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I couldn't afford a nanny but it would have been nice! I work with a woman who had twins at age 43 and who had a 10 year old boy home at the time. Her husband is a high powered attorney who works mega hours and she is pretty high up in our corporation too. She has an au pair through one of those foreign exchange type programs. She gets a different one each year unless she chooses to renew the contract for the current one (and the current one wants to stay.. often they only want to spend one year in the US). It works great for her. She's still very involved with her kids when she gets home from work but has help too. It's tough when you have twins...
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