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Re: co-sleeping


1) I really, really, really  had my tongue firmly in my cheek when I made
the "cult" comment. I should realise that not everyone shares my sense of
humour. I do stand by my contention that very few parents I see co-sleep out
of choice but do so as a last resort. Yes, the baby is very happy with the
arrangement but the parents are usually exhausted. Sleeping through the
night is not an unreasonable goal for a family once a child has reached a
certain age and I don't think that a parent should be made to feel guilty
that the path to a decent night's rest might entail little Johnny moving to
his own bed!

2) In reality I do not much care whether families co-sleep although I do
raise the safety issues that have come up in the literature. I think that I
am legally obliged to bring this to parents' attention but I am quite happy
for them to do as they please.

3)
>Co-sleeping is a parenting issue, not a medical issue.  Discipline is a
>parenting issue, not a medical issue.  Crying it out is a parenting issue,
>not a medical issue.  Using pacifiers is a parenting issue, not a medical
issue.

As a paediatrician it is very much my role to assess and intervene regarding
parenting, discipline and developmental issues etc. I accept that some areas
may be less firmly supported by science as we would like but until then I do
the best I can.

Should I tell parents it is OK to use corporal punishment because that is
their choice? Do I look the other way when I see incompetent parenting?
(yes - a value judgement but a Real Issue nonetheless). Do I say nothing if
a five year old comes in with a soother in his mouth? These are only a few
examples of non-medical issues that come the way of the pediatrician - I
could go on with more. As a Pediatrician I do have training and expertise on
developmental and parenting issues and feel well quailified to offer advice.
I really try to NOT to be anecdotal but wherever possible to use objective,
factual information.

Steve