Instructor Training Manual - The Empathy Belly Pregnancy Simulator
Contents
1. Appendix This appendix includes Informed Consent Release form cceeeee page 18 Copyright Release ceecceeeeeeeeeeteeeeeeeneees page 19 Gleannan a e T see page 20 Troubleshooting eer ena page 21 Warranty smana a a A EN A page 21 INFORMED CONSENT RELEASE Based on the results of numerous professional evaluations and extensive field testing The Empathy Belly Pregnancy Simulator U S patent 4 531 919 has been found to be a highly effective beneficial and safe teaching aid when handled or worn by individuals who are in normal good health and who behave in a correct and careful manner while handling or wearing this teaching aid Since you or your child are being offered the educational opportunity to use The Empathy Belly you are hereby provided with full information regarding this product s intended and potential effects benefits avoidable risk factors and reasonable precautions to be maintained while handling or wearing this product As a pre requisite to handling or wearing The Empathy Belly carefully read and complete this form Intended for use only as a serious teaching aid The Empathy Belly is a multi component weighted garment that will enable male and female wearers to temporarily experience through accurate simulation more than 20 of the typical symptoms and effects of pregnancy Through this hands on experiential type of learning wearers find out what it feels like to be p2. D The Empathy Belly Instructor Training Manual How to use and demonstrate The Empathy Belly pregnancy simulator PLEASE NOTE To realize the maximum benefit from The Empathy Belly it is ESSENTIAL that you read this manual and learn to use the product correctly You should also view the sample demonstration video tape that was shipped with this product The effective presentation of this teaching resource depends on YOU Keep for future reference Introduction The Empathy Belly Pregnancy Simulator U S Patent 4 531 919 is a multi component weighted garment that will through accurate simulation enable female and male wearers to temporarily experience more than 20 of the typical symptoms and effects of pregnancy Through this hands on experimental type of learning wearers discover what it feels like to be pregnant and gain a realistic understanding of the pregnant condition Following are some of the symptoms and effects that can be felt by wearing The Empathy Belly for 10 minutes or longer e body weight gain of 30 to 33 pounds 13 6 to 16 kg e pregnant profile of enlarged breasts and protruding abdominal belly changes in physical and personal self image continuous pressure on the abdomen and internal organs postural changes of the back with an increase of lordosis or pelvic tilt shift in one s center of gravity low backache mild fetal kicking and stroking movements shallow breathing capa
3. IB BELT simulating the pressure of the ascending uterus and fetus against the diaphragm heart and lungs e Specific symptoms difficult and shallow breathing smothered feeling reduced oxygen intake with resulting fatigue slowed pace restriction of physical activities increase in body temperature and increase in pulse and blood pressure 1 Pick up the rib belt and position yourself by the volunteer e Ifthe volunteer is female stand behind her e Ifthe volunteer is male stand in front of him 2 Wrap the rib belt loosely around the volunteer making sure the warning label faces out with the widest edge of the elastic insert at the top see Figure 10 When putting the belt on a female quietly ask her to position it just under not over her breasts with the elastic band in front When putting the rib belt on a male position it just under the armpit level with the elastic band in back Ww Female 2 lt Noo J E SS pe E OS ce gt ae ee Y a ea Pa Wass ge ee a a y z lon Ss N V4 LS ry F gr Dy C AN x R La fo Sa ee 7 f f re SS iy Noy E U i Aoo fA Q N PLY C WM pesene yen at A Keo A eae ee e N S ee a Figure 10 Correct rib belt position Have the volunteer stand with knees bent and feet apart to help keep his or her balance Tell the volunteer to drop his or her arms to their sides and relax
4. Inc Birthways Inc P O Box 2069 Vashon Island WA 98070 2269 Phone 800 882 3559 or 206 463 9572 Fax 206 463 6837
5. R Tumble dry on low heat e Press with steam if needed To clean the bladder pouch 65 polyester 35 cotton fabric cover e Damp wipe only using a mild soap if needed e Dry flat e Let air dry thoroughly Troubleshooting Vinyl Bladder Repairs If the vinyl bladder is leaking you will need to determine the cause BEFORE panicking e Check to be absolutely sure you are using the inner plug along with the outer cap on the spout of the vinyl bladder e Make sure the outer cap is screwed on tight This is the most common cause of leaks If you have lost the inner plug or outer cap call Birthways at 1 800 882 3559 You will be sent a new inner plug and or outer cap free of charge If you bought your Empathy Belly within the last year the problem may be covered under the one year limited warranty Call Birthways at 1 800 882 3559 and someone will help you determine whether the problem is a manufacturing defect If a defective part is covered by the warranty you will be sent an immediate free replacement of that part If you bought your Empathy Belly more than a year ago you will need to find the leak e If the problem is a pinhole leak or a cut in the vinyl use the vinyl repair kit Shipped with the product to patch the leak If you have lost your repair kit you can purchase another at any local waterbed outlet e Ifthe leak is definitely located around the clear plastic spout or at the outer perimeter of the bladder th
