We have 2 older Lo and the closest family is about 3 hrs away. For both births I've left for the hospital at 4 am. We have friends and neighbors here that would watch them but it would be a bit tricky if it happens again at 4 am. It'd be fine but def a nuisance for someone and depending on the day might require waking LOs up and taking them over to a neighbors. I'm tempted to just have family kinda rotate staying over for a week or so prior to the due date but that doesn't seem ideal either.