This is a book about ethnopediatrics – child care from the point of view of an anthropologist. The question Meredith Small tries to elucidate is, To what extent is parenting based on biological imperatives and to what extent is it based on culture? She shows how differently children are cared for in different cultures, and how convinced all of these parents are that theirs is the right way and the others are crazy/wrong/weird. Parenting practices rest on parents’ assumptions about the world and on their values – they are as much a product of culture as what we eat, what we wear, or how we dance.

First, Small presents an overview of relevant aspects of human evolution – about how our upright posture and large brains lead to babies being born “unfinished”, and about the parent-child bond that is essential for babies’ survival.

Then she takes on a world tour highlighting cultural differences in parenting. The !Kung San train their babies’ motor skills so that the babies can cope with their nomadic life; the Ache carry their kids until the age of 5 to keep them safe in a dangerous forest environment; Gusii mothers don’t talk to their baby because children are viewed as low-status family members and expected to watch and learn rather than talk; Japanese mothers encourage dependence and a close bond between mother and child; American parents expect babies to cry a lot and don’t think it is necessary to respond to all crying.

Next there are more in-depth looks at three central elements of baby care: first a chapter on sleep across cultures, then a similar chapter about crying, and finally about breastfeeding – all from both an evolutionary and cross-cultural point of view.

It’s a slim book and a quick read. It could be slimmer still with some editing: at times it felt repetitive and padded with more words than it needs (perhaps in an attempt to make it feel more substantial). Disappointingly for me as a reader 60 of the 300 pages are filled with references, footnotes, an index etc. It does, however, set the book apart from all the books about babies that are really opinions served as fact, “do this because I say so”. This is, instead, “this is what other people do and here’s why”.

Throughout the book, the author remains an anthropologist, an observer standing to one side, and never quite expresses any firm opinions about what she describes. But if I were to summarize the book in just a paragraph, both what is said and what is repeatedly hinted at by leading questions, I would say this:

Babies evolved to be close to the parent, since they cannot survive on their own. They evolved to be carried rather than transported in plastic seats, to sleep with the parent rather than alone, to breastfeed frequently throughout the day and for years rather than months. Western child-rearing is to a great extent fighting against millions of years of evolution. If you work with your baby’s nature rather than against it, you will make life both easier and more pleasant for both yourself and your baby.

Amazon US, Amazon UK, Adlibris.