OFFERINGS

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Prenatal Consultations

Offered In-Person
Offered Virtually

Congratulations on your pregnancy! At MDE we strive to provide full spectrum support to families through their entire parenthood journey - starting with pregnancy. How are you feeling about this pregnancy? Do you have a million questions and no idea where to start? Maybe you’re getting mixed information when you search Google? Or just feel overwhelmed by the amount of information out there?

Prenatal consultations are conducted by our perinatal support specialist (and mom too!), Julia, and last about two hours. The consultation will be designed just for you, allowing you time to ask any questions you may have, discuss your care provider options (OB, midwife, etc.) or visions you have for your birth. You can also discuss ways to make your pregnancy more enjoyable, if a labor doula is a good option for you, the different pregnancy exams/tests available to you, or even share about how tough pregnancy has been for you - or how excited you are - we are here for it all.

Labor Doula Support

Offered In-Person
Offered Virtually

MDE offers experienced labor doulas to support you in bringing your baby into this world, whichever way you choose. Whether you opt for a medicated birth, non-medicated birth, midwife and homebirth, or OB and hospital birth, our labor doulas are extensively trained to provide you (and your birth partner!) the physical and emotional support you need throughout the entire birth process.

During the weeks leading up to your baby’s birth, your doula will meet with you, in-home, to help educate you and your partner on the birth process and what to expect during the birth of your baby. Your doula will also help you to create a ‘birth preferences plan,’ sharing the many different options you have when birthing your baby. They will be on-call for two weeks prior to your birth, making sure to be by your side within 1-2 hours once you are in labor. Your doula will remain by your side until 1-2 hours following the birth of your baby to help you with the initial postpartum transition and baby’s first latch.

Comprehensive Childbirth Education Course

Offered Virtually

In birth, knowledge is power. While the birth of your baby may feel scary (and exciting too!), equipping yourself and your partner with extensive knowledge on the physiological process of birth and educating yourselves on the different road bumps that can occur during your labor, will leave you feeling confident and ready to bring your baby into the world. Our course educator will also cover different medical interventions that could come your way, how to approach medical decisions during your birth, and will share non-medical and medical coping options available to you. Our 4 session course will provide you with the skills, confidence and peace of mind needed to have the successful childbirth experience you deserve. To review our course syllabus and learn more about our course educator, please visit our Courses + Workshops page.

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Baby Nurses + Newborn Care Specialists

Offered In-Person

The first few weeks and months of a new parent's life, particularly for the birthing person, are incredibly overwhelming and an extremely vulnerable time, which is why we provide two options of in-person newborn care support: short term baby nurse (RN) contracts and long term newborn care specialist placements.

Baby Nurse (RN): A member of our MDE team, a baby nurse is a registered nurse who has clinical training and experience in caring for newborns. An MDE baby nurse is available for short term overnight support, lasting no longer than 4 weeks time and usually has a higher hourly rate than an NCS given their clinical education/experience.

Newborn Care Specialist (NCS): A recruited/placed position specifically sourced for your unique family dynamic and needs, an NCS, while not a registered nurse, is an experienced newborn care professional who is available for long term overnight and/or day-time support contracts ranging from one month long to six months or more.

Our Philosophy

Our baby nurses and newborn care specialists are there to support, educate and empower your family, giving you the tools you need to have a successful postpartum period and be the best parents you can be. While they are there to provide overnight care for your baby, they do not parent your baby or replace mom/dad.

Baby Nurse and Newborn Care Specialist Support Services Include:

  • Newborn development + care (including milestones and umbilical cord care)
  • Postpartum recovery support
  • Diapering, dressing + bathing your newborn
  • Safe sleep solutions + swaddling
  • Breastfeeding, bottle feeding, and/or formula feeding support
  • Soothing + calming your newborn
  • Infant wearing education
  • Assisting with sleep routines + transition to sleep training

Lactation + Formula Feeding Consultations

Offered In-Person
Offered Virtually

Lactation Support

Breastfeeding can be one of the most challenging aspects of the postpartum period - but it doesn’t have to be. Do you feel like you’re not making enough milk? Is breastfeeding causing you pain? Maybe you just feel completely overwhelmed and don’t know where to start with feeding your babe? Our Certified Lactation Counselors (CLC) and International Board Certified Lactation Consultants (IBCLC) have extensive experience in supporting moms throughout their feeding journey.

