2.on. ood. a ••d l! :J 0
,,,-4.\S"',.("6.1l-7.It 8.
\C\ ,.
Aa'D.c.pbaly
Anlold ChUri
Bydroc.pbalu. aIOD'
Oth.r ColI.So
CO~D.it.1 h ••rt
a.G.All..atary
Dl.pbr....~lc h'rDl~
G••ophaC.a! 8tr~.ia
Sk.letal
Oth.r
&.-'" "'- """...>-\-~"""""-""
" Ml.s.111R'SU'(r.t 67)
:"'0
x.O.
1.
2.
3.4.,.6
7!
Mo P.X.NOD. pr"'D.t
VolYUlu,
N.opla••
Fo.tAI ,z'aaeu1nntion
Ha••orrba~c dis••••
Idiopathic .ydrop.M.conlu. par~toDitl' v1tbnut ~~Jor C
Adr.Dal ha.aorrh~be
Oth.rribrocy.~io di~aA.e with or without
C1oC'on~um j,i.u.,
,36 Pr'",:- Clef. ot p••S' (rlt. 6.)
x. Coacealtal .baor.allty
T. Oth.r 181,oS10n•
.) , o. .0 -Jor l"loD1. -rr.~
2. Trl...._ + '.phy:lr.l.
3. ....pbyzl.
, • PIl.a.oa.la
5. Rh.....,
6 • By.l1D.. N••br'D'
7. Ma••l•• Pul.onary Raf.arrhae_B. I.Y.B.
9. Ml.G.l1aa.ou.
- (blank) Ho p.K.
'7. 3a, 39 "by" !'icht. In
XXX
10 p. &roup.
Kot knoVD
ot netth Cat.corl•• - Stillbirth.
Tr._ • A.pbvxl.
A..pb"W"Zit prior , 0 l.bou.r 110.•• SII.
A'rh "'2:iR .... l.bonr - 1 •• .t... f'rl.h SI
A.phy '... labour - 2nd l-t... trllb SJ
••phys~& 1.. labour - _a.rat.d
Rh••u..
"0, 1t1 ~~L.e.u",( r.t' • .op lot'.) 1 COQCealtal _lro~tloD
2. Stillbirth prior to labour, DOoaaa. touad d"pit. bi.tolocy
,. Stillbirth ~ labour, aD O'U"tOUDd d••pit. ht.Soloer
~. Tra_,.6.7.B.9.
XD.Xl. Mao.rat.d .tl11bl1 ~~ prior to labour,
DO h1.to10p-
X2. Stillbirth ~ labour, DO ~t~~ololY
X). Mao.rat.d .ttllblrth prioy lRbour.Ko 1'.
X4. Stillblrth iD l.bour. DO P.K.
ca!'" o~ Death C,$••orl" - "09'~1 Ptath.
x,. Coa.cea1tal ..1t'or8A,&1011.
x6. 1Ia1'.otlo•• otb.r tbaD pIl.Wlollla
X7. .t.l'ota,1, o~y witb hl.tol0C7X8. .0 aau,. t'0UIld d••pit. hl.,&ol0cYX9. Tr._TO. Trau.a. A.pbysla
Yl. ....pbyzl.
Y2. PIl.uaoll1a
!3. Rh••u, •
..". .,.lUo_.....T, .•••ift,,..1 m 7
" h. at ..T6. Ia,......,.I.ML1 a.. T1"t'..
y..,. 1U••• l1aae_ 1 ~
n. •••lnl .._t.l , .. U.'.lee7
T' ••• t _tal tke , ..
~ 0'"''''..6 S\=10, DpnSl. I" .sag Bomta
(Col 11,) X. 80 1.DI'or.a' loa
o. 80 rtr.' 'Sac- (01000. C••• )
1 \,,'d.r )
~B z., __or 6
,. 6 _ aader 12
10. 12 __er zll
5. 210 __or 108
6 101 ...0 Wldor 71
7 72 ....d O"lf'.r
8. 111 della.d
JPW:51:l'IJ'w1~9I/1PU.:IIPl/ldUU~.aa IIDR/'l'ES(Col. Illo) X. 80 into...."'_
o. Wo ••cond. .,.p (._ .-aclJlal t 0_ C••• )
1, Ond.,. '0
2 '0 .. und.r 60,. 60 • UDd.1' 90).q 10. 90 .. und.r 1.0
5. 120 - UDder 150
6. 150 - UDd.r 180
7 180 - UDd.r 210
8. 210 _ UDd.r 2100,. 2100 or oY.r
45 Duration M••braa" Ih1plv'd HOllll5
(Col. 115) X. 80 i.Jd'o..-" tall
O. Wo, ruptured. .... ..11....,.
1. UDd.r J hour'
2. , .. W!4..r ,
,. 6 .. muI... 12
10. 11 _ \&Dd.r 110
'SO ~. 210 _ \IDCl.r 108
6. 48 _ and.r 72
7. 72 - UDd.r 120
8. lZ0- mutl" 168
,. 16S aDd 0'"1'11' (7 ayo).
(
•
".fo int'orllll.tioh
Ho induction aM .~.~~t~~a o~l~w
O,.;vto("'\.n bet ~c -, '~1r .... 1
o B.B./o••troc.n ~~ .trip
Oxytoc1.n IX labou .. ,u11'
1.n" ')u.%'c1er t
Hish S....ei.a! )
Dol.. Sur.leal )
dieD Sur.:icaJ.
D. X. SurG:1caJ
(Col. "') :: ... ~:::l Ahr-:= ~h. ynt,onr ......... "'" ln
C:lerk W'~ th Mer.tor-"i:I.•• ",c,ptu'·.d tilll.
li.!:. when '.iled r' ... O'lnt,;:.d, I(e
~
O.
~ \0
)
4.
c
7.S.
9
~ot. ~iak vltb va.iph] t)A.d~nc b.tc~~
~8 " ••k •
• ote .apeoial1y eod~a ~ and 8
X Ho ~o~tlon
O. No bl.e41.Dc. or F it of' "ny ao""!Qd DODO ~ro. ~ol ~c
.\(,.,:oid.ntAl It. P.H ~l~r.nta ppa ~
a..ol\.>.L.~d nnl.y)
2 Placenta pr&a...!a In17
). All oth.r Wl.peC ...:o.":.rj,j, \. ~.H. ~_·IC~_ .. '4nC'intrapartUE ha.ca~·,,~c.
4 Aocidental ....-roe ',1U 1 1':..28
, Placenta pr-RYta • ~.C1Dal pr_ 2~
6, Unapeco A.P H + ~~eLD~l pre 28
Vaeinal bIoedine rl~ ~8 o~y
B Mo A P.H. or "cin~J. ~le.d1D6 b~~ 55J;to.ltive
~a. Deli...,o GrJ)upa X lIo ID1'or_'Clan
(Col. U) .4. lIo tra1.n.d. peraorl pr••'Dt - breec":.
"1 lIo trA~,d per.oD pre8'D~ - other
~e:.obEI) lX Spontaneoua _ Ve~_.7 0 ?
IT. . ".ce ....d Broy
''1-'"" 1 • - Vertex O.A. • ana Hand
2X. J"oroep. - hce and Brow
2 • - Vertex 0 "'. ....d Hand
)X. C••••reaD Section. - el,ctS.••
). • • . i" labour
~X. lre.oh - Spoataa.eou. ,
~I ooatiaued
o
_. Br••oh - •••i.Ced or 'atraot.d
,. lat.raal V.r.ioD
6. Deatruoti••
7. L&J>U'o~o..,.
11. SPQDt&D.~. Sbould.r.
Ipdtn",. (OOl.~')
O.
1
2.
3.1,.
5.
Wo 1Dt'o~tS.OD
Wo .bao....l1ty
Cord pr••••'.tio. or prol.p••
....00111_
"o.t.l llear'\
X.ooa1u. aDd ro.'.l b.~rt
Oth.r N ••OD
D
1
2
T.X
Pl.9. or DeIt••El
(col. 7)
Mop1h of Birth
(Col. I)
Bo.pit.l •• book.d c~a.
Hoapital •• uabook.d eft •• (1nclud1 n«...rc.ncy)
~~ioiliary _ Midwir. booked
Do.iolliary - Midwire unbook.d
••H.S. Maternity Ho.. (0 P Ual~ wheretbare 1. DO r ••14an' Medlcal Orricer)
) Pr1.-t. Mural.. Ho..4 Prlyata ward or K.H.B. bo.pit.l
" &l...b.ra (.peolty, •••• ' •• i •• '&7." •..bulaDO' ••~c )
7. Moth.r and. Baby Ho_
1
2. I "eb1"'U&J'Y, March, other thaD )rd .0 9th
4. April
~. May
'2. Mother l! ~C·
(Col. ,)
'\c tual ac. II'D. oode 1 •• • do , .n c.l ~2
X. •• l.Df"or.atl0D
At" ;riB;. - 001. 52
1- UDder 20
"- ,. 20 21, Y.Il'!'!li
J 6. 25 - a, •~ 7 30 - 34 •; 8. 35 "- 9 '0 44 •
A- D " year. ....d o"er
•
T.O.
",1'1 Cl.,.(001. 1')
,...1 or ••t ..ia.f'tI.11,. _o"P"".0 iIt1'o __ .._pa.t.....
• tok '1' __..1.,...1..... 1I. Go'_ II,. _p In
,. o.-p n,. Go'_"I. I_oata,. Dead or pe_aUy a_yX. _., Ial....
- (U_) _. Ial._
(I.a. Or•• fall. lato I.C. Oroup. 11. Ill.I\', Bad v).
,la . P.ri'1
(Col. 2')
~\
x. Jro :I.Ilt'a....tl0.O. tlo pr.v10u.. pre...,..II.o1•• aft.r 21 ...k.
1. 1
2. 2,. ,4. ,
5. 56. 6
7. 78. 8
9. 'aDd ""'1'
AADPEMl'Sl••tbat "b.••• are oo-..lw.at&rJ' .it"
DOl. '7.(OY.roode) U ~r. t1a&It. Oil. abAo..-.11'7
110 1D.toJW'tlea
Wo abAo....1i~ li.t.d
Dl~bt'••H...rt.
A.ot1..' T.8.
I!l1'lu....
G.~ _a.l••Dl.proporttoa. •••peo~ or prOV'1l
Sst.raal ...r.lOA
Bpll'P'"Oth.r ~olad~ I V ••• Po•••
&Ba••'t ~"".d tor treat..at..h.... JIb. below 60s, II)'d.rAlmlo.,"..11t1" P.%.D•• Chlok,a poz.Hyp.r....1. adaitt,d••to.
~5 Ob'\'~[ic aad Pr'ceDS!Not.
(Col. "l
""~Y.
~x.
'W-' o.~S" 1.
~2.
~,4.
~,.6. -
~7.I.
$!I ,.
r/
/
~
X. If0 , UO'WD
1- 1la10
2. rt_l.3. III.'.r••z
'7. b,y,'S 'EOP' (Col. ,,)
O.
7 1.. __ .2.
6.7•
..... ~.,.:EO.
Xl.
.,. X2.
t. %3.
.). X,./. X5.
••, It'7.
"'c--D.
vador 1,6 4&70 (ozol ...ot. Dot kDOWD)
1" - 202 •
203 - 2~ •
210 - 216 •
217 223 •
2n - 230 •
231 - a37 •
a)ll - 2'" •2'5 251 •
252 - 2511 •
2" - 265 •266 272 •
273 - 27' •210 - 2116 •
2117 - 293 •a" - 300 •301 - 307 •
3011 - 31' •
315 - 321 •322 day. &Dd oyer (.sol ....t. Dot
kDo.... )
%9. Jlot known
" Toa•••ia group' (Col. 58)
O. Jlor-al - .OD 'losa.mio1. Pure ••••nti.l byp.rt.D.loD
2. E.R. toz•••'a - .od.rat._ ......r.
_ proteinuria - C.S.U ••D.OD. 1Jl1'.ctl....
_ prot.~url' - DOD C s.u_ .:lld
_ aod.rat.
•_ ,••,re•
- ••".re• prot.~l' - c.s.u ••
nOli. laJ".ot:l....
_ prot.1D~' - nOD C.S.U
tosa,ul - .11d• _ .cHi....t.
•
••
• •
• •
• •• •
• •
• •
Pur. tos,a.ala
Uncla••itled
5.6.
7.a.9.
3.Io.
• • - prot.t.maria C,S.U," noD iat'c.....
51 ......- 11 -
x6. ~.1•••1rl.d .....-.la - JrO'.1aaria ••• C•••V.
%7. na.1....1rl.d JrO'.1DIlr1llU. a.1~e1.
X9. R_ioMl...
". 1''P'P&'''!99 (COl. '9)(.1Jlcle "1.h.....
• ntry) Dru••
(Cor.alD'. l~be~1 la. • Vll\ltd i4,1.C.bi4roll.).
WithDruC"
w. 1Ato~'t. ..
11'0 ......0 ..''1_ 'r ~J' plaiD "' ....&10Z7••D 'r tAoaba.er
IDtraca.trio osy..aZnd otraoll.••l OS".'1l1 + 2Mouth t ••outh
WOD' or plaia GaY.'.xn'l'*.Ca.tric
bdo*ro.oh.al1 + 2
MouCh to .oucb
60. PtuS' \0 !l!by (Col. 60 l
<~r ~or ....u.ol'.'l.. ~ la'.r. (Mal'~~.- acid TU ..... __ buC)
x.O.
l
2.,.,5.6.7.I.
9.
Wo UI1'o~'io..0 clI'uc.Co..-.ta. (a1k.~d.)
Lob'lia. &ad o."r .'~1..,•.s...·U.....
btaeOlli.te, J, ldr_...10.,>""1 1__
!y'bka"s.t.. Vi-kA.tab
S"lph_d••haioll1ia
Str.p.o.,.oSAOth.r aatibloclo., t'rra-ro~. -.r.~ta.
t ••re.ayol1D." 'ITtJar..,..u, aoYobi.ooi.a
61. "by Il1al'! (Col. 61) Cheok U ......r.1'I'Od r IlaD:lCAl.... .
Vit:boutT1"and'.r
110 1a1'orwatioD
Wo 41••a •• or traa.:t.1" (..4loal)
Ha••olytic 4i.....
R••plratory or c.rebrAlOth.r ~.otio••
O~b.r ooDd~~ion.
lIae.ol.,~:to
Jrae.ctrrbacio
... Loa!'"
WithTralleter
(7. R••p1ratory or .erebra!
(e. Otb.r lDt.oti...
(9. Other ooacl1tlou
62. 'nns. of P..,b (Col. 62)
O.
).
10.,.
6). Ti- ot Death (Col 6)
0
..2
"*+3
4
t.' t,.6
~ 7.a\ ;... ~~ e.... ."
SurY1Tor (U..birtlo. U .... )
4ie4 lA lI&rob
41ed lA April
died ia ....Y
S. B. Mac. o.er 24 bra pre labour(_t-part... )
S.B. Mac p.ri~rtu. (I:a.SraparSu.)S.B. Hac. d.k. whea dle~ (unapacified)
5 B. 'RaSH - let .~a..
S.8. PRESH - daath 1:D. 2nd at...
R.M.D. under )0 ~••
1I'.If.D. l.t ....It (_r 7 day.)
R.M.D. 7 ~y. but .ader 21 daye(2Dd t. lotio ....It)
6~. Ace at Death
eau.a o~ Deatb Groupa paaoked LD Col. /00. 101
(Col. 64)
X• Wo ~o~tlOD or s •••
..L UDder )0 aill••
0 Oyer ]0 ~I UDder 1 day
1 1 day ......4 OYer. and_r
2 day.
2 2 )
J J 10
• 4 ,5 < 6
6 6 7
7 10
8 10 14
9 110 2e
o1
2
6
No P MP.~. done. "01'0. repors onlyP M. done, macro. + ~cro.
Re-as•••••d.
66. 67. 61.' G•• s.sion (Col 17. 18. 19)
'1 dl«l1. code
L~ • no 1~o~t1ft~
6,. (Col. "~I
o Voo T lor Oftro_ 11 -.IUp10
~ J:. C_ital __li~
• O. W. _Jor 1••t._
ot 1. ~-10 2. _. uplopJAl
\l 3. &olllzpioI,). Io. _-u'3 ,. 000110
,"'" 6. IlJaliae •••, .....\S 7.. ...,1". pa.1aoD&lT ba.lMrrbace'e.. I. 1 .....11.\~,. lIioooll.......
- (bloak) 110 •• 11.
70 Priea Lug Lt,loR (119ro,) (Col. 70)
X. Wot. .saaiaed
T. Oro•• t....t.arltp •• oD17 1••10D
o .0 hi.tol-eioa1 1••1oD1. 1tJ'01i1lo.__
2 , Ma•• l.... pal..-arJ" ba••oZ'S'bap
,. R••orpt.t.-. •••1&0t.a• .1.
~. R••orpt,loa a ••l.o~.t.. - 1 •••A.
" Ba••orrbacl0 ....-0111.6 • BrOD.ohOpll.e1WlOAia
7. XDt.r.ut.r~ pD.a.oaia
8. '1.P.A. IIacOlli_ ••p1rat.:Loa
9. '1. P..... .t.b.r
71, 9t.b,r Lap« Ri,tolog ("&90 .. ) (Col. 71)
\q Voo l' rOI" oY.r.'" 11 lRlt.lpl.
~O J:. Wot .zaa1aed
\1, o. Wo 1••1_
~ 1- Byaltae _ ... -
~ 2. ....1..... ___n+ece
~'"3. .o...~_o.........
~ Io. XDt..r,'U"t;tal ___rrbap
.u. ,. h1.1M-..r7 CM....
~':$. 6. XAbalat.10D .~ ..oo~u.ld.brl.
::l.~ 7. ...uaOlliA
~ I. z.pIl".••-
30 ,. Ora.' ~ta.l't.C7
72. tI&,·,11_n' Pt"'l"! (Col. 72)
l\ Y (_roodo) -.1,. oodoo 1 ......,. .. .-l'~10
301 ll. ~ooio _oo_ta
33 o. .il,)14- 1.
-~-1~ 2. """'0_
3"-,. __rt._
i: •• ".oat_ .000lftU_,. e.M•.set ,. _...~ 7. AopbJz:l....._
"'"11. Wo _u•• , ......
\-:1 ,. C....1lro....opue••ry
73. P1'g'e'tl v·...• (Col. 7')
X. ••• "o1"'odT. lAoo .... 2:10 ...D. 2:10 • 2" ...1. 300 - '" ...2. ,:10 • ,,, ...,. Itoo - ", ....... '50 • "''' ...,. 500 • ,., ...,. ,:10 - '" ...7. 600 - '" ...I. '50 - ,,, ...Il. 700 +
7'. fl"'pStl r,tlLo1ofT (C.1. 7"')
X. .ot .-uodT. • oZ"Wk1 ..ora. aa4 Idoro •
O. • o~l _ore. aat ,x··' ••• ~oro•1. All oh..-teat010
2. aotrop1•••ata1 .'.. -.1,. ),. a ••~pl.o. • tDt&ro~ioa ) ViOlleat
.... ~o"t.oa) 8:1.,'010'"
,. O,lIer .bDO~11'")
6. a.sropl.o....1 .... 0D17 )
7. •• troplae. .. ~IU"O'tOll ) VUIl
I. 1AI'11"011_ ) atotol.'"
Il. Ot!l.r aba4l:'W&11 t l" )
• '-7'. 76. 77 'tich! o( "" ~ Ogag.... , Cola. (e 1 7" 6 )- ---- - ---- •• "'. 7 • 77
A.~DL1 _1"'~ 1.11 _ ••
lCCt. •• 1a1' U.
~. • ••s.-~ _ ...... _I' 'lb•••••(_1'1500 _)
DD. Il.~s.-.... _ ...... .51b..... or 10••('500 .1')
,. V""... 1001 _. (Vad.r 0" -'0•• )-. 1001 - 1500 • (0" - 0.51 • ),. 1.501 - tOOO • (0'3 - 070 • )6. 2001 _ 2500 • (071 - - • )7. 2.501 - 3000 • (01' - 10' • )I. 3001 - 3500 • (106 - 11' • ),. 3.501 - '000 • (11_ - llo1 • )
n. _001 - '500 • (1_. - 1" • )
Tlo. _'01 - .5000 • (1" - 176 • )
'I'. 5001 - .5500 • (177 - 1" • )'16. '.501 _ .....r(lfo\ 0..... ""'.1')n. Wo ial'orwatioa
n. 1l.~~~.4 vo~~-.. 1500_~. •••uatod vo~~
1500 _. _ ...
71. ""'Ptl-alA'! 9rogp. (001. ,I)
Xl.u.S3.
Bo.pital bookad • 4.11,..,.[•• - .-e a••p1-.1 0&17
.. &IC ".pleal • o'ther
- &JfC ou.... or RO't m.VD'.0.
T'. DoaJ.cl11ary bookH • 4elS....red. - 4JfC Bo.piMl a OUa'E
T,. .. .AJrC L •••A. a.1oa••er Yl'Ua 1.....
'16.T'].
'11.
- .uIC 0... oal7
- .-e a1~r. ~ 0 •••
- •• IJIC or Dot aoWD.t.c.
01. Do.1.iliorT b.o.... ao.pi~ dolt..rd0.. ..11.5. _~..."UT b_ ...ok.4 _ ..11 4
0:,. .,B.S. _t.nU"? hOlM bo"•• M.pi l ••11....re4
~. Pr1_~. "''''1.IIc a.... bo_d _ ..11 d
0'. Uaboolr..d. 80.p1'.1 ••11.......
