For me, I do not like the idea of having stranger to stay together with us. Thus, I do not engage confinement lady too for all 3 babies. I do not find there is a need for confinement lady as I will be the one latching baby throughout the night and I just need someone to cook confinement food for me. I got my mother to fly from Malaysia to help me during confinement period especially for cookings. We bought confinement herbs that comes with 30-days packs from Eu Yan Seng which costs about $300. However, for first time mother and without any family member to help, it is good to engage a confinement lady. If you engage through confinement agency such as PEM, you can get free replacement if you are not satisfied with the confinement lady.
If there is no one to help you with your confinement, you can consider daytime/part time confinement nannies, meaning they do not stay overnight. They will come by during day time to cook and clean up a little. http://www.i-kare.com.sg/#!about
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