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New parents in the United States are caught between responding to infant needs for closeness and breastfeeding, and cultural and medical norms that emphasize solitary sleep. This anthropological investigation shows that nighttime closeness and breastfeeding are the evolutionary and cross-cultural norm, but recent sociocultural shifts produced novel ideals of separation. The book uncovers how breastfeeding parents rework these cultural ideals. In this new edition, the author describes shifting medical guidance that increasingly supports breastfeeding yet remains largely separated from infant sleep guidance. The volume also provides a path towards more equitable approaches to nighttime infant care grounded in reproductive justice.