06. UaboOk.4. d~~ol11&r7 4.11••r-4
07. R••1du•• B••pt'.l d.11T.re4
01. R•• ldu do~o111..ry d.l1Y,r'.
09. R••ldu G.P. Oal' d.l1••r.4
O. R.1D&1.IId..r
• 59
... ()~~ r'f~~:~ ft"mily nn,l H('l~~~_v,1 rnry1r'llt
• / r~mi 1y CUmrllJ :.:1 t10n iXld $12:j)< Sorarc tion from mo t.horX 01fficultias of rn~ily
/ Usa of W8lforo rflcilitios· J Occupotion of P;)r,~nts nnd Crnndn~r(lnts
'/ Incom8· ," Charnctoristics of tho rar~lIlts
· ../ Ethnic Groufl" Parents' Activitios with tholr Childron/ Parontal ri~p1rQtions fur tho Child. Tho Child's Dohovlour 1n tho Hom,~
\ . tHou sing"'\.... ,).\.\'~I'1NeighhcLJrhood of tho Homl), lJnd PL1Y Arnon.f.t13s
tGaograph1c Mobility
I' , -, '
1222234t\45~
677
•
•
rho f.choo 1
Pro-school and NursJry EducationSchools ettundod by tho ChildTho Presont SchoolParcnt-teochur Contnct~
Spocial EducationPsychological &:·[)ohovlour~l Ch"ractLlrlstics of thu Child et SchoolBristol Suciel-Adjust~Jnt GuLrlu~
T~aching of Gesic SkillsTanchor's aS30SrimOn t 0 f Chi Id IS ;\LJi 11 ty and Achi ovum.;n tTestsSchool AttondencQ
Thn Child's Intor0~ts, ~spirotions ond Lni~uro-timu ~ctlvitlos
Por!n~t~l onrl Mothor'g Obstotric History
ObstQtric Hi~tary of MothorPresont Pro9n~ncy
Dotoils of Lehour
Child'::; fl1adicn1 Hi~tory
Physicol CharnctoristicsHP1ndicops end i\bnorm3l ConrH lionsEarly DavalopmontGonurnl H.1;~1l".h
Illnass ..lsAccldunt~
l\1udic<:l1 CuUS:'~l of School AbsonceVisionEar, Nosa ~nd ThroatLow~r Ros~1ratory SystomC~rdiovoscular St~tom
MotaboJism and 8loodSkinAlimont~ry and Urogonital SystomsPuborty RatingslJbL3ttX Urino TnstLocomotor, Skolotal end Centrel Norvous SystemsMotor Co-ordint'ltion TasteLetoralitySpoochPsychiotric, PsychologicalToothUsa of HGalth Sorv!cu8
1
8oo
101311121313Ifl~
15
15
161718
191919lC-... ';)
20 ,?G )
202')
212'3?.5~3
2424252:-'252727272728
... 2131
PAC~_1
~:.
21j,
aU)~) tion s fr ..II" Ut,! P::J rin:l h'd rr,'''':'~~2!l.t.Lr;,Jt:~2.!~:.0-1J.r:.J2.2.:.-. I, wh 1chor.:) (In e,l rds bu to nl' t cm tl:"'l<.J
c f1l0H
1:1 0
= Aa HT
• eT
T I nnd T I I
I~ .., diumn t t' 1c i ;~ n
t·) •c .r; • ~j ,,! = 1N.e.D.S.II ~ 11
~~'J r j 1~:1 ~. rI'. ~ :r '.~11r'
';,11.: 1/,';riri!] j rtf'."";l1t
Cl e:1;; Tu~chur
r~ ~L.; 1v,lH,'l:-t 11 r\
following dl3sc:-ipllvo itomsl
& Swoop)
9.l/d~~ti(ln~~ on F( l'i.nntnl, N.C.O.!J. I ~nd N.e.D.:'. If ClU t lst1onnelrcls,which ~r~~ not 1'[1 C:tl'U3--_ ..-
QU,:;; ti onnni r03 Cod,;J ('IS fu.ll"l'/5S
Pcrin2.t.~l - PN
EcJu <.::J t i r; I) .": 1, j',; • C• D.'J • I ·l- I.. ~.
[du c., t 1. [i n~ 1 'N.e .D.S. 11 = [ ~ I
PfI rl1n tc 1 I - P IP~ron tnl 11 -- P I I
~'odic:11 I ., ~1 IMLJdic:,l 11 -:: M ! I
PUri)n l (u JU£,\ 11 >' r"othc1r) .' i'!I
Study Child - seHoalth Vi.si 4:c r - HV
Doctlll - [j
Mouicol Rucorda :: r"l
For uoch qUGstian thGra aro th3Aospond.mt (RaG~). )QuostionnAir~ & §WOGp (Ou'airoQuostion Numbor (au.No.)Ce:rd numhwrColumn numhar
!t)8 P0 n den t.::, ell dud n s f (l 11 n lU t.i 1
..An as t G r i skind1c~ t l3 S t hat th l3 qlJ 0 s t ion wo r din 9 0 n ~J.C.0 • 5 • I I 1 s
similer but not Idonticol to thu per~llol qu~stion 1n N.e.D.S. r II~
RllSp. Qu'airo Qu.i~"O.
& SWOOp
"I.U I':.'" ij J I'
Cord Co,
PN 9 8
PN
P I
P I
17 b
13 a
13 b
For h8W rr:ar'ly p'.ICpL.l eJi.1 t.~~,,; I'·',t,i'!/ll' Cl.u!: ,~,ld kutJf.JhoLlSO::1t th'J bL~inl'lin<J (If prdqfl::m(;y (>.nc1'~di;-: .., hJr hU~~jnnd
~nd h~rsalf)7 6
Plon~J 11~~t ell tho poopllJ urho nur'I1';:l'y ]i.v~) in th·)child's housoholJ. Excluo..l ~ny chilc1rl1n, or othlJ who('\1'0 only homo fur short ~H.H'iocls, u. g. 3c:hl)ul holidClys,11n v11. 0 I' r 0 ~1U ] El r vis it!' 6
PL1:lSO 11~t. ~.my childrm cIf Ut ll hms '1IDJ J Ilot includorlin list (13 o) 0.9. tho',u whrt :jL"l only r,l homo ForrI,11i d"~ ys r. r 10n v ,J
..
79,.
P I 14 from tho abovo t\loiO t~blt3s, Jll ..~'J~'] s!... · tr-, lh~J tote}numbor of chi~dron of thl.l hC1usohold unddf the ago of 21 2 29· .
P I I • 10 Q
P 11 • 10 b
A~ 13 ~ abovo * Codud for numhor uf chl1dron undar 21who normally livo in tho chilr-jls hO,-Is,lhold
As 13 b abOV8 *Codud for nu:ntJJf of chiJd'rtJn iij fi)a!i 1~1 ~:9ud undar 21who aru not Includod 1'1 tho hOloJsuhuld
Y4 15~
Y4 1I. ,
Y4 }',' '.
P I 15 Plcnso st~to tht3 child's pO$ition ~,rnonq thosa chilcJron 2 31-: .
P 11 • IOn & b Codl3d as for 15 '''bOVil Y4
rt1/HV
P I
P I
P I
73 b
15
17
Chi Id's p031tion in birtll urr1:.Jt' (rd 1 hirt.hs, stillil1ivo, dond, utillbl.rlll~3)
PLy;:;:. 1 ~'.·:;l;l'rt~.in, ur' ~t: t.:' tu ypur :<n:)wl.-dgo, whothort.ho child i[-; nnl'n:-dly Lit'ld (D." by hl:/h':,r., own mot.huf,LtupITi.Jthor. fCHlt:\".!r rH:.;thor, ~lrlllDt1"(J Ifloth ...1r,grnndmolhor,oth8r,don't know or innp~·l1.tci·blo
5
2
..,",-.
17-:
II
3.I
3
P 11 • 11
P 11 • 11 et
P I I • 11 b
P 11 •
P I I. 10 &11
r:llJ octu~l relationship lo t.h.J ~tur!y chiJ.·-! of thoLJ 0 rsolls ~ c ti ng l~ ~3 th [J ch 11 d 'r p~ £"l~d:~.:. i ~: ( fur mo th Cl'list :-19 Fl110 11d, r'lso incluciinq ull~l:r ~;i~·)tur, no moth.Jrfi gu I'D)
Why chi 1d i [l not Ji v1n 9 w: th hit,,Ih .jl' 0 :.ijnor 6 do pt i \I 0
mo thfJl'At what fl\go child (;:-~ma undor the c:-:~n of pr09lJntmothor-substituta
Thoso questions (11, .Ila, llb, ::lrl1 r lpUfltod, but forfather) *
QUGstions 10 end 11 atov3 nrJ also CQJod for whuthorchild 1ivos in Cln institution or not
I
'(4 2~I
!rI
Y4 ..I·
Y4 23-~;
Y4 25-2II(
t.Y4 l~
1 ~ 3~~-_._~~--~__ ~ ~_LL~.__~__ ~~_~~~~ ~_~ ~ ~_~~ ~ :
... __.~-
,--_."._------_...•_--- -_.,_._ ..... ~ ...._...-_._, .. _.t
C~.rj Column;.--_.._--._---- ----._----------..
Rosp. Qu'e!ro Qu.~o.
& Swoop
f _;.
P I 41
P I 39 &~o
'\
o.l\\J. .J.l~"\\ i~\ ~J).
.IIrI
,.
I
\.:
"~"t
I'I~I
~
iI~'
i
•!.t·II
12
13
28
3435:56373839404142434445
46
64
I.
t
tt'
I14-29 /
[.;
!I.-~II
t~iI
30-3132-33
55555~,
55555
. 5
5
DIFFICULTIES er FAMILV
Undur tuhnt cetogc>rl119 would you list lhu rHfficultlasof tho femily?
- HousingFin~ncjE'll
- Physical illnoss' or dis~bility
- M'lJnto! illnnss or nsurosls- Oh.. 11 to 1 su hno rrnn 11 t y- C2:.lLh of ctlild's fct.hsr•• DLJ:1 th of :::hi J:J t s mothar- DivorSlJ, ~7dIT~r,1tion or dGSilrtion- OUI.1G:.1:1c t~Jns~C'n
- "In-lGui" ccmflicts- Unomp]uymunt
:'lc=:lhr'.l:. '~,rrl
- ,\ ;1 y I" U, t·. r '') ;j .' ~ l. U G '/ i f' fie L' 1 t i 0 ::-; ;-. fr. J(. t 1. il •j ~.h' ::h 1 L J' sICH/i;] .:;H·:ur, ~
D,.lt211~) nb,)ut. tt'.J L~l)d's lon'J 1St pJrl"I': ,if ~., .lrnrCltlonfr~j,n lhu mothor (i.lJ. 111ngllr lh:~n .\ Wd';<) ;md his!hUl"fil':.it nUf.i.nd of !:'.up::r:",t.i,.:1) lc·n;J.Jr th.-H' 11 1.u'JI:k '3
Hp..~.) tho chi id lhJ:Jrl l,)ukud nft.ur Ft ,r- ITIl r.~1 thnn (lno monthby any mothur-figurn Ilthor then thu and indiCllt:HJ inq,J ..Jst iun 11 (3.3U dtlOVU;. (ExclIl'J.l hOSPlt"ll adrilissionsanJ boarding school ~ttiJril.ICH1Ctj) Y4,
Hl.'u.' :nn:lY c1iff~~r.Jnt p.:.nlo,Js of.' s,lpor'1tic:n h~\/•.J thorobUiln7 8l'ford U"'J ,.glJ Lt f'i.vo :3
Sir,'::o thn :~S;;J nf t'i v ' 3
Hn!, t.hll child 3\Illr h~,lJn :.;L:p·.:r~l:1l1 frl111. Ill' !r,,;tll..Jr for:'1 i"-- f i " d .1·:: 'H] d r t h .: tn ~ ~.:: J k ? 3
USt.~ Cl r vi [1 r';~ RE..L"; l~ IJJJl ES
H~9 thi3 Ghj ld boon in tho earn of tho lor.~l iluthorlty? 2
SfrAR_ATTO~! [RO~[R
H:1S tho child ,Jvur h01n r"J[I':r!lI' \,1 frclm tb J fTlllt.hlJr.? 337
30
33
•
P I
P I
P I I • 12 ,)
P I
P I
HV
•M
("-'\\ '
m
P I I,. 12 b
P 11 • 12 c HG S t tHJ c.: h i 1d uv u r b 0 en 111 t ~ l:J C~ r LJ 0 r :';\ '1/ 0 1un t P. r ySoci.jty?
Y4
V4
L9
30
HV
M/HV
T/HT
III
M
P I
P 11 • 38
£ II • 14
P 11 • 36
PN 11
Hes tho femily to your knowlodgo roqulro~ tho servico9~f ~ny of thq followino 8t~tutory Qtdvnl~nt~rYibodies?\list of welfare orgnnlsatlons, thll ran s soC:: atlos,)
etc.f\ s above *
Is th8 child at prosant recolvlng froe achool me~ls?
Doos :Jny child of t.hu fom.ily rl)coivlJ fro(] school mealsat prosL'Hlt?
OCCUP~TION or PARENTS ~ND GRANDPARENTS
What was tho husb~ndc9 occupation?SI clnsQifiud tlY GiJcio-oconomic IJi.."OUP- r:lnssi.fidd by ICi~l clt'9s
5
vs
·Yl
vs
..o8
20-33
29-34
54
27
1213
.........--------Rasp. au Vair 0 (Ju .. No.
&Swoep
P I I .. 32
P 11 • 29
P 1
P 11 • 31
j,
71Y4
3 43
Y4 62-63 i'Y4 61 .
5 44 I
Y4 65-70,
Difficultios of furnily; Un0fl1;11oym 1lnt
tor hew many wo~kG has th,.) f(lth;~r (i .. o. 1;1;1};1 hood) boonoff VJork in thn pn~t 12 month'i t i1I'OlJgh j, 111"1)c;8 orunemploymont?
1sth lJ f <1 the r (i .. 0.. m(' 10 h 0 (' d ) ,m 'Y" C) ,! cl insh i f t wo r k~nd f.W~y from honhl cjt nJ ght or dl-;l,nh::'l work regular
d:lyt.imtJ huurs '7
OCCUP;ITION or Pi\HLN"I~; t\ND GR/·~ND~J,'1RCt~TS (c:unt.)
Wh:Jt is thl1 oCl;up:'1liun of thL1 chil,j's fnU"lI:Jt? 1 .. 0.prOsLlnt m:11o hOod of ho,J~"1tlold). If not \~J,]rylng, givoInGt occupation unci givo rlJ~son~~, o .. q .. un:Jmploymont,illnlJss, If thoru if' no r.-:~lo h.),HJ of housuhold, plQ6S0
wri tu "Nelno". - classifiod by 80cifd clos~3 ..
t~S 46 nbovG * - clp'sfiifi.:ld by SOSio-Clconomic grou P/ 'Ic 1:1 r; ~ i f i CHJ by' SI) c i ") 1 cl,,~.; s .
46P I
HV
M
eMP 1I " 33 {Ipart from :ihif'i.. work en.l r:J91~~::'\1' nL)ht ~·.I;r~, dl1l-iS t1:l
fv(:hi.l:"S (i .. o. m~l,~ hl <1d'~) wo:k t.,k: hi.m ~1,Ui1Y ovornight.?Y4 72
P I 47 Whl3n tho fathor loft school, Whtlt VJ;~8 hili fethor's job?- c las~i f j od by ~ur. in 1 c 1:1S[: 3 -44
PN 16 Did th~ patient h;,1VJ a pc.11u job lJJhon shl~' stnrtod the baby?- c 1r~ s sir i 0 d by s cl c i ;" 1 c 1n s s 8
,'"
P 11 C 35a
• 35b
Has tho mothar boon in p~id work sineo tho child's birth?- Beforo tho child st~rtod school (codud for full-timo,
part-timo) 3- Sinco the child stertad s~huol (codod for full-timQ,
part-timo) 3
eM
P I 49
• 35c
He\s th0 mothl3I' had any l1~id wurk-outsido thu home sincotho child wn9 7 (r.1arch, 1965)?
How many wouks hos mothor worked full-time and/or partti~o in thJ p~£t 12 months?
Ploas~ givu daloils of tha most rocont Jo~ ..- cl£.l ssi fi Lld by sociO-Gconomlc group
numLJor. of day3 wC'rkod por woak in mO'3t r'Jcont jobd,]ily numbor of hours moth'Jr 8UlDY frl)!Tl h,]mo duringCDurso of' '~bovu job
- d~dly nur.lbar of hours mott~'-Ir aWflY from h'lmo Dutsida9 a. m. to 4 n.11,.
vs
vs
YSV5
Y5
lie:"I ....
.lr-
r
48 i"".iI
49 ,-fIII
14
15-22 '~
I23 ;24 I
25
26
M PN 14 Wh:lt W?8 har fathor's ncclIp"tioll whfJl1 ... tic .tuft school?.. ::lc:\sr;j fivd by soc1o-Qconomic group- cl,lssifLJd by socir',l cl"stJ
88
4142
P 11 • 30INCO~lE
Apart-f!'Om any r>rivat3 ~,otlrco what has bi,.'un tho soureD ofincomo of th.:l femi J y curing tt\(} p?st 12 munths? Y4 64
28
, ,
HV P I
M P 11 • 378
Undor wh~t cotogarius would you list the difficulties orthis family? rinaneiol 5
"Have you baan seriously troublod by finP.lncle1 hardshipin th~ PQst 12 months?" YS
5• -_. T-- -----•• - - -
35 !.iiIj!
'~
l~: :C.l
Cf1rd
Ct-l f:.. ;:;-;;r-I·~·;;;--':··r-l'~ C' r-r-:.;. i~ r- :':1;' ~ ",", I • h _, _ ' I ~ J L. .:.J I I r" I I, • " , ~)--...... ........_-_.....__._......._---- -_ .. -... -_." .....-
Rosp. cut elra Qu. No.&: SwoQJ
--------_._-- - -
M P I 40
• PI 48
"- m PN 13
fl1 P 11 eO 34a
'11 PN 19
I Pi"j 25
P1 P II • 34b
M P I 45
P 11 • 20
P 11 • 74n
• 74b
I '
,,"~,..I· ,I
j'I!i:iI
[I
I
f
56-59 ,- ..
ifjO-61 :.
~
14-15
63 I
tI',:
59-62
,
45L .
46-47
5173-76
16
30-31
71-80
39-42
44-45
Y6
8
8
Y4
8
Y4
Y4
8
o
3
If yes, ~t \lih'lt ago did ha finlsh fl.ill-tj~lJ cduc.,tion? :3
Age of p:::tblnt last birth:by (i. o. mothr-n')
At the tima 3ha ·le f t schoo l, how mlln y bro thurn and s1 stD redid thu pnti8nt hOV13 (living &'doau) Co<.J1Jd for number andbirth ord~r 8
Ago of husbnnd l~lr)t birthti~y
If no!, ~orn i" C:-O:1t F;:'lLdrJ, in whit.:!. ,'L1:ll' (J.ld p;i~on€s-com~ to livlJ in this clJufltry'i Y6
Did tho fathor st~y on at school nftor triO minimurnschool lOQving egG? 3
Did tho potiGn't stay at school oft:Jr mini'llum Gchoo1IlJflving ngEl?
Please enquira own paronts' h~)i]ht nnd 1}J,-'llJht. - Father
Pat.i~ntIG hoight
Plons~ enquira own paronts' hoi~ht ~nd w~iqht - Mother
ETH~JIC GROUP
Has £3i thor p;,rnnt b31ongod to () 1 Jr,cling libL'~ry or tlookclub in the lest tlU111vQ months?
What was t h IJ rat, i Eln t '3 .n pp ra )(. WIJ i 9h t b 8 f (l roth i 9 pr tJ qoncy1
Do tho n.~~~rorl~~' U,r1rrl:,c]vnc d, ;)l"Iy ~.~,)·,Jrd lirrlJ l'~:,,:;ing?
(co dud f~ r mo UllH' LnJ f::\ th () =.~ j il OtlJ:j P~1 fElrs u l~ "'~) 'd • zin B9,
or books or tflchnical journ.)ls)
8
12
15
PN
PN
PN
•P I 59d Is English thti IT'othor's lIflU~l ]~ngll,go with this child? 3 71
PARENTS' ASTlvIrIES WITH '(1-1 El R CllILDRiN
M P I 42 0089 oithor pnrunt ~~ to, or rlJ1.Jc wi~h thEJ child? 3 ,,34-35
M P I 4' Do thu'pJPonts tnko th'-J chi Id ou trt (o.g. walks, CJutings,picnics, v.l 1:)1 tp, ahClrwing) • :3 36-37
tri P It • ~, As 43 ~bovo .. n VA " 1 ."
o
P I
P 11 • 7S
M 11 • 57
P 11
D08s thu mothllr speak English 88 hr:ir nativQ tonJuo, orrUClsonlJbly Wt311 dB an acquirnd lenguago; optlak Englishpoorly as an acquirod language or not at all. 5
As 59 d abova * Y6
from thu child's foatures ploosn p]~~~ him/hnc in onoof tha followin~l broad categoriiJst [urOr}lJ~n or Couc~n,African or Negroid, Indiftn or Pok!~t~ni, Other Asian, YSOther.
SeE) quostion 74 (lIstod 8~ove undor Ch"1ractorist.ics ofPoronts) for whsriJ pari3nts born
48
62
35
III't',
,iI,
L1
~
I "'" j '4 I (, I • -' j i' ' i.: r..." J J ,( \, 4
Rospo Qu'D1re au.N~
& Swoep C·)rd Culumn.--- --_._----_ .._-----------------
pAREN:S' ACTIVITIES UITH m_EIR CHILORE!i (cont.
P I 44 DaDs thG fethor tako a big part in managing th~ child, orlOQva it mainly to mothor? 3 38
P 11 t 19 A9 44 ebovo * Y4 43
PARENTA L ASPI RA TIONS FOR THE CH I.lQ
P I 26 Would thr. puronts liko the child tu stny on at secondaryschool of tar the minimum school IljQvirhJ ago? 2
I •
:".
46
M P 11 , 14 As above * V4 32
P 11 • 15 Do you hopo that eft.:Jr lOi-)vinl) schocl (chilu's nnmo)will und3rteko furthor training or 'lducntion (full-timoor nurt-tin1A)? Y4 33
THE 'cHILD'S BEHAVIOl'R IN THE HCiVl[
P I 27 Is tho child ot ~ll awkward or clumsy whons walking,running, climbing stairs, tying to bow? 2 47-50
Is tho child: norm~lly activo? inactivo end ~uiot.
(profers to sit ond ws'tch)? Rostless (\nd oVClractivo 9 OK? 2
OifficultlfJS or chilJ.
•
P I
P I
28
30
~)
~~d)0)f)9)h)i)
H~n complninod uf hlJodachoa (mar,) th::m onco)Has hod tomnor tnntrumsHas boon roluctnnt to go to schoolHas lied b~d dro~.1fns or nicJht t,arrorsHOfJ h[)d difficulty in g3ttlng oLf to 8lo(JpH~s slul3pwalkodHas boon faddy - rnnny dislikus oVBr foodHas had poor appolituHas ovoroaton for moro than tho occesionel moel.