During a consultation, your CLC or IBCLC, will take time to assess baby’s current latch and feeding structure, and review any challenges or worries you may have - including, but not limited to latching issues, positioning, if baby is falling asleep at the breast, feeding schedule, infant weight gain issues, pumping, bottle feeding, engorgement and discomfort, and more.

Formula Feeding Support

Have you decided bottle feeding is best for you and your baby? Maybe you’re ready to wean baby from the breast, but don’t know how? Or maybe you want to explore if formula feeding is the best choice for your family? If so, MDE offers in-person and virtual consultations with our infant feeding specialists designed to help you assess your current feeding situation and make it better. Our infant feeding specialists can help with every aspect of infant feeding, including:

  • Breastmilk to formula transition
  • Weaning from exclusive breastfeeding
  • Infant weight gain issues
  • Acid reflux issues
  • Finding the right formula for your baby
  • Formula + bottle feeding options

Transitioning to Solids Consultations

Offered In-Person
Offered Virtually

Deciding to make the transition to solids and then actually making that transition can be a period of anxiety for most new moms and dads - but it doesn’t have to be! Our infant feeding specialists are here to help you and your little one throughout the transition. Topics covered during a consultation with one of our infant feeding specialists can include, but are not limited to:

  • When to start your baby on solids
  • Pureed food vs baby-led weaning methods
  • Nutritious foods to focus on (and what to avoid) during the first year
  • Options for baby food: store bought, homemade + subscription services
  • How to introduce high allergen foods
  • Adverse reactions + how to handle them
  • Fostering healthy eating habits + raising adventurous eaters

Sleep Training Consultations

Offered In-Person
Offered Virtually

Getting your newborn baby into a sleep routine, and then, once they are old enough, into a solid sleep schedule and healthy sleep pattern is essential for everyone in your family! Our sleep consultants can provide personalized advice and plans for:

  • When to start a sleep routine
  • Safe sleeping for your newborn
  • How to handle sleep regressions
  • Transitioning from bassinet to crib
  • Baby + toddler sleep training

Newborn Care Course

Offered Virtually

Taught virtually or in-person, our MDE Educator and Registered Nurse, Michaela, covers everything you need to know to master the newborn stage with confidence and ease, including newborn routines, swaddling, bottle feeding, baby’s first bath, tummy time and much more! To review our course syllabus and learn more about our course educator, please visit our Courses + Workshops page.Taught virtually or in-person, our MDE Educator and Registered Nurse, Michaela, covers everything you need to know to master the newborn stage with confidence and ease, including newborn routines, swaddling, bottle feeding, baby’s first bath, tummy time and much more! To review our course syllabus and learn more about our course educator, please visit our Courses + Workshops page.

Pediatric Safety Course

Offered In-Person
Offered Virtually

Taught virtually* or in-person, MDE’s Pediatric Safety Course will equip you and your partner with the knowledge and practical skills needed to help your little one(s) should any emergency arise.

In this course you will learn how to assess any emergency situation; how to identify and address negative physical reactions including choking, anaphylaxis, respiratory distress; how to treat burns and rashes; and how to handle ear infections, fevers, head injury, and much more. This course is taught by our Founder + Director, Pediatric Nurse and registered American Red Cross First Aid and CPR Instructor, Grace Barrow Piper. To review our course syllabus and learn more about our course educator, please visit our Courses + Workshops page.

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Nannies + Babysitters - Full-Time, Part-Time, Anytime

Whether you need a trusted sitter to bring back date nights or a nanny who will become part of your family, and play an integral role in your child’s development, we’ve got your needs covered with our excellent team of Anytime Sitters, and childcare placement specialists.

