Category Archives: CHILDBIRTH EDUCATION GAMES

GAME – NAME THE TRIMESTER – (Multiple choice)

 

TODAY WE WILL DISCUSS SOME OF THE DIFFERENT THINGS YOU CAN EXPECT TO HAPPEN DURING THE THREE TRIMESTERS OF PREGNANCY.

Although many things overlap, there are some things that can mainly be identified with just one trimester.  I recently discovered a game “Who’s Having This Baby Anyway?” (2000) produced by www.Baby’sBirthBenefits. I heard about the game a while ago but it took a little work in locating it.  I was finally able to find and purchase it for $24.95 at  www.pregnanttoparent.com.   I have now played it and it is a fun approach to discussing many of the symptoms of all three trimesters and labor in a board game format that can be played by 2-4 people.  The game takes about 2 hours to play and is both educational and entertaining. The winner (as with any pregnancy) is to be the first to have her baby.

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Although not as humorous as the board game, I have used a few of the facts and tips from it in the multiple choice game that I created for this post. And, although the board game includes labor cards, I am going to save that discussion for another post.  The goal of this game is to help you review what you need to look for during each trimester of your pregnancy. In the case when the items could be seen in more than one trimester, I have listed them in the earliest trimester that they may be seen.

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THREE TRIMESTERS OF PREGNANCY – (MULTIPLE CHOICE GAME)

 

THREE TRIMESTERS OF PREGNANCY - MULTIPLE CHOICE GAME

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THREE TRIMESTERS OF PREGNANCY (ANSWER KEY)

THREE TRIMESTERS OF PREGNANCY - ANSWER KEY

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Did you notice that there were six statements for each trimester?

That’s all for this post. Hope that all is going well for you and your pregnancy. Bye for now – “P”

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GAME – MEDICAL INTERVENTIONS (Word Search)

JUST LIKE EACH PREGNANCY IS UNIQUE, SO ARE THE INTERVENTIONS.

FIRST, THEY CAN BE EITHER NON-MEDICAL OR MEDICAL AND SECOND THEY CAN OCCUR ANYTIME DURING PREGNANCY OR LABOR.

In this post our discussion will be limited to medical interventions so let’s start with a definition.

Medical interventions are selected by your care provider and can include TESTS, RESTRICTIONS, PROCEDURES, and MEDICATIONS.  They are designed to either diagnose or solve a problem. As with any intervention, you as the patient, have the right to choose or refuse any procedure, medication, or test.  If possible (and this is not an emergency situation), it is very important to know both the side effects and the outcomes for each decision you make well before you have to make it. This can only be done if you start your study now and place your choices on your birth plan. If you wait until the last moment, when the procedure, medication, or test are selected by your caregiver, you really ar not making decisions based on INFORMED CONSENT.  Instead, you are making decisions based on FEAR and that does not always produce the best long-term results.

This is the reason for the Medical Intervention word search game. After finding all of the words in the puzzle, I want you to research any terms you are unfamiliar with and decide how you feel about them. Then I want you to place the ones you want and the ones you don’t want on your BIRTH PLAN. After that, you will need to discuss your choices with both your health care provider and the location where your child will be born. Tell them your decisions and make sure that their policies will allow your wishes to be implemented. Be prepared to make compromises as not all doctors and medical facilities in the United States are prepared for changes in their routines. If you do not feel comfortable with the changes that are required from you, you do have the choice to find another health care provider and birthing facility. 

This is the reason the THE BIRTH SURVEY  (www.thebirthsurvey.com) was started. It was designed to inform to public about the types of maternity care in the United States.  The website is updated by the public (not the medical community) and gives pregnant women medical information about what providers and facilities offer all over the United States. If you find out any information about maternity care that is not currently on the website, add it to the site. That will then be available to other women in the future. This will benefit all pregnant women in your area and should over time improve the variety of choices available locally.

Maternity care seems to be market driven.  Therefore it is important to make your thoughts known.  If a lot of women want a specific type of care,  it will usually become available. 

Let’s get started with the game. There are three parts. The first is the word list, the second is the actual word search game, and the third in the answer key. When searching for the words you will need to look forward, backward, upward, downward, and diagonally. In addition, there is one word that appears twice in the game.

PART ONE: GAME #5  – MEDICAL INTERVENTIONS – (WORD LIST)

MEDICAL INTERVENTIONS - WORD LIST

NOTE: LOCATE ALL BOLD WORDS ABOVE IN GAME BELOW.

