This book contains the handwritten notes of Mary Elizabeth Graham as she took classes in obstetrics and nursing in Salt Lake City between 1892-1894. Included are such topics: Natural Signs of Pregnancy, Misscarage (sic), Labor and Confinement, In Case of Twins, Puerperal Septicamia, Puberty and Menstruation, and even "How early is it proper to instruct our boys and girls concerning the natural laws by which they as physical beings should be governed." Also included as the final pages of the book are transcriptions of two patriarchial blessings given to Mary; the first from Charles W. Hyde in 1875, and the second by Lorenzo Hill Hatch in 1895.