xt7c862b9k4x https://nyx.uky.edu/dips/xt7c862b9k4x/data/mets.xml https://nyx.uky.edu/dips/xt7c862b9k4x/data/96m8.dao.xml American Cancer Society. 19591971 25.89 Cubic feet 59 boxes The Frontier Nursing Service Medical Surveys (dated 1959-1971; 25.89 cubic feet, 59 boxes) contains the records from four medical surveys conducted by the eastern Kentucky healthcare provider the Frontier Nursing Service (FNS) between 1959 and 1971. The surveys, concerning birth control, family planning methods, and breast cancer in relation to breast feeding, produced over 2500 medical records. collections English University of Kentucky This digital resource may be freely searched and displayed.  Permission must be received for subsequent distribution in print or electronically.  Physical rights are retained by the owning repository.  Copyright is retained in accordance with U. S. copyright laws.  For information about permissions to reproduce or publish, contact the Special Collections Research Center. Frontier Nursing Service Medical Surveys Breast--Cancer--Research Family planning Health behavior--Appalachian Region--Statistics Health surveys Oral contraceptives--Research Frontier Nursing Service Medical Surveys text Frontier Nursing Service Medical Surveys 1959 2015 true xt7c862b9k4x collection false 
     
         96M8 
         
             
                 Frontier Nursing Service Medical Surveys, 1959-1971
                     96M8 
                 
                 Frontier Nursing Service Medical Surveys 
                 Finding aid prepared by Sheli Walker 
             
             
                 
                     
                 
                 University of Kentucky Special Collections 
                 
                     Special Collections 
                     Margaret I. King Building, North 
                     Lexington, KY, 40506-0039 
                     (859) 257-8611 
                     SCLREF@LSV.UKY.EDU 
                 
                 2013 September 20 
             
         
         
             This finding aid was produced using the Archivists' Toolkit
                 2015-01-21T15:39-0500 
             
             Describing Archives: A Content Standard 
         
     
     
         
             Frontier Nursing Service Medical Surveys 
             96M8 
             
                 University of Kentucky Special Collections 
             
             
                 
             
             
                 25.89 Cubic feet 
                 59 boxes 
             
             1959-1971 
             The Frontier Nursing Service Medical Surveys (dated 1959-1971; 25.89 cubic feet, 59 boxes) contains the records from four medical surveys conducted by the eastern Kentucky healthcare provider the Frontier Nursing Service (FNS) between 1959 and 1971. The surveys, concerning birth control, family planning methods, and breast cancer in relation to breast feeding, produced over 2500 medical records. 
             
                 American Cancer Society. 
             
             
                 Frontier Nursing Service, Inc. 
             
         
         
             Preferred Citation note 
             96M8: [Identification of Item], Frontier Nursing Service Medical Surveys, 1959-1971, University of Kentucky Special Collections. 
         
         
             Arrangement note 
             Organized in four series by type of survey. Within each series, arranged alphabetically by patient last name or by survey/study number. 
         
         
             Conditions Governing Access note 
             Collection is restricted until 2038: The identification of any names of patients or their place of residence in any manner is prohibited and no part of the collection may be photocopied, microfilmed, digitized, or reproduced in any manner. Researchers must fill in and sign an access request form before use of the collection. Contact the Special Collections Research Services desk for further information and to obtain a copy of the form. 
         
         
             Historical Note 
             Founded by Mary Breckinridge in 1925, the Frontier Nursing Service (FNS) still provides healthcare services and midwifery training in rural areas primarily in eastern Kentucky. Originally known as the Kentucky Committee for Mothers and Babies, the FNS runs six clinics, including the Mary Breckinridge Hospital, the Mary Breckinridge Home Health Agency, the Frontier School of Midwifery and Family Nursing and the Bed and Breakfast Inn at Wendover, Kentucky. 
             A member of a distinguished Kentucky family, Breckinridge began her nursing career in 1907, following the loss of her first husband. The death of her two small children, Polly and Breckie, during a second marriage had a profound and lasting influence. Breckie's death in 1918, particularly, motivated her toward the care of young children. As a spokeswoman for the Children's Bureau in 1918, Breckinridge traveled throughout the United States gathering information and speaking on the welfare of children. Following the First World War she affiliated with the American Committee for Devastated France, whose mission was to aid the French people in recovering from the horrors of war. Working alongside British nurse-midwives and French midwives, Breckinridge realized the worth of combining the two professions -- nursing and midwifery. 
             After her return to the United States, Breckinridge spent the next years formulating a plan for her life's work. She continued her education at Teacher's College, Columbia University, taking courses in public health nursing. Breckinridge then spent the summer of 1923 investigating the conditions of midwifery in three Kentucky counties: Leslie, Knott, and Owsley. Returning to Europe, she studied midwifery at the British Hospital for Mothers and Babies and then traveled to the Scottish Highlands to observe the operation of the Highlands and Islands Medical Service. 
             Having observed the success of nurse-midwives in France, England and Scotland, Breckinridge pioneered the concept in the United States. The Frontier Nursing Service held its initial meeting on May 28, 1925, at the Capitol Hotel in Frankfort, Kentucky. Executive officers, articles of incorporation, by-laws, and a quarterly publication provided the group with the standard trappings of a viable organization. Breckinridge dedicated her time and efforts to establishing her organization with the local residents as well as developing a national network of loyal friends -- members of the city committees -- who remained supporters through the years. 
         
