Maternal Health Bill of Rights Lotería

Maternal Health Bill of Rights Lotería

What is Lotería?

Lotería is a popular, traditional game of chance often compared to bingo. It is a visual and engaging game played with a deck of illustrated cards instead of numbered balls, as used in bingo.

Why Maternal Health Bill of Rights Lotería?

Maternal health is a right, not a privilege. Every family deserves a happy, peaceful, and safe birth experience. In Harris County, we know that 8 out of 10 pregnancy-related deaths could have been prevented. Our version, Maternal Health Bill of Rights (MHBoR) Lotería, reimagines the classic game to deliver important health messages through familiar symbols and inclusive storytelling.

This game is a community commitment to ensure everyone receives fair, respectful, and dignified care.

How to Play - ¡A Jugar!

Listen closely, mark your board, and get ready to claim your rights!

  • The Boards (Tablas): Give each player a game board and some beans or coins to mark their spaces.
  • The Caller (El Gritón): Choose one person to draw the cards.
  • The Call (El Grito): The Caller draws a card and calls out the card name.
    • Accessibility Note: Each card has a number in the top left corner to make the game easier for everyone to follow.
  • Mark Your Spot: If the image is on your board, cover it with a bean or coin.
  • Win!: The first player to complete a winning pattern shouts “LOTERÍA!,” “BUENAS!,” or “BINGO!”—but we encourage everyone to shout “¡DERECHOS! (Rights).”

How to Win

Bingo grid showing a vertical winning pattern.

Vertical

Bingo grid showing a horizontal winning pattern.

Horizontal

Bingo grid showing a diagonal winning pattern.

Diagonal

Bingo grid showing a four corners winning pattern.

Four Corners

Bingo grid showing a four inside squares winning pattern.

Four Inside

Bingo grid showing a full board winning pattern.

Full Board

Explore the MHBOR Lotería Deck

+ 1. LA MAMÁ – THE MOM

The Mom, queen of your and your baby's health! You have the power to make decisions that protect both of you.


RIGHT: You have the right to change your mind.

+ 2. EL PAPÁ – THE DAD

The Dad, your partner in care and support! Your choices about your family matter and deserve respect.


RIGHT: You have the right to your choices about your family respected, such as whether you have a spouse or partner, what your spouse’s or partner’s gender is, how many children you have, or if you have chosen to place a baby for adoption.

+ 3. LA LECHE DE MAMÁ – MOM’S MILK

Mom's Milk, liquid gold for your baby! Get the guidance you need to feed your baby safely and confidently.


RIGHT: You have the right to receive complete information about the benefits and risks of breastfeeding well in advance of labor.

+ 4. EL PLAN DE PARTO – BIRTH PLAN

Your Birth Plan, your roadmap for labor! Have your choices heard and respected for a safe, empowering birth.


RIGHT: You have the right to choose who you want present during your exams, delivery, and other procedures, and have this decision respected.

+ 5. LA DOULA – DOULA

The Doula or Midwife, your trusted guide! Receive care that respects your culture and your wishes.


RIGHT: You have the right to choose a midwife, doula, or a physician as your maternity care provider.

+ 6. EL BIBERÓN – BABY BOTTLE

The Baby Bottle, ready and safe! Feed your baby the way you choose with support every step of the way.


RIGHT: You have the right to choose how to feed your baby – whether with breastfeeding/chest feeding, formula, or a combination of both – and receive the help you need to feed your baby.

+ 7. EL LUGAR ELEGIDO – CHOSEN PLACE

Your Chosen Place, where you feel safe! Decide where you want to bring your baby into the world.


RIGHT: You have the right to choose your birth setting from the full range of safe options available in your community (such as a hospital, birth center, or home) based on complete, objective information about benefits, risks, and costs of these options.

+ 8. EL SUEÑO SEGURO – SAFE SLEEP

Safe Sleep, keeps your baby protected! Make sure your baby rests safely and peacefully.


RIGHT: You have the right to a safe and clean environment during your labor and delivery, and a quiet and safe room after you give birth.

+ 9. EL IDIOMA PREFERIDO – PREFERRED LANGUAGE

Your Preferred Language is your right! Receive information and care in a language you can understand.


RIGHT: You have the right to receive information in a language in which you can communicate.

