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[quote=Anonymous]I agree w/ 11:21, 16:35 and 21:55.

If you will be needing 24 hr care available then you need more than one person.  Not just because it's tiring - but it's also unrealistic and you will have the guaranteed stress of finding last minute replacements when someone is sick, wants to take a day off, etc...

Hire two people, and have a third backup you know and trust also (like a regular great babysitter) so you have options when the perfect storm of job stress and nanny/caregiver unavailability hit at the same time.

Hire a terrific 50/hr a week nanny for the main/daytime hours.  Hire a night nanny for the first few months.  Then see where you are when the babies are 4 or 6 months old.  A lot changes when the babies sleep through the night reliably so your needs may be fluid for the next couple of years.

Alternatively, you could hire live-in nanny/housekeeper who will be "on duty" in evenings, for emergency fill-in, household running, and weekend work.  Then hire the 40-50hr/week nanny also.  That would give you terrific and substantial coverage without burning out either caregiver.  You would also have backup coverage when one of them is on vacation, etc...

Obviously this is expensive.  But if you can afford it and can find the right people (which is also related to money, but not exclusively so) then it's the dream solution.

Congrats on the twins!

- Twin mom and MB, with a two working parent home

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