         
             Related Archival Materials note 
             85M1, The Frontier Nursing Service records, 1789-1985, University of Kentucky Special Collections 
             2005MS47, The Frontier Nursing Service collection, 1902-2006, University of Kentucky Special Collections. (This collection also contains surveys from the Breast Cancer Study and the Family Planning study. It also contains correspondence with Dr. John Rock, the lead investigator in the Enovid Birth Control Study.) 
             Frontier Nursing Oral History Project, 1900-1985, University of Kentucky Special Collections. 
             PA85m1, Frontier Nursing Service photographs, 1884-1998, University of Kentucky Special Collections. 
         
         
             Scope and Contents note 
             The Frontier Nursing Service Medical Surveys (dated 1959-1971; 25.89 cubic feet, 59 boxes) contains the records from four medical surveys conducted by the Frontier Nursing Service (FNS) between 1959 and 1971. The surveys, concerning birth control, family planning methods, and breast cancer in relation to breast feeding, produced over 2500 medical records. The Birth Control Studies, Family Planning Study, and Study on the Use and Results of Oral and Intrauterine Contraception took place in Leslie, Clay and Perry Counties, Kentucky. The Survey of Cancer of the Breast included patients from those Kentucky counties, but also records from out migrants who had moved from the area. The American Cancer Society established the Breast Cancer Survey, while Dr. John Rock of Boston, MA, conducted the Birth Control Study. 
             The Birth Control Records comprise 156 records from October 1959 to March 1968 on the efficacy and possible side effects of Enovid, an oral contraceptive. The Enovid record forms were provided by G.D. Searle & Co., the Chicago pharmaceutical company that produced Enovid. The principal research investigator for the FNS was Dr. John Rock, who conducted birth control studies in a variety of geographical locations in addition to the FNS studies. The contents of each file are organized in this order: a chart summarizing the data collected from each woman, including the prescribed monthly does of Enovid; patient’s general history; monthly menstrual history; Enovid record forms (Boxes 1-3 only); and memos with diagnoses, if any. 
             The Family Planning Study consists of 137 records and was administered in December 1971, largely in the Kentucky counties of Leslie, Clay and Perry. The study included both male and female respondents and centered on FNS-sponsored family planning methods and procedures dating from late 1963. This study shows how birth control preferences changed over time. 
             The Study on the Use and Results of Oral and Intrauterine Contraception consists of 592 records and was administered to women whose most recent delivery was between 1960 and 1965. It gauged the client’s previous IUD and oral contraceptive history, duration of contraceptive usage and its success. Statistics from this survey, complied by FNS, are in Box 31, Folder 38. 
             The American Cancer Society Survey of Breast Cancer Series includes approximately 1690 records from June 1961 to November 1967. The American Cancer Society (ACS) was investigating the hypothesis that mothers who breast fed their infants had a markedly lower occurrence of breast cancer. The voluntary survey was conducted through a questionnaire administered by mail. All files include a standardized data sheet provided by the ACS. The original questionnaire with client responses and comments is included when available. It should be noted that a high number of respondents had moved since their last contact with FNS, especially to southern Ohio and Indiana. 
             The numbering of breast cancer surveys is based on a system of 1000 based on geographical area. 1000s numbers are for Wendover district; 2000s are for Hyden, Hyden Hospital, and Wooten; 3000s are for Beech Fork; 4000s are for Brutus; 5000s are for Red Bird; 6000s are for Atwood or Flat Creek; 7000s are for Possum Bend; 8000s are for Bowlingtown. The project was originally divided into 2 groups. One group had their first child before 6/9/45. The other group had their first child after 6/9/45. All cases with their first child after 6/9/1945 will have a 2- preceding the case number. Cases with a 4- preceding the case number have moved outside of the territory. These records include many of the interviews that constitute Series I and II. More Interview schedules from Series II are located in a related collection: Frontier Nursing Service (2005MS47), Boxes 280-286. 
         
         
             Conditions Governing Use note 
             Property rights reside with the University of Kentucky. The University of Kentucky holds the copyright for materials created in the course of business by University of Kentucky employees. Copyright for all other materials has not been assigned to the University of Kentucky. For information about permission to reproduce or publish, please contact Special Collections. 
         
