A Day in the Life: Interim Care Provider

From the moment she gets a call from Spence-Chapin about a newborn coming into care, Carmela Grabowski goes into mommy mode. “I put fresh linens on the bassinet, clean the car seat, make formula, sterilize the pacifiers, change out all the diapers from size 2 to 1, and sort the clothes depending on the season and the gender of the baby.”

Carmela has been an interim care provider with Spence-Chapin since 2009, and has cared for 32 infants. This wife and mother of a 21-year-old son and a 19-year-old daughter, both adopted, gives us a sneak peak of life as an interim child care provider. “I start my day around 6:00am with a feeding, changing the baby’s diaper. Baby is back down for a nap, and I then clean up the house, do laundry and shower. Around 9:00am, I give her/him the second bottle. I keep the baby up for about an hour– swinging, playing, cuddling when it’s down for a nap number 2. I take this time to work in my private office ‘til noon, and then I start making lunch for my husband and daughter. If it’s a day when the baby has a doctor’s appointment or a visit with her birth parents, we get on the road around 9:15am.

“In the afternoon, when I prepare dinner, the baby is in the swing keeping me company in the kitchen. By 6:00pm, the family sits down together for dinner and everyone takes turns interacting with the baby while we eat. At 8:00pm, it’s ‘Bath-Bottle-Bed. I usually stay awake until midnight, waiting for the baby’s next feeding, and of course, some more cuddling. Then, I’m up every 3-4 hours for late night feedings and diaper changes.”

“I’d tell anyone who wants to do this [interim care], that you have to understand that it takes up a lot of time and a lot of work. But, it’s most rewarding. You just get so much out of it. Adoptive parents often keep in touch. I keep a photo album with all the pictures they send me of the babies I’ve cared for. It’s the best thing I’ve ever done.

Spence-Chapin’s Interim Child Care Program is one of the last of its kind.  It began over 70 years ago as a valuable service for birth parents by giving them time after delivery – free from pressure – to make a decision about their child’s future.

Experienced care providers, supervised by our child care department, look after the babies in their home for several days or weeks after hospital discharge. Birth parents retain their legal rights and can visit their babies during this period.  Spence-Chapin’s board-certified pediatricians examine all infants in our care after hospital discharge; give them regular exams during their stay; and perform a discharge exam on the day they leave to go home.

You can learn more by visiting our website.

To find out more contact us at

212-400-8150 or email us at [email protected].

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