The name of the game comes from ELective SEstio. This is a C-section for the birth of a child without any medical reasons. This game is published by the association of midwives as an educational tool against the elective sectio. First you need to become pregnant so you have to draw a pregnancy card. Then you have to collect different cards for a "normal" birth. There are several aims of the game mentioned. They are to be interpreted. First player with a birth wins. Players with the most births win. Avoid the ELSE card. Last player with ELSE card loses. (This aim is like in Old Maid [Schwarzer Peter]) The game designer confirmed all aims being valid.