22-2
222222
51
535455565758596061
...., .f ',
r·,! .r· .
I'III
!
ll,iIItI
7 i- ..-...-.
6667606970717273
7475767778
67-80
2
V6
22222
22222
. '0 ...."l ....
5
Is bulliod by othor childrenDostroys allln or ath13N3 bc:J1onging9 (tos:\rs or breaks)Is mi~or~b18 or tonrfulI S 5 qLt.J"'nly G r f 1d~p t YWorri:Js ~bout m:Jny thinq~
Is irrita~ll3, Quick to fly off t.hu h~ndl13
Sucks thumb or fingor durinQ dayIs Ur,g·-;t by nBlIJ situ<1tJon, by thirIrJ~) happoning forthC3 fi rst timoHas twitctlClS or mUnn13t'13m of tho face, ayes or bodyfights wi~h other childronBitos nailsIs disobediont at homa
As quastion 34 abovo
Child's Boh~viourl
f.1 ) H() fl d J f f i cu 1 t y insott 1in 9 to any t. hi n9 for mo l' 0 .thane foUJ momunta
• b) Pr8rors to do things on his/~or uwn rathor then withc· thGrs 2
2.~ ~G)f)
• 9)• h)
i)• j)
. k)• 1)
• m)• n)
78
• 34P I
p 11
,;;.sp. Qu'eliro Qu.Nc,.& Swoop
~- ......_.,I,..
c~~ ~ I ~ c. ()] J ~, r, ~~.__.__- .__r
t(
II
I·L
.I
tr~ .
I.L'~' .
!646566
Y6Y6Y6
,'.i,· I U-.rui.)i ' ,: : l k ., youU: \ l-J~lt.
.' l "., t. j : '
(1) d"s L) Ol'n !'u luc L'In t to IJO t\~, S .. I1:I" .1
b) HdS h~)c; b~d urut"ms or r"'iyht t(Jrrur~.
c) rins s 1L wp',).' ~'\ 1k 0 ,j
Pl_'''I:i~' fl .... d Ull· to <, ~.h ,J .. " \:.' :~I";.ill~ ,
l.li t'i i:uJ' : :~; Ult;: 1.11 r.\'lllli'.'lln h n:ll ~'II:,.,'ti l'ld:"
to t~lll "h' if :my Ijf t.hu::-;u IH~VI~ OL;:L'l'l"ld ii.~.h rU'J rrlJn ths ~I
~ 77P 11
tiQ1t?ING
11\ P 1 50 Ulh~ t is tho C3Gcommodation occunioJ by thi~ hou s'1ho id? :5 50
• P 11 , 22a As aGave Y4 47
1'\ P I 5 Is th:J 8CC~)11~C.. i3 t i on 2 OVJnod by thu h,.iU soho lrl or \;,:.1.l'\g
~bou'Jht? Council rontud? Privata tunt8d? ilunt r L'~O? 3 51
!'t1 P 11 • 22b As :Jbova (with privatoly run t '1d di vi j(1:j int.o furni ~hudor unfurni,..;h.:Jd) V4 48
'1 PN 17 Huw mnn y rb r ~; Cl r " n r u Uh 1r I) r, .: :.u j n ~.h J I"~ t. J 'r' t ,~ hnu 'J 13
hn 1cl ? ( i ",".:.~: I cl 1. rI~] h d r : I j::l! ~, In d i"' r,I l~, ..H' ~: I I 1. f, i.' n \.' ,H /
G(lc.H·c..Jor~~ and L1x(Judi'r'll thi!:i baby n"'1d~ny .1L !qV": whot~ku thui r m~:Il ~ s Jp~ r:.d.J 1y )
17a ~O\JJ :on.:-:ny rOQ''TlS Jo tlHH;f) pdUp}u (L- .. L,ly' (ux(;Lud,n .. ,) ~;1~t1
rce ::1, ~;culll·Jry. Id lchJn - unlosG US,l; .l··; liv.lr,:~ r~)oin)?
cod od ~!.s: numbur 0 f pot' SOil spur rO:.)r:1 3
m P I 13a P1L: :~ n.1 lj '3 l (~) 1 t h i1 Pco p 1·') who nor:; I ~}! i 'I 11 \, . 1n '!'.~ •
ohilJ's t1LlU!;o~)r..ld 6
• P I 52 HOI/J iTH'Iny rooms ero t~H~ro?( 09 ] 7e obc.; vo) 3
ft1 P 11 • lOa A5 13~" C'\bu vo * Y4
~l P I I • 24 As 52 e b (1 Vd * Y4
32
79-80
52-53
15-16
50-51
If .f .
PN
P 1
PII •
l7b
53
27
for how many (1ooplo did the pationt cook end kOrJphousl3 at tho bElginning of pfognency? 8
HflS tha hOU:313hCJld got or dO~5 it Sh8tdl E3nt.hroom?Indoo r };-j\. <) to 1:'1' ? Du tsido 1a va to rv? Cooki:n fJfecili tios? Hot wator m.!pr1y'? C:)rdun'? Y::~n!? 3
0005 tha DCCOM~od3tion h3V~'
Q6 rdl3n, ye I'd)
•
57
54-59
54-58
8
i,
l~
!
I~.I
I..!f~I
1.iI
IIIIi
-----------.._. --_ .• _., .. -.-._ .._....Rasp. Qu'airoQu.No.
&Sweep
Housing (cont.)
Cnr,j Column
P I I • 25• 25
P I I • 23
U1iH'l how mnny p,;or1n dens child t~h::lrLJ hi~':/h'Jr hodroom?DO.Js(clli ld) shar.J hi~Jhd.: b~)tJ wi th nnyunw .;1 ~31j?
Is thu front door to thl\ AccDmmod:):i.on: Oo]ow strootlovnl; Bt stro~lt l.!v.iliground flcur; l'lt flllnr •••••• •• 13 th f 10:) I' and ;~.'::.'u vo?
V4Y4
Y4
5253
49 '
P 11 • 28a How s?ltisficd erG yuu llJi th tho hOU~;d (flnt, ute.) youliv8 in? Y4 59
• 28b What is it 3bout yCJur humo Ulilt In~~<.:s you f:HJl 11ko the!? ~4 60
•HV
, J
P I
Difficultios of U,'1 family; housin,]
NEIGHBOURHOOD or n·:t: HOl'iif2..~!.Q...EJ~Y ,\MUJI TIES
Doo~ ~ho rattarn of living of this forrlil>' r1iffarmarkodly from thrit of the nUighbuurhcod7 5
5 34
l ·
47
M P I 29 0005 the child mout othor chlldron outsidil tho housahold? 2 52
M
M
•
P 11 C, 16
P 11 C· 17
P I 9
P 11 • 21
How satisfind arG Y('IJ with plr.y t'ml:lnltills for ••• (chl1d'anaem) within about 10-15 minutos walk of hare? Y4
Excluding holidays I1\1Jay from homo, Elrl3 th:3 following8v;~il~~11Q ~nd he';J of ton has (r.hi Id) UBlld thr:'!m .in his/hot: sruro timo in thn rDsl twolvo monthG?A pnrk, pL.!!Jlic gurdon, hn;,th, common or fidl:!., whorech.ildr:.m are alloUJod to phJy; ~ r(]cr'l~t.iorl ground oroutdoor play contro; t.\uim~~ing or r:-,·.ldling pL.JCOB whichPH'Ossfo for childron! nn indoor plny cant.ro t or anychildrun's clUb or 30ciuty; .~ r.inornc, nr othl3r pl!'\clJwhich has chilctrDn's films 9hown; ;) pl~blic litJrery. Y4
G[OCR~rHIC M08ILI1Y
NumblJf of timo!J fnmHyhD:3 movfJd sinca chilcj'~ birth 2
As ~bovo Y4
34
!., ~...".
II
I '
fI.
I.
I·I
35-40:I~
r
f25-26 i
f46 J
lP I
P I
9
23
W,)$ nny of thOf:3!J movas out of t.hll local aro.1'?
Sjnco th~ ago of fiv~, how many schools h~s tha childatti:lndad?
2
2
27.. --.....
P 11 • 13 As 23 above * Y4 31
Standard Geographical Ragion (N,e.D.S, I & Porinatal) 1 2,5
Standard Geographicel Region N.e.D.S, 11 VI 2-4
7• 9
i·{
I!
Rusp. UU ' aTroOu ~-:~;:
" SIAIBOP
r., . '11
1
C;-nd Column
-------------- ---------------_..•_--- ----_.--.._-------~---~
~lrl":-:'~ T. lr "CH E.I~ ~T~~ TI~:.i S---._._--~ ---_._.
HT t I • 17
, 18
::It 19
I~) lh.Tl. i' "'r',:mt.../tiJ,,1chur ~:'!.iC'.r ~·\t.i.(lIlfi
Aru rn.;··tll~'.J~ :11'; eng.)c.' for ~Ii·,r·-,~,tu, hi qj.;r'~:ld or;):.i~or;! )~.,tl..lii ~1"1 llJuc:\t,i~)nal m IttGr',':'
1
1
1
32
eT
20
21
El· 40
Dc !' L.;r~t:; ~;rLlv.idu ~~\J'LJt·\nf.inl 1'..)l'l fuL' .-.r;l'l:wl i,n monCJy,kind or InL~I'l'? 1
~11""; YCl: ,)bll) U' ::llow I)l,'~-~:;;:llu,d r:l:ildr ..ul I.n.;p :nrt soml1timo in scll/Jol l,Uf',)fJ tho)' ~'ir:hJf)l ':! ~lL"rt? 1
How n~ny r:hil.jrlJr~ ~ru thuru irl }'l1t1r CL)~8 whus.:J pC-frontshG\lO ·1.Jan }dJ (,H' thiJ tJ:~chor) :.:i Llis·::'U.l,.1 th.Ji~' child,:3 5. ne. ~ ~~ ':' iJ t.~ ,:-: ~ J r, 1'J EA ? 1
35
36
68-69
HT
eT/HT
E: I)t 31 SineJ 1~'jr·t'~-:,tJUr, 19b4, h~v·; ~h,; :~:',:',Jr1t1 t.:\.t'~r; ~:'l)
initictiv,J t'-. dlSCUS~J thlj chJld, '\'.:1 ur.i'j"'ly, ,.lJith youor; :n y m0 mb 0 r Cl f)! (t ..J r t I ~ ., chi n Cl ;, l r, f f ? 1
£ 11. 11a SincJ tha bJ~linnlllg ef thl) ~lchool y:xlr t'1t',O::; ,.d.t.hot' p,-,rtJntt~k\ln th'l ini ti~"tiv') to .ti.SC i.JS3 the c~ilr·l, 'JV;Jrl br!qfly,with you nr ~GY mornbar 0' lhe to~chin~ SL'lff? VI
45
45
l',T E I 'c 32 H~.IS th,Jr.J bOi""n (111 i ~lJch di~;cus:',! :.Jr~ \d th thil ll~rdnt8 atin 8 t.i ~, :t .i. un of you Cl' y'JU r tu,lchJ nlJ .:: vlff? 1 46
eT/HT [ 11 f# lIb A3 32 nbUVd • YI 46
HT
•£ I 33 ~Jith r\J~:r~rd to thu cnild'r; ;1"iuc·ti':Fl"l pl'(Jqrjr:.·:, do tho
p,Jrt,;nts r..1,~r:·(Jd=: OV0r r;onc.Jrn~Jd 'IlJout thl~ chill~'s rrogr3ssC'lid/Gf ~)(poctinr] ton high t'! stDnrL"rrl/VJry intnr';Jst3d!Toshow :'(jt"'lO~.n t..J ru s t/ Tu cihaw 1it t 1,) or no 1r'\ t.r] r dlJ t/CII!Sr'l ' tSf',y or in"pplicobliJ 1 47-48
HT/eT E 11 fI 12 As oboVJ
For ~"':H'ur~!.'1 ::Ispl rltions for tho chi Id SOd r'~qu S
VI 47-48
o IVl I 28e H.~~ tl"FJ i.:hi Id bO..J1"l fOl.'mil i ly u;--,scllrt<'lnod ;"~i .ir~ nJ.:d ofcpuci'.:'ll iJducntiDn~l triJC"tmlJnt"? If yos, spocifyc"togury 6 56
o f¥I I I • 9a Cc 9b As 28a abovo * Y7 18-19
o
o MI
2Bb Is tho child t'ucCJ!vlng Sp,JCiMl- uJur;.]ttlln~l traPJt.mnnt 1n~ spuci~l school?
28c Or in 0 spl.lcifll t(i~c.hir'g unJ t?
6
6
57
58
..- -_ ---.-'
o
o
- - .'. _.._~, •. _.~
"' I
mI
28d Is th'J child 1i1c:,lv to tu cons~d';I',},1 f'Gr n 8r;lx..~:'jl school? 6
29 Irr·.:!Gt,":dctivu of In,(.:) 1 f;\cilitllJs, ',\lhi.r.h 0 1 t~· f"Jl1owingwouId you c(::l~.;id~r l-L' hI..; rno~t sui tl'" tr tt·" c1111'1' 5 3duc-f.l t i 0 r; J.1 nil':; tJ s ? 0 r 'J i.." ;) r Y 'j ; ; k:, rll,/:l (' d i 1" "1 ;- 'I ') r~ '''! ....:0 1. 'ij 1. ll"",r.·:,~"1ial clr.;~)s or ;J)(tr~ b.:nchin:l ~LJ]lj (I'cr lH~uc;,:~ti(Jni11 orrnc'nt;Jl bnckl.U~:('~·h.J:~~,ntl::. )/Or~.in;r'l schou] wi p', ~~ 8f1.1cinllyoqUi[)f)I::d t:1:l~t;hi.nCJ L'rd.t (.or p<.Hf. 'ii )hl., p~r':. h·.1~"in9,~tc.)7
~II,jci;-"l~ st:hocl/Hulou tUit.ion/T::-'1jni.i)g L ..:ntr" (uccui'wtion"'"contrl~ '/'!'j ~'i I1tr(~ er sGt··,·:: 1 ; ":"''3'-:i~~ l.J/Otho1.'
• .. r ~_.~.
" :I,
59
10
mE SCIILOL--_.-_._--_.. -------- ------Rosp. QU'B1~e Qu.No.
& Sweop QU{Js~~iun
Tho fJrBsont School (r.unt.)
--,_._--_ .. --,--------------Card Column
E I I • 7
£ I I " Be
HT
ilT
HT
E: I 16
As 16 ~boV13 *
Hotv mCirly fu 11- tim.J !TJnmbllr~ 0 f tho t.ll,Jl.hil"l(:1your school cLJrrontly h~V:1? (Excluuinq tho
1 20-31
Vl 27-29
:, t 1f r c!l,osI1 u·~ut.IJ;;lchor) VI 30-31
\IHT
~ Bb
• Bc
E I I ' 3d
\ 313
If thoro ora pnrt-Umo 'm~)m blH'~J of [.Ld'f, ~iJh:)t full-timoeqL:ivolont nw.lhor of to~,cht1rs do thf.1Y r._lrI'a~,.mt.? vI
How many 0 f the :-.:ho vu fu 11 .. timJ LlilCh or:; h:l")': b ;.1i"Jn ~ tyour school for th:l folJ.awinQ lnnCJth~ of tim1?Tompornry (or t;uf11l1y) to':Il.:hurs/LG;,:J t.h,.tn (JfH) \'.Iholu year ••Mora th~n 10 wholo y~~rr.. VI
Namo of i~o(~d or rriI1l.~1;:':11 (~lr./f\lr,/~1i:j,~) Cr~t;d,: frJr sux yJ
Nmn3 oP ehlld'f. class tsach3r (~lr./~'r:)./r.li~l~d Cedod for Vl
32 ..33
34-39
14
15
tiT
~T
E: 11 • 9
£ I 36
S8>'How old ~ra thG mnin 3ch001 bullrlinqs?
Numbol' of pupils in child's prasor:t eJ:lss
VI
1
40-42
:T/HT £ 11 " 19
: r/H T E I I (j 20
As 36 ebovo * VI
Vl
f
59-60
61
:T. f: I
•38 HOI.\J i s t hBeln s s f () rm 0 d ? All t h Gin f ,') n t. 9 ~,r'l i rJ t his 0 n 0
class/ A dcl.ibor:,to CrOH~-!hjctioninCJ b~' "'g'! ~mr,j nhlli tyof mora than on,] y02't" group of chi IdI'on - ',Drn;lt:imU5 caD od "family grouptng"/8y ogu in y8:)I' groLJ;'s (0.(1. on0 clotJspar yoar, or parallel cl~)ssnn)/301dct'ld by ,191~ tllt thin thClyaar group (o.g. children born in th(j fJr::Jt h:df of ~nn
}'0ar in one clt:ss, ~nd th [I r~.?maindGr in flrli.. lh'J!/A., uppurability (or attcinmont) clOGS within tho school/A ~lddlo
cbi1i ty (or f1tt3inrnont) Cl::~s9 wi thin !;t!o school//'i low~r
ebility (or attainmont) clE1!3s within tho ~chuol/Othor 1 59
r/HT E: 11 0 IBa
\. lab
Is thG child's ::"go group str8~mod t1Y ~It.·t 11 ty? VI
If strl3£101lJd by obility, is h13 in: A hlyll8r <3bility class/An uvorngu ahillty c]nss/A JOUlOI' flui11ty cln:'Js VI
S7
T £ I • J9 P1B~sa ontor in tha bOXOG below lha apnroprinto numborsof tho childron in this closs who foIl In thu thr38occupational groups.8) Profo5si~nul. mnnagori~l. Cluricnl Hnd skilJed nonmenuelb) Ski 1113d and D anlirski 11ud r'~l"1nua 1c) Unskil13d M~nuel
d) Unknow~ 1 60-67
f'I ( II 0 10 Approximatoly l,I,lhat fJorcont.ago of your rro~HJnt alJvcm
)locr-oIds do you considor as sui t?lb 10 for ~~n acndomlc'sucondory oducatlon l~~dinQ to G.C.f. '0' lavul (orScottish CortificElto of Education '0' 'Jr,'!(Ju) in fiv13 ormora subjocts VI 43-44
~ 11
,', i~: 'iCHCJU I
Rusp. Qu i a1 ro a~I.IIJ(J ~-.----.. ---_.& S",aop QLI .. ::i t ion
.. -.. _.--_._---------_._--Cord Column
--------------------~
Sine,) Sur'l:Jrn~lur, 1964, h~vrJ thu '~:·.I',Jrlt3 t::knn tIninitint.iviJ tr cJi2CUSS thG child, UV~:'l brinfly, with youo r ~·m y mCl mb 0 r ('\ f you r b~:)chi n9 G l n f f? 1
HT
eT
HT
[ I • 17, 18
, 19
t 20
21
E I • 40
[ I ~ 31
PJ\~f;~T-1T~'CHEIl l.O~TAI.TS------
l~rL: rn'..:I·!~·,jr':!':.; ,Ir:2;)'.; ..ld f:1I' ~!;H"Ylt!:, ;)'! 8chr.r,.1 e,r
.j~~;(Jr.i"I.iL'r' ':Yl •.;r!\lc:,tionf:l rn~lt.t.:Jr'-;?
D..: Il·'l_~t~; ~TI,vjd.· !·.I,i.l·~t· i,'.lill ' .. drl ha' I', ;1··;.;1 .'r~ money,kind ()r l~,L\IIJ:':'
Ar,j yL'\: i·;t~l!) to ':llow ih',:-',cho(') 1':,: ~ .,I J• ,n I, ;;. :nr.l 90mlJ
t i m0 i n ~) c! I U01 t· (J f ,.1 r j t tl Q Y ~ c t: Jr:. 1 1 ':! q t.. r VI
He-nu i:-~n~.' Ghilrirl.:n l~rlJ t.hdru in )"ll'!' r:J.n~H' V,hllC-;,J pnrontsh ~; V·] '·3 ,·W 11 Y(J L ( 0 r t n iI t J~ c h ur) ~ I} tJ .1. ~,C U 'i :; t h ,) i = chi 1d ,
si ne.. :;,'p t .)I';"biJr, 19G \?
1
1
1
1
1
1
32
33
31\
35
36
68-69
45
iIf
l,t~.tI
IJ
CT/HT E 11 • lla Sine.] thu buginning of tho school y JF.1r hc!:.; u1 th or p()run ttl"lkon th () initi~tiv') to dlacuss the child, OViJn briot'ly,with you or ~ny momb3r 0"" the toC'ching 9 t~1 f f? Vl 45
~T E: I ~ 32 HL19 thuro boun eny ~lJch discusnlon ~.i th thu pnronts atins t~ grJ tion of' }O'OU 01' your tuachlng s to ff? 1 46
eT/HT E 11 f' llb A~ 32 nbovo • YI 46
HT
•£ I 33 ~Jith rlJ9",rrl to thl'.! chiLl' 0 :1l.1L1C ,t.iDn.~l rrnqr;.i~i~, do tho
par L; n t s Cl; il ['. :r: 0 V I.; reon C I.J r n wd ~'. IJl) L,; t t h (; chi 1d 's r rag r 3 SS
£'Irld/or l.~xrJ\)cti:1J t.oo high Cl stnrd;~r·lhJ~lrv i;itur~Jstod/To
~how somo il1t;rc;st/ To ~hO!.lJ Ilttl J or '-I'J inh!rd~Jl/C~"'t
s ;:0, ~I 0 r i ~ ~ '''ID P1i r. nh 1" 1 47-48
HT/eT E 11 4 12 As nbov,) YI 4'7-48
o m I
SPECIAL EU;:'-,\lIm~
28a H:J3 the chj ld ~)udn f(;:;l\;'1.i.ly "·,~L,":l-·irF)d ;1: :.1: j',J')j ofspol-:i~l dducntionFd tI'.:mtmGnt"? If V_H.;, 5~flCify
Ct' togory 6 56
o 1\1 I I • 9£1 Cc CJb As 2Bn ohn\l:) * V7 18-19
o
o
mI
'" I
29b Is thG child roco1vlng sr~ci~l oducotlunal traatm~nt Ine spociBl school?
28c Or in e sruci81 to~ching unit?
