I am an 9 months of q4 to q5). We live across the street from our daycare. They open at 7 and close at 6 and Luke is generally there during much of their open hours. Since I am a resident, there are many days when dad drops him off and picks him up. I also made the decision to do a residency in the same town as my parents, so that they could help out when we needed them to. We also hire one of the workers there to give us a date night every couple of weeks. Many of my co-residents have nannies, but one plus of the daycare situation is that there are always at least two people watching our baby. And we have everything on video. Another plus is the cost, which is half of what it would cost us to hire a nanny.intern (
We are loving the daycare situation. Both of us were daycare kids so we are personally aware of the of daycare. He was 14 weeks when he started, though there are 6 week olds that start there. He is now 8 months old. We pay $800/mo for daycare, a price that decreases as the child gets older. Most good nannies require at least $10/hr, a fair wage if you ask me, but it would be hard for us to afford that with the money we are bringing in. I know people who went into (more) debt to pay for a nanny during residency. Also, there was no daycare at the hospital I work at. A few hospitals in town offer that, and we would consider that, but it is nice not having to drive the child to daycare. Our daycare offers 4:1 supervision, there are some in town that offer 3:1 but they cost more and there is a waiting list. We registered our child there when I was 6 months pregnant to be sure to get a spot. Most places will tell you how far in advance you need to register. I would do it while I was pregnant if you live in a place with relatively few options. Once we have more than one child, the nanny thing might make more sense.
Side note: we use the savings account so much of the money for our child care is tax free. Some of the tax incentives for childcare are income dependent and may best apply to those in residency or fellowship.
Another side note: How are you providing health care for your nannies if you have them? Seems like most of the ladies at the daycare where we send our child do not have health care. I think it is crazy that the person you have caring for your child wouldn't even have access to basic services. Anyone have thoughts on that? I am trying to get those who need it into our resident clinic, but it is not easy due to lack of availability.