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PART TWO:  GAME #5 – MEDICAL INTERVENTIONS – (WORD SEARCH)

WORD SEARCH GAME - MEDICAL INTERVENTIONS

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PART THREE:  GAME #5 –  MEDICAL INTERVENTIONS (ANSWER KEY)

CHILDBIRTH EDUCATION GAME - MEDICAL INTERVENTIONS (ANSWER KEY)

 

NOTE:  The word that is in the puzzle twice (highlighted in orange) in the one medical intervention that if freely allowed can both aid in the progress of your labor and diminish the need for medications. All other words that appear once in the puzzle are highlighted in yellow in the answer key.

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This puzzle and the word list should help you with your birth plan. Keep on refining it – make it your own.

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That’s all for this post.  Bye till next time  – “P”

 

GAME – COMPLICATIONS OF LABOR & BIRTH (Word search)

COMPLICATIONS OF LABOR ALWAYS REQUIRE SOME FORM OF MEDICAL INTERVENTION.

IN THE OCTOBER 14, 2010 POST, I DISCUSSED AT LENGTH POSSIBLE COMPLICATIONS OF LABOR & BIRTH. IN ADDITION, I GAVE YOU A WORD DEFINITION GAME TO ASSIST YOU IN YOUR LEARNING PROCESS.

Since complications of labor and birth require medical assistance to ensure a positive outcome, it is important that you know what the  conditions are and what symptoms require attention.  For this reason, I have created another game for you using the same words again to help you review the main concepts. This time there is  a word search game for you to complete.  The words are listed forward, backward, diagonally, upward or downward in the puzzle.

Each word or term will appear once except for one which appears twice. The term that appears twice is one that you need to research on the web to make sure that you understand it completely.

And of course if you have any questions about any of these complications, discuss your concerns with your health care provider.

GAME #5 – COMPLICATIONS OF LABOR & BIRTH –  created 11-7-2010 (pmh)

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PART 1 – WORD LIST

WORD LIST FOR COMPLICATIONS OF LABOR & BIRTH

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PART 2 – WORD SEARCH GAME 

NOTE:  LOCATE ALL BOLD WORDS & TERMS LISTED ABOVE IN THE PUZZLE BELOW

USE WORD LIST #5 AND LOCATE ALL WORDS AND TERMS IN PUZZLE

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PART 3 – ANSWER KEY TO GAME #5 – COMPLICATIONS OF LABOR & BIRTH

 
 
 
 

ADVOCATE FOR YOURSELF & YOUR BABY - PHRASE WRITTEN TWICE (ORANGE HIGHLIGHTED) - IT'S THAT IMPORTANT

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After playing the game, research any words or terms that are not familiar to you. Finally, let me know what you think of this form of teaching.

Bye for now – “P”

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GAME – PRENATAL TESTS & PREEXISITING CONDITIONS (Word search)

MANY DECISIONS ABOUT YOUR PRENATAL CARE, WHO YOUR HEALTHCARE PROVIDER WILL BE, AND WHERE YOUR BABY WILL BE DELIVERED ARE DETERMINED BY YOUR HEALTH HISTORY AND MORE SPECIFICALLY ANY PREEXISTING CONDITIONS THAT YOU MIGHT HAVE.

It is for this reason that you need to have a working knowledge about what preexisting conditions could be a problem during your pregnancy. Once you gain this information then you will be better prepared to understand what your options are in terms of health care provider and birthing location. Basically if you are a healthy woman without any known preexisting conditions your options will be greater than they would if the reverse were true.  This is something you will want to discuss with your health care provider.

There are several good web sites that provide information about women’s health. I am including two of them in this blog article.

The first is the United States Government’s  Federal Source for Women’s Health Information web site:  http://www.womenshealth.gov/  It  is a good source for information for women whether pregnant or not. They have included information from many sources including a lengthy article (26 pages downloaded) written by the ACOG (American Congress of Obstetrician &  Gynecologists) called “Before You Get Pregnant” that is good and worth downloading and printing.  Besides containing several charts, it includes a checklist which you can use when you interview potential healthcare providers.  Here is that link:  http://www.acog.org/from_home/misc/promotion2.pdf 

In addition, they recently (October 6, 2010), updated their main pregnancy site – http://www.womenshealth.gov/pregnancy/  Check it out and let me know what you think.

This US Government site also offers a free calendar (both in English & Spanish) annually. It is attractive and  another good source of information in a monthly format. The calendar website address is:   http://www.womenshealth.gov/pub/calendar/  The calendar is mailed out in early December but you have to order it early to get a copy.  As of now (October, 2010) you are unable to order the English on-line (Spanish still available) but can still order it through their toll-free phone line (1-800-994-9662). So if you want one for 2011 you will need to call them soon.

