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

About the tool

A simple, practical framework for supporting prenatal bonding and early attachment awareness — built for real conversations and everyday care.

What is Pregnancy BASICS?

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

  

Pregnancy BASICS is a reflective, strengths-based assessment tool designed to help professionals observe and support bonding between parents and their unborn baby throughout pregnancy.

The tool was developed in direct response to a key service gap: no consistent, accessible way to assess and support prenatal attachment, despite overwhelming evidence that this early connection matters.


Where many postnatal models begin too late, and traditional antenatal assessments are based on checklists or self-report scales, Pregnancy BASICS takes a different approach. It focuses on:

Conversation

- Simple, respectful, trimester based questions that allow parents to reflect on their own experience of pregnancy  and their parent-fetal relationship

Observation

- What the practitioner sees, hears, and senses in the parent–fetal relationship

Connection

- Identifying when families may need support, and enabling early help or referrals

The tool aligns closely with the Start for Life and Family Hub agenda, supporting better integration between health and early years services, and putting the developing parent–child relationship at the heart of perinatal care.

How it works

Pregnancy BASICS is structured into four easy-to-use components, which can be used flexibly during routine appointments or targeted interventions:

Conversation Starters

Open-ended questions for each trimester, such as:


  • “How did you feel when you first felt the baby move?”
  • “Do you ever talk or sing to your baby?”
  • “What are you most looking forward to when your baby arrives?”



These prompts are designed to invite reflection, explore emotions, and spark parent-led dialogue — without judgement or pressure.

Observations & Reflections

There are six core areas of observation to notice signs of bonding:


  • Physical engagement
  • Verbal engagement
  • Sensitivity engagement
  • Emotional engagement
  • Protective/nurturing behaviours
  • Preparation behaviours


These observations are informal, non-intrusive, and based on authentic interactions — a parent cradling their bump, using a nickname, adjusting to baby’s movements, or speaking warmly about the baby.

Attachment Indicator Scale

A simple -1 to 2 scale that helps practitioners summarise bonding across the six observation areas.

This can be used for supervision, reflective practice, or service evaluation, but it’s entirely optional.

Support Pathways

If signs of bonding are low or inconsistent, the tool provides clear next steps and signposting for support:

  • Encouraging practical bonding strategies (talking to bump, journaling, light play)
  • Exploring emotional barriers to connection
  • Signposting to local mental health teams, parenting programmes or the Pregnancy Bonding Programme

Who can use it?

Pregnancy BASICS has been designed to work across a range of services and practitioners, including:


  • Midwives
  • Health Visitors
  • Family Support Workers
  • Perinatal Mental Health Teams
  • Doulas and peer support workers
  • FNP Nurses and Early Help Practitioners


Whether you have 10 minutes or 60, the tool offers a way to gently observe, open up conversation, and build a clearer picture of the parent–fetal relationship.

What Makes It Unique?

Designed Specifically for Pregnancy

Simple, Non-Judgemental and Inclusive

Simple, Non-Judgemental and Inclusive

Unlike many tools designed to support postnatal assessments, this tool recognises that bonding begins long before birth and is specifically designed for use during this critical period before birth.

Simple, Non-Judgemental and Inclusive

Simple, Non-Judgemental and Inclusive

Simple, Non-Judgemental and Inclusive

There are no required scoring sheets (you can use the scale if you choose), no medicalised language, and no intrusive questions. It's designed for all - mums, dads & partners.

Fits Across Services & Communities

Simple, Non-Judgemental and Inclusive

Fits Across Services & Communities

Whether you’re in a Family Hub, a maternity team, health visiting or working in Early Help, Pregnancy BASICS is flexible, relational and ready to use. It has been thoughtfully designed with cultural sensitivity and neurodiversity in mind, ensuring it is inclusive, adaptable, and suitable for use across all communities.

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