6. Then instruct the volunteer to inhale deeply and exhale as completely as possible totally emptying his or her lungs Quickly pull the belt as tight as possible overlapping the ends and fastening the Velcro Ask the volunteer to try to take another deep breath e fhe or she reports that their breathing is strained shallow restricted or tight or that he or she can only get half a lung full of air the belt is positioned correctly If the volunteer says his or her breathing is the same as his or her normal breathing undo the rib belt and tighten it again until the desired effect is achieved TORSO GARMENT simulating weight and profile of pregnancy movement of fetus and enlarged breasts Specific symptoms increased fatigue pressure on internal abdominal organs and pelvic floor tissues and nerves round ligament twinges edema aching of legs and feet lower backaches stroking and kicking sensations changes in self image and sexuality and awkwardness in movement Pick up the torso garment holding it firmly by the shoulder straps labeled A in Figure 11 Shoulder straps _ Underarm strap ANAN E B gt E gt f few FJ N A J pe ee j R _ Upper back strap A a yo N PA ans a Y bei 5 a er Neo ye S A _ Mid back strap poeu Z NN SS A f i SS oa A 5 A pe Lower back strap LS i 5 A S Figure 11 The torso garment Hold the sho
7. can begin to really see why the inevitable demands of pregnancy require mature committed marriages and responsible support systems if childbearing is to be the joyful positive experience that it can be Skillful use of the Empathy Belly not only increases adolescents knowledge and communication and clarifies values but also motivates teenagers to prevent untimely pregnancy For Health Care Providers The Empathy Belly is useful for medical students obstetrical physicians and allied professionals in the fields of Maternity Health Care and Education By wearing the Empathy Belly they significantly increase their understanding and sensitivity about the pregnant condition Consequently they are better trained more effective and more likely to establish genuine rapport with the pregnant women in their care For obvious reasons this is especially true for service providers who are male or women who have never experienced a full term pregnancy Background The Empathy Belly Pregnancy Simulator was invented by Linda Ware B S W who is the Founder and Executive Director of Birthways Childbirth Resource Center Inc She has also been a Social Worker and teacher with The Neighborhood Youth Corps and a Maternity Specialist with the Salvation Army Booth Memorial Home As a childbirth educator counselor and birth assistant for more than twelve years Ms Ware has worked intimately with thousands of pregnant women and expectant fathers Based on the k
8. city and shortness of breath increase in body temperature pulse and blood pressure a flushing sensation and increased perspiration awkwardness in all body movements pressure on the bladder with increased sense of urgency and frequency of urination e increased fatigue slowed pace and restricted activity e changes in sexual self image and abilities The Empathy Belly simulates these effects through the use of a rib belt and the strategic positioning of various weighted components It is a strictly external garment and does not have any mechanical electrical or electronic components Sizes The Empathy Belly comes in two sizes Be sure to choose the appropriate size Empathy Belly for the volunteer s you will have The small size fits most women men of small stature and most teenage girls and boys ages 12 to 18 The large size is designed for men of average or above average size or older teenage boys who have the build of an adult male The Empathy Belly should not be used on anyone weighing less than 100 Ibs 45 kg or more than 300 Ibs 136 kg Why Use The Empathy Belly The Empathy Belly was originally created to simulate pregnancy in a medically accurate fashion It was designed to help expectant fathers understand the increased needs of their partners as a result of the demands of the pregnant condition Use of The Empathy Belly has been expanded to the teenage community As a teaching tool it enables teenagers to understand a