6
6
57
58
o
o
fWI I
IWl I
28d 1sth tJ chi 1d 1 i I< J 1y to b iJ C 0 ~ si dIJ rod for a R fll) C i ~ 1 6 C hool? 6
29 Irraspactivo of' locel facilities, which of the followingwould you considor to b~ most suilorl tn tho child's aducetional noods? Ordin~ry school/Ordinary school withr..JrlhJdial CluBS or Qxtra to::,chinq h~Jlf1 (for JQuc7'tional or
. I .rnGn~\)l backw2rdnQ,'3G,otC. )/Or~Hn~ry schoo] with a sfl.Jcinll~
aqulfJrCJct t~"l::hin9 unit (for pl':lrt sL)ht, p3rt h.Ja::-ing,atc.)!SI."JCln~ ,sChU (11/Horl'lt) tUition/Tr~{"in'J cuntrJ (occupC1tio".'contre I"!j '. \ ntr(~ er sd-,;,l ; -:,':::~;U: lr~/Othor
59
12
---_.---- ----.-.
Rasp. Qu' e1 ra Qu. NJ.& SWQOP !luc',;lilJII Cord Column
Spoc.inl Educ.)Uon (::lJf1t.)
HT £ I 25 le tho child, b()C;:lU~ilJ of :1 f1hy!3ic"jl or :';'.Jns(jry Ilnndica~
( 0 • 9 • rart i f) 1 h lJ :l r i n iJ 10 S!J ), inn t U.1 (' h! n t) , Jnit (J t t nehodto your school? 1 39
Ht £ I 26 Apart from anything whf.cll tho cl?~3 t('~~ch,Jr :Ti~:Y t,Ll ableto do in tho normal WLlY, is thu chi ld t'uc.'ivi:)'] ;'ny holpuJithin th:l cchl101 b'Jcnu~o of oducnt.ionnl or m.mt~11
backwa rdrlUss? 1 40
eT/HT E I I • 130 As ~bovo
eT/HT (11 • 13b As n~ovu, but bocauso of orlucotio n 21 or rront;)]supariority
VI
vl
49
50
:: r/HT E I I
enT £ll
HT E I
,If 13c As :3bovu, but ~h1COUSu of buhf.'lviour difficultiu8
• 13d As nbuv3, but bOC8USO of any I1hysicc;l or s(lnsorrdiSt1bl1ity
"27 ·If ~ot (o.g. child not rocoiving spJci~l holp foroducation31 or montol bl'ckwnrdnoss) do you con!lld~r ha/sho would honofit from such help within tha school ~t
tho prasont ti~8?
VI
VI
1
51
52
40
HT E I 28 Do you consider, irr8sroctlvu of tha focili'i:!tJS in yourElro~, th~t t.ha childl ~) v,iould bonnfit nOUJ fromettund~nco 3t a sp8ci~l school? 1b) Is likoly to flood 90m~ form of Gpoci~l schooling orottlor sjl8cial c~ducotiot:l~l holp wi {-.hin thn nu:<t two yaars? I
I,. ..'f'
41
42
CT/HT £ II • 130 As 2&~ ElbOV3 'f1 53
PSYCHOlOGIC{\L :~ND GEHAVIOURhL CHr\RACT£RISTICS Of THE ~HILO AT SCHOOL
• P I ~ 24 Whon tho child first startod school, how soon rlld ho/shosott.1J dou,n? 2 44
~~ T E I 34 As 24 abovJ * 1 49
\' P I " 25 Is tha child hni1~Y nt hi/hur ~ror:IIJn t. school? 2 45,.....,.
-iT E I 29 Hos tho Child, bi3ceuso of c1iff'ic:ultio8 which h~vn nffectadhis pro gross or bGhavlCJur in sch'JO 1, hoon roforrod to yourknowlcdgo to any agancy? 1 43
:r/HT £ 11 • 15 As 29 abovo * VI 55
~T E I 30 H:)9 lhu chilrj to your knowladgu had cJif'ficultios whichhavu affectad his rrogr(Js~ or bGhavlour 1" school butwhich havu nOli} jis~ppo~rod? (Do not Jn~ludLJ anydi fficulti (is luhich h~ve prcmptud r,Jrorr:11 t.o en outsideagency, flS 8~OVJ) l' 44
:w-
13
56
Sinc\;J tho child has boon in your sr.hoo! hus t~uro ':J3anany notic'JahJa improvomenl or doturior~ltion in thn rataof his oducational pt'ogross or in hi9 buha'JiolJt' andedjustm~nt? Vl
What do you rsg;)rd rH) his/hBr most sorious woakno5sos ordrA~~Mu~a of p~r~6n~lity or ch~r~ct6r?(Also corlod from
___1_5 e"d_~~_~~OV() . ,.,ll __.... __ ..... _. ,.,_0__
:r/HT £ 11 '. 16
:r E: I I. 25c
" I~ '''\.''~.' .... ~ . . .... - ..----- .. _.- ..------ . _........ - ... - -- . _., .._... ~-
RllOp. Q'J'aira Qu.Na.:J u .':, t i \:n C:1rd Column
& Swaap -_._._-Psycho 1o:ji ~" 1 nnd f,. :h."', vi nu)'(~1 Ch~r.:ct.~,ri. ,~ le " I,': l:'.hu Child (cont. )
_.~-.,._.--~-_.
CT E: I 49 POD r Cl"'ntrI11 Ur h ,me! ~i ('J. C] • in wri U nfJ, t: t" ,)t, ! ! HJ • h"inrlwu rk,or bu t t.lnin~J r.oet). ~~ () 1.' t:1 i n 1y 00\)1 i.u~/~iUm0\.d.;:l/ Not (1tell/ Don It knmlJ 2 12
CT E I I "t 24a As nbOVL Vl .(.3 t.• LCT E I 50 Squi rmy, firlguty ch i i:1 2 13
.i•
!:T E 11 ~ 24b A;J oblJVO Vl 74 l.(
I ...CT E I 51 Poer physical co - 0 rd 1 r~ '\ t 10 ;l (u.g. in r,:rlninl') t Jumping, or
throwing) 2 14
CT E It " 24c As etovo Yl 75
~E I 52 Clumsy 2 15
E I 53 Oftrm running or Jumping ~bou t; hC'\rdly oVlJr :;, ti 11 2 16
CT E 11 24d As ahuviJ VI 76
eT E: I 54 Ovar-dGrundJn t upon rr.(l th ur 2 17
eT E I 55 Difficult to undors tcmd bucauso uf poor spQoch 2 18
('r ( 11 .. 240 As nbovo Vl 77
\,or E 1 56 Imporfuct 9 ru ']P of English (i.o. whon ne'ltiv~) lP'lnguagoothor, t.hftn English) 2 19
CT £ 11 ~ 24 f As nbovG Vl 78
CT
CT•CT
CT
CTr.T
CT
CT
CTCT
CT
CT
1
11
1
11
I
It
I
11
I
11
I
11
• BRISTOL SOCIAL-ADJ,klSTlilENT GUIDE.§.
Unfot'thcomingncss s'y'ndroma- (U = UA + UR)
Unforthcomi!Hjncsc: syndromC3
Withdrdwal syndromo (W :: WA + wa)Wl thdrew" 1 s~~dro;nG
D3pros31on syndromu (0 ; DA + DB + DC)
DiJpro3sion sy~dromu
Anxioty for eccortnnco by edults GynrJromo(xA:: XA + X8)
Anxiuty for ecc~nt~nCG hy e~ult9 syndrome
Hostility toumrds ndults syndromu (HA - HA + Hl~ + He)
Hostility tow~rds edults syndrome
"Writing off" adults end odulte l st~nd~rJ5 syndroma(K = KA + Kg ~ KC)
-Writing off1f adults ~nd ~dults' [,t",ndiJrds :jyndroma
7 12-13
Y3 14-15/39-40
7 14-15
Y3 16-17/41-42
7 16.. 17
Y3 18.. 19/43-45
7 18-19
V3 20-21/46-47
7 20-21
V3 22-23/48-50
7 22-23
Y3 24-'25/51-53
CT
eTI
11
Anxloty for ncctJptP'.r.co by ch.i.ldr13n syndromo (XC:: Le + LO) 7
Anxioty for nCCJrteH1Ct3 by chlldron syndromo V3
24-25
26-27/54-55
CT I HIfl.t..lli ty tOW"[ltf~ uhi Idron eyndrom;: (He .. J.l + JO)
eT 11 Hostiliry :r,~"'~'l'\:'~, d-,iiel;'Jn :";\'ilcJror.w 12.- ..._--.-------_.- -_._-.- _.- -- "_.'--'-' ..- .- ... ------. --, -----._-
1 "'-14---~~-... --""9'
11 r ·--,CHCOI..-.- --------_. ' .._---_.- .. ,.._- -_.-. - --_.._.._---------_._ .._-_._----
Rssp. Qu'eiruQ,J.ND.& SUloap QuiJstlL\n Ce rd Co lumr,
Bristol Social-Adjustmont Guidu:J (cont.)
"Inconsequuntial Oohnv1our sY!",drom.' (IN - IM + IN)
"Inconnoquont,lal Ouhnvlo:;r synJrllm.J
5i20 "
Si 20 (PE)
L-'I' .'
Y3' ..;6
7 (;4
7 65
YJ 67
7 66
Y3 50
7 61
Y3 69
7 68
YJ 70
7 69
Y3 71
7 28-29
Y3 30-311'58-59
7 30-31
YJ 32-33/60-61
7 32-33
V3 34-35/62-63
7 34
Y3 36/64·
7 35-36
Y3 37-38
7 63
'1'3 65
(MN)
"
It
(A T)
RostlassnGss syndromu ( R = RA + RB)
RostllJssnuun eynuromlJ
ApfhJ:.""} rnncn
ApP.::Jar~ncQ
Attondancu
AttundnnC~2
Grane! total for syndrQmu scor(l';
Gri-lrId to t:l1 for syndromo scorU~i
r"i8cull~n:Jous ",'!orvou!:i" sym f)tom'3 synurornL'
r.1iscull c;nCDllS "NLll'VLlUr," sYlT:ptom~ toyndruml1
Hoalth foctors L (SO)
Hualth Factors 2 "
Hualth Factors 3 (PD)
Health Fllctor!3 3 "
riasc:ollonoous symptoms ~Iyndrcm() (r.,)
Misc",111~nI30Us SY11ptOOlS syr,dt'offid
ffliscllllflnU01l9 (51")
MiscollanGous "
Hn~lth ractors 1 (SR)
Hua 1th fact.ors 1 11
I
11
I
11
I
11
I
11
I
11
1
11
I
11
I
11
I
11
I
11
I
11
I
11
CTCT
CT
CT
CT
CT
CT
OTCT
• CT
CT
CT
CT
CTCTCTCT
~T
CT
CT
eT
• CT
CT
• CT
48 Basic luading schafliu usod by this child. Ploaso dotailchi Id's prc!::)on t !:'o::1cfir.g ster"rierd 2
43 Oral nbi1ity 1
23d Oral ebility VI
1 38
1-,1
~
!1i'
\
~II
~.
. t
11 ( :tiI,,itl
75 t
7215
1 37
13
Tc~ching of basic skills
At what elC·) w~s tho chi-Id introdul~(!d to ·'sume" (1.0,IIform:}l" ~Iittun Brithmotic) in school?
At what ago was tho 9},slonotlc toaching of ph~Jn1cs (i.o.IGtt~r sounds) comm~n~od with tho child in ~choo17
To~ch~r's n5sossmunt of child's BbiIity ard ?ch~vomont
24
22E I
E 11
[ I
E I£ 11
HT
CT
HT
CTCT
_.~_...__.............. _._- .._--_. -- .. .. - ..... ...•..._- --Rusp. ~U'air,", Q~(J •
Quo:;tiiJr,Swoup C;1 r~J Culumn___A ______
..
T(-JP.lchor·~ Db5iJSSmcnt of chi L:" 8 old];' t Y !\ nch i I :v",mun t (cont.)
eT E I 44 A\u,:, r I'~n LJ s f~ nf tho PJIJ rId l'\rounJ him 1 77 . \,
CT E: 11 230 Gonur?l knowlJdgLJ Yl 69
CT E I 45 Roolling 1 78
CT .E 11 23c Uso of books VI 71
CT £ I 46 Cro~tivity 1 79
CT E I 47 r~LJmbor u/ork 1 80:..
CT [ 11 23b Numbdr work . YI 70
CT E 11 25~ Comr,nr~d lU! th olhar childron D t. thi s ngw, dor;;.; h;.l/sho rtJvt:331outst~nuin9 nbility in ~ny i1rJo? (IJ.fj. writing 9torio~,
c:Jr(.""lVJin.;J , ch.Jss, modo11inlj, music, spar t, 1.1 te. ) YI 79
T:~l S J.•)---
School ~ttJnJ~nco..
o1'8lUin 9 (1 iY'lnn
GancrEll Abil! ty. Vorbal scoro
Gonurel Ab! 11 t Ys Non-vorbal score
Canardl Abili ty' Tot!)l scoro
sesesesesesese
~ seI
sese
•
E I Problum Ari lhmctic lent 3CU1'J
T 11 Tost 4, Arithml3tic-f·1at!'motics Tust scor·J
T I Southgnta Group Roading Test scora
T I I Tast 2J RUdc1i n l] Compruhon fi1 on Tos t sea ro
T' I Copying Dusigns T03t scor~
T 11 As nbovo
T IT 11 'bst 1J
T 11 llst 11
T IIbstll
2 20 ..21
Y2 22-23
2 22-23
'(7.. '1.0-21 I;,4I
7 70-71 , ..,...,.,·... ~4 ,
.~-..- ....LY2 24-25
Bolind Q~- 22 I--- r
Y2 14..15 i'
IY2 16-17 \.
I
Y2 18-19
CT
CT
eT
CT
E I 41
E I 42-
E I I" 21a
E 11 .. 21b
Numbur et' possibln hf)lr-d~y ettondcrlcos for childsincu Supt8mbor, 1964
NL:m!1ur of half-dC1ysabsont during this puriod
NC:i1LJor of pCG~3iblEf half-d~y attonchncos for tho childin tho prusont school year
Numbor of half-days Dbsont during this partod
Seu also 01odic31 CausiJs or Dchool ~b!)Gnco
(Child's Medical History)
'14-
1
1
VI
VI
70-72
73-75
62-64
65-67ltI
I,r
if~
~II
tI
~I
.. ,. "
• 16
Resp. Qu'elro Qu.No.& SLCOep
~!11J.O ':j 1~~. r~.I/:~.~~~ .._J(:.~~~\j\_~J ). ,'~ .. '~ ;~__~LJ ',,: f~ '.- T1;.".I~_ tlCTtV 1-.!..L:':'_l _LJ U d '1 t 1(: n C:1 r d CC! hum
st .. T I I 1 .your00 you enJoY4sparrJ timtJ or do you of ton got borod? Y2 26
se • T 11 2 Dc ~'l1lJ borrow books from thu ~lublic 1 ihr;Jry? Y2 27
se ~ T 11 5 When you 1~3vo socondQr~' school, which of th~J88 thingsdo you think Y00 will de? Go ntr~!ght to 0 jo~/
Continua full-ti.md study/Don't know Y2 28
2£7
30
3 'l....
6 B.310 \V you w111 so [j so m8 0 f t hoth 1. fly S b() Y!l nnU 9i r 1. "of your Ogd find interosting. AO.Jd tJ<:lch ono cnrofullyend dociuo lvhothtJr you do it often (noorly OVi':!ry dny);So muti In 0 ~i; nSv (J r 0 r h u r d 1 y I;; va r. '.
• a) PJ~l·.tng t':nd talking to friends out.side :~chool hlJur<J Y2
. b) Going to the cinsm:J 'fZ
. c) R13i:1ding backs (:'lpert fro," ~chool wnrk :Jr hU:TIUlV.:;r!<) Y2
od) R:3~dil~g n~)llJ:.~I~;.'..H·S, "F, ..ja7-'fiJ5 fi"l.J corn~.c':: Y2
1 " .... \,.~"'":~·.G) Listening tn rrlusic (riot trap' (TI:Jsi.'~) Gut~:;j.riu :.r:rJwl hrs.Y2
• T 11se
o f) Goi~~ tu C!,lJt.Js nuf.':iicJ'... :~c~'cl()l (tnc:1111''1r·,'l ~;C:Oli~~!;
GUid"Ei) Y2 34
A~
6./.'
46
39
44
38
40
42
43
41
46-50
• g) Go i n 9 t () se h GC 1 clu b s ( 0 u t 9 ide sehn(J.1 he u r s ) Y2 35
• h) Halr~ing at hOm(l Y2 3:) '.
• i) P1C'i }'in g 0 u t do U r g5m0 9 0 r t, akin g Pi\ r tin Dpo r lo 0 LJ t s i deschool hout'g Y2 37
.j) Writinq stori.oo, maki.ng up plays or pOlJm!~, oUtS1Ul1school hOl1rs Y2
.. k) Drawing or reinting ricturos outside school hours Y2
.. 1) Cooking Y2
• m) Co 118c ting stamps Y2
• n) Sowing, kni ttinq, or othor noedlework outsido schoolhours Y2
• 0) n1odol r.nking outs1.de school hours Y2
• p) List.LJfliflC] to rec1i~ outsidu school hours Y2
.q) Watching l81evision outside school hours Y~
. r) Looking aftar animals Y2
Plaa~o add bulow any other hobbios you hnvo which ~rQ not inthe list ~bova Y2
• T 11
• T 11 7 !;'mglnu th,:t YUU ero /lOIN 25}'.:.JOrb o]e. Wi..'j ;~C'! ol)Qut
thl3 lifd you flrlj lo;:,:;Jnl;, your irttorf;~~ts, 'lour homo11fu and )'our work at the ago of 25.
Coded for socio-<3conomic grc1lJp of imagin8d occupationet 25 Y2
15 , 17
R~J 6 P~ Uu ' e1r 8 Cu • f'~ n•!t. Swuop C,J ;'d Co lum
-----~--------------
71e Sinca thA chil·,l'::; 1t.h ')irlhd"y 1"1,,'; r.;ilr"'t,'1' 1';-I~'1'1t (orp~ront sU:ist.ttub:J) ::-ufF'd~'r;~J frl'r,l (·.I, ....Oldr r l' :,lIriOGFJ
d i 8 ab i 11 t Y :) r j, 11- h fJ (\ 1 ~ t1 , t nr: lu(; i ' HJ U 1I '/ to:. 1 ,~ ;,.i : d 1 1n -p:::ltiont ::ldmj sslon of twc W8i.1i<~i (lr lnn~F'~·. UnLailsCo j i3 d for m0 t h 0 r 0 1:' f f.l t h A r 8 0 P~ r :.: t.1l 1y - ;:l () 13 n f chi 1d e tonset of chronic illnoss - whorB chronic i11nnss resultedin death, numhar of }'rnrs b8tWl1dn ons~t of i IlntJ~B &: dee!h Y6
H'J P I
t, P 11
Under whut ("]tt!.lorl[l~.. VJ'1uld .,-OIJ lifit tlllJ :1i rficultlt:l~of this famil'/?'- l~hi':·;L:::-:l illl1u~1~, c,r d':.' ,\tli lit/
MF-';]~l\.1 ilJn8":-l I~l' rllJUrC;SL1Men ~...~ 1 suhr'lQ rm;11 it IAlcuhDll Jr:1
55
36373845 :, .
49-5~ .
700) Has t b th 1 t t d fi t 1 i ?200) any reran, ro er, or n :j ur 1:1 a . or convu a on 4 80
66d) Has the child had. Pnront, broth~1r or '3i~t..H· luith conganit~l
9d) huart condition? 4 45
nBb)15b) Any diabetes in parents, brothers or uistJrs?
I
M • P 11
rt) t P 11
•M P II'll
'"1
M P IM M I.
M P I
(" Mm 1
\_"'- /"
M • P 11
72
73
55
As 71 ~bOV8t for any other arlult 1n thB hous8hold
As 72 ab 0 ve, f Cl r et n y () t h P- r r. h11 d 0 f U"3 h0 U GBhold
Age at which chilrl 1 0 mothor Dtnrt8d mons~l~ting
fur par8nt~' hoight f'1nd w9lght fian "Charnct,oristics clParonts ll (f<'imily & Ho,,~ EnvlrunOlont)
P[ RI NATf\ L i\ ND I'fIO TH ::n '5 0 [1 STETRI CHI r; TOR Y
C13STETRIC HISTORY or THE rr.OTl1ER
Y6
ytj
4
vs
53-54
55,6~
58
, .~ 4 •
70-7~, .
I:r •
I
'-'. R/M PN)
R/M PN
R/M P~J
R/m PN
rtl P I,c.
24) As ehove. Proviou~ tox~8mln, F'.lr.tnrmrtum h:lcmorrhego,or ceasarian section 8
f'rovicue premEl turu a/ld largE:! bi rihs. Takf'ln from 24)us abov8 8i~th weight 8
~
f·I
29
25
,26-2~t
t·r.
28 I
i•Il
15-16; .17-18,
i
38-39
I,
18 !t
"r. ,I . • ' I-,.-'-,
8
8
5
.,Ie
Pority, taken from 24) Has the patiullt. has ,ny previousrl'dgli3nci fJo (j ne 1udl ng mi ~j(,;a 1.' r iagu'.i ) ':'
Prl1vious ebcrtions, token from 2~) A~ nl.l(Jvu. If "Yes"pleasn give det~ils below. Miscsrriagus, ectopicrrognanclos
24) As above Outcomo of delivery. Diod 7·27 daysinclusive. Oi~d undor 7 days. Stillborn. 8
10) Date of present merri2\qe + 24) rmst IJb!.mt.ric historycodod for interval between rnurr!(\qo and first. m~tur9 birth n
Please list all ~hildren born t"J thiB mcthiH'. Inclu,...·present child, bnd any that hF1vO sinca <:H t3d ,1'"S t i 11bi r t hs • a) Nurn be:" 0 f bi r t h:3
b) Chi 1d '8 po sit. j () n }" .' c· r et El r
Dl-lt3il~3 of r~ny childr::;11 born V "'1 ~;tudy Ch.iLJ's ownr.I r, Lh l~ r s uh S cl qU W"I t toth Q 5 tud , _: l J ] d • Coda"1 for •numbllr of birthB to study chill~'f:; ChUIl mothor rd~
of study Chi Id l'i~ ,~
10
73
10c
PH
PN
• P 11
R/M
--------------_._---_.....----_...... - _. --,-----------_..
Rasp. Qu'a1ro QU.No.& Sweop Card Column
M
PN
PN
PN
PRESENT PRECNANCY
19 Wh~t \JJ()S tho patiantts ,:'pr,roxi:TH,ttl wolqht buforu thopregnancy?
25 p~tiont's haiuht
If om~110~',3d uJhon prO()n;1n~y bl1.jiH',
16a How m(lny hour~j E\ wlJuk UJilG sho working :...,t tn(~t timu?16LJ ~Jhon did sho f1n£:11y glv0 U;" !.I.'crl~?