Nanny Placements | Full-Time + Part-Time

Interested in finding (or replacing) full-time or part-time childcare but unsure where to start? Overwhelmed by the search and interview process or maybe you don’t have enough time to do the search yourself? At MDE we have an incredible childcare placement team, led by Jules, our childcare placement specialist, who, as a working mom herself, understands the importance of finding the perfect fit for your individual family. Our specialist will help you and your family navigate the entire process - from the vetting of candidates, to interviews, to final contract negotiations.

A little bit about our approach…

At MDE, we want the nanny we place in your home to feel like family. Our philosophy is that a nanny’s role in your family dynamic is just as important as any other family role. We believe that if we have placed a nanny in your home that 1, is a nanny we would place in our own home with our own children, and 2, the nanny feels like family to you, we have done our job correctly.

For us, finding the perfect personality fit for your family dynamic is the most important part of the process. This is why we first initiate our approach by spending time getting to know you, your child(ren) and your household. In the beginning our childcare placement specialist will spend 1-2 hours with your family (or more if that is what is needed!) to start the placement journey.

While the intake process is unique to all families, common discussions include:

  • Tell me about your family structure, what are your family values?
  • What does your child(ren)’s day-to-day schedule and routine look like?
  • What type of household duties are you wanting your nanny to take on?
  • What personality type do you think will be the best fit for your child(ren)?
  • Specific details on placement logistics (pay, hours needed, etc.)

Once we feel confident that we know your family and what you are looking for in a childcare provider, we will begin the search and interview process, conducting first and second round interviews on your behalf. From there we conduct background and reference checks on the top 2-3 candidates, before bringing them to you for virtual and in-home interviews/trials.

Our childcare placement specialist is available throughout each step of this process to guide you and offer advice and support. We also assist during the contract negotiation stage and provide guidance throughout the first year of placement. Just like we want your nanny to feel like family, we too want to feel like family to you. We truly believe it takes a village.We will always be here for a phone call or email, to support you in your parenting journey.

Common Permanent Placement FAQ

We have an incredible team to help you and your family navigate this journey. You can read about our team on our About page.

Our permanent nanny placement fee covers all costs involved in the 4-6 week process of finding you the best fit for your family. These costs include administration, advertising, screening, background and reference checking, interviewing candidates, and the contract negotiation stage. In addition, unlike a lot of other placement agencies, we do not believe in taking a percentage of the nanny’s wages, therefore all our fees are upfront, transparent and related to the work we do. The total fee for a full-time or part-time nanny placement is $7,000 with a 15% retainer due once the contract is signed to initiate the search.

The average time, from beginning the search to contract signing, takes roughly 4-6 weeks. Unfortunately, during COVID, the average time has increased to 6-8 weeks. It is our priority to find the perfect fit for your unique family dynamic. On average we are screening 30-50 candidates to ensure finding the best nanny for your family. The vetting process is extremely time intensive, making sure only the best, most qualified candidates are put forward. It is important to note that because we work extremely hard to find you the best fit possible in the shortest amount of time, we will sometimes have one nanny interview with multiple families. This common practice is done to ensure that 1) you find the right nanny as soon as possible, and 2) the nannies who work with find the right family (and job) as soon as possible.

A sitter is someone who cares for your family on an as needed basis - a few daytime hours during the week, a date night once a month, etc. A nanny is a full-time or part-time childcare provider who offers continuous weekly support to you and your family.

The typical hourly rate varies in New York City from $20 per hour to upwards of $40 per hour. This rate depends on the skills and experience of the candidate, the expectations and demands of the role, and individual family needs.

You are typically expected to provide two weeks of annual leave and five days of sick leave per year. You are also expected to provide additional days off for religious and/or cultural holidays of the nanny’s choice. All of the above is subject to negotiation.

While you are not legally obligated to provide health insurance for your nanny, under the Affordable Care Act, most families are legally obligated to have some form of cover. Many of our families contribute a set monthly amount to their nanny’s own personal health insurance plan. It is also a typical expectation that a family provides an unlimited monthly metrocard for the nanny’s travel to and from work.

