The Well Mother Checklist

1. Do you have negative beliefs about yourself (e.g., "I'm not good enough," "I cannot trust anyone," "I am not safe") that started in childhood and feel similar to how you felt during your birth experience?

2. Before motherhood, did you experience physical symptoms (e.g., tension, pain, or unexplained illness) from trauma, recognized or unrecognized at the time, that resurfaced during pregnancy, birth, or postpartum?

3. Have previous conceptions, birth experiences, or pregnancy losses left you feeling emotionally impacted?

4. Before giving birth, did you fear childbirth or feel anxious about motherhood?

5. Before this birth experience, did you feel emotionally unsupported by family, friends, or healthcare providers?

6. When thinking about your birth experience, how often do you feel disconnected from your emotions or body?

7. Have you noticed recurring physical sensations (e.g., tightness, numbness or tingling, or heart racing) related to your birthing experience?

8. Do you find it difficult to openly discuss your birth experience with others, or do you feel compelled to repeatedly share it in detail?

9. When you think about your birth experience, how often does it feel traumatic?

10. Do you experience feelings of shame, guilt, or failure related to your birth?

11. Has your birthing experience made you question whether you want to have more children?

12. Do you believe your birth experience hinders your ability to deeply connect with your child?

13. When you think about your future self as a mother, do you feel disconnected or disappointed with that version of yourself?

14. Do you feel fear or anxiety when imagining future pregnancies or births?

15. Has your birth experience made it harder for you to trust healthcare providers or seek medical care?