В документации это хорошо объясняется :
class Parent(Base):
__tablename__ = 'parent'
id = Column(Integer, primary_key=True)
child = relationship("Child", uselist=False, backref="parent")
class Child(Base):
__tablename__ = 'child'
id = Column(Integer, primary_key=True)
parent_id = Column(Integer, ForeignKey('parent.id'))
ИЛИ
class Parent(Base):
__tablename__ = 'parent'
id = Column(Integer, primary_key=True)
child_id = Column(Integer, ForeignKey('child.id'))
child = relationship("Child", backref=backref("parent", uselist=False))
class Child(Base):
__tablename__ = 'child'
id = Column(Integer, primary_key=True)