B
8
B8
16
30-31
m/R PN 7 Tima onJ dol.o of doJ.i\iury + 24). pi:l3L ub~llBtriG history,codG':' for intorval tetwllOn pru'Jl,nt ;lirth nnd last 8 47
PN
PN
IY1/R PN
218 1'1 ld1ic~ Ulol3k of pr~:~qn<1ncy did thu p()lil..~nt l~,f'ko horfir~:;t visit for cntl1nnt~l coru (8xc]udiJllJ Vi~3it(s)
sul'~ly to confirl'" prl)g~)rmcy)? 8
21b Bs)inning l4!ith, ond inclurlin9 the visit f'1'mtionnd in 21aholU mnny tImes did the I':'ltiont nttond for ,nt0nflt~1 ceron t t ha f 0 llc \d n9 f"J L I '~ 0 f; ? (h 0 H fI i t ~ l, u t c ..) 8
Gostati on po!." lad in d.1yS, tnkln frnm7 "im~i anrl dat3 of dLJlivl3ry ond 20) lvhnt ul.a~ thEl dAta or
thQ first d:I>' of hllr l:::st mn rt.f.rllr:l ~,nriod? 8
23 Did thll pc:til3nL smoke !1S M;\ny as ClIH3 c1garotto n dayduring lhu 12 month'.i lH:lfort3 t;,o st~rt of th\i 'pr09n21ncy?If no, how mnny pEJr dHy durin] thc'It rorior.l? B
23a Did tho pnticmt chango har Sr.'lIll<inoJ hn~Jita durin'J thisprl~lJnancy? Rocord ~"y chanl)'js 1n th13 t?lbl:~ hole'" - andmonth or progn~ncy choflgo m8do 8
20
21
"'. '19
22
23
R
R
R
PN
PN
PN
Pr8~,3nc8 uf roin£3d blood prl3ssur,] 'Hh.~ prot,Jinurin, takonfrom
29a What ~or8 tho first, l~st ~nd hi~hc3t systolic/diastolicr:'.p, ..·~J:1djr](J::i ro,:ordud in tlli~) rr~IJntH'\cy and i.n whichV~d(Jk~ I.II~Jro thCl~~lJ t~kiJn? (T·'clud.J f,.:adir.':.J:J t;)kon whonhOG0it~1 inr~tiYnt)
29b WIIElL WilS t.hL? ::3.:". i''')~'1di'lq with U"If"J :li~lhd!Jt diilstolic
rccordud during L11l"Ur?30 Was OOrh:Hil~~ obsorvad duting this I.ro\)flnncy?31 Did alt-,uminurifl i;c.r.ur ,juring thi~) prrJgnanc/?
e) In which WJok of prdgnancy (.tir:! .it OCCUL'?
b) liJas a cothotor n;::oclmon t3kof~?
c) Wns urinary injoction prasont?32 Did oclemrtic fits occur?
e) l1Jhon? lJ) How mCJny fits occurroJ 111t.o:j';t.har? 8
34 Was thora 0 blqod group tast mada for this pregnancy?or if not, w~s thQf3 ft racord of any previou8 test?e) What was the rosult? 8
35e If haomoglobin tostl1d ot all this progflPlncy, Ruoult?
58
35
.57
R PN 37 WorD any or the following abnormalitios or 111- orany other condition (not P.E.T.) oncount8- . ,long theprogn~r-;y? Vaginal bleeding bGfore 2t '~'" A.P.H. Bothar !.lnassaa 8a11n:Ja
40Cl,·
~ 1917
PERINATAL---- -- •._----------
Resp. Qu'Diro Qu.No.cS: Sweep Quention Card Column
OCTA I ~ '.; ar LA:.l..Ql!fi
A/e
H/O
PN
PN
41
42
HolU long u.nu lho L,t,HJUl'?
How lori.,~ hufo!'o dGli'Jor; d.!.rJ th\1 mombL'nna~; rUr-'liJrn,cithar sl'1ont~neously -r tJy ~rtificia1 mC'Ul'J?
8
8
43-44
45
F/e PN 43 ~i!DO in(~ucllon cl)rriud out.?a) ~Jhy ,.ij3;;; induction nbC;'5Sc.,r.y?b) Which :nothod(s) was u5~d? If surgict"l induction used,
(1 )spot"'ir'y method u~n(4 (i1 )how SOI't1 of tor svr~jiC'11 induction~id do!ivary occur? e 46
Rio
PN
PN
44 What w:)s the nrusenting Il:lrt ',-he:1 thu baby Wr1S c1alivored 846 What wos tho muthod of aclu~l do1ivory? 8
If dolivtJry nc'~. stJontnnoous a) l~hAt UI:1S tho t'r:;l50n for~ssistanc8? 8
484:1
49
MOH
PN
PN
48 Was inh~111tion:' t anallJoslfl ~vl~1L1blii at dolivl3ry &: givan? 8 50
Prnsont Bituati;)n of ell births includiJd in r.M.S.without dete in N.e.D.S. 1st swoopTaken from.61) ~atQ of du~th
62) LJhGI1 did foat,;:,l dUllth occur?e) How loni] baF'urn uolivHl'y did fout:'!l dlL"'Itlt uccur?63) ~an tho foetus macurotod?64) WeB ~ P.M. oxnmination m~da? If so, wharu w~s this dona?65) Plu6so givo rcgist0rad causn of this stillbirth (lr ~n
Scot1L!i1d) or neo-n"tol dlJulh 0 33
PN
PN
P I
53 Sex of infant
54 !;~3ight at birth?
74 Wot! thu child a singlo or rnulliplr~ bi rt\j?
8
o
11
2-4
lOa As 74 ~boVG ~
8elinda
!VI
RIM
Rio
R/O
P 11
PN
PN
PN
PN
5
51
51
59
PIncd of' ~8livory )
Which of tho follwluing parsons \lJi4ru prfJf:it~nt ~t tho ~delivory? No trained parson, midwifu, ate. )
As abovo. Coded for, Oellvory-sup~rvision groups
Bab y 1111"'10S8
Y4
e
8
21
65
66
79
20
. lq -
CHILD'S ~[:)IC:AL HISTORY_.-......~.- .........---._---..-------...............- ..""------ .._..- - -......-...-.-...-.._-------Rasp. Qu'aira Ou.No.
Qll".:lton& Swoop
~r~:Hl. C!J!.I;',\C TEn I STI C50
0 1'\ I 3 Child's height
0 M 11 • 20 As :3 nb:.I\lo
Rio PN 54 Woight et birth
0 r.l I 4 Chi 1d 's Cl u1gh t
0 f,1 11 • 29 As 4 ~bovo •0 rrI I • 5 Hood ci rcumfBrLlnco, to nOurost 0.5 inch
• H~NDICAPS AND A8NdRMAL CONDITIONS
CF)rd Column
5 53-57
8 2-4
5 58-59
Y7 41-43
5 60-62
Summary of nbnorm?ll cond.i.tion~s :;) Cjoni:Jl'~l rt\oi:or h~ndlcap
b) dL-fif}uring c~'n(!1U.. nn c) munt.Jl roL:lrd;:ltiond) om 0 t ion a 1. mn 1n dJus t m:)n to) hrn d ::m d n() ck f )unpar 1i mbg) lOUJf.3r limb h) SilirEJ i)rD!3rir~tory synt.;)::i .1 )~limentnry 6 61-78systom ho) l!l'('g:Jnitt',l ~)l;,tol'1 1) h·"):"H'L m) !ilr)Od, otc.n) 8 k.1. n n) l \ pi 1d r ~ y r) Q t h l3re. N• S• :~ () nd i. t !i.m Cl) dL~bot as
MM
o
o
P Ifi1 I
M I
,., I
638) Has tho child, to tho mother's knGwludgG, any physical6a ) hnndicap or disabling co~dlt1on?
10
28
4
5
29
63
RUI:~c.I' f;Jf" dl3r ..;rt5~o=OQ~ for h8~dic~~s
D~.llind("\
Bolind076-7778
In 11 • 27 Has th~) child to your kno>l/lodyCJ on)' r;oilg:"!nitnl c:::' ecqLJiradcO:lciition (ir ~nndiL~:1~j? PlaF',::;,] ontiH' .condi 1..1o~ thnt mightintcnfcro ~"'Dr:t'!:lnclrit,l;t ll,lith llntiraly norrr~,J fu~'\~ti:Jnln(j,
oi t..hor ;:,t hp 111'1 or at !lchool, or rostrict :l,01co of' f~turo
amplo/munt Y7 37
EAI~L y DEVr:LCPI'~ENT
P I
P I
P I
57 Was tho =hild brs3st fod (wholly or partly) as n baby? 3
58 By l~ yaars of ego wes tho child walking olona? 3
59 By two yoers of ego was tho child t~lklng? (i.a. joiningtwo words) 3
~ENERAl. HEALTH
73
74
..
P 11 • 64 H!)s the child surferGd Ln tho pest. tWrJLJO 'IIGnths from enyof tho follolAling? a) rocurront h08d()I.~hus or fT,i9r~lno
b) hay f'13v(Jl' or allorgic rhinitis c) rncurr,m~. vomitingor bilious ntt~cks d) l'ocurrclnt abdomir;31 pJi!l~; 3)travol sicknoss f) tiC3 or habit spesms g) rGGurrentmouth ulcors h) recurr~nt thront &/or oar In f octionaroquiring t,rontmont by 0 doctor i) disch2r!Jing e=1rs
(pus, not wax) J) aC1C3Hl,')tous rnohos 1<) pSOrii'HJis1) any hoart ~ompla!nt Y6
21
16-27
Qu iJ!; t.! un
---_._---_._._._.._---_._---- -_._----
...i .:·Il..)'~J \~~~uJ.C;d I; (O~i\'
.~----'--._._-._._----_._- - ...._----_._ ..: ..J R0 S P• QU ' fJ 1r lJ Qu • tJ Cl •rL 6 Swuop
:~
P 1 56 What Inf,lctious dl!:.n:1sZlC'. I-l:1G thfJ r:hild h.ld, and nt what~f)()? n) mi..n!.iloa b) Gorrr:~n mrJ:JnlCJ8 c) whoopi!19cuuqh .1) ckickun rox (3) rnump9 r) sc,r]8t fovorg) Othors (El.g. glandular foval', tl.lborcu!oui3, ate.) 3 65-1: .
52 As 56 abovo * VSP 11
P 11 53 Hos the child hed any of tho following. Rheum~tic
fCJvur, lnfoctious hepet1tis, rt~oningitis, Tuborculo8is? VS
67
68 I:
ACCIDENTS
P I 62 H~s tho child 5vur bUJn odmittod to hospital for enyuP tho following. 0) ro~d ~r.cidQnts f) ,omo8ccidGnts (o.g. burns, 8c~lds, poisoning, injury)g) othor 6ccidont or injury? 4 24-26.
P 11
P 11
50 Hns tho child rUCJiV3d eny of tho following injuries?e) Scald/burn b) rr~ct:.Jro of 'bona/nkull c)Fl()~;h
umund roquiring 10 or moro sti tc l lJ:' rJ)\.1a:idunt causing~nccn~ciousn~ss u) Poison f) falla in wotur V5
51 HC'lS the child ova!' boen involved in a rood eccld.:lntc:ll)sing injury t'llf1uirlng n st(j~' 1n hospital olliJrnlght.DJ:' luilgor? Y5
60-65:,(.~
!
66
P 11
P 11
56
5721
How much limG Ell togLJth~Jr hc~s thD chi Id ,"1~r,~;rJ from school(or tr:1irlirH] cuntrCJ, olc,) in tho past yOFH' b;Jcnuso (1f 111hc:ulth or l:lilotiol1al dtstu;:'boilCll'? VS
If absunt for ~ore than ono wuuk in Rll durIng tho pastYi3nr , pL::nsfJ indicato t'eLson. VS
72
73
I
IrIlri·I-!~
Y1.?ION A) M,3dical HJ.~tor'i
P Ir.1 I
7222
H~s th~ chi!d h~ss a)Squint or suspoctud ~quint?
b)Any othor oya trouhlu?c)Hava glessQ8 btlan preacribad?
555
121314
M/RID 1'1 11 10 Has the child ovor bQ~n found to hovo an ebnormel ayecondition (inclUding squint)? Y7 20
Which, if any, of.tho following operations has tha childhed? Eyo opQr~tion Y7
m/R/O M 11
M/RID ~, II
11
25
DOGS th~ child usuelly wear gla59057 Y7 21
35
P 11 39~ Doos the child havo good sight (Without gl~ss3s)?
3gb At whet .,go, if' any, was poor vision fir~t di~cov,irod
20
Y'~ 35VS .3~··J7
22
l·r
i
CHILD'S MCDICl\L Hr~:IT()i\\'
38,
39-40
4344-45
48
41-42
46-47
VSVS
VS
YS
VI SI or~ l\) M(3 die ~ 1 h j s tr , ~. ~' ( t: ~lrl t • )
4l~ Has tho child uvor hnd e DQuint?41b At what nga, if ony, was squln't flr3t nutod741c If child has 13V3I' h~d 3 squint hut. thn squint 19 noUl
obs~nt, 8nter ~go whon dls~rD~3I'~rlo
41d Whet troatm8nt If ftny, was ho/shu givon for thusquint?
P 11 40a Plu:~;.i:J 1'1n~1 ttllJ nl1;lr:lprl:'t·.1 cd. 1,!pry. '.Idlr.l Jr,,~~
rlll\(. l' u;ur:l ~l:1!.;SLl:3. child VJ(Ji'\r~~ J1"1's ':, .~t. fJr-,j'31nl,
chi ] d u ',)d tow 11 a r .;} 1a ::1 ~i lJ ~ in t h tJ P~ 5 t h1I t. : l' t now,child wa~~ r~rGscribod gl~~sslJs hut n'lVt)r war,) f.huiO, notknown if gl~sse9 OViJr worn, 11''13 en nyu lH90rd~lr which1s not helpod by glassos YS
40b IP applicable entor ugo nt whIch glossu~ wor~ flrotproscribed VS
40c ror thosn children who uDod to W8ar glasses but nolongur do so, ont8r nqJ et which gl~8sos wore dlscerdad VS
P 11
--_._... _-_...._.. --------Resp. Qu'airo Qu.Nu. t
&. SW8ep Uum:tL11l C::11'd Colum!
-------------------------------...-.--.------------_-frt
!t
•P 11 57 Spoci81ist truetmontl Eye disorder/vision/squint Y6 38
Is th~r8 dvid13nco ofao squintf lotunt squint (cu\.'~)r tC-ist nnd "rollmu fin,]'lr")9 any othor ayo condition affGctin] vlGion
any othor eyo condition not nff1ict.inf) v15lr-na 25 ~bova nnd 72a ~bovn r~~odoo fur squlnt
8) Medical examlnotlonr.
40-43'"I!
IWI I 25 Vision Tost Snollen chart 6
666h
8 E:L
4445464740
1-·
I·:I'!.
o rn II 44 Plsi'!se 8xClmine tht;) eyos for !:qulil t Y7 66
45 Di s t f'l n l vis ion. Vi ~10 n t 13 S t "'I S 25 all0 vtj
45c DOG!! thu Snollen fl-1r IJ1010n chP.lrt U!10d L,r 'louroXl"lmin~U.un m,Ja!~uro (1/5 vi!'ltJr~?
o
o
/YI 11
m 11 46 Near vision. Y7
Y?
Y7
Y7
67-70'
71
72-75~
D
o
Q
o
M 11
IWI 11
f'I 11
47 Colour vision. T03t colour '11910n with Ishihemplates if ~vailebl8
48 ror childron with soma ebnormality of vision.Please!ndic~t8 typa of condition
25h Doctor's assessment of vision
49 As 25h Above •
Y7
Y7
6
V?
6
77
48
78
l~.
If[II
r
i.
I~
f.I
-~~.
31
32343536
444423
Has the child h~d mora than 3 throat ~ncl/or oar infections(with fevor) in the r~st yenr? 4Has thu child eV8r had;
b Hny Pavor ~r sn8Gzing att~ck3
d Running enrs (l.a. nus, not w~x)
Q lJc:1 rech 8, wl thou t runnm I) en rs. __f H9~"'H'Ig dif'rtculty (suon~ctod of Cnrtll'IHHJ)
2/
EAR I NOSE ~ND rn ROA T
64)n7)
P Io I
----;;;;;;;;;;;;;;;==;;:::::;=;::;::::;::;:::~~~_._~--=_.========-= .._-.-.- -- ..
23 i '.'tL
l'
22 r"II
V6
Y7
Y6Y6
C;r rJ Colt.i;r----------1r!t[
23 ;Ii
Quust10n
Eer, Nosa nnd Thro~t (cent.)
Hns th3 child ht"d any ~bnormolj ty uf t.ho o',r/nostl/thrc,['\t/p'11t.:ta (oth8r t.hp\n trnn~jlUllt)1 0" nut includoimpoirod hc~rlng.
Hos the child suffororJ in the last t'.oIh~lvlJ months fromDny of tho following?g) Rueurront mouth ulcorsh) Rucurrunt thro~t and/or oor infectionG roquirlng
traatmGnt by a doctori) Discharging anrs (rus, not wnx)
P 11 64
Rusp.Qu'ai_ru Qu.No.&: Swoop
~/R/O m 11 13
P 11 42e Has thu child elweys had good·.hsClring in both 8CJrs?c At whet Og8, 1f any, ·wes poor hooring first noted
vsvs
4950-E\, '
P 11
~ m/R/D m11
43
12
Has e hOftrlng eld ovor b08n worn?
He 9 t h El ch11d e v 0 r hedimr a1 r ad h W1 r in Cd r)
'15
Y7
52
22
Hospiti'll odmisslon:·s Ton311s ~nd /or AdonoidC3iY1 P I
m/R/o '" I I
62
25 As 62 3bove • (oparetion)
4
V7
20
3S
lYI 11 65 As 62 cbovu· Oror~t10n end ~g8 of child Y6 28-
m 11 67 Specialist troetmantr Actual or su~poctod ho~rlng 10s9 Y6Nose, rnleto, eers, (oxcludG ho~rlng) YG
3940
P II 57 ~odic~l causes of school ebssnca (Colds, sora throet or8~r infections V5 73
(Io
'" I
rt1 11
8) l\1edicJl oX8tninntlon
11 Daus 8x~~inntion rov301,d) Mouth ur r~lato obnormollt.y0) Pl(l~so' ~dd up totol missing, fillud or cf]v1ous tl3athf) H~vo eny pormanent Incisnr~ eppo~rod?
h) Sign of p?lst er prusl3nt otitis modiei) Doformity of uxtarnal ~nr
30 Pl133s0 oxnmino the nosG, throf)t, r~lnt.o, p!l,1rynxAnd chust, and ring apprOflriatoly. No fibnormol.ityjlY1ark3dmsol obstruction (rocurront 01" chronic)/~ovoro
uppor respiratory inf~ction (rocurront or chronic)/Diso~9LJ of mcuth, tonguo or pl,leto/Othsr rjl~o~9'J ofUpp(l' rCJspirntory trnct.
55555
Y7
67 \68-69 170 (,72 .
t·73 Ir
i
44
o fIl I
o IYI 11
o ,., tl
AID m11
t(.I·
45-46 t
;~-54 \1.
60-6364 t
24!65 t
r14-38- . ..........-..-_...
66
\'7
Y7V7
Vg
Y7
PlePls8 aX::lmine both (l~r9 with An ouroscop13. Is theu~rdrum: Norm~l/Infl~mad/Scarrod/Obcuru~by w~x/
Abnormal In nny othor way_ Lart Eer nnd Right [or
~2 .-- ..•.~.- .. - ~ .......--.-' --. - .
31
27 Hearing rust. Tast words.c) Assessmant of heaTing.
41 Clinlc~l Hu~r1ng Tust. Tust wordsc) 0009 tha child woar e haarlng aid?
43 Hanring oss03smunt
rtI 11o
Qu .~!ition
-~-----:---------------- ------_.-..._-----Rasp. Qu'uirll Qu.Nu.& Swoo~ C~r.d Col\.
LOlO£H Rf SPI RA lO~ Y SYSTCl1
M
'"P IM I
65)8)
Ht'~; t.ho child ovor hr'lclln) Attncks of OGthm ..1b) Bronchitis with whoozlngc) Pnoumonl~
Also codod for sQvority 0' osthmn
444
8l";tlinde
383940 :57
P 11 59 As 65, n nnd b nbovo * vs 74 :
P 11 60 If t.htJ child h?i~; over hr\lj osthmfl or whr.~()zy bronchitiswhet is the froQullr';-y of thu nLt~cks? Y5 75 '
M/R/o '" 11 14 As 65, e and b obovo * Y7 24
o '" I 28 Abnorm~l conditionsl rospirntory aystom 6 69
m/RID IWI 11 15 H~s tha child avor h~d e non-a8thm~tic ch~at compleint? Y7 25".
P 11 63 madic~mGnt9 given in lest thrna months for whaazinoeaor o9thm~ Y6 15
P 11 57 Modicol ceusas or school ~bsonce. Bronchitis or chestinfoctionb/Asthma or who~zinuss YS 73.
67 Spocialist tr8otm8nt. Asthme or WhOOlY bronchitis
o
D
P 11
I¥I I
MI!
12b
30
e) ~adic~l ox~mination
Abnorm~l chGst sh~p~
Plo~so oxnmino th~ n050, thra,t, nnl~to, ph~rynx endchost, and ring ss approprioto. 8"conc.hc:3f'lcsm/chEJ~tliDfnrmity/.n.ny othor di300GO of tho lunq'3
ye, .
5
Y7
41-
LI·II .
7d·fi.!
4J'CARDIOV~SSULAR SYSTEM
mIP I
9) Has thu child h~s,
66)~) Rhuumotic fovarc) Congonitnl honrt condition
44
;,It
4~
4~i
o ,., I
m/RID M 11
28 Abnormal conditions. HOflrt
16 As 28 nbovo *
6
Y7
5
Vt, .
vs
23
Hos tho child 6uffor~d in tha pDst tw~lva months from~ny of the fol1o~ingl Any honrt complaint
Petholog1c~1 heort conditionOther hoart murmor 5Any othar sign of heart dlsa~sa (e.g.clubbIng,cyanosis 5
Pluaso eX6mln~ the child's cerdiovesculflr systom.· ate.)Aru thore any symptoms or physlcel sign or cardiBcdso3BO V7 4
METABOLISM AND BLOOD Snvoral questions on metabolism and blood:NCDS I havo not boon put on tepa. ;.
