Big 5

Name*

First Name(s) Last Name(s)

Prenatal Care

Expectant mothers will have had varying levels of care as they begin making an adoption plan. Some may even choose not to receive prenatal care.

How do you feel about this?

I don't understand why she has not gotten care or would not get prenatal care.

I am hopeful she will receive some care during the pregnancy.

As long as there has been or will be an ultrasound, even if no other prenatal care, I am comfortable.

I am not concerned about the amount of prenatal care she has had or will receive.

I don't know enough about prenatal care to decide.

Birth Father(s)

The birth father’s involvement in an adoption plan can vary widely.

These situations are comfortable to me:

The expectant mother knows the birth father.

The expectant mother only knows his first name and physical description.

There is more than one potential birth father.

The expectant mother has no birth father information.

The birth father is not participating in the adoption.

I don't know enough about birth father rights to be fully comfortable yet.

Mental Health

Like everyone, expectant mothers can have mental health challenges to varying degrees.

How do you feel about mental health?

Mental health challenges/conditions do not worry me.

Depression and/or mild mental health challenges do not worry me.

Genetic mental health conditions such as bipolar disorder concern me.

Any mental health issues concern me.

I don't know enough about mental health challenges/conditions to decide.

Cigarette Smoking & Vaping

Many expectant moms smoke cigarettes and/or vape before and during pregnancy.

This is...

something that makes me uncomfortable, but I can accept.

something that is a dealbreaker for me.

Other Substance Use

Some expectant mothers may have used drugs before becoming pregnant, and some may still struggle with overcoming their addictions.

I feel that...

any substance use during pregnancy scares me, but I can accept it.

harder substance use (meth/cocaine/etc.) during pregnancy is a dealbreaker

drinking alcohol during pregnancy is a dealbreaker.

past substance use (before pregnancy) does not concern me.

I need to know more about how substance use affects baby's health.

Communication

Communication between you and an expectant mother can vary from Open with all information shared and visits after placement to Closed with little to no information shared.

I would be comfortable...

talking and texting during the match.

meeting in person during the match.

sending photos and updates through a third party once home with baby.

visiting the birth mother or family during the child’s life.

having a fully open adoption (all information shared).

having a closed adoption.

letting the relationship develop (towards open or closed).

Topics to consider