9. ct s INFORMED CONSENT RELEASE and are supervised by a TRAINED INSTRUC TOR MISUSE OF THIS PRODUCT CAN CAUSE SERIOUS PERMANENT INJURY TO REDUCE ANY RISK OF INJURY WHILE HANDLING OR WEARING THIS DEVICE DONOT act recklessly or carelessly DO NOT simultaneously twist side to side while bending over DO NOT make any abrupt jerky or swift movements in any direction DO NOT bend over without bending knees use squatting position DO NOT bounce jump or run DO NOT wear high heeled or slippery shoes DO NOT go on stairs steep inclines or slippery surfaces HANDLE CAREFULLY all weighted components of this device at all times IMMEDIATELY DISCONTINUE USING this device if you feel any sharp pain dizziness or other adverse effect consult a physician if necessary DO NOT REMOVE THIS LABEL Figure 9 Rib belt warning label E Install the five Empathy Belly components on the volunteer NOTE If the two lead balls have been left in the torso garment remove them now As you attach each component in the following sequence ask the volunteer open ended questions to find out what he or she is feeling both physically and emotionally Try to draw out the specific symptoms discussed earlier as they might apply to each step CAUTION You must be careful at all times not to touch the volunteer in sensitive or inappropriate areas such as the breasts lower abdomen groin area or buttocks Have the volunteer position any components on these areas R
10. desk or table Sit on sofa and or chair and student desk chair if applicable Pick up household items thrown on the floor Lie down on belly on back and on side Position five pillows for comfort during sleep Roll over and reposition pillows Imagine partner wants to make love Get up from the floor correctly G Conclude the demonstration Ask for the volunteer s conclusions and new insights about the pregnant condition Thank him or her for participating If the volunteer wishes let him or her continue to wear the Empathy Belly for the remainder of the class or prenatal appointment NOTE Do not let the volunteer wear the Empathy Belly for more than 3 hours total and remember that he or she must always remain under direct supervision of the instructor Discuss the reactions and comments of the volunteer and the audience Carefully remove all the components of the Empathy Belly A 2 3 Ask the volunteer to hold the belly Support the weight of the garment by holding at least one of the shoulder straps with one hand With the other hand undo all the straps working from the lower back straps up to the shoulder straps Move to the front of the volunteer while still supporting the weight of the garment Hold both shoulder straps and slowly move the garment away from the volunteer s body Be careful to watch the bladder pouch and catch it if it falls Gently set the Empathy Belly down Abruptly dropping the full weighted tor
11. dominal skin bruises wounds or recent scars 12 Any serious weakness or disorders of your abdomen s internal organs including but not limited to hernia enlargement of liver or spleen infections etc 0 13 Any other medical condition for which your physician has advised you to avoid StFENUOUS ACUVItY i a ei etek hide Ea sees ei aae raaa Ta Be nee een cence N a 0 NOY O 0 WARNING Handling or wearing of this product in the presence of any of the above conditions may cause them to get much worse or may cause injury If you have answered YES to ANY of the above questions if you or your child have any other abnormal health condition that you believe might put you or your child at risk then YOU OR YOUR CHILD ABSOLUTELY SHOULD NOT HANDLE OR WEAR The Empathy Belly Pregnancy Simulator The weight gain and respiratory changes common in pregnancy and in the simulation of pregnancy naturally impose significant physical demands on the human body While experiencing any strenuous activity especially those involving the handling or wearing of weighted components there is always the possibility of a strain sprain injury particularly if an individual does not behave cautiously MISUSE of The Empathy Belly could cause serious permanent damage Therefore to minimize any risk of injury while wearing The Empathy Belly the wearer should understand and maintain the following precautions DO NOT act recklessly or frivo
12. e N TA J of the Empathy Belly Se a Se eee a A Ly Figure 15 Inserting the two lead balls MATERNITY SMOCK showing realistic pregnant profile e Specific symptoms change in self image and sexuality Place the smock over the head and arms of the volunteer OR if you prefer to save time undo the Velcro strip on the back of the smock letting the volunteer slip it over their front torso and fasten the Velcro in the back If time allows letting the volunteer struggle with the smock may be valuable to further illustrate the difficulty of performing simple tasks 2 Pull the smock smoothly down over his or her chest and belly 3 Have them observe their new profile in a mirror Figure 16 Figure 16 Instant pregnancy Congratulations You have successfully installed the Empathy Belly Next you will show your volunteer how pregnancy could affect their daily activities F Have the volunteer try various positions movements and activities View the accompanying demonstration video tapes to see examples of questions to ask and how to do effective role playing You will also see typical reactions and insights of wearers regarding the impact of pregnancy on their daily lifestyles As in the prior segment continuously solicit feedback from the volunteer while asking him or her to do the following ete SOOO OV RECO Ne 0 1 Walk around Observe his or her profile in a mirror Bend down and tie shoes Sit at the