+ 10. EL RESPETO DIGNO – DIGNIFIED RESPECT

Dignified Respect surrounds you! Be treated with courtesy and honor at every step.


RIGHT: You have the right to courteous staff who introduce themselves when they enter the room.

+ 11. LA RED DE APOYO – SUPPORT NETWORK

Your Support Network keeps you strong! Count on family, friends, and trained birth support workers throughout pregnancy and birth.


RIGHT: You have the right to support during your labor and birth – from a family member, partner, and/or birth support worker such as a doula (a trained professional who provides information and support before, during, and shortly after childbirth).

+ 12. TARJETA DE DERECHOS – MHBOR Z-CARD

Your Rights Card is in your hands! Know your rights and take charge—advocate for yourself and your baby.


RIGHT: You have the right to maternal healthcare facilities ensuring that you understand your rights as a birthing person and family.

+ 13. ELEGIR LA EPIDURAL – EPIDURAL CHOICE

Your Epidural Choice is yours! Decide freely about pain relief with clear information.


RIGHT: You have the right to decide whether or not to get an epidural.

+ 14. LA SALUD MENTAL MATERNAL – MATERNAL MENTAL HEALTH

A mom's Mental Health matters! Receive emotional and social support throughout pregnancy and birth.


RIGHT: You have the right to receive continuous social, emotional, and physical support during labor and birth from a caregiver who has been trained in labor and support.

+ 15. LA CALMA INTERNA – INNER CALM

Inner Calm is your secret strength! Protect your peace and leave care that isn’t right for you.


RIGHT: You have the right to receive the care you deserve and leave if you are not receiving good care.

+ 16. EL CAMBIO DE PERSONAL – CHANGE IN STAFF

Change in Staff keeps you informed! Know who is caring for you and stay in control of who is in the room.


RIGHT: You have the right to decide who you do not want in the room, including staff members, during exams and procedures, and have this decision respected.

+ 17. EL ALIVIO RESPETADO – RESPECTED RELIEF

Respected Pain Relief is your right! Get full information to make decisions about pain management during labor.


RIGHT: You have the right to receive full advance information about risks and benefits of reasonably available methods for relieving pain during labor and birth, including methods that do not require the use of drugs.

+ 18. LA NUTRICIÓN CONSCIENTE – CONSCIOUS NUTRITION

Conscious Nutrition supports your baby’s health! Make feeding choices that match your values and wishes.


RIGHT: You have the right to have your baby not receive any bottle feeding or pacifiers if that is against your wishes.

+ 19. LACTANCIA PÚBLICA – BREASTFEEDING IN PUBLIC
  1. Breastfeeding in Public is a point of pride! Feed your baby whenever and wherever needed.
  2. RIGHT: You have the right to breastfeed your baby at any time, day or night.
+ 20. LAS SEÑALES MATERNAS – MATERNAL WARNING SIGNS

Maternal Warning Signs give you notice! Pay attention and reach out when something feels off.


RIGHT: You have the right to reach your prenatal provider during your pregnancy if you have concerns that cannot wait until your next scheduled visit.

+ 21. LOS BENEFICIOS WIC – WIC BENEFITS

WIC Benefits give your family support! Access nutrition and breastfeeding guidance for you and your baby.


RIGHT: You have the right to access to skilled lactation support for as long as you choose to breastfeed, governed by Texas Government Code, Chapter 619.

+ 22. PREVENCIÓN DE PLOMO – LEAD POISONING PREVENTION

Lead Poisoning Prevention is your shield! Protect your family from hidden dangers.


RIGHT: You have the right to have all personal information treated according to standards of confidentiality.

+ 23. LA COMUNIDAD SALUDABLE – HEALTHY COMMUNITY

The Healthy Community connects and strengthens you! Stay informed and supported where you give birth.


RIGHT: You have the right to information on the policies and practices of the place where you choose to give birth.

+ 24. EL CUIDADO COMPLETO – COMPLETE CARE

Complete Care covers you fully! Get skilled support for both normal and complicated childbearing. 


RIGHT: You have the right to caregivers skilled in normal childbearing and caregivers skilled in complications, who are needed to ensure quality care for all.

+ 25. LAS RELACIONES SALUDABLES – HEALTHY RELATIONSHIPS

Healthy Relationships strengthen your journey! Know who is involved and their qualifications.