         
             Rock, John 
             Appalachian Region--Statistics, Medical 
             Breast--Cancer--Research 
             Family planning 
             Health behavior--Appalachian Region--Statistics 
             Health surveys 
             Oral contraceptives--Research 
         
         
             
                 
                     Enovid Birth Control Study 
                     Series I. 
                     
                         4.5 Cubic feet 
                         10 boxes 
                     
                     1959 October- 1968 March 
                 
                 
                     Scope and Contents note 
                     These records appear to be a study on the efficacy and possible side effects of Enovid, an oral contraceptive. All 156 individual birth control records are listed in alphabetical order by the subject’s last name and range chronologically from October 1959 to March 1968. The contents of each file is organized in this order: a chart summarizing the data collected from each woman, including the prescribed monthly dose of Enovid; patient’s general history; monthly menstrual history; Enovid record forms (Boxes 1-3 only); and memos with diagnoses, if any. The Enovid record forms were provided by G.D. Searle & Co., the Chicago pharmaceutical company that poduced Enovid. The principal research investigator for the FNS was Dr. John Rock. 
                 
                 
                     
                         AS-BL 
                         1 
                         1-16 
                     
                 
                 
                     
                         BO-COL 
                         2 
                         1-17 
                     
                 
                 
                     
                         COM-EN 
                         3 
                         1-16 
                     
                 
                 
                     
                         F-HOR 
                         4 
                         1-15 
                     
                 
                 
                     
                         HOS-MA 
                         5 
                         1-17 
                     
                 
                 
                     
                         MC-MU 
                         6 
                         1-17 
                     
                 
                 
                     
                         N-OS 
                         7 
                         1-13 
                     
                 
                 
                     
                         P-RO 
                         8 
                         1-14 
                     
                 
                 
                     
                         SH-V 
                         9 
                         1-18 
                     
                 
                 
                     
                         W-Z 
                         10 
                         1-12 
                     
                 
                 
                     
                         Infertility and Gyn. 
                         10 
                         13 
                     
                 
                 
                     
                         Close outs; No Rx; No data 
                         10 
                         14 
                     
                 
             
             
                 
                     Family Planning Study 
                     Series II. 
                     
                         1.8 Cubic feet 
                         4 boxes 
                     
                     1971 December 
                 
                 
                     Scope and Contents note 
                     The Frontier Nursing Service’s Family Planning Study was administered in December 1971, largely in the Kentucky counties of Leslie, Clay and Perry. The study has both male and female respondents and centers on FNS-sponsored family planning methods and procedures dating back to 1963. What is striking about the results is the move from reversible means of birth control (most often birth control pills and/or IUDs) to sterilization. Records for 1971 alone show 69 tubal ligations and 26 vasectomies performed that year. In addition to this move toward sterilization, records for 1970 to 1971 show FNS clients far less likely to engage in long-term family planning compared to clients in the mid to late 1960s, opting instead to be sterilized (See boxes 3-4 for examples). Whether this reflects a change in FNS philosophy or simply the wishes of the client base is unknown. What is evident is that those seeking family planning advice in 1970 and 1971 exercised fewer options than earlier clients. 
                 
                 
                     
                         66-0034 
                         11 
                         1 
                     
                 
                 
                     
                         66-0092 
                         11 
                         2 
                     
                 
                 
                     
                         66-0238 
                         11 
                         3 
                     
                 
                 
                     
                         66-0279 
                         11 
                         4 
                     
                 
                 
                     
                         66-0406 
                         11 
                         5 
                     
                 
                 
                     
                         66-0490 
                         11 
                         6 
                     
                 
                 
                     
                         66-0509 
                         11 
                         7 
                     
                 
                 
                     
                         66-0527 
                         11 
                         8 
                     
                 
                 
                     
                         66-0568 
                         11 
                         9 
                     
                 
                 
                     
                         66-0595 
                         11 
                         10 
                     
                 
                 
                     
                         66-0597 
                         11 
                         11 
                     
                 
                 
                     
                         66-0686 
                         11 
                         12 
                     
                 
                 
                     
                         66-0718 
                         11 
                         13 
                     
                 
                 
                     
                         66-0839 
                         11 
                         14 
                     
                 
                 
                     
                         66-0843 
                         11 
                         15 
                     
                 
                 
                     
                         66-0844 
                         11 
                         16 
                     
                 
                 
                     
                         66-0941 
                         11 
                         17 
                     
                 
                 
                     
                         66-1030 
                         11 
                         18 
                     
                 
                 
                     
                         66-1128 
                         11 
                         19 
                     
                 
                 
                     
                         66-1147 
                         11 
                         20 
                     
                 
                 
                     
                         66-1350 
                         11 
                         21 
                     
                 
                 
                     
                         66-1617 
                         11 
                         22 
                     
                 
                 