Abnormal conditions Olood 6 iDinbatos 6 ~
tII
Y~5 ~Msdioamanta 1n th9 last throo months for di"bates~
B) Mudicel 3xa~in~tion
64
53
13ebc
63
32
28
P 11
P 11
M I
P 11
IWI I
1'1 11
o
o
o
'I
J
CHILDt~ ~1CDlr"L H!3H'~q"
R~sp. (Ju' cl r:'1 (JlJ. N()-~' _._-- -- .. .--- -- --_.I Swoop Illll~!ltirJn
.....- ... --.,.....C~rd Co'
SKI:-.J A) Ml1dlc,l Hist.nry
P Io I
69)15)
Is thuru n hIstory ofsn) Ec z wm'l 1nth() firsty() ~ ,rb) EC :l Gm 0 ~ f l 0 l' t h.J r i r :3 t y(111 r
c) "Strnwborry marks" (rn.1san vi'l~,cLJ1~,r (); ~lIi)
d) "Port wino stninti" (flc,t v:-:\scul'~r IlnU\i!)
4444
61'626364\
m/RID fII 11 17 Has thu child Clvor h:1d e recurr~nt gkin cC'm~'lnint?
No/Eczom~/Psoriasls/LocallsudIons of h3ir/Gonorallsad- loss of hnir/Olhur skin comrl~1nt '(7 27 .
m P I 67 ) Has thQ child 8\'01.' ba.:m/or h~da
M MI 14 ) n) Poriodic vonit! nfJ (I r bi lieu 9 (~t t ~r, ks 4 46u) Porlodic nbjomln~l pnin 4 47d) Hornia af nnl' sort 4 49f) InfC3ction in thu urlnu (raquIring motile;)} troa tmont) 4 51
~9) Wet by day aftor 3 yoarn of egu (ignuro occasionel
mi :::h::-.p) 4 52h) Wut by night flftor 5 yoors of ftga (lgnoro occasional
ml'..:;hi1p) 4 53i) Soilod by d~y nftor 4 ya~l's of r!go (iqnore occnsiona1 4 54j) Nuphritls or othJr kJdnuy or U-G mishep) 4 55
disord;~r
.I~.
I·I
l-
\i~
\I
~
\tII
74
Y6 25VS 26
6 21
6
r~) M...~ dIen1 his tory
skin .Abnormal conditions.
ALIMENTARY AND lI_~[JI;CNITAL SYSTEmS
On lJ X;)m1n~ t i 0 ;t ~ s t.h E:t r u •
Plonsu oxamlno th8 akin, hnlr nnd nnl1~. and ring findingsea appropriatQ. Notl-ting flbnerrT'l~1/Ec7.nm;,/r8urin91s/tstraw~arryn
mr'lrks/Por.t wine ~tfllns/Common w~rts/Othor skin conditions,h~ir or noil disord~r~ Y7
H?lS tho child suffLJrCJd in thu rt1~3t t.wolv'.) months fromany of tho fo11owin~? j) Eczam~lous rashu9
k) Psa r i" si ;,
0 III I 28
twI P 11 64
~~
0 MI 18
0 lit 11 36
~I
Is the child complotely dry at night? Y5Apart from occasional mlsh:~p9 is th3 i.,;hi ld compl~ti.31y dryby d~y? Y5DaDs tho child hnvJ normel hawal ~ontrol,l.o.do~s not so11?Y5
Has the child ovar boon odmi t tad to hospi torJ 1 for any of thufollowing. b)Abdomin~l oporation 4
c)H ern! a ropai r ... t\
A~ 62 P.':bovu, ~lso !ncl~(j!.ng Pylorotomy for pylc.llric:Jtanosis/clrcurncl G~ (,iI'. ~LJ. ~
55
5657
Y7 28 ~
•~F
Y7 29 tr
Y7 30 t..
6Abnormal conditions; alimcJntary nnd urogenital
Is tho child incontinont or urinu :)t pru~;:lnt?
Has tho child ovor had 6 h8rnin or a complaint involvingtho ebdamon?
H~.s U.J child ovor hed eny ebn(1rm;~lity f1fflH:tlng thokidn8~s, bloddar or Q~nltal tract?
18
19
28
48
20
4547
62
25
P I
M/R/O M 11
M/RID M 11
o '" I
'" P 11
r./R!b 1'1 11
D m I 18 On oxnm!notlon l~ th8r~1 c) Eczornn 6
D M 11 36t
Plonso Gx~mino tho ~kin, hnir nnd nni18, ~nd ring findlng~ :e ~1 t'\flP rapr! 6 to. No thing nbniJ rme l/Ec l Dm,,/fJao r1891s/'St r~lVbarry"imllrks/Port wine stnlne/Common wo rts/Othor skin condl t.lone, Ihot r or nni 1 d15QrcJor~ Y7 r
!I
Al.IMENTARY AND UI10r~NITAL SYSTE~S A) M~dicel history
'"P I i~7 ) Hp'~j thG child OVGr boun/or hnda
"' mI 14) a) Poriodlc \!onitin~l ur hll1ou9 utt~cks 4b) Poriodic nbdomln8l p~.ln 4d) Hornin of any sort 4 I
f) InfGction In tho urlno (roquiring mrJdlcal tree tmont) 4g) Wot by drly' p,ftl3r :3 yo('\ts of ago (ignoro occosionnl
mishr1p) 4h) Wut by night of tor 5 yo,3rs of ago (lgnor~ occ~slonal
ml.'3h~\fJ , 4i) Soilod by d~y oft.ur ~ yl1::'l t"'~1 0 f uCJu (lqnore occ88ion~1 4j) Nl.lphritis or othur kidnol ar U-G mishap) 4
clisord\.1r
M/RID m11 10 Has the child evor had 0 hurnla or a complaint involvingtho nbrlomen? Y"i
M/RID rrt 11
rrt/R/D ~ 11
19
20
Is tho child Incontinwnt of urino ~t prtJ!H.mt?
H~s th~ child ovor had eny ahnormelity affecting thekidnoys, blbddor or Qunit~l tr~ct?
Y7
P 11
rn/RID (\1 11
~• I
y.
Y;V;.
---II1t,.i
J.1r
tf1Y lnJic s t ono s is/.. :. t
f
Abnormal conditions; alimontary and urogenitel
Is the child complotaly dry ~t night? YE·Apart from occ~slonnl mish~rG l~i tho chl1u completoly dryby day? Y:DaDs tho child havo normel bowol control,i.a.doas not so11?Y~
As 62 sbQvu, also including Pylorotomy forcircumcision
Has the child ~v()r boon admitt13d to hospital 1'01' any or thefa 110Ullng I b )Ahdumlnft 1 0pl)r~ tion
c)Hornle rop~ir
Has tho child h~d any uf tho followinq of1oratlonszc) Circumcision (for girls laav~ blcnk) At whet ~·4?
de) Repair of hornia At what egG?) Removel or nppond1x At what ngo?
28
48
65
4647
25
62
P 11
P I
IYl Io
P 11 64
Alimont~ry p,nd Urogonl tol Syatnms A) Madical History (cont.)
month9HOG tho child SUfrorDd in thd I'~at twolv()~rrom nny 0'tho folluudn9&c) rClcurrunl voml ting or bilious ~ttl'tcko Y6 18d) Rucurront 8bJomjn~1 pain8 V6 19
If tho study child is 6 girl, plaaso 3sk the quostion,"Has your daughtor had hor first monstruel par10d, end if
so et what ego? VS
LOCOfiiOTOR, SKELETA~ AND CENTRAL NEI~VOlJS SYSTEr.1
& Modicol histPll
70 ) Hcl S t hochi 1d h ~ ch20) a) A fit or convulsi~n in lha first yont
b) A fit or cont'uls!')n eftor tho fir9t Y01!.-'c ) Pot i t rrn 1 Cl rUt 110::' " k s r 31 1;, It
d) FrCJr~l'(.:nt hCI:'!actl:1 s or migl''111.:J0) Tr~v~l sickn~ss
f) Ti s") er heti t s;:ms~.)s
g) erecth hoLjincj, h.J~)j b~n9ing or u['uckini'h) Concussion or hood injury (with unconsciousnass)k) CongGnitel dislocation or hip1) Talip\39
o
It 0
o
D
-',
P 11
P 11
~ 11
IY\ 11
"' 11
m11
P 11
IYI I
P IIWl I
56
67
17
33
34
35
54
19
Medical cr.usos or Dchool ebsonco. Abdomin~1 pain
Spocinl1sL tr~ntmont. Enurosis
On LJ x nmi n'~ t ion, h ns t hoch i 1d &
n) InQuin~l h'Jrni~
b) Other h13rni.,
Ploeso oX::1mlno th.-J chj Id IS E1bdomon incluJing lH3rn1elorifices cnd genitc113
Hevo tho tnsticlua d~scondod7
puberty Rc ting~j
BC'Y3& Gonitelit3 r8ting end Pubic H~ir r~tlng
G1rlnl HroJst r~tl~9 ~nd Pubic H3ir r"ting
UrIatix Urine TestProtlJinGluCOGU
vs
V6
66
Y7
Y7
V7Y7
66
4~
44444444
73
43
1213
48
49
69
2425
06(:;7
G869707172737677
i't
II,ltJ
ff.~
o MI 28 Abnormal conditions; uppor I1mh/lowor I1mb/hoad 8ndnock/spino 6 65-68
M/RID m 11 21 Has thu child ovor had any bono, limb or joint condition,oxcluding frecturns? Y7 31
28'l5i
RO!:lp. QLJ \1i rll eu .1"'·!1.& Swoop
32
!'ft/RID IWl 11 22
Ju,: '.3 U.Ofl CrI rcJ Co lur...__.. _._----_.--_._-- ----:
lLocomotor, Gkolllb...d ~,n,J G;!ntr-,l 1l:.l1'VI)lJ!j :;y·;Lo.lm (cont.) IHi1~ the child over hnJ dny ClHdi tlOi1 " f rl.)(; tIn';)nQLlrI1h.... ~licnJ functlu" or d:l."-::~~;'j (1f Ui·.' rnU:lcl:J3? IncluJo:trn~'i1i!"munl of co-or:an::ltion, 1:;;"1LHlC·J, .,;In! ,·~t.i·Jn. ate.and Cl n y form 0 reo r ~) lJ r:1 1 P:1]:J Y• V7
M/R/O IY1 II 24 Hus tho child (Jvor h"d [1 c(Jn\JI1L~lL:ll? V7 34
P 11 61 H~s t:h 1 child h~::1 nny of th~ f'nll..'luin:/? r~:;j!lr convulsion(or grr~nJ m<.ll ari13j1sy)/Minol' convulsi1dl (ur putit molop i. lops)' )/0 t h 0 r, 0 r mi x r~ d fur rn 0 f () r"' \. L) I :; y/ FCl i n tin9 0 rbl~ckoub;/Othur 'attacks' or tUlns/~Jo ntt~ck~ at oIl YS 76
o
P 11
l'tl I
62
28 6
P 11 50 H~s thu chilel :J\I,Jf fl:C.Jivod r1ny of thlJ following injurio8?~:) FrC'lctl1r:J of lwn~. ~;kull Y5 61
or migr~in()
in thu Ip~t twalvo months rrom anyP 11 64 Has the chilJ sJffororlof th~ following?0) Rocurront h~nd~chas
b) Tr~vr.l sickooU3c) Tics or h~bit Gpnsms
V6Y6.
162021
P 11
P 11
57
63a
r·1odi c r"!1 eau sos 0 f schoo 1 no ~~iJnC;J
Hon~b~h3s/Convulsion3. fi ts or turns
Modicomonts in tho last thrJo munths
YS
Y6
M P 11 67 Snocialist tr~atmontl Convulsions or fits V6 42
8) Modical nx~minatlo~
252728293031~2
'33343536
(i
66566f:
66
symlTlnt.ry of hand3) 66
On cX~'HT'in,:tion is thorn.3) C·)r8br~1 P~lsy
b) Tics or hL)bi t SPf.ls:nsc) Cong~:"ital up(1L:r 11mb dGfuct(ch'lCkrI) Any r.l:1lfunl:lion of upl10r 11mbu) Skull dJformityr) Spinn hifid;)<;1) (1 thor ::ip1.D3J c.!imrdorh) Con 9 vnit;) 1 low -.J r 1i mb d.j f () c t ( Ch.J C k ~: yrr. mlJ try of r U0 t )1) T31ipCls.1) Amy m81fu'lction of' ll:wor li:nbk) Othar l"'uurologlciJ! ur skGl.JI'11 di~r)rrf..!I:
23MIo
o rt1 11 37
38
In tho liqht of your cxnmin"tiiJrl f1dd ~)j,~3trJl'Y is thoro.NlJU 1'0 10g1 cal 0.i sc rdor/l~luscu 1~ r di SC~ rti:lr/Congoni ta 1orthopL~,):iic c'l sorccr/8ocont fl'~H;tur..J/(:t.ldr 1)cquir3d orthu ..~e3dic rllsordJr/Non~ of abovu Y7Ara U'"tro any indicAtions of abnurm",lity/clurnsiness? Y?
5556
29
CHIlD'S f·E)lC~L HIST(RY
Ro~p. QU\1iro Qu.rJo.& SWUOf) CClrd CoIl'
o
o
m 11
~1 I I
51 Walking bQckwarJ~ along n I1nJ
52 a) Standing on foot fur 15 socon~q
VD
ve
17
lA-'
o
o
In 11
111 11
53 StfJ,lc1!.ng h:,wl to tuo for IS sl3condu
54 Tllnnis ball
vs
YS
20 :
21-'
o IYI 11 55 Squaros markod VS 25-,.
D IY1 11 56 Pick~ng up ma tchos Y8 31-~
01\1M
P Irwl I
L~ TE~A.IJ.l.Y.
71) DOGS thD \..nth')\, thini-.: lh,~! chiLl iss Rt'Jnt-h,~!Id,Jd/
21) l.oft-hnnd'ld!Mi:.<ud R + L I Don' l kncnu 5 11
P 11 49 a) A1 71/21 n~ovu •b) OJhich h8nd '!ol~S your child wr!to wit.h?
VSvs
5859
lII
37 ~.i
38 ~
D
o
•
P1 I
'" 11
P I
24 Pl~aso ask child to corl'y (Ill t thr;)i.J tClskr" urd obsorvowhich hnnd/foot/~yo is u~od.
el) Hund. Tht"ow crumlllod p~l1or ~r~ll. DrCJw i'l cross 6b) root. Kick cTumn10d p~por bnll. Hop on ono log. 6c) Eyo. Look thrCllJ,)t, rollod pOf'l'.:;r tubo. Look through
holJ in e c~rd. 6
50 Pl~asu as~oss latorolity~) Ask child t~ thr~ boIl to ynu VBb) Ask child to kick bell to you VSc) Ask child to look through 0 rol1od-ur papur tuba. VB
SPEECH
59 a) By two y~nrs of ~go, was thu chilJ tAlking? 1.0.j':lining two wares 3
b) Has thuro OV ..lr bO.Jn any stnmm:Jr or stuttur? 3c) Any othrJr spl.)~:ch difficulty? 3
39
141516
747576
i'
I.t
Il,,tI'.
SpJuch tost. Tost sGntoncos. Tot31 misprclj";ouncod words Y7
40 SpGJch 8;J~iCSSI"1Unt.
articulation'? 59
4~-50i51 I52 \
;I
57-58 II
t
\54
53VS
Y5
666
Y?DoJS tho chjld hava ~ u8f~ct of
HOG t.ho child had any sponch difficulty?
SIl013ch taste T88t uuntuncos.a) Totol misp~onouncad wordsb) Is thor3 an y s tarnmor?c) Assossmont of intelligibility of spodch
H~9 tho chi Id ovor h:-Jd spo\.:ch thur;:py?
26
39
44
45
P 11
P 11
I'tI I
fi1 11
r·, I I
o
o
o
\ '.'-_.' rt1
P ImI
63b)6b)
PSYCHIATnrc, P§YCHOLOGICAL
Ooos tho mothor considor tho child to ba p~rticulerly
sons1t.lvo or highly strung? 4 30
27 30
C· Y I l.D'S i·1 ~-Il reA L :4 I ~i ;- (! l Y----------_..........----....-...............-._------..-..--...-._-_ .. _ .._-_.__•.._~-.--.-.- _._------.~
Reap. Qll al ra Qu. No.& SwtJop ---------- ..-.._----_.-_.•.
C,HU Column ~e------ 1
o ,., I
IYI I
28
60
P~::ychii..1trj(, P5ycho!ogicdl (C(ln~.• )
P,~H\CIrm'Jl conJi tions, /Mont~ll rotnrdF)tion/Emo •. 1rJnolm;11ndjustmont
Has tho r..bl1d ottondod ••••Child Guirlf.lncO Clinic?
6
4
63-64
14
M/R/O IYI 11 23 Hns tho chiLJ JVJr had ony rsychinlric. or r~'y'cholog1ct\1
opInion or trn~tmJnt7 V7 33
P II 67 Spucielist traatml3nt. DlsturbwJ bohl'lviour, includingemotional problams? V6 44
(9o 1'1 I 11 Doos Jx~mlnation r0v~all J) pluasJ odd up tot~l mlssin~,
fil1od, and c~rlous te8th. 5r) HDV~ nny rJrmonont incisors arpJArod 5
68.. 6970
P I 60
51
Hns th8 child ~ttondJrl ~ny of tho following? Dantelcl i n i et J ,m t is t 01:' 0 r th c n~n t i 0 tHas the child uvor ho·d P. dGnte1 ges?
44
17JO,
rt1 .
P 11
P I
P 11
66
62
65
Has tho child hed 6 dontal inspoction in the past yoer7 Y6TypG 'of tre:atmunt. V6
USf OF HEAl.Td S[-i,VICCS
Hns the child JV •.H' bedn ndmi tt:ld tu hllspi tell f.1f !:.fly ofth.J followinJ: (') Tonsi1:3 Dnd or/adonoid:'. b) A~comln(tl
opJration c) HSl.'nio r(3~air d) Jth.9r opur~tion (includingblood trnnsfu1..)ions) 0) RoP'l~! accidr:mts f) Homo £'lcc1dentsg) Gth,Jr occidont or injury h} Illnclsso'J, invu3tlgations ort0sts i) LLhur 4
H3s the child helc1 :=1ny of tha Follnwi.ng oror;:,tlons:a) R:JmiJval of tonsils wlU, or without :)don()id~i h)Rumovalo fed on 0 i d 3 ~ Ion a c) Ci r cum s ion d) M':'1 P~~ i r (1 f he rn i IS
0) RiJmovnl of appundlx Y6
3J34-37
20-28
M/R/O fYl 11
m/RID" 11
P 11
25
26
67
As 65 n~ovo * 13190 including EyG onor~tion/Pylorotomy
for pyloric stunosis f7
Has tho child ovar h~d ony othor 11lnoss or conditionroquiring sr::[)c:l~li'3t trclOtmunt or hcspitul adml9s1onnot listad ahove? Y7
H~s tha child evor bao" 90an by or ~nd ~oJcinllst
treatm~nt Prom ~ modlcel/surglc~l sraci~list for any oftho following? Eya disorclar, vision, souint/Actual orsusp:Jct(:Jd hunring loss/Nose,peloto, 8cu"s(uxcludinghunring)/Asthma or whaozy br~nchiti5/Convu19ionc or fits/Enurosis/Oi3t0rbod bohaviour, including emotion~l problems/Any opGrntion Y6
35
36
38-45
M P 11 68 a) lUL1 wi$h to knolu obOlJ t l.'!11 U~:83 of hospit~l scrvicoGby childron, SO· pleeso ask. Has thu child n\lor boon .. 31
..:. admitted to hospital Dvornight or 10n9'3r. including
b)eh.., occasio,=,s olropdy mo"t.!.on,.;d? Y6 46If Y'IJ 9, hO!'J many tlmc~.s h;)d thlJ child boon \':dlllitt:3dto hr; s r::;. t :.~ J. ? '28 v~ ;d!.1
CHTLD'Ei r.L~Hr:,'l Hr5TQI~Y
--~--~--_._-- ....................-....... _.........._---- ---- -_._.-...._- ..- .._--_.------k~sp. Qubiro Qu.Nu.
& Swoop------------_._._._----- ----------_.U311 of ILHlllh 3(Jrvicv~. (cLnt.)
Questions 'ram them PN 21
R/m PN 26
R PN 36
-- PN 30
X-r~~1 ox~minetions during this rr;j'gn:'lncy BtJlgroxl~ 38
W8S thJ pntiunt llclmittod to n hospital or rn~tltrnity/nursing homu during thrJ entanell"l period? (for p,nyothur r:JOS1Hl than P.E. T.) Bo1groxia 41
Y6 47
Y6 14 I~..', .:.\
I'VS 15 i.
(and 6600 ComrLterf .Bolgroxi:J 20 f'
I
II
I
60-61 .
3 6?-64 .!
4 124 134 144 154 164 17
or4 18
b) Whr.1t kind of bookIng W£~8 tha Drit'ln~_ll ell!)?
lH d t h (J chi 1d n t ~ UI tJ d n In f Bn t I)J ,1 f ~'1 rue 1 i n i r. () rTcddJurs Clini(:?
