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f a c i l i t a t i n g m i n d b o d y d i a l o g u e i n c h r o n i c i l l n e s s |
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Bonding & Asthma
Assessment Tools
The short survey below provides a rough way to quickly assess whether or not events might have occurred that could have contributed to bonding disruptions. Additional surveys and questionnaires will be added to this page shortly, as well as downloadable formats.
Maternal Infant Bonding Survey "MIBS"
The short version
Developed by Tony Madrid, 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.
PHYSICAL SEPARATION
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.
EMOTIONAL SEPARATION
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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