13. e leak cannot be repaired and you will need to replace the vinyl bladder Call the manufacturer Birthways at 1 800 882 3559 for ordering information Sewing Repairs If any stitching or the zipper breaks or if a seam begins to pull apart call Birthways at 1 800 882 3559 Someone will discuss the repair options available to you Replacement Parts If you are missing any component of the Empathy Belly or if a part has worn out call Birthways at 1 800 882 3559 to purchase replacement parts One year Limited Product Warranty This product is of the highest quality and is inspected twice before shipment It is guaranteed against faulty or defective parts and or workmanship for one 1 year from date of original purchase provided the product has been used in strict accordance with the manufacturer s full directions for correct assembly and usage as supplied at the time of delivery The manufacturer s only obligation shall be limited to the repair or replacement of the defective product The manufacturer shall not be liable for any injury loss or damage to person s or property direct or consequential arising out of the use or misuse of the product The buyer shall determine the suitability of the product for the buyer s intended use and the buyer assumes all risk and liability whatsoever in connection therewith The Empathy Belly Pregnancy Simulator Teaching Module U S Patent 4 531 919 Made in the U S A Manufactured by Birthways
14. e they FEA T f have to go to the bathroom l Sy Gently lay the belly down over the bladder pouch and firmly press to secure the Velcro A Ask the volunteer Did we find your bladder If the answer is no or if they are uncertain reposition the pouch Figure 13 Placing the bladder pouch 4 Pull together snugly and attach the mid back straps labeled D 7 3 N in Figure 14 and the lower back straps labeled ae NOTE It is not necessary that the corresponding straps D and E overlap to line up D H A exactly with each other It is more important to adjust the straps to tightly hug the gt build of each wearer criss crossing the straps as needed to do so This will ensure that the Torso Garment fits each person as snugly as possible Figure 14 Torso garment with all straps attached TWO LEAD BALLS 7 lbs 3 2 kg each simulating fetal Ls knees elbows and feet pressing on internal abdominal organs Losey if e Specific symptoms aches and pains in ribs and T A abdominal organs i 4 1 Insert the two lead balls into the side pockets of m 4 m the belly see Figure 15 PA JN Am A 2 Push each lead ball deeply and securely into es A Lem ink T its pocket Se ba T Ce te N l RETS a NOTE To achieve an accurate simulation for A ie L iS I each volunteer it is very important that 1 ere i you remove the lead balls after each us
15. e used on anyone weighing less than 100 Ibs 45 kg or more than 300 Ibs 136 kg Materials Required To do this demonstration you should have a box containing the following typical household items that might be left on the floor such as shoes socks men s pants newspapers books bath towels children s toys Empathy Belly components placed in the box in this order so the rib belt can come out first a maternity smock b two lead balls c bladder pouch d torso garment containing the water filled vinyl bladder e rib belt with the caution label visible five bed or floor pillows cleared floor area large enough for the volunteer to lay down on the floor ideally at least 100 square feet 13 square meters large wall mirror could be in nearby restroom sofa or upholstered chair optional desk with chair or student desk and chair when working with teens optional Demonstration A Introduce the Empathy Belly Briefly explain what the Empathy Belly is its purpose and benefits Refer to the Introduction in this manual B Select a volunteer e When demonstrating the Empathy Belly on an adult ask for a volunteer to wear it Ask him or her to silently read and complete the Informed Consent Release see the Appendix e If the volunteer is a minor the Informed Consent Release must be completed by his her parent or guardian prior to the demonstration You should have already signed and dated the Supervising I
16. embly assembling the water filled belly e Demonstration procedure for a live demonstration e Appendix necessary forms cleaning and repair information Assembly Instructions for the Empathy Belly PLEASE NOTE To realize the maximum benefit from The Empathy Belly it is ESSENTIAL that you practice both assembly and demonstration prior to introducing the Empathy Belly to clients or students You should also view the sample demonstration video tape that was shipped with this product The effective presentation of this teaching resource depends on you After familiarizing yourself with the names and functions of the Empathy Belly components shown in Figure 2 you are ready to assemble the water filled pregnant belly of the torso garment A Pregnant breasts Sa ff aa meee i _ D Rib belt OS i tae constricts lungs B Suspended weight Nee 4 simulating fetal eS TN a Ss E Two lead balls movement YY Zee ay simulating fetal Ae aT limbs C Pregnant belly my iji Pe aa F Bladder pouch simulating weight and A NE eel simulating fetal head warmth of pregnant a 7 on bladder woman s abdomen Figure 2 Name and function of Empathy Belly components To do this you should have 1 a clean counter area to work on a water source with hot water a funnel or watering can with a narrow spout an accurate measuring container cups or liters paper towels or cloth for wiping up water spills