Second is The March of Dimes. They are also a good source of information on preexisting conditions and have a wonderful web site. Here is a quick pre-pregnancy quiz (5 questions) that they offer called: “Your Pregnancy IQ” http://www.marchofdimes.com/pnhec/28699_1953.asp  On the left side of this website page there several special tabs which address both  preexisting conditions and prenatal tests. They also have a lot of information that is worth reading.  Although many tests need to be done at every prenatal visit not all of them should be done for every pregnant woman.  As with everything there are pros and cons to having tests just as there are pros and cons to not having tests done. You need to be an informed consumer before you make any decisions about this.

Because there is a close connection between preexisting conditions and prenatal tests I have created a word search puzzle for you. This puzzle includes many of the preexisting conditions and prenatal tests that you will hear about while pregnant. The terms on the word list are ones you need to know.  See if you can decide which tests should be done at every prenatal visit. After playing the game, use the word list and search either of the above web sites: US government or the March of Dimes for more information. This can aid you when making the decision concerning the care that will be best during your pregnancy. Not all prenatal tests are necessary in every pregnancy and some can be potentially harmful. They have specific purposes and should only be used for specific reasons. That is why you need to be informed beforehand.  Do your homework now while you have the time. Write down what you learn that relates to your health situation. Then discuss it with your provider. They will appreciate your preparation. It will save them time – which is always important in a clinic setting. This should make them more willing to listen to your concerns and answer your questions.

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GAME #3: PRENATAL TESTS & PREEXISTING CONDITIONS (WORD LIST) – PART 1

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WORD LIST FOR GAME #3

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GAME #3: PRENATAL TESTS & PREEXISTING CONDITIONS (GAME) – PART 2

NOTE:  Locate all BOLD words above in puzzle below the words appear forward, backward, upward, downward or diagonally in the puzzle

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GAME #3 - There are no spaces between words in the puzzle and one of the prenatal tests appears twice

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Below is the answer key. The prenatal test that appears twice in the puzzle is highlighted in orange. This test has been shown to increase miscarriages and should be preformed only when the “pros” are greater than the “cons.” The balance of the answers are highlighted in yellow.

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GAME #3: PRENATAL TESTS & PREEXISTING CONDITIONS (ANSWER KEY) – PART 3

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GAME #3 - ANSWER KEY

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Enjoy the game, check out the web sites and learn a lot. Let me know your thoughts. Bye for now – “P”

GAME – COMPLICATIONS OF LABOR & BIRTH (Article & Definitions)

WHAT SHOULD BE USED AS THE BASIS TO DETERMINE WHO SHOULD DELIVER YOUR BABY AND WHERE  YOUR BABY SHOULD BE BORN?

These are very important questions and could determine the outcome of your whole pregnancy, so they must be thought about seriously.  I am going to use a game as a tool to help you in your quest for knowledge about this topic. But first, I want to share with you a fairly lengthy section of an article that I believe is pertinent to our topic and well worth reading. It is from the 510 page book “Childbirth and Authoritative Knowledge” (sub-title: Cross Cultural Perspectives) edited by Robbie E. Davis-Floyd and Carolyn F. Sargent (1997) -University of California Press.  This book is defined as “a benchmark collection of cross-cultural essays on reproduction and children and extends the work of Brigitte Jordan, who helped generate and define the field of anthropology of birth. . . . focus(ing) on authoritative knowledge – the knowledge that counts, on the basis of which decisions are made and actions taken – highlights the vast differences between birthing systems that give authority of knowing to women and their communities and those that invest it in the experts and machines.”  The following excerpt is taken from pages 277-279 of this book.  NOTE: all of the underlined, bolded, and non-italic words are from me and not from the book.

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“In Eastern Europe childbirth practices reminiscent of those prevalent in North America and Europe three decades ago are being modernized, pulled in conflicting directions by the contrasts between the increasing use of technology in many Western nations and the family centered low technology approaches advocated by WHO (WORLD HEALTH ORGANIZATION) and UNICEF  (Origin:
U (nited) N (ations) I (nternational) C (hildren’s) E (mergency) F (und) – commonly now known as United Nations Children’s Fund. This is an agency, created by the United Nations General Assembly in 1946, concerned with improving the health and nutrition of children and mothers throughout the world; Nobel Peace Prize 1965 ) and practiced in northern European countries.”

