Reply to childcare/household help options for two-income families with 3+ kids

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[quote=Anonymous]We're expecting #4 and considering what our childcare and household assistance situation may look like...both of us have fed-type jobs that pay well (not law/med/finance well but enough) and require a regular, non-telecommuting 8-5ish schedule. 
As our family's grown, we've gone through various childcare situations, and currently have a flexible 25hr nanny plus daycare/preschool, which works pretty well now but I think we will need something more. Oldest is currently 8; they don't have tons of different afterschool activities or classes, etc. We also have regular biweekly cleaners, and the nanny takes care of a lot of the kids' laundry and daily dishes. I use to love meal planning and cooking but don't have as much time or patience for it anymore, although we are cook-at-home types versus take out.

FYI We don't have local grandparents/siblings/etc. in the area.

What works for others? What would your ideal situation be to help family life generally go as smoothly as possible? (all things considered, and recognizing a full-time nanny and full-time housekeeper are out of reach  :lol: ) Would like to here any been there, done that advice!

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