17. existing injuries might be put at risk by handling or wearing The Empathy Belly The following checklist is intended to help identify such individuals who might be put at risk and who should therefore NOT use this device If you or your child desire to handle or wear The Empathy Belly indicate here if you or your child currently have any of the following medical conditions or health impairments Check either YES or NO Confirmed pregnancy or the possibility Of Pregnancy eee eeeeeeeeneeeeeeneeeeeenetereeaes Chronic back pain or disorders of your back spine neck or pelvis including but not limited to scoliosis sciatica slipped or ruptured discs etc cccccceeeseeeeeeeeeeeee Any fractured or broken bones or joint dislocations 200 0 eeeeeeenseeeeeneeeeeetneeeeeeneeerenaees Any serious strains muscle tendon damage or serious sprains ligament damage _ Damage or serious weakness in your ribs Knees or ankles ccceeeeeeeeeeeeeeeteeeees High blood pressure dizziness fainting OF VErtiQo eceeeeeeeseeeeeeneeeeeeneeeeseneeeeteaes Asthma or any other respiratory disease or breathing difficulty 0 0 eeeeeeneeeeeeees History of heart problems or disease including but not limited to heart attack stroke angina 6tG 2 3 3 20 eta ete dee tah ea ashe hee ene 9 Epilepsy or a history of convulsions 10 Bladder disorders weakness or infection 11 Any serious ab
18. lat on top of the vinyl bladder inside the canvas shell Figure 4 This will put the pockets in the correct position to receive the two lead balls inserted later and f Fi 4 Tucking in the fabric pockets protect the bladder from damage by the zipper GUTE Leos PE JAFE pockets To fill the vinyl bladder C 1 NOTE i lt 4 Outer cap Pull up firmly on the spout until it protrudes C a Inner plug 2 inches 5 cm from the vinyl surface Figure 5 Z amp Vinyl bladder Unscrew the outer cap LA Remove the inner plug f A Measure and pour very warm water less J Sn ae than 100 F or 38 C into the vinyl bladder N oa D through the spout opening KN v r ee e For the small size Empathy Belly measure 15 cups 3 5 liters e For the large size Empathy Belly measure 20 cups 4 7 liters Ny A torso garment that has been used repeatedly will have stretched creating a slightly larger belly When this happens Figure 5 The spout you will need to add 2 to 4 additional cups 5 to 1 liter of water to the vinyl bladder in order to achieve a realistic pregnant profile See Judging the correct belly profile on page 8 Be sure to measure accurately so the resulting simulation will be correct With practice you will be able to estimate the correct amount of water without measuring Your funnel or watering can will minimize spills Slowly push down on the spout until the wa
19. lously DO NOT simultaneously twist side to side while bending over DO NOT make any abrupt jerky or swift movements in any direction DO NOT bend over without bending knees use squatting position DO NOT bounce jump or run DO NOT wear high heeled or slippery shoes DO NOT go on stairs steep inclines or slippery surfaces HANDLE CAREFULLY all weighted components of this device at all times IMMEDIATELY DISCONTINUE WEARING THIS DEVICE if you feel any sharp pain dizziness or other adverse effect consult a physician if necessary DCHONAAPWN gt have studied and understand all of the teacher training materials provided by the manufacturer concerning the correct effective and safe usage of the teaching aid The Empathy Belly Pregnancy Simulator have been specifically authorized as a qualified instructor to handle and demonstrate this device agree to follow all instructions and precautions of the manufacturer agree to carefully supervise the below named individual at all times while he she is wearing The Empathy Belly Supervising Instructor s Printed Name Signature Date have read and understand the above description of The Empathy Belly Pregnancy Simulator its intended and potential effects benefits avoidable risk factors and the reasonable precautions to be maintained while wearing this teaching aid voluntarily agree or permit my child to wear The Empathy Belly for purposes of my or my child
20. nd evaluate the pregnant condition as measured by their own values Through simulation they are able to understand the impact on the things important to their teenage lifestyles For Men Many expectant fathers naturally feel a sense of detachment curiosity skepticism or frustration as they listen to descriptions of all the changes and discomforts their pregnant partner is experiencing During a childbirth class a couple s counseling session or a prenatal checkup in a physician s office expectant fathers can wear the Empathy Belly and greatly increase their sense of involvement awareness and empathy Realizing firsthand that her discomforts are genuine and that pregnancy requires significant effort and adjustment on the woman s part expectant fathers invariably increase their appreciation communication and supportive behavior towards their pregnant partner For Teenagers As an action oriented hands on teaching aid for teenagers The Empathy Belly can be used not only to educate but also to help reduce our nation s current epidemic of teenage pregnancy and parenting In a counseling setting or during a school Health or Family Life class girls and boys can wear The Empathy Belly and discover for themselves the many price tags or negative consequences that a pregnancy would impose on their lifestyles This realism quickly shatters their romantic illusions and typical adolescent feelings of invincibility regarding teen pregnancy Teens
