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HOW TO START AND OPERATE A PRO-LIFE OUT-REACH PREGNANCY SERVICE CENTER

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saking up crazy stories. Take then seriously, you never

seriously, and in the end saybe help in some way.
should be left in the discretion of the person receiving

IF YOU HAVE TRIED EVERY POSSIBLE WAY, AND STILL THE WOMAN
REFUSES TO COME IN, DO YOUR BEST TO SELL HER LIFE OVER
THE TELEPHONE.

THIS IS USUALLY A RARE OCCURANCE, IF METHODS ARE APPLIED,
BUT NEVERTHELESS WE MUST BE READY.

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IN TAKE COUNSELING

There are two conditions necessary for one to be a counselor is

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convinced that human life begins at fertilisation and that abortion is Second, a counselor sust be able to place herself in the client's

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When a client enters the office, she has often used the last of her For this reason, y to have the reception desk facing and in line with the entrance to the center, so

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away the awkward burden of her having to state her problem or asking
for the tast. There is no need to be guscy or overly sympathetic.
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receptica area. Be sure that the radio is 1 pleas ant station in the waiting room to suffle ensuing conversations. The client would now be seated at the side of the reception desk with friend to sit in, if they so choose. e ardent 11 scetias del also gives you a chance to observe the Codend's feelings on abortion.

HOW TO START AND OPERATE A PRO-LIFE OUT-REACH PREGNANCY SERVICE CENTER

Registering Client at Reception Desk

When registering a client and filling out the in-take card, always be relaxed and pleasant. If a girl is nervous, embarrassed, or cold and rude, your relaxed manner and a smile will help relax or soften her.

Be very tactful in asking questions and if she says or indicates that any question is none of your business, explain your asking so you will know how and where to help her. This usually satisfies her. First, always ask if she's been in before. If she has, look up her card. Add a new card for each new or possible pregnancy. If she is returning for another visit on the same pregnancy, use the card relating to current pregnancy, listing date of second visit above the date of prior visit. Be sure it has a number on the upper corner). A TWO-STEP PROCEDURE IS RECOMMENDED AS FOLLOWS, WITH THE FIRST STEP AT THE RECEPTION DESK AND THE SECOND STEP ALWAYS IN THE COUNSELING-VIEWING ROOM. This can either be handled by the counselor doing both steps or the receptionist doing the first step and the counselor doing the second step. The more professional approach is to have a receptionist working with the counselor. The counselor or the receptionist working at the reception desk fills out the left side of the in-take card. The client does not fill out her own card. This allows the receptionist or counselor to establish a rapport with the client in the initial contact. If you have trouble relating to particularly tough or defensive clients, keep your eyes on the in-take card while asking the initial questions until you reach the date of last period. Then make eye contact as this allows the client to scrutnize you and check you out without feeling threatened. Call her by name often and maintain a neutral voice while asking the questions on the card, especially those questions regarding previous pregnancies and abortion.

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HOW TO START AND OPERATE A PRO-LIFE OUT-REACH PREGNANCY SERVICE CENTER
Registering Client.

The following is a typical method of filling out the left hand of the intake card. Please follow along with an in-take card, paying close attention to the wording of each question. Note copy of the in-take card. (Have a one page full year calendar at the reception desk and at the counseling table for quick referral use by the client.

FILLING OUT LEFT HALF OF IN-TAKE CARD (See Intake Card-Refer to Page 58) What is your name, please? Enter last name first on card

How old are you? (Call her by her first name at this point).

Your address and phone number?

Have you ever been to our center before?

How did you learn about our center?

What was the date of the first day of your last period?

Are your periods usually regular?

How many days between periods, from the first day of one period
to the first day of the next period?
How long does a normal period last?
How long did your last period last?
Was your last period a normal period?
Was it lighter on heavier than usual?

Have you been using any birth control methods, the pill or
1.U.D.? (This is important because the symptoms of pregnancy
often occur in the first few months after onal contraceptives
are discountinued, even though the client is not pregnant).
Have you ever been pregnant before? If so, how many times?
Did you carry the pregnancy to term? Again, how many?
Have you even had any miscarriages on abortions? (It is important
to ask this even il the client states she has never been pregnant,
as some women do not consider a miscarriage on abortion as an
actual pregnancy).

Il a client becomes defensive on indignant about the personal
nature of these questions, assure her that it is necessary for
us to obtain an accurate menustral history in order to help
determine if, indeed, she is pregnant.

Previous pregnancies und abortions do influence subsequent
menustral cycles at times, particularly if the abortion has
been recent.

When the counselor asks for the client's feelings on abortion,
she should do so in a neutral, matter of fact tone. We need to
know what the client's feelings are both generally and regarding
this pregnancy.

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il you are pregnant, would you be considering abortion?
she is undecided put a question mark under the yes space).
Did you bring in your unine specimen? Il not we can do the
pregnancy test on a fresh specimen. Hand her a paper cup for
this specimen. Write her card number and first name on the cun
and direct her to the bathroom. (Writing the number on the cup
at this point is important so that it will not become mixed with
another client's specimen). Tell her that you only need
approximately 1/8 cuplull. Otherwise, very often, the cup will
le to the point of overflowing.)

