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In our small pediatric practice we have chosen not to endorse this recommendation. This is really a change for us because we have fully supported all AAP recommendations in the past. We are seeing a dramatic uptick in maternal anxiety and PPD as a consequence of or possibly coincidentally with longer room sharing. We find the parents are waking at every grunt, and we all know babies are loud restless sleepers. This is causing the moms to get very little sleep and heightening mood disorder symptoms. As you said, all recommendations have consequences, and this is one that deserves more study.
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