Do you use non-family babysitters/mother's helpers? What if you have family close by--do you ONLY use family, or do you regularly (1x a month at least) use non-family help to watch LO?

Basically, I'm wondering--if you have family close by, do you regularly (1x a month at least) have non-family members watch LO, either in the afternoons, mornings, etc.? Or if family is close by, is that the only option for helping out with LO?

ETA not talking about full time care.