Pregnancy Basics
Pregnancy Basics
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    • About the tool
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  • About the tool
  • Why Is It Needed?
  • Using the Tool
  • Partner with Us

Bonding & Attachment Screening for Intervention, Care & Support - BASICS

Bonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICS

A simple, supportive tool to help practitioners observe, asses and support pregnancy bonding & attachment.

Bonding & Attachment Screening for Intervention, Care & Support - BASICS

Bonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICSBonding & Attachment Screening for Intervention, Care & Support - BASICS

A simple, supportive tool to help practitioners observe, asses and support pregnancy bonding & attachment.

What is Pregnancy BASICS?

A Pregnancy Bonding & Attachment Assessment Tool

Pregnancy BASICS is a four-part practitioner tool that enables the early assessment of bonding and attachment during pregnancy. It is designed to be used across maternity, health visiting, early help, Family Hubs, and perinatal mental health services to support both maternal and paternal bonding  across all stages of pregnancy. Pregnancy BASICS has also been thoughtfully designed with cultural sensitivity and neurodiversity in mind, ensuring it is inclusive, adaptable, and suitable for use across all communities.


BASICS enables early identification of families who may benefit from supportive intervention and also provides the tools to evaluate the impact of interventions and services that seek to support attachment and bonding during this critical time.


Created in partnership with professionals across maternity, health visiting, early help and perinatal mental health, the tool helps practitioners gently assess parent-fetal relationships through brief observation, open-ended conversations, and reflective prompts— while also enabling signposting to early support if it is needed. 


Pregnancy BASICS is a flexible, non-judgemental and parent-inclusive tool designed to build trust, reduce anxiety and help ensure every baby is held in mind before they are even born. 

Why Is It Needed?

 Because attachment doesn’t start at birth — and neither should support for it.

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Why Pregnancy Bonding & Attachment Matters

The foundations of a child’s mental health, development and future relationships begin before birth.

Attachment doesn’t begin in the delivery room — it begins during pregnancy. But despite the critical importance of early bonding, there is currently no consistent or widely-used tool to help practitioners observe, understand and assess the parent-fetal relationships so that intervention, care & support can be provided if needed.


Many current tools — like the Maternal Antenatal Attachment Scale (MAAS) — rely on maternal self-reporting, include intrusive or emotionally loaded questions, and often exclude fathers or partners. This can unintentionally undermine trust, especially for vulnerable families.

Pregnancy BASICS was created to fill this gap. It provides a gentler, more inclusive, and observational approach, giving practitioners a simple way to universally:


  • Observe real signs of developing attachment
  • Include both mothers and partners
  • Use strengths-based conversation prompts
  • Identify when additional support may be needed
  • Embed bonding during pregnancy into everyday practice


Backed by current research, aligned with Family Hub and Start for Life priorities, and influenced by post-birth attachment models, Pregnancy BASICS helps bring the unborn baby into the heart of professional care.

Holding the baby in Mind - from the very beginning

Bonding begins before birth. It’s visible, observable, and meaningful — but it’s often overlooked.

Pregnancy BASICS gives professionals the confidence and framework to hold the baby in mind, to gently explore the emerging parent-child relationship during pregnancy, and to intervene early when support is needed. This is the earliest of intervention. This is relationship-centred care. And this is what families deserve from the very start.

Testimonials & Practitioner Feedback

Health Visitor, Early Help Team

Health Visitor, Early Help Team

Health Visitor, Early Help Team

 “Pregnancy BASICS gives us the tool we didn’t have — something we can use in everyday appointments that helps us understand how parents are bonding during pregnancy without needing long questionnaires or difficult conversations.” 

Family Hub Practitioner

Health Visitor, Early Help Team

Health Visitor, Early Help Team

 “Parents often want to talk about the baby, but they don’t know how to start. This tool gives us a natural way in — it helps us notice things, ask the right questions, and open up space for early support.” 

Midwife, NHS Pilot Site

Health Visitor, Early Help Team

Midwife, NHS Pilot Site

 “The MAAS was useful, but it only told one side of the story — and it didn’t always sit well with families. This feels more human. It fits into real conversations and everyday practice.” 

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