21. nowledge she gained from such extensive experience and her own pregnancy the innovative concept of The Empathy Belly was developed The results of five years of field testing and numerous professional evaluations including a safety analysis by the National Institute of Occupational Safety and Health have demonstrated that The Empathy Belly is a highly effective beneficial and safe teaching aid when used correctly Components The Empathy Belly consists of seven components as illustrated in Figure 1 t A Pregnant breasts D Rib belt B Suspended weight constricts lungs simulates fetal movement ao E Two lead balls simulate fetal limbs C Pregnant belly _ simulates weightand warmth of pregnant woman s abdomen F Bladder pouch simulates fetal head on bladder G Maternity smock not shown Figure 1 Name and function of Empathy Belly components cca breakdown Large a ar Combined eight weight Weight weight Component in ib kg in Ib 4a in lb kg in Ib kg A Pregnant breasts 0 0 0 o 0 0 B Suspended weight 2 0 9 2 0 9 C Pregnant belly water 11 5 0 11 0 D Rib belt 0 0 0 0 0 0 E Two lead balls 7 3 2 14 6 4 F Bladder pouch 6 2 7 6 2 7 G Maternity smock 0 0 0 o 0 0 Total Empathy Belly weight 30 Ib 13 6 kg 33 Ib 15 kg The Instructor Training Manual This manual is organized in three sections e Ass
22. nstructor section on page 2 of the form C Explain anatomical charts Refer to the various anatomy changes shown in the Maternity Center Association charts included with this kit Focus on plates 1 4 and 5 briefly explaining the physiological changes and pregnancy symptoms that will be simulated by the Empathy Belly If you are not already very familiar with the physiology of pregnancy you should thoroughly study the booklet that accompanies the seven Maternity Center Association charts ij fi E Z N SL P A R 5 F Plate 1 Plate 4 Plate 5 Figure 8 Maternity Center Association charts The physiological changes and their symptoms are e Increase in size of uterus typical weight gain of 30 pounds 13 kg causing Increased fatigue pressure on internal abdominal organs and pelvic floor tissues and nerves round ligament twinges edema swelling and aching of legs and feet pull on uterosacral ligament causing lower backaches e Fetal head on bladder causing constant bladder pressure frequency of urination urine leaking Crowding of small intestines and stomach combined with hormonal changes causing fullness and discomfort after eating small amounts of food heartburn constipation gas Displacement of heart and upward pressure of the fetus on the diaphragm and lungs causing difficult and shallow breathing smothered feeling reduced oxygen intake with resulting fatigue slowed
23. pace restriction of physical activities increase in body temperature increase in pulse and blood pressure lifestyle changes Change in center of gravity along with changes in spinal alignment resulting in an increase in lordosis normal curvature of lower spine and pelvic tilt causing frequent backaches overall posture change waddling gait need for caution during any kind of movement Pressure points of fetal knees elbows and feet causing aches and pains in ribs and abdominal organs Fetal movement causing strange sensations of stroking and kicking against abdominal wall and outer belly Breast enlargement and protruding profile causing change in self image change in sexuality awkwardness in movement and normal activities D Prepare the volunteer e Examine and approve the volunteer s completed Informed Consent Release to ensure that he or she is in normal good health with no medical condition that could result in a health risk e Make sure that the form has been signed on the back by the parent or guardian if the volunteer is a minor e Review out loud the DOs and DON Ts and on the warning label Figure 9 which is sewn on the rib belt CAUTION The Empathy Belly Pregnancy Simulator U S Pat 4 531 919 is to be used for EDUCATIONAL PURPOSES only and is NOT TO BE USED FOR FRIVOLOUS OR RECREATIONAL PURPOSES DO NOT WEAR this device unless you have completed this produ