HOW TO START AND OPERATE A PRO-LIFE OUT-REACH PREGNANCY SERVICE CENTER

Transition From Reception Desk To The Counseling/Viewing Room.

When the client returns from the restroom escort her to the counseling viewing room. This transition from the reception desk to the counseling room is precisely at this time, because it is much easier to ask her to follow you when she is standing, rather than having to ask her to get up out of her chair to follow you. Also, when she hands you the urine specimen, you have a captive audience, as she knows from the center's ad that the results will be in 30 minutes. As you are haking the urine specimen from her, you would say something like "Would you please follow me, as we need a little more information. Your boyfriend and friends are also welcome to come back with you, if you'd like. If you sense that those accompaning her are hostile to life and you are not busy, you could put them in another room to see the film, where they cannot ridicule the film or try to influence her. Waunlly however, it is bout to educate them all together. ) She will quickly approve or disapprove and ask them to come along or stay and wait for her. It is a good idea to have the friends accompany her because she will need their support in deciding to have her baby, therefore, they need to be educated also on the facts of abortion. They also may need this information at this time or later on in their own life. The receptionist would then introduce the client to the counselor in the counseling-viewing room and hand the counselor the client's card. The counselor would then invite all present to sit down and she would then start asking the questions that appear on the right side of the in-take card. The questions of symptoms of pregnancy are very important, as these will relate to the questions on the left side of the card in determining how far along she is in her pregnancy, if she is pregnant. In other words, if her last menstrual period was not a normal period, alo-ng with having pregnancy symptoms longer than the time or of her missed period, then it is very likely that she was probably pregnant druing her last period. This would add 4 weeks to the gestational size of the unborn baby. This is very important to know when you later start talking to the client about what her unborn baby looks like at this time.

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Have you had any nausea or queeziness in your stomach?
she answers yes to this on any of the Lollowing questions,
record the approximate number of days she has noticed the
symptoms to help you pinpoint the length of her pregnancy as
mentioned above.

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Have you noticed any change in your appetite?

HOW TO START AND OPERATE A PRO-LIFE OUT-REACH PREGNANCY SERVICE CENTER

Do you have any breast enlargement on breast tenderness?
she responds yes to this, ask if this normally occurs balona
her period starts. If so, this sign is not necessarily indi-
cative of pregnancy.

Have you had any dizzy spells?

Have you hear extra tired?

Are you usinating more ofter than usual? This is the most
important symptom to check LoR. as the in langing uterus sits on
the bladder causing an increase in urinary frequency in sarly
pregnancy. Hormonal changes in pregnancy also can
usination.

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Have you had any weight gain, on have you noticed that your
jeans ars tighter?

Keep relaxed and pleasant. If the girl is nervous, embarrassed, in some way let her mow you are aware this is a difficult soseat for her. You can mention here how confidential ve are; and you are sure ve vill be able to help her in any ways if she chooses to accept your help.

Discuss her last period when she's due, just off pills, etc. This allows her to relax. If she sees you really care, even a hard vonan vill open up. This allows you to understand har problems and reveals what she intends to do with her pregnancy. If she has been on the pill and stopped recently, explata this say be the cause of the break in her monthly cycle. 12 she is aurstag, Laquire into the age of her child - this helps to indicate if she may be ovulating. Explain thoroughly that since she is nursing, there is no way to fall 18 18 13 too early for the test. We will do the test. 1 ve get a negative,

she can come back in a week or two for another tast.

In discussing her symptoms, let her talk as such as possible. Again, you learn more about her. Up to now you have probably gained ter confidence and relaxed her. A sale, a pleasant regarx, even in @ppropriate quick joke goes a long way. One thing to redescer, all thru your counseling is that you snow her you care about her, that you are really trying to help without an ulterior motive, some say even ce suspicious at 1st but many of these women are lonely, unloved or neglected in their lives. They need someone to care.

RE-CHECK HER FEELINGS ON ABORTION.

Often a girl vam ta senast she's against abortion. Zowever, 1 the question is put differently by the counselor, frequently nother story unfolds. Ask bar, "What do you latend to do 12 you're Fegnant?" She say hesitate, be unsure, or says she hasn't thought about it. These are all indications that abortion is on her and even though she really doesn't want one. Watch her eyes, acolcude, gestures-they will help you to mow if she reads what she says. She say aven state she wants the baby, but your instincts feel something else. (Keep this in and and after the presentation she say reveal her real problem).

Determining The Size of The Baby.

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At this point, the counselor determines how many weeks pregnant the client may be, the test should snow positive. Just mov that rulation occurs 15 days before the start of the senstrual period, regardless of the length of time between periods. This eans that a voman 13 2 weeks pregnant when she first asses cer perica 12 her previous period was a coral period using the calendar er prege cancy calculator (calculators are recommended) provided in the counseling area. Continue...Let's see, your last period was June st, you have a 30 day cycle, so your sext period would have been due July If you are pregnant, you would have probably ovulated and become preg cant about June 16th, 15 days before the first day of your sea perdad. Today is August 3th, so you would be about weeks pregnant. are pregnant. (count this all out on the calendar Or use a pregnancy

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