RIGHT: You have the right to information about the professional identity and qualifications of those involved in your care, and to know when those involved are trainees.

+ 26. ESPECIALISTA EN LACTANCIA – LACTATION CONSULTANT

The Lactation Consultant guides you! Receive expert support every step of the way.


RIGHT: You have the right to get help from someone who is trained in breastfeeding.

+ 27. LA EQUIDAD – EQUITY

Equity ensures fairness for everyone! Stand strong and be treated with dignity.


RIGHT: You have the right to fair treatment regardless of race, gender, religion, sexual orientation, age, disability, HIV status, immigration status, income level, or form of insurance.

+ 28. LA LÍNEA MATERNAL E INFANTIL – MATERNAL & CHILD HEALTH LINE

Maternal and Child Health Line brings you connection! Access guidance and support whenever you need it.


RIGHT: You have the right to communicate with caregivers and receive all care in privacy, which may involve excluding non-essential personnel.

+ 29. EL PORTABEBÉ – BABY CAR SEAT

The Baby Car Seat, your baby’s travel protector! Safety first on every ride.


RIGHT: You have the right to have all your questions answered.

+ 30. LA PLANIFICACIÓN FAMILIAR – FAMILY PLANNING

Family Planning shapes your future! Make informed choices about your care and your baby’s care.


RIGHT: You have the right to make health care choices, such as which medical procedures you will and will not allow to be performed on you, based on your values, religion, and beliefs.

+ 31. LA VACUNA – VACCINE

The Vaccine, your health shield! Stay protected and confident in your health choices.


RIGHT: You have the right to information about the potential effects of administered drugs or procedures to you and/or your unborn child.

+ 32. EL CUIDADO PREVENTIVO – PREVENTIVE CARE

Preventive Care, your well-being in action! Know the benefits, risks, and costs of all procedures, tests, and treatments.


RIGHT: You have the right to full and clear information about the benefits, risks, and costs of any procedure, drug, test, or treatment.

+ 33. EL CUIDADO POSPARTO – POSTPARTUM CARE

Postpartum Care, your recovery companion! Receive the attention and support you need to heal and thrive.


RIGHT: You have the right to timely attention to your needs, including taking your pain level seriously, for your entire stay at a hospital or birthing center, or during the birthing experience at your home.

+ 34. EL ESPACIO DE LACTANCIA SEGURO – SAFE LACTATION SPACE

Safe Lactation Space, your feeding heaven! Breastfeed or pump in comfort, privacy, and safety wherever you need.

RIGHT: You have the right to breastfeed your baby at your place of employment or child daycare center in an environment that does not discourage breastfeeding or the provision of breast milk.

+ 35. EL CONTACTO PIEL A PIEL – SKIN-TO-SKIN CONTACT

Skin-to-Skin Contact, your first embrace! Bond with your baby immediately after birth for warmth and comfort.


RIGHT: You have the right to hold your baby immediately after birth (also known as skin-to-skin), even if you have had a c-section.

+ 36. LA SEGUNDA OPINIÓN – SECOND OPINION

Second Opinion, your peace of mind! Know that you can switch to another provider if you are unsure about your care.


RIGHT: You have the right to leave your maternity caregiver and select another if you become dissatisfied with your care.

+ 37. EL ESPACIO TRANQUILO – PEACEFUL SPACE

Peaceful Space, your quiet corner! Enjoy uninterrupted, meaningful time with your newborn.


RIGHT: You have the right to virtually uninterrupted contact with your newborn from the moment of birth, as long as you and your baby are healthy and do not need care that requires separation.

+ 38. LA VOZ – YOUR VOICE MATTERS

Your Voice Matters, your power in action! Accept or refuse care and have your choices respected.


RIGHT: You have the right to accept or refuse procedures, drugs, tests, and treatments, and have your choices honored.

+ 39. LA DECISIÓN INFORMADA – INFORMED DECISION

Medical Record, your health journal documented! Access all your pregnancy and birth information whenever you need.


RIGHT: You have the right to unrestricted access to all available records about your pregnancy, labor, birth, postpartum course, and infant; to obtain a full copy of these records; and to receive help in understanding them, if necessary.

+ 40. EL HISTORIAL MÉDICO – MEDICAL RECORD

Medical Record, your health journal documented! Access all your pregnancy and birth information whenever you need.