24. plete the Empathy Belly assembly 1 Check again to make sure the two canvas pockets are lying flat on top of the water filled vinyl bladder Figure 4 2 Close the zipper to encase the vinyl bladder securely within the abdomen 3 Hold the torso garment securely against your own body holding one arm under the breasts of the torso garment with the other hand pulling the bottom edge firmly against you see Figure 6 4 Inspect your image in a mirror Check to see that you have the correct pregnant profile see Figure 7 When properly filled the belly should have a slightly flat area on top Figure 6 e Too little water will cause it to droop Holding up the assembled torso garment excessively e Too much water will create a round surface that is too full and won t allow you to insert the two lead balls into the pockets during the demonstration If the canvas appears wrinkled or badly puckered reopen the zipper and reposition the vinyl bladder so it lies more smoothly within the canvas shell Slightly flat area Pig lyn Gy ND aa B Correct profile Too little water Too much water Figure 7 Judging the correct belly profile 5 If necessary reopen the abdominal shell and adjust the amount of water Add or pour out excess water as necessary to achieve the correct profile Congratulations You have filled the belly with 8 or 11 pounds 3 6 or 5 liters of wate
25. r and are ready to proceed with a live demonstration Live Demonstration of the Empathy Belly Time Required When demonstrating the Empathy Belly In a classroom setting allow approximately 30 minutes for a complete demonstration Allow an additional 10 minutes for a second volunteer to wear the belly at the same session Additional time can be allowed for follow up discussion depending on the curriculum Future class meetings with the same group will require less time since the full introduction and explanations won t be necessary You will simply put the Empathy Belly on another student In a one on one situation such as a medical or counseling session or in a large group presentation where time is limited allow 15 minutes for a more succinct rapid demonstration This is only recommended once you have had sufficient experience demonstrating the Empathy Belly and are able to quickly and easily move through the required steps Empathy Belly Sizes The Empathy Belly comes in two sizes Be sure to choose the appropriate size Empathy Belly for the volunteer s you will have The large size is designed for men of average or above average size or older teenage boys who have the build of an adult male The small size fits most women men of small stature and most teenage girls and boys ages 12 to 18 If you are unsure the size is shown on the care label sewn inside the garment REMINDER The Empathy Belly should not b
26. regnant and gain a realistic understanding of the changes and demands imposed by the pregnant condition Following are some of the symptoms and effects that can be felt by wearing The Empathy Belly for 10 minutes or longer body weight gain of 35 pounds pregnant profile of enlarged breasts and protruding abdominal belly continuous pressure on the abdomen and internal organs postural changes of the back with an increase in pelvic tilt shift in one s center of gravity low backache mild fetal kicking and stroking movements shallow breathing capacity and shortness of breath increase in body temperature pulse and blood pressure a flushing sensation and increased perspiration awkwardness in all body movements pressure on the bladder with increased sense of urgency and frequency of urination increased fatigue slowed pace and restricted activity The Empathy Belly simulates these effects through the use of a rib belt and the strategic positioning of various weighted components this is a strictly external garment and does NOT have ANY mechanical electrical or electronic components Handling or wearing of The Empathy Belly will be done on a strictly volunteer basis and will be done only while under the careful supervision of a trained and authorized instructor Individuals who weigh less than 100 pounds 45 kg or more than 300 pounds 136 kg should NOT use this device Individuals with certain medical conditions or pre
27. s own benefit or my child agree s to follow all instructions and precautions stated above assume all risk and liability for any injury or damage to me or my child that might arise out of my or my child s handling or wearing of The Empathy Belly hereby release and forever discharge the manufacturer of The Empathy Belly the purchaser and the instructor from all claims of injuries or suits of any kind arising from my or my child s use of The Empathy Belly Wearer s Printed Name Signature Date or if a Minor Signature of Parent Guardian COPYRIGHT RELEASE Reproduction of this Informed Consent Release in its original form is authorized for use with The Empathy Belly Pregnancy Simulator Cleaning IMPORTANT Remove ALL vinyl lead and foam components before cleaning The fabric components of the Empathy Belly can be cleaned according to the following instructions To clean the torso garment 65 polyester 35 cotton and rib belt IMPORTANT Attach all corresponding Velcro areas before cleaning e Hand wash warm water OR Machine wash warm on delicate cycle DO NOT bleach DO NOT wring or twist DO NOT dry clean e Line dry dry flat or block to dry e Smooth by hand DO NOT iron To clean the maternity smock 100 cotton e Hand wash separately cold water OR Machine wash separately in cold water on delicate cycle DO NOT bleach e Line dry dry flat or block to dry O
