I also wonder (and all home caregivers would have this issue) but even if families have lots of paid vacation to use they can't prebook it. My daughter was born 5 weeks early...obviously not the norm but i have friends whose kids came close to 2 weeks early and others who came 10days late. That is almost a full month range of when a normal baby may come...so it would be quite hard to families to adapt to that last second, no? I think this is a reason so many families jump ship in the weeks before a baby is due. If they have new care lined up at least it is in place and there are no sudden surprised on the families end.
That said I know many on here have managed to have a baby and keep some families in their care in the coming weeks...so it can be done but I think it does require a fair bit of planning and communication for the caregiver and families.

































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