RIGHT: You have the right to unrestricted access to all available records about your pregnancy, labor, birth, postpartum course, and infant; to obtain a full copy of these records; and to receive help in understanding them, if necessary.

+ 41. LA LIBERTAD DE MOVIMIENTO – FREEDOM OF MOVEMENT

Freedom of Movement, your body, your choice! Move freely during labor and choose positions that feel best.


RIGHT: You have the right to freedom of movement during labor, including walking the floor or choosing different birthing positions.

+ 42. EL DERECHO A QUEJARTE – FILING A COMPLAINT

Filing a Complaint, your voice is heard! Speak up and know how to raise concerns if your care doesn’t feel right.


RIGHT: You have the right to information on how to file a formal complaint about concerns related to the care you have received.

+ 43. LA VISITA AL HOGAR – HOME VISIT

Home Visit, support on your doorstep! Decide when to go home and get one-on-one help in your own space.


RIGHT: You have the right to decide collaboratively with caregivers when you and your baby will leave the birth site for home, based on your conditions and circumstances.

+ 44. PREPARACIÓN DE EMERGENCIA – EMERGENCY PREPAREDNESS

Emergency Preparedness, ready for anything! Keep a go bag ready and stay prepared for delivery and to protect your baby and family from disasters.


RIGHT: You have the right to understand other options, including what will happen if you don’t choose any of the provided options.

+ 45. EL CUIDADO PRENATAL – PRENATAL CARE

Prenatal Care, our guide to informed choices! Navigate every step of pregnancy with confidence and clarity.


RIGHT: You have the right to full and clear information about the benefits, risks, and costs of any procedure, drug, test, or treatment.

+ 46. LA CLASE PRENATAL – PRENATAL CLASS

Prenatal Class, your learning space! Prepare for childbirth and feeding your baby with the right resources.


RIGHT: You have the right to resources to prepare for childbirth and feeding your baby, such as childbirth education classes and nursing counselors.

+ 47. EL RESPETO CULTURAL Y RELIGIOSO – CULTURAL AND RELIGIOUS RESPECT

Cultural and Religious Respect, honor your roots! Receive maternity care that honors your beliefs and traditions.


RIGHT: You have the right to receive maternity care that is appropriate to your cultural and religious background.

+ 48. EL COMIENZO SALUDABLE – HEALTHY START

Healthy Start, your baby’s first choice! Be with your little one and guide where they begin their journey.


RIGHT: You have the right to make choices about the care of your baby, such as whether or not to be with your baby for their medical tests and procedures (unless there is a medical reason not to) and where your baby stays (in the same room with you or in the nursery).

+ 49. EL APOYO POR LA PÉRDIDA – SUPPORT FOR LOSS

Support for Loss, you are not alone! Receive comfort, guidance, and care for you and your family during life’s hardest moments.


RIGHT: You have the right to receive information, counseling, and support services for you and your family if you experience a miscarriage, stillbirth, or loss of an infant.

+ 50. LA LIBERTAD SIN COERCIÓN – FREEDOM FROM COERCION

Freedom from Coercion, your choices matter! Make decisions without pressure or fear.


RIGHT: You have the right to not be threatened into choosing certain options.

+ 51. EL ACCESO POR DISCAPACIDAD – DISABILITY ACCESS

Disability Access, care for everyone! Ensure your needs are met and accommodated.


RIGHT: You have the right to disability accommodations in accordance with the Americans with Disabilities Act.

+ 52.EL EQUIPO DE CUIDADO – CARE TEAM

Disability Access, care for everyone! Ensure your needs are met and accommodated.


RIGHT: You have the right to disability accommodations in accordance with the Americans with Disabilities Act.

+ 53. LA CONEXIÓN FAMILIAR – FAMILY BOND

Family Bond, together from the first heartbeat! Have your baby and family by your side all day and night.


RIGHT: You have the right to have your baby in your room with you 24 hours a day.

+ 54. LA ALIANZA SALUDABLE – HEALTHY PARTNERSHIP

Healthy Partnership, care that knows you! Receive care from caregivers who know you and your journey.


RIGHT: You have the right to receive all or most of your maternity care from a single caregiver or a small group of caregivers with whom you can establish a relationship.