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(Originally, the hired woman would have been expected to breastfeed the infant, a role known as a wetnurse.) In a great house (such as an English country house or town house), the nurse was a senior member of the household staff and ran her own domain, a suite of rooms called the nursery, supported by at least one assistant, known as a nursemaid (or nurserymaid).

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Pay rates vary from country to country but are usually well paid in comparison to the general nanny, as the night nanny is seen as a specialist or expert in their field.

Historically, European women were confined to their beds or their homes for extended periods after giving birth; care was provided either by her female relatives (mother or mother-in-law) or by a temporary attendant known as a monthly nurse.

A night nanny can provide a teaching role, helping parents to establish good sleeping patterns or troubleshooting the sleeping patterns of a child. The Night Nanny works together with the family's requirements and philosophies.

The qualifications of a night nanny are usually in mothercraft nursing (see sleep guidance specialist or early childhood development).

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