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Although we have full-time help during weekdays, I still spend a significant amount of time during the work day coordinating play dates, classes, and my children's schedules, responding to text messages from the nanny, i still call doctors and follow up with the dentist and schools -- none of that aspect of childcare is outsourced. My husband and I share these responsibilities, though as a mother a lot of it falls on me by default( and my husband is very helpful).