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
  1. The Mom, queen of your and your baby's health! You have the power to make decisions that protect both of you.
  2. RIGHT: You have the right to change your mind.
+ 2. EL PAPÁ – THE DAD
  1. The Dad, your partner in care and support! Your choices about your family matter and deserve respect.
  2. 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
  1. Mom's Milk, liquid gold for your baby! Get the guidance you need to feed your baby safely and confidently.
  2. 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
  1. Your Birth Plan, your roadmap for labor! Have your choices heard and respected for a safe, empowering birth.
  2. 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
  1. The Doula or Midwife, your trusted guide! Receive care that respects your culture and your wishes.
  2. RIGHT: You have the right to choose a midwife, doula, or a physician as your maternity care provider.
+ 6. EL BIBERÓN – BABY BOTTLE
  1. The Baby Bottle, ready and safe! Feed your baby the way you choose with support every step of the way.
  2. 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
  1. Your Chosen Place, where you feel safe! Decide where you want to bring your baby into the world.
  2. 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
  1. Safe Sleep, keeps your baby protected! Make sure your baby rests safely and peacefully.
  2. 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
  1. Your Preferred Language is your right! Receive information and care in a language you can understand.
  2. RIGHT: You have the right to receive information in a language in which you can communicate.
+ 10. EL RESPETO DIGNO – DIGNIFIED RESPECT
  1. Dignified Respect surrounds you! Be treated with courtesy and honor at every step.
  2. RIGHT: You have the right to courteous staff who introduce themselves when they enter the room.
+ 11. LA RED DE APOYO – SUPPORT NETWORK
  1. Your Support Network keeps you strong! Count on family, friends, and trained birth support workers throughout pregnancy and birth.
  2. 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
  1. Your Rights Card is in your hands! Know your rights and take charge—advocate for yourself and your baby.
  2. 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
  1. a. Your Epidural Choice is yours! Decide freely about pain relief with clear information.
  2. RIGHT: You have the right to decide whether or not to get an epidural.
+ 14. LA SALUD MENTAL MATERNAL – MATERNAL MENTAL HEALTH
  1. A mom's Mental Health matters! Receive emotional and social support throughout pregnancy and birth.
  2. 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
  1. a. Inner Calm is your secret strength! Protect your peace and leave care that isn’t right for you.
  2. 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
  1. Change in Staff keeps you informed! Know who is caring for you and stay in control of who is in the room.
  2. 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
  1. Respected Pain Relief is your right! Get full information to make decisions about pain management during labor.
  2. 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
  1. Conscious Nutrition supports your baby’s health! Make feeding choices that match your values and wishes.
  2. 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
  1. a. Maternal Warning Signs give you notice! Pay attention and reach out when something feels off.
  2. 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
  1. WIC Benefits give your family support! Access nutrition and breastfeeding guidance for you and your baby.
  2. 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
  1. Lead Poisoning Prevention is your shield! Protect your family from hidden dangers.
  2. RIGHT: You have the right to have all personal information treated according to standards of confidentiality.
+ 23. LA COMUNIDAD SALUDABLE – HEALTHY COMMUNITY
  1. The Healthy Community connects and strengthens you! Stay informed and supported where you give birth.
  2. 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
a. Complete Care covers you fully! Get skilled support for both normal and complicated childbearing. b. 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
  1. Healthy Relationships strengthen your journey! Know who is involved and their qualifications.
  2. 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
  1. The Lactation Consultant guides you! Receive expert support every step of the way.
  2. RIGHT: You have the right to get help from someone who is trained in breastfeeding.
+ 27. LA EQUIDAD – EQUITY
  1. Equity ensures fairness for everyone! Stand strong and be treated with dignity.
  2. 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
  1. Maternal and Child Health Line brings you connection! Access guidance and support whenever you need it.
  2. 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
  1. The Baby Car Seat, your baby’s travel protector! Safety first on every ride.
  2. RIGHT: You have the right to have all your questions answered.
+ 30. LA PLANIFICACIÓN FAMILIAR – FAMILY PLANNING
+ 31. LA VACUNA – VACCINE
+ 32. EL CUIDADO PREVENTIVO – PREVENTIVE CARE
+ 33. EL CUIDADO POSPARTO – POSTPARTUM CARE
  1. Postpartum Care, your recovery companion! Receive the attention and support you need to heal and thrive.
  2. 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
  1. Safe Lactation Space, your feeding heaven! Breastfeed or pump in comfort, privacy, and safety wherever you need.
  2. 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
+ 36. LA SEGUNDA OPINIÓN – SECOND OPINION
+ 37. EL ESPACIO TRANQUILO – PEACEFUL SPACE
+ 38. LA VOZ – YOUR VOICE MATTERS
+ 39. LA DECISIÓN INFORMADA – INFORMED DECISION
+ 40. EL HISTORIAL MÉDICO – MEDICAL RECORD
+ 41. LA LIBERTAD DE MOVIMIENTO – FREEDOM OF MOVEMENT
+ 42. EL DERECHO A QUEJARTE – FILING A COMPLAINT
+ 43. LA VISITA AL HOGAR – HOME VISIT
+ 44. PREPARACIÓN DE EMERGENCIA – EMERGENCY PREPAREDNESS
+ 45. EL CUIDADO PRENATAL – PRENATAL CARE
+ 46. LA CLASE PRENATAL – PRENATAL CLASS
  1. Prenatal Class, your learning space! Prepare for childbirth and feeding your baby with the right resources.
  2. 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
+ 48. EL COMIENZO SALUDABLE – HEALTHY START
+ 49. EL APOYO POR LA PÉRDIDA – SUPPORT FOR LOSS
  1. Support for Loss, you are not alone! Receive comfort, guidance, and care for you and your family during life’s hardest moments.
  2. 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
  1. Freedom from Coercion, your choices matter! Make decisions without pressure or fear.
  2. RIGHT: You have the right to not be threatened into choosing certain options.
+ 51. EL ACCESO POR DISCAPACIDAD – DISABILITY ACCESS
  1. Disability Access, care for everyone! Ensure your needs are met and accommodated.
  2. RIGHT: You have the right to disability accommodations in accordance with the Americans with Disabilities Act.
+ 52.EL EQUIPO DE CUIDADO – CARE TEAM
  1. Disability Access, care for everyone! Ensure your needs are met and accommodated.
  2. RIGHT: You have the right to disability accommodations in accordance with the Americans with Disabilities Act.
+ 53. LA CONEXIÓN FAMILIAR – FAMILY BOND
  1. Family Bond, together from the first heartbeat! Have your baby and family by your side all day and night.
  2. RIGHT: You have the right to have your baby in your room with you 24 hours a day.
+ 54. LA ALIANZA SALUDABLE – HEALTHY PARTNERSHIP
  1. Healthy Partnership, care that knows you! Receive care from caregivers who know you and your journey.
  2. 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.