To pay your nanny we recommend using a company that offers payroll services for families with household staff. This eases your administration burden as they will direct debit your account and pay your nanny as per your agreed schedule. They can also assist you in calculating employer and employee tax contributions. It’s important to note that with taxes and other costs associated with an employee, you should factor in approximately 20% in addition to your nanny’s salary, to calculate the total cost to your family. Ultimately, your nanny is employed by you and not MDE, therefore all payments past contract negotiations are between you and your nanny.

We understand that sometimes things don’t work out. Choosing a nanny who is the right personality fit for you and your family is difficult and sometimes life circumstances change too. That’s ok! That’s why we have our nanny replacement policy - if a replacement is needed within 90 days of your initial placement, we will find a new nanny for you at no additional cost. If you decide your nanny is not a suitable fit or your nanny gives their notice after the 90 days, we are more than happy to initiate a new search with applicable fees.

We are licensed with the Department of Consumer Affairs (license # 2090753-DCA) and are bonded and insured.

Anytime Sitters

Are you looking for a qualified and vetted sitter? Someone who you can trust and your kids will love?

Join The House to access our pool of qualified, experienced Anytime Sitters at the click of your fingers. We can provide sitters for casual daytime hours, evening hours and date nights. We can facilitate last minute requests and offer seamless bookings, with fast confirmation and dedicated support.

Our Anytime Sitters are reliable, respectful, engaging and conscientious people who will take the utmost care of your children, pets, and home. They are reference checked, background checked, pediatric trained, First Aid and CPR certified and immunized.

Comprehensive Childbirth Education Course

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DESCRIPTION

In birth, knowledge is power. While the birth of your baby may feel scary (and exciting too!), equipping yourself and your partner with extensive knowledge on the physiological process of birth and educating yourselves on the different road bumps that can occur during your labor, will leave you feeling confident and ready to bring your baby into the world. Our course educator will also cover different medical interventions that could come your way, how to approach medical decisions during your birth, and will share non-medical and medical coping options available to you. Our 4 session course will provide you with the skills, confidence and peace of mind needed to have the successful childbirth experience you deserve.

DURATION + TIME

4 Session Course (each session is 2 hours long)

One session taught per week for four weeks, with a new course beginning at the start of each month.

Held Thursday evenings from 7:00 pm - 9:00 PM EST via online classroom.

PRICE

$425 (price includes birthing partner)
$850 (private course, price includes birthing partner)

SYLLABUS

SESSION 1

  • Preparing your body for birth
  • Anatomy of pregnancy and childbirth
  • Physical and emotional signs of labor and when to call
  • Setting up your birth space

SESSION 2

  • Stages of labor and birth
  • Tips for birthing partners
  • Birth preferences worksheet and how to create a plan that’s perfect for you
  • Hospital bag checklist

SESSION 3

  • Understanding induction methods
  • Non-medical coping strategies and comfort measures
  • Medical comfort measures during labor
  • Cesarean birth
  • Advocating for yourself and your partner

SESSION 4

  • Newborn appearance
  • Baby is on my chest, what happens now?
  • Breastfeeding tips + tricks
  • How to settle a baby
  • Postpartum recovery and healing

EDUCATOR BIO

baby in hand

Julia Crawford

CLD, CLC

Julia serves as our Perinatal Team Lead, coordinating support and education for families journeying through the perinatal period. She is certified through the international doula organization, CAPPA and the Academy of Lactation Policy and Practice. Julia is our lead childbirth educator and is also certified in HypnoBirthing support.

As a perinatal support specialist (and mom too!), Julia’s scope of practice ranges from prenatal consultations, labor and birth (including c-birth) support, to newborn feeding and postpartum healing support. Julia believes that each pregnant person deserves to have the labor and birth experience they want. Working closely with each of her clients, their partners and families, Julia works endlessly to bring birth knowledge, mindfulness, peace and unwavering support into each perinatal season.

Newborn Care Course

cpr to baby

DESCRIPTION

Taught virtually or in-person, our MDE Educators cover everything you need to know to master the newborn stage with confidence and ease, including newborn routines, swaddling, bottle feeding, baby’s first bath, tummy time and much more!