DotBils of complaints which hevo rucoivod 9ruci~1ist
troatmunt ~t OUTPATIENT hosplt~l/clinlc/domici1iary orprivata consulting rooms. Codod for whuthur or notthe child hns raceivu':l such trontmont
Hns th~~ chil j ~tt()nd,Jd nny of thJ folll1winq?El) Ey L' Dd f1 t. 0 r c 11 n i C, Ll Ptic ~ "'H1 0 r () r t h'J fJ t l.~ tb) Physiot.hLJr~py or r~):TllJdinl uxUrCinlJ8c) C~ilrJ Cuid2:ncu Clinlcd) SrJ".JUr~h thJrory~) H3flring or audiologyf) DQnto1 clinic, dontlst, or orthodontist9) Hav'-J thuru b~)(jn ('Iny outpatient, cthor clirdc
sruc;i~llst opj",ointoli3nts,
Hew tho chIlj r:)cuiv.Jd lmlT'ur>ls,)tion ~q;)1.n.1t1
a) Dlpthcri j b) Poliomy;Jlitis c) Snp~11rux
a) Hes tho chi Id had any modI C;!I:Tllln t.s rl'OIO (3 do eta rin th3 lost thrJ~ months? Nilmu of subst~nGo
b) If child hos hnd. any of the nDOVG in tho lost thresmonths, fo~ wh~t r3~son w~s(woro) tho m~dic~m~nt(s)
q'ivun,] ConvulsiClrw 01' tlJrns/WhchJzinoCos or eathm<:l!D.i.ntJCJtJs/Ol:hor
PERrr~~\TAL. MORT.~LITY :1..IRVEY THAT ~P( OfJlY OIJ BELGROXIAb) Pl:lcO of f.'\ntun~tn1 Cl~r\l
55
60
69
63
54P I
P I
P I
P 11
P 11
om
R PN 39 lV()s patiant :'nilnit.tod to inst.itution dur5.:tn };~f-)nur? Bolgroxio 42
. '
[:i
~rj
it[I
ItIl!32
i
, ~
8algroxia 51..52 l;
\
Bolgrox!n 60
801groxla 63-63/68-74
R.Cf
Wns nnnlg8sio or sud~tivo given by nny othor ruutoth~n inhnlntiun? If vas, a} Whet drugs wuru glvon endhow much was givGn in tho lr-)st two hours (and in therrovious 10 hours) of labour?
W~S n local, gonora1 or spin~l an~osthotlc Mdmlnlstaredduring labour? Bel~ro)(1a 53
49
50
55 Did tho b~by rnqui ro rosusci le tion 0 thor than hyClsrir:Jtion of tho ell' Pl.'!SSOg'1S? If [i0 010;"SU
spocify tho mathod usud, 1ncluding dotails ~r oxygon 801~roxia 59
56 Was tho baby givGn eny drugs or antibictics duringth~ pariod cov8red by this qU8stionnAiro?
Datal1s or daeths
PN
PN
PN
PN
PN
R/O
R/O
R/O
RID
. R./O
.-._--~.;"lI':_.--w-- t
QUESTIONS fROM nit: rCF,!!~:,~l;.1 /YlOf"'l/~LIlY ~1"I\I;'\'1 M:i.)';.r,[>.~j.
OIv CMhD~ ;"~T NOT eN "~iiL
'I;: , I l .! I .n ~;'
Rosp. Ou'eiro Qu.No.& Swoop
---_.__._-----_.__.__ ..._-_.- -_._.__._--QUl:~tion CnrtJ
l
Column:
PN AB 44
M P I
P I
31~32)
34 )3S)
List of difficul ti~)~,. WhJfhllJ' 'or"llh ~r lll.~:; copcornaJnboLJt ~~rl>, of thJ Drc)t)!,1:1\S l:ti! r .11' [1.)f':I·U, c r :.lft.~~r
t h ;] chi. 1cl :~ ~.l l' LtJ: I :; c; ll)L; 1
List of dd3cript",iuns of h,Jh~vLhlr shown ;IY iT~,1ny
childI':lfl. Mothur's cnnr;Jrn, os ::lIJCJ\!.J ('llJostions,"I 1 ~/') ).J , .)... •
2
2
!.1.
62-6~t
I
r79-8('
rho SChOC1 I
HT
8 eT
E I
E I
• 11
..• 35
D~y or bCJnrrJing sr,hool 1
~~umtLjr of schc10l turmn pupils u:";u~.,lly st:~y in child'sp r J :, ;'.m t. c. 1~ S 9 1
15
50-51
eT £ I
P I
• 37
19
Is th~ child's cless singlo GUX? 1
If th,J chi Id et londod fl nu rsary cla~~;, W~UJ thi s in his/hor rrusunt school? 2
58
Was any loc;)l, gonar~ll or srinol nn,,,::clithdlic edministeroddurin~ labcur? AB
Tim3 nnd D~t8 of dultvory ~nd
Octo of prcsont marrL:'!go codod f\)j"' inturvfll bot.woenm8 r r i 1.1 9 ~ nner t his tJ:1!) Y Ab
i,.t•IiI!rI·ItiIt~
II
lI
,
i54
17
5641<) J1;~rf.lnt, broth13r or sistur i.l:ith Jiscrduf ofk) ~lim3ntnry or U-S trnct?
50
G7Itj
710
PN
PN
P Im I
m
MM
•Ch5.1l!'s rtlodicnl Histor.i
[,\r, ~JOSJ, ThrC13t
64) Ha9 tho child over hnd)
7)
o
P I
rtI I
,., I 11
c) Hahi tu" 1 snori.ne] or mouthlJrunthlny?
g) Othor LIar troublo
Doos 8x~mination rQvo~ll
a) N8S~1 obstructicnb) Nosul or poatnasnl diech~rgo
c) Tonsils worthy of comm~nt
l;l) En 10 rg,')d csrvica 1 glnnd,~
j) Othor ear condition than thoso spucifind in a.1l)
4 33 J4 37 f
I
r
5 645 655 665 715 74
30.. 33
QU[:-JTl:JNS Fi1(:~ n·!c: rEI~jJ.:·;·d_ ;'f1 .. ':1r,~l.I '" .'. III " I'!:: .. ~ .CJ,,(~. I ''-';'1IG! ARC:ON Ch?D~ llU T ~\ STUN 0';. r,c_
-------_.--_._--------------Rasp. Qu'airo Qu.No.
4: Swoop Quustion C~rd Co1ur
LOW,lr Rc:,pirotory SystLlm
PI, 1Y11 65, 8) Has th8 child GV(Jr h:ld cl) OthJr r(!spi t'n to ry dis13as::l(th~n those spiJcifiud in Q• E/~j :1nJ Q Cl) 4 41
0 mI 12 DaDs lJxnmint1tion rovuall (1) Allnormal sIgns in lungs 5 75c) Othor l'~srir21tCJry conditlnn 5 77
C.'J.s.,., P I, !'1 I 66,9) Has tho child had. b) ChlJ fd ;:. (St. Vi tus' Donco) 4 43
• i\ liml:nt~ry and UrL1(}wnit:11 SYJtIJm~:;
p I 67) H~s t.h ,1 child QVi'll' bt1lJil/or h?rJ.14) c) Rocl!rront ri1'Juth lJ le 0 I'!) 4 48
a) Othur sorious digostivG, bow~)1 or nlirn rJ:1tarydi so rd~)r (thnn thO:jFJ S t'l JC if1 iJ rl in Q e.? & Q 14) 4 50
<j - ')
0 c)m I 17 DOGS 9x~mi no tio;' I:'.~vo:il Urinnry' lncontln,:mco 6 14d) . PnrtiAlly or. undosoondod tostu~ 6 158) S _!Gn ci rcumci s\ld 6 16r) Ot~()r Lt ..G ebnorma11ty { t,h~ln thL1 so spGGifldd in Q 17) 6 179) othlif flbdomln211 obnormality than thos,] SfJ.1Ci P!.Jd 1n
0.17 6 18
P I 68)I'll I ' 15)
P I,M I (9)16 )
Skin, Bl:Jclli , Metabolism
Is thor,] a histo:-y of, 0) Sugar t.Ji")hut')~J
c) t1ny thyroid, ri tu i tn ry c r adrun:~ 1 glnnu ..Jl so rdord) Any blood disoruor
ILl th,jt·o ft history cfl0) Ot~1:)r skin, inc1u[~ing h~lr CL' n:)il dLJordnr (than
t h n s ,1 S r :~, cif i J din Q. 69 & q. 1S)
444
4
575960
65
t,I
II
IiI
I!I!
II
I
~ I 18 On JXlynina t.ion is thord la) b ru i sine] 0 r po toch~D 0 6b) Any lymrh glnnd unlergomont 6c) Birth marks 6d) Othor skin condition, including h?lir or nolI" disorder 6
C,N,S. ann SkolJta1 Systum
19202223
P IlY1 I
70) Hos thJ child hodl20) i) Unusual size or ShOPi) of skull
j) Any spin31 troublum) Any fracturosn) Any other bona or joint disordor (than thosu
srucifiod in Q. 70 &Q. 20)
31-
4 744 754 78
4 79
or 34
-...:-
IJU L ~ I rLI. ) II N t J t ,( I r,J ~\ 1" l, " i'. () • ~~ . 1 '. :', , f, 1 J r,~l .~ \ . I I r I r \'.: ,. 1 \:
Wdr~r, "nE' '~rlT t,; .. ~.. Ill')--------------- ------_._---_.- - --- . __ . --- -- ----"_ .....-------------Rosp. a~lr~ aU.No.
&. Swoop--------_.-----
M P I 13 )I'l P 11 10~)
en P 11 .. llJd)
m P I 16,17
P I I • 12
~l P I 39,40
• ft1 P I 49
rtl P 11 • 37 b
!nrl'lt'm ,tic", Oil 1-".1 .. , :.1 livin:J 1n thJ :'I~.U,I~, l.hild's houf\u-h..J 1doth l) r t h :"' n p i.1 r (J n t S 0 r sib 1 i n q 5 • 1\ 1 ~,:J :.W)( 0 f sib 1 i n 9 3 •
Dutn.i.l~: of dut:ui'sod childrun of stud~ (')ild's own mothor
;\'~U of child whGn (if) h'J/sh~ (-\,1) J und:;T' thLJ c~ro of' thor r lJ sun t. mD t h~ r If 0 t. h() r ~U 11 r. t t t 11 ; . i
AI]~1 of child lutlon (if) ndmitb~d i,p (';~1'(J ;,f Loc:-ll ftuthorityChildr.m's CornmittiJJ, nr Volunt,<'lr} So(;LJ~Y
0) Rd:)Son for s.Jrnr"t.icfI :"'flJm ['k~,h·!r; JllfIlJ')'1t pot'lod ofSUP;l-;;,"t'i7l-;:;-'dnJ rirH~ Iioriud of <'l.'\':-ir:Jil)r!
I f m1I t h loll" W11 r k El, .10 t :'l i 1s 0 ~ cur ~ l ion :':' rt d h cur S \AI 0 r k od
If fmnily ha3 barm soriously troublot.l L:y Iln~nci~l hurdshipin thG If.'lst 12 months, "In wh~t way hnviJ you found it dlfricultto m;)ka ond9 m,10t 7"
P 11 • 76 "I want to ~sk you in n minuto about Gamo d3scrirtions 0'behaviour of ton shown ~y childr3n, but would you toll mowhat it is about ••••••• ~.(child) th3t plaasos you most
PN 13 a At wh~t ~9a did tho petiont finish hor full-timo oducation?
The SchoolIf
HT (I
~iHT E I
23,24 Comrnonts en thu nppro:Jchos to rending c,nd ~rlthmut1c.in thoschool in rl.~J~=,ti(1n to the study chill1.
1 f chi ld has b Gon rl3forr ad ta ~ DX bn'nn 1 i1 goney, bae ~u 313 0 rdif?i.cu.ltios ~ffocti.nl) his/h.n p~'Cjgrl:':~s i.n school, dI.Jtoi1s8f n_I,Jrlcy in\J~.llvo~j ~n,.~ rC)~'":C1n ff1r r(Jf','lr!'~,l
Ii
Dotui ls of ,'!ifficultil..?!3 \A.hich h~n':j "fr·,Jc.hJlj rll'oCJrIJ38 or ,bdh;?vlo'Jr of child ill ~Jcho·)l in ~.h:~ ')~i~lt bdt which h~vJ (H~npP3arot
29,15
30
E: IHT
•CT/H T E I I fJ 1'/ 0 rr-:)i~1 Y':':UI:' r'r~j3unt l<r:l 1wl .• '!';:: I.. f' \ilJ.S : hi 1 ; ":r' J hi~: Cii'GLJrnsr~~ncus
"lJ.lr,C1t jo },'ou think "0 i~; 1:'k.dl' ~J,) ... : •. ~. i.1I.:"J .,crvJJmically fJ\.
sucur.rJ'.T:y ~ch~)ol ~Hld/or i:1 furt.h ..lr ".ilJr.;,~,tl:'H1?
CT/H T E: I I • 17 t ~J~H)t kind of r::nrH3r do you fOul rni.qht ~Ja~;t suit his abilitiesor 8!="·ti tud.:s7
CT E 11 0 20 If mor o] th:11l ono tu.:a,ehor norrTi:')11y ttJ~ch!J~ study child's class,d~ils of hours workod cnd SUbjLlcts tnuJht
CT E I I • 25 bi
What would you consid~r ~r~ this child's most fevourebla qualit1as!of porsonality end cheractur?
,3235
QUESTll:r~s (Jr~ PEnIN,',lt,L, 'J.C.O.S. I r,f~i..' ~.C.!-,.r- .. 11 ~;"i=:rTIOmJi,Ifll:3
tA:HICH'''R: NeT C~J Ci'\'~D~-------------_._- ,._.- ---_._._- ._------------R08p. Qu'airu Qu.No.
&: S\uaopQU;).Jtion
sesese
T I I • 3
T I I • 4
T 11 • ?
ThrUiJ f~vouriLo tol vi siGn prll:]l':)ntrnl.l:-.'i
Th I' 'J 0 f ) vuu r 1 t Cl serll )(I 1 ~.ubJ()~ t ~,
Irn3lJtnl1 that yuu nri~ now 7.:1 y.J:\I'!J old. LJl'ltu ~bout tho 11fo yo'ora luading, your intdru!Jts, y,)ur hC'ITIiJ lifu nnd your work et tha!Jl! of 25. CorJl.Jd only for ir:'l~l-]ini.J~ or.cup8tion.
M P 1M r I I •• m PN
IYI/R PN
R PN
~R PN
fhild'3 l':iudict11 Hi.ltor..l.
ftI[
out rdotails t
I
If dolivlJry inducoJ, why W:lS inductic.'fl fllJCOSsery?
W0S urislotomy co~riod uut?
Di,j this baby havo any lobol'QWry t08tS or X-rays carriodduring tho puriod covHrod hy this quostionn:liru (If \OS,
Did t.his b::'lby hClVU ::In)' conl]onitf]} ohnnrrnnlity?
Was tho 03 tiont edlTd t t8d to hosri tfll fn r prG-ocl~mptic toxaomiaor hV~Drtonsion? If ~dmittud, d'Jh~i19 uf' ut/mission. If not t
'admittoJ, d) liJ:Js ~.E. T. Uiil]nlJS~:j cnd tr.J::'ItorJ wUlout hosPitellsC:l!
42 Did rQtiont run a tornpornturo flboVli nurm:,l during intorv::1! ,botU:l1on mombraIhl9 ruotllrlnq flnu dJ]iviJr,,?
43 0)45
57
73 ) D'J t;~ i 1. S Ll f b i r. t h s sub GiJ q I J .-m t fo l ' S t" LJ rI'l (;hi] dIOc) .
18 Was gLln'Jt~1 anaU!1th0St.'l ::v:'ilini sf:or'"Jr f t'~'r :ny f1urposlJ during thi~
pro(~nf1ncy? If a~ministnrod,,\:~dr, ,~nl~ 1'l,)' 'J./htJt nurpose?
22,29 OlJtnils of numbors of tim,;s ll.r. r,LJdil1Cjs VJoro tokun Juringpl'ugn3ncy
2A EXpGct'3d dato of dulivury .->:) W~n thi., c:dculntod from lastmuns~~ru()l pOl"ioLJ, or cstimotoJ.! !;y othur moons?
33
58
26 Dllt21ils of bonking m:1~Jo for d(d i.vcry, l.lnd chanrJos In booking.
t~8 If iflh:Jln~.lcn(11 anal~lnsie giv ..Jn, u/hdn lJivon
50 If any ~nc.,Jsthulic oc!minlstor"ld ~k/~'in(J lrlh'JlJr, why it WQ~; givon,l1nJ (i f Quncrol) wh-: t ['In:'V':i lhdU c l.lJC1~' gi V,.HI.
24 IY'lOthocJ of d81i vnry of pr8'Jil.\J~j bi rth.':i •
R/O PN
R/O PNR/O PN
R/O PN
R/O PN
R/M PN
R/O PN
R/O PN
m PN....,.)
•
P I, P II ~
MI, M11 )
~lur.y furthor d:Jteils of illn3s:3cJS iJnu ,~t:n(Jrmalitios.
~90 of child at occurranco or Jingnosi~ tr~ptmant givon, otc.
33~ 36
)
Page 1/0
EXPLhNi~TION of CODING FH...l:~~ NOT:.TION
The Coding Frame' hilS U simi.lar for~t to the NCDS I r.ndino fraoo, thoughsome changes ~lve been mnde.
Each item of infonnntion obtained in NC:J,3 11 about l\ chilci is punchedinto A pnrtieulat pe:\'rt of a columh or columnR on one of the cards Y.l to Y.9,called a 'field'.
1) Field Description
This comprises .:1 note of the columns ·"hich r.1nkc up II field (all punchingpositions in ~ column un!t;9S otherwise stated) l1 r ..cl onc of th(~ four terms,'numeric', 'extended nuoeric', 'polylogl, nnd 'binary', describing thetype of fil:ld.
A 'numeric' field is ono Which contQins nUm<?ric dntn. An 'oxtendednumeric' fie 1d is Birnilur in concept, but the X or Y punches II\C\Y perhaps beused, either as extra <.liCits (e.g. in the child's seri~l number) or with nspecific rn:Huling, l'erh.:1ps \men Cl numeric value is inoppl icable.
A' polylog I fie Id is the commonest kinc\. Here Q punch (or exceptionallyn particular combination of punches) iooicntes into which cntcgory of SOMe
item n child folls.
A 'binary' field i!J c. ,t"iolG in which (~uch punch indict\tcs n pnrticularcategory of BornH 1 t<.'r.1 , .~n\l \"il~rt.· multi11unchil\U ~.:1y occur when more thtlll onc ofthe cutegor i~s appl i~~.
Noto t.he conceptu:'\1 (~.iffL'!"unc~ ty~tw0cn ]cO."11 rnultip\lnd,cd combinntionsin polylog nnd binary ficld:q in C\ p01ylog field where nultipunching occurs itwill have £l specific r.lc\.'1.ninQ .:\5 :\ combinntion. This U9~ is r~re.
2) Computer Ite~
H(~r() itom numbers which \till be u!:icd with the table program, Trul~IN,
are shownJ together wi th t:Hl 'type', which inc:licatcs the way in which thatprogram will process tho item.
In general:
'Numeric'
'Extp,ded nu~eric'
'Palylng'
'Din3.ry ,
is treated BS 'nul,e ric I •
is treated ns 'numeric', or 'coded'.
is treated os 'coded', or (rarely) 'multicodad'.
is trentcd ns 'multicoded'.
37
N.B.- Soma of these itom numbers mny chanqe, so reque8ts tor tQb1@Sshould be made in"terms of card colur.ms and punches.
Pane 2/0
,) PcnnittGtl PunchL:s
In the descript ion of pcrmi ttod punches, the computer coding nppearsfirst in brocke ts, followed Jy nn 'eqlk"ll s' si gn, and the punched card codingaecond, next to it~ cJq.1lnn~tion.
o.g. Sex of Child~s Clnss Teacher
(1) :r 1 Mnlc
(2) 2 Fem.:\le
(Ni.) = b No answer
In these descriptions, the following notation is used:-
, b ,
•
• NA ,
to moon 'bl.:lnk'.
to mcon 'punch~tl in the R.'1Ill\J co lumn with' •
tome nn ' or I •
is n special computer code for 'No Answer'.
v DNA is a speci::l computer c<Xle for 'Does Not Apply'.
, 10+' is uBelI to nD nn 'grentor than or cqun 1 to 10'.
, - is used to r.lenn 'through' (Americ( n usage).
NOJ'"'m""llly: -
Nurooric Fields must :'l.:lVC exactly on€' of the punches 0 - 9 in everycolumn, unless other cOr.1bin~tions .:lrc fl?cnti onod tu. g. bb for E\ 2-column fiold).The coders should hilVC entered Cl number into such n field right-justifiedwith lending zuros (or left t~ ~molo field blnnk).
Extended Numeric Fie Ids must hn.ve exactly ono of thn punches Y, X,o - 9 in ev~ry column, unless other combinntions '-HOO mentionc..·d. Often mostcoluI1Ul8 of such 8 fi.()ld arc rostrictQd tu 0 - 9; or x, 0 - 9.
When no further irLform:-.tion is given E\uout 'Pcnnittud Punchos' in l\
Polylog Field, the list of perMitted comhi~~tion5 aiven is complete.
In, a Binary Field, nll combinotions l'ilUy thooretic\"\lly occur, thoughpctently absurd ones may hava been excluded and A. comment may be IDllde to thateffect.
/",I \i. J
....... -
J anuury 1 ')69
NATIONi.L CiHL0 ·).,,'J.·:U~.)j,":::JT";TtJ)Y (1958 Cv!~.dT): .3.£(;119 tt""OLLJ:!-UP ~Q!;. 6/0
N. 8. Th~se code nUr.1:ie r:"' ~,re i n mo:~ t. C'Q,S09 th,~ 9':\r,~e i\:J t: 1()3u usod inthe ,'erinatol I'.()rt\~lity ~~'1('vey (1'-)53) ,1nu in th(~ N.C.).~. FirstFo11 ow-up, :'ut whert3 the n.:\I.10 or cOl1p. Jlum~)I.~r of l;\ L.)cnl /Lut~~orityhas chongl~d, thi s is o:"own.
