Many parents with developmentally delayed/disabled children do develop marital problems that adversely affect the progress of the child. The paediatrician, who has been seeing the high-risk baby and who knows the family well for a long time, would be the ideal person to deal with simple family issues. Partner Assessment Scale Trivandrum (PAST) is a simple tool developed at CDC, Kerala not only to enable the couple to identify early markers of relationship problems. Premarital and Newlywed counselling is a must for all young couples.