DURATION + TIME

Two session course (each session is 2 hours long)

Custom, taught on an as needed basis for each family

PRICE

$350 (includes you and your partner)

SYLLABUS

SESSION 1

  • Preparing to care for your newborn
    • Essentials to set up before baby arrives
    • Babyproofing your home
    • Organizing medical care
    • Preparing your village
  • Baby is here...Now what?
    • Newborn appearance
    • The first 24 hours
    • Medical care
  • Feeding your newborn - part 1
    • Hunger cues
    • Routine + timing
    • Baby’s stomach size
    • Diapers by the day
    • Colostrum vs. breastmilk
    • Breastfeeding tips + tricks

SESSION 2

  • Feeding your newborn - part 2
    • Formula feeding
    • Pumping
    • Washing + sanitizing bottles
    • Storage + handling for breastmilk and formula
    • Newborn growth + what to watch out for
  • Caring for baby at home
    • Age appropriate sleep routine
    • Safe sleep
    • Awake time
    • Playing with your newborn
    • Bathing baby + getting dressed
  • Newborn care on the go + at the pediatrician
    • Diaper bag checklist
    • Baby wearing
    • Well child checks
    • Vaccinations
  • Milestones: newborn - 6 months
    • Movement
    • Language development
    • Visual development
    • Social development
    • Nutritional changes

EDUCATOR BIO

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Grace Barrow Piper

Registered Pediatric and Neonatal Nurse, American Red Cross Certified Instructor

A Pediatric Registered Nurse, Grace has worked with children for over 10 years. She has a Masters in Nursing (Pediatrics and Neonates) and a Masters in International Public Health, majoring in Maternal Fetal Health. She is also a Registered Nurse Immunizer. Not only has Grace worked in Pediatric Intensive Care and Community Family Practice, but she has also worked as a nanny throughout her career. Grace believes that preparing to welcome your newborn with any amount of education possible is the key to a successful postpartum period.

Pediatric Safety Course

cpr

DESCRIPTION

Taught virtually* or in-person, MDE’s Pediatric Safety Course will equip you and your partner with the knowledge and practical skills needed to help your little one(s) should any emergency arise.

In this course you will learn how to assess any emergency situation; how to identify and address negative physical reactions including choking, anaphylaxis, respiratory distress; how to treat burns and rashes; and how to handle ear infections, fevers, head injury, and much more. This course is taught by our Founder + Director, Pediatric Nurse and registered American Red Cross First Aid and CPR Instructor, Grace Barrow Piper.

PLEASE NOTE: While this course teaches you everything you need to know to become certified in pediatric first aid, we cannot offer certification for the virtual course.

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DURATION + TIME

Virtual Course: 1.5 hours; In-Person Course: 2 hours

Custom, taught on an as needed basis for each family

PRICE

Virtual $150 (includes you and your partner)
In-Person $200 per person (includes certification)

SYLLABUS

PHYSICAL RESPONSE

  • CPR: infant and child
  • Choking + recovery position
  • Allergies, anaphylaxis and Epipen use
  • Asthma + respiratory distress
  • Burns + rashes
  • Safe sleeping
  • Seizures and fainting
  • Infection control

MEDICAL ACTION

  • Immunizations
  • Gastroenteritis
  • Viral and bacterial infections
  • Fever
  • Head injury
  • Bleeding
  • Bites and stings
  • Poisoning

EDUCATOR BIO

Grace photo

Grace Barrow Piper

Registered Pediatric and Neonatal Nurse, American Red Cross Certified Instructor

A Pediatric Registered Nurse, Grace has worked with children for over 10 years. She has a Masters in Nursing (Pediatrics and Neonates) and a Masters in International Public Health, majoring in Maternal Fetal Health. She is also a Registered Nurse Immunizer. Not only has Grace worked in Pediatric Intensive Care and Community Family Practice, but she has also worked as a nanny throughout her career, as she loves being with children. Grace believes that pediatric safety training, as well as continuing safety education, is fundamental to being an informed and prepared parent. Grace is a certified instructor of the American Red Cross.