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[quote=Anonymous]OP here. We've worked it out with our nanny just fine and she is flexible within a 6 week period of the summer when her adult daughter is visiting her again (and often comes to our house to hang out 8am-5pm).  
She is also excited about the new baby coming.

Yes, our job demands/travel and our vacation travel to visit family abroad require our vacations to be planned months in advance. 
Yes, the nanny agreed in writing to the weeks around the birth. We put most things in writing and now will start requiring signatures and double copies. 
Yes, we have backup options, both formal and informal and several nanny families in the neighborhood that we can pay to have our kid at 1-2 days if something pops up. I don't know how or when my labor, delivery or recovery will go so I prefer not to have a logistical nightmare with my full-time childcare at the same time.  I likely will not be allowed to drive due to a C-section. 
Last year we simply took turns off of work during her vacation and stayed home, this year we do not have that flexibility.

Thanks to those who gave actual advice, esp Nanny Deb, not just sat at one or the other end of the spectrum.
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