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Est. 1977<br />

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ers available to them ‘through most<br />

of each 24 hours’ for more than a year<br />

(mean age 15 months), and ‘ideal’ for<br />

infants to be cared for ‘principally by<br />

their mothers’ for durations averaging<br />

27 months. These were the opinions<br />

of the 450 respondents (from 56 countries)<br />

of the 902 members of the World<br />

Association for Infant Psychiatry and<br />

Allied Disciplines, who answered a confidential,<br />

anonymous survey. Leach concluded:<br />

‘Those findings suggest that<br />

there are many professionals in infant<br />

mental health who believe that children’s<br />

best interests would be served by<br />

patterns of early child care diametrically<br />

opposed to those politicians promise,<br />

policy-makers aspire to provide and<br />

parents strive to find.’<br />

Conclusion<br />

The fruits of good mothering and early<br />

nurture are among the greatest blessings<br />

a person can have in life. In offering these<br />

to their babies, mothers and fathers are<br />

setting patterns of relationships which<br />

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last for the rest of their lives.<br />

Fathers are certainly important, and<br />

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partners, parents, protectors and providers.<br />

But in all mammals, the roles<br />

of the two parents are different. In the<br />

natural breastfeeding period the role of<br />

mother is always primary. In primates<br />

this includes carrying and co-sleeping,<br />

which promote secure attachment.<br />

Programs that pressure young mothers<br />

into the workforce and promote early<br />

daycare carry long-term risks for community<br />

wellbeing. Our society needs<br />

to recognise the far-reaching developmental<br />

importance of breastfeeding and<br />

close, responsive mother-infant relationships<br />

in the early years, along with the<br />

close involvement of fathers, and aim to<br />

create social settings that facilitate and<br />

support them. If we are going to pay<br />

for quality infant care, why not support<br />

mothers to do it? Infancy cannot be rerun<br />

later.<br />

Acknowledgement: I am indebted to Professor<br />

Jay Belsky and Professor B. Egeland for<br />

communicating with me on some of this material,<br />

but responsibility for the text is mine.<br />

Peter S. Cook is a retired Sydney child and family<br />

psychiatrist, who writes on preventive child<br />

and family mental health.<br />

Copyright © Peter S. Cook, Sydney, 2004. This<br />

article may be freely reproduced in whole or<br />

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