“What, then, is the “right” way to “do” birth? Which system of authoritative knowledge should prevail? Until recently (and for most even currently), Eastern European doctors and mothers were convinced that a doctor-centered, highly medicalized approach offered the best deal for mothers and babies. Their northern European counterparts, the WHO and UNICEF consultants active in Eastern Europe, and midwives all over the world believe their women-centered ways to be supreme. Who has the right to say which approach is best, and on what grounds can this be claimed? And it there is a “right way” for birth, is it universal? Does it apply equally in the rural hinterlands and the urbanized home, in the high-technology environment of Western hospitals and their somewhat dilapidated Eastern European counterparts?”

“My preceding efforts notwithstanding, it is inaccurate to talk of a “country’s” approach to birth, even in Eastern Europe. Childbirth practices vary from country to country, from hospital to hospital within the same country, and from doctor to doctor within the same hospital. In many parts of the world (and even in isolated spots in Eastern Europe, such as Hungary) no doctor is present at birth and it does not take place in a hospital. The mother, in her home setting attended by a midwife or even an obstetrician, is the central focus and it is the variation from mother to mother (and baby to baby) that determines the nature of the birth experience.”    

“Are we even justified to consider that there might be one way to give birth that we could advise other countries to follow? If we accept that there is enormous variability in the world, beliefs, societal conditions and economic levels, then is it appropriate to seek a universal childbirth pattern, or less obviously, to seek to influence one culture from the standpoint of another? One mother’s experience can vary widely from birth to birth. Why not, then, for differing mothers in different settings with different social, cultural, psychological, and biological backgrounds?”

“Even assuming the desirability of advocating a single approach to birth, what criteria should be used to assess the ideal birth experience? Measures of maternal and infant mortality and morbidity spring to mind and are fairly universally acknowledged as critical indicators. But should we not be developing indicators of successful birthing further than the biological level to include the social, psychological, and cultural implications? Why do we rely on a physiological level of assessment of birth outcome almost to the exclusion of any other level of functioning? Is the medical model still so firmly entrenched that the years of exposure to a more holistic approach to health and the endorsement of this by such agencies as the World Health Organization, we are still afraid to assess birth outcome in terms of the whole person’s experience? Conventional scientific research infrequently suggests that the mother’s experience be a central outcome measure ins assessing a new intervention for childbirth. Even if such a measure is included, it is frequently relegated to a secondary level of importance, with biological outcomes taking priority.”

“The very issue of assessing birth outcomes is currently being turned on its head in the Western scientific world. Increased reliance on randomized controlled trials (see Johnson, this volume) as a more objective means of assessment than clinical tradition or inadequately designed research is bringing about a slow revolution in the obstretic community. Meta-analyses of randomized trials of birthing interventions have led to an embarrassing expose of the inadequacy and even harmfulness of procedures previously considered routinely beneficial for women and babies  (Chalmers, Enkin, and Keirse 1989) . These authors and others (Northrup 1994; Wagner 1994) within the obstetric circle have leveled indictments against many forms of routine intervention on the basis of solid scientific foundations using accepted “medical” outcome criteria, as have the women’s groups who have cried out against the high-technology approach on more humanitarian grounds. This lofty perch occupied by medicalized childbirth is being lowered slowly but surely.”

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I know that was a lot to read – but it is important to know and meaningful to our topic today “POSSIBLE COMPLICATIONS OF LABOR & BIRTH.” The above article is referring to normal births and uncomplicated labors which represent  > 90% of all births in the USA. The concern is that routine interventions and high technology are being used with too many births in our country and around the world. It is thought that these are being used in increasing numbers because of the $$ that are generated for both the doctors and the hospitals. May be or may not be, I really don’t know.

Our lesson today is concerned with what are some of the complications that could possibly require medical interventions during labor and would not allow a woman to have a birth using fewer of the high-tech devices. Women need to know what these conditions are so that if they do NOT have them, they will know that they could  probably have fewer of the currently routine labor interventions. This would be something to negotiate with your health care provider.  If that is not an option with your provider or birthing location, then it would be a good indication that you might want to locate a different provider or birth location. Fewer interventions and less technology would also make either a home or birth center birth possible and reduce your total childbirth/delivery bill. This is  a win-win situation both for the family and for the over-burdened healthcare system.  

Now for GAME #2 – POSSIBLE COMPLICATIONS OF LABOR & BIRTH . Today’s posting is a definition game that has two parts. The first part is the game with a word list in column one (identified with numbers) with assorted definitions in column two (identified by alphabetical letters). The definitions do not match the words that they are next to. You will need to locate the correct definition either by drawing lines or by letters & numbers on a separate sheet of paper. There is one correct  definition for each word. The second part is the answer sheet. In the right column, the definitions are listed with a letter at the end of each definition which correctly identifies it with its word.

