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A live-in nanny is available 24 hours a day unless their employment contract states otherwise.

A live-in nanny is nowadays more common amongst wealthier families, because of their possible flexibility while they live where they work.

Pay rates vary from country to country but are usually well paid in comparison to the general nanny, as the night nanny is seen as a specialist or expert in their field.

Historically, European women were confined to their beds or their homes for extended periods after giving birth; care was provided either by her female relatives (mother or mother-in-law) or by a temporary attendant known as a monthly nurse.

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A mother's helper, who may live in or out, assists the woman of the house with general chores as well as caring for the children.

In the 19th and early 20th century, the position was usually known as a "nurse", and was, as for many childcare jobs, invariably female.