—Dr. Haimowitz

Especially for nocturnists or any emergency physician on nights, hiring a night nurse, night doula, or night nanny can be a crucial and anxiety-relieving support system. These caregivers, who have varying levels of training (from RNs to CNAs to nannies), specialize in newborn overnight care and can help guide parents in establishing healthy sleep patterns. Even before returning to work, having additional assistance at night can be helpful for any parent needing to regain some much-needed sleep.

Au Pair

“Au pairs can be awesome, but the program has flaws. For the most part, you’re bringing in a teenager to your house who has never been outside their native country, which can come with all the teenage problems. We were fortunate to have two great au pairs, but a third left after five months. It is not the panacea for childcare.”

—Dr. Propersi

Au pairs are typically college-age adults from other countries who live in your home. Au pairs have certain working-hour guidelines they must abide by.

Screen potential candidates carefully to ensure they understand and are comfortable with the demands of your irregular shift schedule. Establish clear communication and expectations from the outset, including a written agreement outlining the au pair’s duties, schedule, compensation, and any special arrangements related to your shift schedule. Maintain open and ongoing communication with your au pair to address any concerns or adjustments needed as your schedule changes over time.

Family and Friends

Enlisting the help of family members or trusted friends can be a valuable childcare option, especially for sporadic or last-minute shifts. Build your babysitter network early, and don’t be afraid to take advantage of your network of medically trained colleagues.

Emergency Backup Care Services

Some companies and hospitals offer emergency backup care services for employees, providing temporary childcare in case of unexpected schedule changes or emergencies. Check to see if your employer provides this benefit or if there are local agencies offering similar services.

Flexible Childcare Apps

Several childcare apps connect parents with vetted caregivers who offer flexible scheduling options. Apps like UrbanSitter or Care.com allow you to search for qualified caregivers who are available during irregular hours. These can be especially helpful when you need last-minute childcare for an unexpected shift.

Community Resources

Investigate community resources such as childcare cooperatives, community centers, or religious organizations that may offer flexible childcare options or support networks for parents with nontraditional work schedules.