Photo - BDM with Kriegsverdienstmedaille - War Merit Medal. I think it's the first BDM with I have seen with this medal. Would be interesting to know why she got it.

(pics are from a current ebay auction)

The Kriegsverdienstmedaille (War Merit Medal) was instituted 19 August 1940, to reward those civilians who were helping in the German war effort. Until 15 May 1943 also awarded to non-Germans who were helping in the German war effort but this was changed on 15-05-1943. From this date on, the non-Germans were rewarded with the Eagle Order Medal (Verdienstmedaille der Deutschen Adlerorden) in bronze and silver.