                     
                         66-1672 
                         11 
                         23 
                     
                 
                 
                     
                         66-1837 
                         11 
                         24 
                     
                 
                 
                     
                         66-1854 
                         11 
                         25 
                     
                 
                 
                     
                         66-1937 
                         11 
                         26 
                     
                 
                 
                     
                         66-1940 
                         11 
                         27 
                     
                 
                 
                     
                         66-2150 
                         11 
                         28 
                     
                 
                 
                     
                         66-2154 
                         11 
                         29 
                     
                 
                 
                     
                         66-2156 
                         11 
                         30 
                     
                 
                 
                     
                         66-2168 
                         11 
                         31 
                     
                 
                 
                     
                         66-2308 
                         11 
                         32 
                     
                 
                 
                     
                         66-2493 
                         11 
                         33 
                     
                 
                 
                     
                         66-2708 
                         11 
                         34 
                     
                 
                 
                     
                         66-2731 
                         11 
                         35 
                     
                 
                 
                     
                         66-2752 
                         11 
                         36 
                     
                 
                 
                     
                         66-2821 
                         12 
                         1 
                     
                 
                 
                     
                         66-3318 
                         12 
                         2 
                     
                 
                 
                     
                         66-3339 
                         12 
                         3 
                     
                 
                 
                     
                         66-3379 
                         12 
                         4 
                     
                 
                 
                     
                         66-3640 
                         12 
                         5 
                     
                 
                 
                     
                         66-3747 
                         12 
                         6 
                     
                 
                 
                     
                         66-3769 
                         12 
                         7 
                     
                 
                 
                     
                         66-3776 
                         12 
                         8 
                     
                 
                 
                     
                         66-3905 
                         12 
                         9 
                     
                 
                 
                     
                         66-4002 
                         12 
                         10 
                     
                 
                 
                     
                         67-0086 
                         12 
                         11 
                     
                 
                 
                     
                         67-0248 
                         12 
                         12 
                     
                 
                 
                     
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                         12 
                         13 
                     
                 
                 
                     
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                         12 
                         14 
                     
                 
                 
                     
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                         12 
                         15 
                     
                 
                 
                     
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                         12 
                         16 
                     
                 
                 
                     
                         67-0643 
                         12 
                         17 
                     
                 
                 
                     
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                         12 
                         18 
                     
                 
                 
                     
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                         12 
                         19 
                     
                 
                 
                     
                         67-0955 
                         12 
                         20 
                     
                 
                 
                     
                         67-1045 
                         12 
                         21 
                     
                 
                 
                     
                         67-1395 
                         12 
                         22 
                     
                 
                 
                     
                         67-1448 
                         12 
                         23 
                     
                 
                 
                     
                         67-1606 
                         12 
                         24 
                     
                 
                 
                     
                         67-1858 
                         12 
                         25 
                     
                 
                 
                     
                         67-1881 
                         12 
                         26 
                     
                 
                 
                     
                         67-2196 
                         12 
                         27 
                     
                 
                 
                     
                         67-2257 
                         12 
                         28 
                     
                 
                 
                     
                         67-2270 
                         12 
                         29 
                     
                 
                 
                     
                         67-2405 
                         12 
                         30 
                     
                 
                 
                     
                         67-2485 
                         12 
                         31 
                     
                 
                 
                     
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                         12 
                         32 
                     
                 
                 
                     
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                         12 
                         33 
                     
                 
                 
                     
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                         13 
                         1 
                     
                 
                 
                     
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                         13 
                         2 
                     
                 
                 
                     
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                         13 
                         3 
                     
                 
                 
                     
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                         13 
                         4 
                     
                 
                 
                     
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                         13 
                         5 
                     
                 
                 
                     
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                         13 
                         6 
                     
                 
                 
                     
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                         13 
                         7 
                     
                 
                 
                     
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                         13 
                         8 
                     
                 
                 
                     
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                         13 
                         9 
                     
                 
                 
                     
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                         13 
                         10 
                     
                 
                 
                     
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                         13 
                         11 
                     
                 
                 
                     
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                         13 
                         12 
                     
                 
                 
                     
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                         13 
                         13 
                     
                 
                 
                     
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                         13 
                         14 
                     
                 
                 
                     
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                         13 
                         15 
                     
                 
                 
                     
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                         13 
                         16 
                     
                 
                 
                     
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                         13 
                         17 
                     
                 
                 
                     
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                         13 
                         18 
                     
                 
                 
                     
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                         13 
                         19 
                     
                 
                 
                     
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                         13 
                         20 
                     
                 
                 
                     
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                         13 
                         21 
                     
                 
                 
                     
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                         13 
                         22 
                     
                 
                 
                     
                         68-2406 
                         13 
                         23 
                     
                 
                 
                     
                         68-2564 
                         13