After playing the game it would be good to further research any complications that might apply to you and then discuss them with your care provider.  Some of the complications may interfere with your BIRTH PLAN choices. Others may have no effect on where or how you give birth. But as always, you may need to negotiate these with both your care provider and your birthing location.

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GAME #2 – POSSIBLE COMPLICATIONS OF LABOR & BIRTH – created 10-9-2010 (pmh)

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PART 1 – TWO COLUMN DEFINITION GAME

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WORD DEFINITION GAME - POSSIBLE COMPLICATIONS OF LABOR & BIRTH

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PART 2 – TWO COLUMN DEFINITION GAME – ANSWER KEY

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DEFINITION GAME - POSSIBLE COMPLICATIONS OF LABOR & BIRTH - ANSWER KEY

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Being pregnant and having a baby is one of the many life changing events you will remember all the rest of your life. It is because of this that it is very important that you learn as much as you can so that what you remember will be the best that it can possibly be for everyone involved. I think of life as a multi-level puzzle. The more you learn the bigger the puzzle gets. I don’t think that we will ever learn everything while we are alive on earth – just too much knowledge out there. That is why I think that the internet is a wonderful tool that we can use to help each other along the path of life. We really do need one another to learn even today – no one needs to feel like they are isolated on an island trying to learn everything from scratch. We can learn principles from the past and bring them forward to live in the details of today. What a gift the computer age has given us. After reading this post and playing the game, let me know what you think of this form of education.

I will end with a quote from one of our United States Supreme Court Justices – Sandra Day O’Connor: “We don’t accomplish anything in this world alone … and whatever happens is the result of the whole tapestry of one’s life and the weavings of individual threads from one to another that creates everything.”

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Bye for now – “P”

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GAME – COMFORT MEASURES DURING LABOR (Word search)

IN ADDITION TO THE EPIDURAL FREQUENTLY USED BY THE OB IN THE HOSPITAL SETTING, THERE ARE A WIDE VARIETY OF COMFORT MEASURES AVAILABLE FOR WOMEN TO USE WHEN THEY ARE IN LABOR.
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Research has shown that when a woman does not have a preexisting condition or any known complications in her pregnancy, alternative comfort measures are as effective and possibly have more long-term effectiveness than the traditional hospital interventions. There is definitely a better infant-mother bonding (and often a better start to breastfeeding) if neither are overcoming the side-effects from either IM or IV medications.
My posting today is another childbirth education tool that I utilize in teaching.  I like to present information in the form of a game. I do this for two reasons, first it is more fun (and you can sleep through a lecture) and second there seems to be better retention. Here is today’s offering:  a word search game on the topic  AVAILABLE COMFORT MEASURES  – DURING LABOR.

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There are three parts to this game: a word list, the actual word find game, and an answer key. It is my hope that after you play the game you will spend some time finding out about these comfort measures and add to your BIRTH PLAN those that appeal to you.

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Next, I hope you will implement several of the measures during your pregnancy so that they will be available when you go into labor. All of the measures can be used in a home birth, most of them can be used in a birth center birth, and some of them can be used in a hospital setting.

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Just check with your health care provider to find out what they are willing to allow you to use during labor (before assuming  they will all be available).

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GAME #1: AVAILABLE COMFORT MEASURES  – created 10-9-2010 (pmh)

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PART 1 – WORD LIST: AVAILABLE COMFORT MEASURES  
GAME #1 - AVAILABLE COMFORT MEASURES DURING LABOR
WORD LIST FOR AVAILABLE COMFORT MEASURES

Locate only CAPITALIZED words – do not look for punctuation or spacing between words

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PART 2 –  WORD SEARCH GAME: AVAILABLE COMFORT MEASURES

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AVAILABLE COMFORT MEASURES DURING LABOR - WORD SEARCH GAME
USE WORD LIST #1 AND LOCATE ALL WORDS IN PUZZLE

Words appear forward, backward, upward, downward, & diagnonally – all words appear once – one phrase appears twice

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PART 3 –  WORD SEARCH GAME: AVAILABLE COMFORT MEASURES  ANSWER KEY 

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AVAILABLE COMFORT MEASURES DURING LABOR - ANSWER KEY
ADVOCATE FOR YOURSELF – PHRASE WRITTEN TWICE (ORANGE HIGHLIGHTED) – IT’S THAT IMPORTANT

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After playing this game and learning about these comfort measures, you will be better prepared to negotiate & advocate for your birth plan.

Enjoy the game and let me know what you think of this form of teaching. – Bye for now – “P”

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