28. so garment on a hard surface could cause damage to the bladder such as bruises or pinholes REMOVE the lead balls so the next simulation will be accurate e Open the zipper on the inside of the torso garment e Hold up the closed ends of each inside pocket letting the ball roll into your other hand Instructor s Quick Checklist for Empathy Belly Demonstration Before beginning arrange materials in the proper sequence A Introduce the Empathy Belly B Select a volunteer have him or her complete the Informed Consent Release Explain anatomical charts and pregnancy symptoms Prepare the volunteer check the release form and review the warning label Install the five Empathy Belly components on the volunteer 1 Rib belt 2 Torso garment 3 Bladder pouch 4 Two lead balls 5 Maternity smock Have the volunteer try various positions movements and activities to fully activate the symptoms being simulated 1 Walk around Observe profile Bend down and tie shoes Sit at the desk or table Sit on sofa and or chair and student desk chair if applicable Pick up household items thrown on the floor Lie down on belly on back and on side Position five pillows for comfort during sleep 9 Roll over and reposition pillows 10 Imagine partner wants to make love 11 Get up from the floor correctly G Ask for volunteer s conclusions remove Empathy Belly components or wait until later if preferred discuss reactions and comments
29. ter level rises to the rim Push in the inner plug making sure that no air gets between the cap and the plug Trapped air would cause unnatural sloshing sounds during the demonstration Screw on the outer cap making sure it is very tight If a leak occurs later it is usually because this cap was not screwed on tightly enough Pull up on the spout to bring any trapped air to the top of the bladder If any air is still trapped in the bladder remove the outer cap and inner plug push down on the spout again to remove the trapped air and replace the plug and cap Push the spout back to its original position lying flush with the vinyl surface It is strongly recommended that you empty and refill the vinyl bladder with very warm water prior to each demonstration to realistically simulate the natural warmth of a pregnant woman s abdomen It also would be uncomfortable for the wearer to feel cold water against their abdomen If this is not practical you may leave the bladder filled with water to retard fungal growth be sure to use the water conditioner included with this kit 114 teaspoon per full belly If emptying and refilling the bladder for each demonstration is not practical you can also e Store the torso garment in a warm location perhaps on a heating pad set on LOW or e Partially empty the bladder and refill it with hot water to bring the overall temperature back up to normal body temperature Assembly To com
30. the torso garment the vinyl abdominal bladder NOoaRWN To assemble the torso garment 1 Lay the torso garment inside out as shown in Figure 3 Fe Pe eee a ae oe fm esse aieea a i i g y RN oes a N i i pi eS aod f 1 Sas p Ts j Velcro rectangles ie ee PA Sg m located inside abdominal cavity ae roe Sy and behind vinyl bladder j ANES j 7 Vinyl abdominal bladder Zipper located inside canvas abdominal cavity Water spout Figure 3 Torso garment 2 Open the zipper inside the circular belly 3 Make sure the bladder is positioned with the water spout located closest to you inside the canvas belly abdominal cavity of the torso garment 4 Line up the 2 x 3 inch 5 x 7 5 cm black Velcro rectangle on the back of the vinyl abdominal bladder with the Velcro rectangle inside the abdominal cavity of the torso garment These two rectangles must be lined up accurately with a mirror image fit to each other because they suspend the internal pendulum which simulates fetal kicking and stroking movements 5 Position the bladder to lie as flat and smooth as possible within the canvas abdominal cavity 6 Reach into the canvas abdominal shell and find the lt a two 8 pockets that extend from the upper edges of a the belly The pockets look like round cloth tabs from this side E A of the belly iY 7 Lay the pockets f
31. ulder straps over the volunteer s shoulders 3 while he or she carefully holds the belly from underneath 4 ay l gy Bring the two underarm straps labeled B in Figure 11 A A N around to the back and firmly secure the Velcro on them C wr N to the Velcro on the shoulder straps see Figure 12 Ye C 2 Attach the Velcro of the upper back straps labeled C in a Figure 12 to each other A a IN Wo A Ask the volunteer to release the belly and check to see H i AN N that the breasts are positioned correctly on the chest qT T 4 ra AA Reposition all the straps if the breasts appear too high or Da PEN too low i E a jil Figure 12 Leave the other four straps labeled D and E in Figure 12 Attaching the upper straps hanging unattached for now BLADDER POUCH 6 Ibs 2 7 kg simulating fetal head on bladder 1 Specific symptoms constant bladder pressure frequency of urination and urine leaking Ask the volunteer to place the bladder pouch over his or her own SP bladder with the Velcro side facing out see Figure 13 You may pasi have to explain that EN e The male bladder is located just below his Pi w navel fe oo IL Y e The female bladder is located just above her pubic bone During this procedure the instructor must hold the belly up and out of the way so the volunteer can locate his or her bladder The pouch is located correctly when they feel pressure or urgency to void lik
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