When dd2 was born (freestanding birth center), our dd1 (then four) stayed with my sister. When dd3 was born (at home), our dd1 and dd2 (then six and two), stayed overnight at the neighbor's house. I knew they were safe and happy. There is NO way I'd have been able to have nice, calm, natural births while worrying about them underfoot.
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Originally Posted by MoreThanApplesauce 
This is our issue, as well. We don't have any close like-minded friends and my family is 12 hours away. If we opt to have a #2 LO, I can't wrap my mind around what we'll do with our DD (currently 24 mo). It'll be a free-standing birthing center birth. Right now my DD nurses to sleep and at least once in the middle of the night, and to wake up. I have no clue how I would manage that while giving birth
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Well, since you aren't pregnant yet, your dd will likely be at least three if not four when the next one comes along. When mine was that age, she was in a great co-op preschool with many kids she was super fond of with moms that I came to know quite well, as well as dd being comfortable with them as we were all at the co-op preschool together twice per week.
At four she also met two of her BFFs - who had moms that became my BFFs too. Either of those families could have taken her - but my sister was only a half hour away so she did. Also at four we started with a high school sitter that came highly recommended by a friend, and she could have kept her short term in a pinch. I also had friends who would have been happy to take her, and given that dd is outgoing/social, she would have been ok with that option too.
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Originally Posted by ProtoLawyer 
My parents live an hour away and may or may not be able to come up...her best friend goes to her grandparents out of state for the summer...based on historical precedent, her mom is NOT going to be helpful.
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Outside of serious health issues, I'd assume your parents would come to help? Does dsd have other friends she could stay with even if her best friend is out as an option? Bummer on the mom; I've read your other threads.
I don't think having like-minded philosophies is really important. A very dear friend who I trust IMPLICITLY with my kids is quite religious (I am atheist) but it doesn't really affect day-to-day, you know? I was raised in a family where you got spanked once in a while, but I babysat TONS and knew you didn't spank someone else's kid. If this is a person you trust, just ask that she doesn't (insert the BIG issues here) and let the little stuff go. If your kid has a fruit snack, the world won't stop spinning.
Whenever I come across the "what will I do with my kids when I give birth/have my wisdom teeth out/go on a job interview/etc", I am sad that there isn't anyone close enough (geographically and emotionally) to leave your kids with for a bit. If family isn't nearby, you create your own family of chosen friends. I think it is important for OUR emotional well-being as well as our kids' to have people around who care about us - a support system.