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   . bonding assessment tools .

Bonding & Asthma

Assessment Tools

The short survey below provides a way to assess whether or not there were traumatic events around birth. Traumatic events for the mother or baby can lead to difficulty bonding and to a sense that "this doesn't feel right." Bonding disruptions also increase risk for sequelae of trauma - difficulty breast feeding, difficulty being soothed, etc; as well as chronic illness in childhood, such as asthma and chronic diseases later in life. Dr Tony Madrid, mentioned below, helps a child's asthma resolve or improve by treating the mothers for traumatic events such as the ones that this survey helps to identify. This is an indication that trauma therapy may be helpful for reducing or resolving other types of symptoms and chronic illnesses related to perinatal trauma.

Maternal Infant Bonding Survey "MIBS"

The short version

Developed by Tony Madrid, Ph.D., based on the groundbreaking work of Neonatologists and Pediatricians Marshall Klaus, MD and John Kennell, MD, (1976) in their book "Maternal-infant bonding: the impact of early separation or loss on family development". St. Louis: Mosby (out of print but sometimes available used).

This quick survey lists events that are common causes of bonding disruptions in mother infant pairs.


o Mother was separated from child at or after birth.
o Mother had a very difficult delivery.
o Child was sick at birth.
o Child was twin or triplet.
o Intensive Care Nursery or incubator.
o Mother was anesthetized at birth.
o Mother was very sick after the birth.
o Mother was separated from child in first month.
o Child was adopted.
o Other separation occurred.


o Mother had emotional problems during pregnancy.
o Mother had emotional problems after birth.
o Mother had a death in the family within two years of birth.
o Mother had a miscarriage within two years of birth.
o Mother and father were separated before birth or soon after.
o Mother was addicted to drugs or alcohol at birth.
o Mother moved before or soon after birth.
o Severe financial problems.
o Unwanted pregnancy.
o New romance in mother's life.
o Other event which could have interfered with bonding.

For more information, see the section on"bonding". To learn more about repair of bonding disruptions, see the section on asthma.

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