)
CSZ3:·;nm County Council .••••••••••••• 010·Li\NCA~HI:1E County Council •••••••••••• 0~,)
(Pt~.195~: CoJos J40-056) •.••••••••50uthport, klncs •..•••••••••••••••••• 071'di ga.n, L.:lncs •••••••••••••••••••••••••072I ':;L..~ OF .,·:i.N •••••••••••••••••••••••••• 0753irh:enhead, Ch.e5~lire••••••••••••••••• 081Chester, Ch..:'n:lil'c •• ~ ••••••••••••••••• C323tockport, Chashire •••••••••••••••••• 033.1allasey, Chcs~·lira•••••••••••••••••• •08~3nrro~-in-~urncss, Lancs •••••••••••••085Blackburn) Luncs •••••••••••••••••••••085Blackpool, Lencs •••••••••••••••••••••087
~301ton, Lancs •..••••••••••••••••••••GaBJootlc, L~ncs••••••••••••••••••••••• 089311rnley, LatlC3 •••••••••••••••••••••• iJ903ury, L:\nc~ It '>91
~Li verpool, Lr.ncs .................... • (i92l'unchester, Lancs •••••••••••••••••••093Olch'1.U, L.:ll1cs ••••••••••••••••••••••• 094:.:-'r(-)8t on, L.:lnc=> ••••••••••••••••••••••095Jarrington, L'~ncs•••••••••••••••••••C96rtochdale, Lancs •••••••••••••••••••••097St. l:clens, Lancs 0983alford, Lnncs ••••••••••••••••••••••099
NORT! I2RN k.BA. (" 1 tt )
6UE.J~~.ND:ounty :::ouncil •••••••••••• 100*~U~-lJJJ. C:>unty Counci 1 •••••••••••••••• 110Nvl-\THUI·~l3J;_<L·.NJ County Counci 1 •••••••• 120-T.J.3Tl·;CaUi.ND County CounC'.i 1••••••••••• 130
·YOa:~S~alU (IJC:{T:': :lIJIIiG) e.e ••••••••• l/t~~
(21/;5, 1958: Codes 14.... -1 l lC) •••••••••
Carlisle, Cumberlund••••••••••••••••• 1S0Darlington, Co. uurh.:lr.l ••••••••••••••• 181Gateshead •••to. Durha~••••••••••••••• 18z
.south :;hie ILls, :0. JU ri1!U!l ••••••••••• 13,Sunder l.:"\nd, Co. JurhaOl•••••••••••••• 131,
*:-Ynrt I e;·Jo(.'l ,:J Jurhnr:l ••••••••••••••• 105(.lost ~le.rtlC'::,()ol until 1965)
r~C"C~h;tle-u'~)on-Tyne, Nor-'humbQrland. 136Tyner.louth t iJort hUr.1bcrland •••••••••••• 187.Tecs-si~e, (N.a.) ••.•••••••••••••••• 13a
(\1<13 I1.ddlesl.>rough unti 1 1968)
:::,.ST h.N.J.fJ.S'I' .nDINGS (" 2" )
)
YJa::~HI~ (E. :UD HJG) C. C ••••••••••••• 200YO~:3~iIRZ (',1. r1LHNG) C. C 211
(~)l"S, 19SH: Codos 211-240) •••••••••l~ingst0u-upon- l ;u 11, Yorks. (.~. i{. ) •••• 2803arnsley, Yorks (d.R.} ••••••••••••••• 2B1
Llho le area omi t teJ in Pi lS ) ••••••••Bradford, Yorl<s. (·:1.~.) 282Dewsbury, Yorks. (,o{.R.) •••••••••••••• 283
.J(lnct~.st er, Y()rluj (.' • ;{. ) ••••••••••••• 204::nl i fox, 'forks (.J. :{. ) ••••••••••••••• ~e5Hu<rkrsficld, Yorks. (.!.R.) ••••••••• :?36Lee ':1 s, Yorks. (.·.~{.) •••••••••••••••• 237:1oth~rhc:u:l, Yorkz. ("I.a.) •••••••••••• 288Sh~fficld, Yor!<.s. (""!.a.) •••••••••••• 289J~tcfield, Yorks. (J.R.) •••••••••••• 290York, Yorks ••••••••••••••••••••••••• 291 , I
NOin'I-I I<L)L;.N~ Aif2f. (" 3" )
D211BYSi~lRZ County Counci 1 •••••••••••• 300*(Not in NCJS 11 or Ill) (308)(Chesterfield in P}·s & NeJ':; I)L~IC2ST"::~HI~ County C0l:\ncil •••' ••••• 310LINCOLN3ralU (HOLU.UD) C. C••••••••••• 320
" (K2.3T~V2N) e.c •••••••••• 325It (LINaS2Y) C.C 330
NO'-{':~~t-:;TON;:;HIR.:County Counci 1 ••••••3~
NvTTINGHrJ~:IIrtECount.y Counci 1 ••••••• 350·(l':ot in NC:JS 11 or. Ill) (360)
(PI'iS, 1950: Peterborough .;joke andCity)
(NC~S I: ?eterborough City?Add it in with 440)
HUTL;.NJ County Counci 1 •••••••••••••• 365Derby, ~erbys••••••••••••••••••••••• 3aOLeiccst~r, Leics 381Grir.1sby, Lincs. (Lint.1se).. >••••••••••• 382Lincoln, LincR. (~eat~ven)•••••••••• 30'Nort~lan:)ton, rJorthants 3C4Nottinchar.1, Notts ••••••••••••••••••• 385
39
" ... -
'IO: All NCOO am.related Studies amStatistics
l-1FM1-FrH/Elw'I 12. R. 75.
I:uring the recent microfilmir~ eyr~rci~e a rnnnher of teats
at NCDS 1 were fourrl "un-ceded". 'Ihe jnfonnation ha~.~ no.-t been
added to the tape. I have run a couple of tnrJulations for Sa1thgate
an:l Copy Designs to check if BlW s~if"lCBIlt ~es had occurred.Attached is a table ahcMing the present dj.stributions alongside the
results in, 'Fran Birth to Seven i •
SEX SOCIAL CLAS~
MU£ . I n III NM mM IV v
33.1r23.3
- -- -
1t---- --- -- -
136.83.7 23.1 3.3 3.2 111.6 14.6 13.9 14.0 I 30.4 30.3 37.2 37.0 ~P.3 ~7.9 38.0
n.9 139.0 I 39.6 39.9 37.5 37.6 38.8 38.6 43.1 43.3 41 .. 0 !to-.9 37.9 35.0 34.3 34.6 37.7 I"'; ~., 'j
17.5 ! 24'1~i
7.4 t 27.Lt 31.0 31.1 5~.3 ·54.2 116.6 ~6.7 43.0 42.1 28.7 28.8 25.0 I 25.0 17 .. 3 Ii 2~'19
11616
--
f649 7251 1252 102 no· 1941 19'~" 1356 13611 i 6195 62CA 211331_2447 ~5 ;:'8 3C,2 410t..j
I I- ., ~
II I t II !r --- -, --- -1-----.- ---r -
I
2.0 I 2.0 2.2 2 .. 2 0.3 0.3 1.3 1.3 1.6 1.6 2.1 2.2 t 2.0 1.9 4.1 ll.O 2.9 I 2.11I
118.3 I8.5 18.6 19.2 19.2 9.9 10.2 13.1 13.1 12.3 12.3 20.3 20.5 21.7 21.7 28.2 1 28.0 17.~
51.5 I 55.2 I
;
5.11 55.4 55.7 55.1 Sli.2 53.9 54.5 54.8 57.4 55.1 56.3 51.0 52.5 52.5 I 59.7 1 59•9
4.1 24.1 22.9 122.9 35.6 35.7 31.1 30.6 28.7 28.6 22.3 22.3 19.5 19. 4 I 15.2 15.5 I 19.6 I 19.3
II
2432 I 886 377 ( 110929 7635 7159 i72:1) 679 Nl 1~1 1914 , 1342 1359 I 6106 6186 2408 . 891I t f 1 I i i:
7
2
3
21 - 28
29 - ?JJ
outhgate
0-20
ryrAL (N)
'lJ?Y DESIGt:I0-2
3 - 5 1
6 - 8 5
9 -12 2
lUrAL (N) 15
m =Birth to Seven
- .'.~.":",,.-r."-:- ._"._"". 41:•• __ " __• __~-__.'. '." .---,- -.- ....-_ ..._. - • -...~ ~ ------ .... '.- ... _--'.~;---- -7 _._.. -.--
l·:"~O
To: All NCDS and ralated Studies,
and ,statistics
Fror.l: H.:·.rvey Goldstein
31.10.'15
Re: Scoring Systems for Behaviour Items at 7 ~~d 11
'fhere i~3 an error in tbl; seven year 6coron 'worriQ[) about
many things frequl.;nt.lyl should b0 64 not 18. Il'his will h{;.l.vO
had little 0ffcct 011 analyses. lIowl:!ver, it appears that for
some tables, the NO and DON'T KIJCW CD. tcgoric:s for tho firGt
threo it~ms were amalgamated. We arc.: checking thic and will'
let you know of any problems.
11.11./5
Scoring system for the Ruttcr behaviour itcm9 At 7 rmd 11
The item scores which are at presRnt beinK used for the Putter bohavlour ~ca]e
have been obtained using a procedure first suggested by Guttman (lgQ1). This
procedure assumes that each i~em of the scale 1s measuring the position of the
individual on an underlying one-dimensioned continuum, and finds ~ set of cetegory
scores for each item which in same sense leads to a 'best' estimate of each individual's
position on this continuum. To obtain a solution using this procedure it Is nece3sary
to impose a constraint upon the category scores. The constraint chosen to determine
the present Rutter-Guttman category scores, was one suggested by Guttman which
specified that the variance of the indivi~ual~ total scores s~ould be different from
q:3ro ..
• Howevor, in the caS8 of tho Rut tor bohnviour ~:c01e W8 know thE:1 r:1t]yimum and mi nlr.1urr
that any individual could score. The maximum posfiiblC"3 scoro wil 1 br~ obtainnd if an
individual's respons~ to every item Is in the 'frequuntly· and 'yes' c8te~or18s an:1 th G
minimum possible score if an indiv1dunl'n response to every item is In the ~nevor' cnd
'no' cBtegories. Thus wo know thu lim!t~ of th8 scale and it therefore seems r~agCln-
able to incorporato this information into the scor1n~ syst8m. In future, it is
It may also be possiblB to hove a seminar on this,
proposed to use catogory scores determined by imposing this linear constraint in plac9
of the Guttrnen variance constra:i.nt used formerly.
The seven-year end eleven-year scores obtained by using th1~ constraint aro listed
below. Comparing them with the old scores, it will be aeen th~t th8 systems produco
rather different results. One outstanding difference ceused by using the linear
constraint is that the responses to the 'never' and 'sometimes' categories for any item
~re much more similar.
Any comments will be welcome.
if people are int8rasted.
Item scores for Ruttcr bahaviour scale usin~ linear constraint
Seven Yeer
Item
12512612~
13313413513G137138
Yes Yes No
32 023 n98 n
Frequently Somet:tmes NE;vcr---A8 6 022 11 060 8 n .. 43118 5 076 6 034 8 0
P.T.G.
- 2 -
Item Fr8Qucntly Sometirneg Never--139 3~' 6 0.'-
140 35 5 0141 49 :~ 0142 5B ro) 0143 142 4 0144 5~1 7 0145 30 4 0146 89 8 0
Elev8n Year
Item Ye:3 No
1444 35 01445 28 ()
1446 54 r:J
Freguently Sometimes Never
1447 31 5 01448· 16 8 01449 63 5 01450 236 6 01451 S9 5 01452 27 5 01453 24 5 01454 24 5 01455 65 3 014~)6 38 4 01457 122 3 01458 61 5 Cl1459 17 3 01460 93 5 0
TOa NCDS, St~ti8t1cs &O.P.
FROM: Jonny
14th Soptember, 1976
Social Adjustment NCOS III
Homo rutter scele
\~
The rutter scoring system will be used, end is transformed
to near normality by log (rutter total score +10). This
trensformation is elso suitable for the 11-year and 7-year
rutter scores.
School rutter scale
A normality transformation for this is squArG root (rutter
total score). N.B. See note at foot of p.71, coding freme,
when using the school scale.) Tho transformations used
previously for 11-year and 7-ya~r BSAG will continue to bo used
(1.8. squere root (8SAG + ,).
MEMO
RP/hSl3.
To: All N.e.D.S. Staff From: Rachel Peto
Date: 4th December 1972.
•Definitions of Family Size and Composition at N.e.DeS. I and 11
NCDS I Item 99: No. of children under 21 in householdItem 101: Study child's position amongst children in household
These two items both include children not normally at home.
NCDS 11 IterT\ 1117: No. of children under 21 normally living at homeItem 11l8:~No. of children under 21 not normally living at homeItem 1119~ Study child's position amongst all children
(i.e. same definition as at NCD3 I)
Hence the follo\-ling items can be separated at NCnoS 11 but not at I:
D. No. of o.dults in houseb. No. of children in HOU.'3e
c. No. of children not normally in house
It is also worth noting that for both NCDS I nncl 11
r' i) siblingG cannot be di~'5tinGui£;hed fr'om oth0r children in ~~OU5e
ii) numbers of older and youncer children normally in housecannot be separated, only total numbers of older and youn!'erchildren. •
(N.B. 7% of sample have sibling(s) not normally living at ho; )
ObViout~ly care needs to be tak&n \'/hcn u£iing far:1ily size andcomposition. This is especially true in loneitudinal comparisonu sincethe information available is not exactly equivalent. 1Jlesse makeappropriate notes in your coding frame.
~ '- ... -vle,.'l it) c.lO-~.4IW'\t. '~~,11, .\\A<ty. "atnuv~
pt.....l6"t ro~o~..
2 • • -=0:; I Md !leJ).' a • wn MtbC'r• no .....1_ ,...w'1
Z C • all ota..,.. vhe .... i~;) • I • ""'" ~:tUIt\'r. ... mo"ll. hDad ",~ D • all O'lhor.. ~..r. :H.~O.'1 ." • ~n l-..,.U},~r, "0 e-..to he*"....
I,.. ... b
~ • • NC~,,·~, I • both INO 1» t"~.n t.~t ( . " • nn Uul.t'/er (l\JUN, OWII '.th.r~
, , • ~h"''» 1 and :\ ... 11 .., ~ • GO ...t~~r fLw~. (JYin t"".thor
t "":1- Cl • -.l1 o\her8 ~... XCw. I • 110 IDOt~..r (i'guN, UV'A t.th.,.., i- S • all Mtwra VI..,.. XCD.:s. sa • _ ~th... r I lIJu.nt , ClWn t.tb,r
@ C,\\{,y, OF PI''''::;- .\1., '.l;nI,\TiO"
...... A,.,e.and D tu... further Nb~UYldM .ccer41.rl·~ ,.~ 01 ......tl••
" - 1) d.o•• th or tilt. ~.r::; - i1) .-.:\rl tal bNAN;.(trNll
i - iit) ill."ittD.'t.C'J ... i y) of,h.... ~'\.IM.
'0 v) ntt atl • ..,.r (er ~a r ...\1..... )
Graupe a.'.O.aftlJ 11 <Jr.'. CurUWlfr ,,~.bdl¥J~~ a~'t)r~Ung '0 CQUM 01 .1'\atlona
I" 1) ..Io·.~\h ot ~,)t~r
l. - 11) ~rJ.t,al bro~4wn
3 - lit} 111.~,itl..te4 - I Y) ott..r Ct\u,..."f - w) ft(l Q,n_WT (or alal uolheJr)
Noto.:,-
I) f4da ontUp. tur lonul.t\diMl --11.1....111 bG A. H, Md H.. ~ I will ~the Cl)IItrol tP'wp.
2) Gftupe It ••d ~ .tr~l\&lJ.e·~ f,-,therl$•• ef~lldf'OJ1 At ".WJ;' IGnN.v- A.tJ and U .In<;lua. !lL fatha,.l••• children at HC;).• aQrou~ F ~ G lncluJ.e~ twtt~rl*h\. ct\11dr'Ul at NCo:; J~~ ,F and at luclude 1U.1 I.1O\I.or1... chi lc1rM ., HCU.1 a 47
1·1EMO
HG/i\.EB.
To: All N.e.D.S. From: Hnrvey Goldstein.
D~te: 22nd January 1973-
Regarding 'c~uestion 71 on the parental questiollnnire r(~fcrring to~hronic il1ne06.
wch of the 81li)rOpria te column£.> (49 - 53) will uc; hlr'.nk i f ei therthe question was not ~nr:wered, or thl3re wn!~ ~lO chronic illne.ss or theanswer was 'don't know'.
The estir.l.:1te of ·:~rcv:.llence .J.re outnirwd hy diviCirl(: the number of'yes' replies by the nUll1b:~r of 'no' pluG 'ye!; I rl'plif.~s. Since wecannot separClte the 'no'[.;' from the 'don't !<now'~)' C\nd 'not answered',includin[': the latter t·....o Cab~{;0ries with the ~lO':J' will le;ld tounderestimates of the prcvalencco. On average this may not be moretlw.n about 5% but m..'1y be diffnrcnt \Vi thin subGroup~) e.g. in different(Iocial cl[lSS(~s. (5% based on a samp10 of 100)
So far l1S I can see this T:1nkes the question unw.:;nble for thecompariGon of prcv.:l.lence r3.tc0_ Ono cnn U3C it to comp<U"e theillnesses on2 ·.."i th ano ther .lnd pO~;5ibly to comp3.rE: 'ou tcomc's q byillness and control, if one is prepnl'ed to put up with the dilutionof the control group wi th 'don't know's' and some I Not .lnswered' B' ;
but I am doubtful. ---
I sugGest that there is a note of this point on the coding frame~
Some Banic totals of answered questionnaires
Data Collected
Perinatal (includes deaths)
NCDS I
NCDS 2
(Slightly out-of-date)
Number 0 f Schedules '
17420
15455
15389
PN information only
PN + NCDS 1 only
PN + NCDS 2 only
PN + NCDS 1 + NCDS 2
HeDS 1 only
NCDS 1 + NCDS 2 only
NCDS 2 only
NCDS 1
Educational data
Parental data
Medical data
Educ. only
Parental only
Medical only
Educ. & parental only
Educ. & medical only
Parental &medical only
Educ. & medical & parental
NCDS 2
Educational information
Parent~l information
Medical information
1579
1232
935
13674
84
465
315
15039
14737
14483
620
61
16
291
82
339
14046
14304
13885
13518 49
NODS 2 continued•
Educ. only
Parental only
Medical only
Educ. &Parental only
Educ. &Medical only
Parantnl &Medical only
Educational &Medical andParental
1163
114
22'7
594
114
744
12433
Number of echedules with all tO~8 completed at birth, ? nnd 11 • 10510
j '.
Rr/ws5.7.73
TO, ALL NCOS
rRQMs KEN rOCEumAN
Instruments for use in NCOS 3
During the next month or so e decision must be ~kan about what
tests etc. are to be usod in the next SW83P 80 that negoti,tions with
publishers and printers C~n begin. The following note summarises my present
thinking and I should be gr ~teful for ruactions and discussion at the
next NCDS maeting (July 18th).
1. Reading Parallel Watts-Vernon (as NCDS 7.)
We can expect this to be a little easy for 15 year aIds, but
the same would be true of any .existing reading taste Using this test
would give comparability with NCDS 2 and, indirectly, with the Natlonel
Survey end the NrER/DES survey of reading attainment, both of which
used the Watts-Veraon.
2. English comprahonsion NrER test E.15.1
This would supplement the reading test and give useful
information in its own right. The test waS originally developed et the
University of Manchester for use by the NFER Comprehensive project and
has been standardised on a sample of about 7000. I have copies or the test
end standardisation data if anyone wishes to geo them.
3. Mathematics NrER test M.IS.l
The problem here ·has been to avoid the mistake, made both by
ourselves in the past and by Douglas, of choosing e test which Is too
dirficult. This test seams likely to be satisfectory. Its history is
8S for the English Cemp. test above. Ag~in I have copies if enyone Is
interested.
51
52
2
4. General Ability AH4
It would be dHficult to find e test or this kind about which
there ere not some doubtc, but this one seems the mo~t satisfactory. It
1a the ona of the Haim series which Is intended for usa with the complete
ability range of 15 year olds. It providos two sub-scores, one verba~
numerlcal, the other spatial. It is the test which was used by Douglos at
15 0
Comparisons wi th the o.~igina1 }~st produced for the sponsors wi 11 :
show that I em recommending that we no longer aim to use a personality
O~ occupations intere~ts inventory,
Although the Rutter scales, which we shall probably use, are
not strictly speaking personality inventories thera would clearly be
considerable overlap, Also there is no one inventory which is short,
easily analysed and for which 8 good case for inclu3ion can be mada-,
Similarly, discussions with the Capeer Rosoarch AdvisoryEmployment
Council and the Central Youth/~xecutivo have confirmed my opinion that
there is no occupations interests inventory which is either suitnble for
all the age group or would supply very useful date, In addition I think
bat as ~uch as we arD over likely to use will bo provided by questions in
the 'Pupil' questioneaira concerning job intontions and expectations and. .
those aspects of work which the pupil considers important.
furthermore the above few tests take a total time of 2~-3hours
(theuncertainty is due to tha Comprehansio~ tost which is unspaeded)."4.~
~hen the time taken to complete the pupil quasti~nnaire is added to this
we shall be approaching a total of 4 hours. I believe this is already
et the limit of what schools will be willing to do for us, particularly
when we remember that most of the study group will be sitting public
exams next year.
'1'01 All oonoerned with: 14CDS data
• I
~~'eBta
FrOIDl Ken Fogelaaan
We have recently been doing aCID':) item analysis work on the ll-yea.r and
16-year taste, in the rooulta of whioh you may be 1ntereGted. 'rho main purpoa~
'Has' to co.loulate reliability coefficlpniB (KR 20), but it has also provided some
Lntereeting information on individual items.
Reliability coefficient = 0.82.
It is oonventional to reject items with facilities rr;ater tl~ .9 or lees
than .1. ~ By thee e o1'i teria i terns 1 and 2 are too eany a j d 1 tem 35 too hard., .
, ~
'.. Discrimination values are gE~n13ra.l]1 good with the c, (ception of items 2 and 30,I , , "
which do not reach the 596 l~vel of significance. ::". :,' "~'
..ll-:yeq.; M~,thl , '. ~
.,
I,. ,I
Reliability = 0.94
All facility and discrlmlnation valuea are within i:1~ acceptable range•• ' '
.Le-year Re:1.diM
ReliRbil1ty = 0.86
All of items 1-10 have facility YQ.lues gren.te:c tha: 0.9. Both items 1 ani 2
have disorimination values of zero, as n()bedy in our ea; ple got th€,m ,.wrong., 0 ~horwiae'
discriminative valueB are OK.'/,
16-year Maths,
Reliability = O.AS
All faoili t-y and di.acrll'Cl1.n.~t1on va.lues 9.1:'''' OK, nIt lOugh the 19.tter Is not lceab17, ,.c.
lower tor ~ tem 27 than for othEU:O; and only just mis3ec boing in the .~~ wit} .'"- j •• ~ ~
oautiQD',~. ' <,. ",
" ..'. ~
.,-. '.(.
i : ' ';.,-!,'" ,", '
:.~ ':' f ..
,"...
". ' .... ....