This couple needs a loving babysitter.  They are not impossible to find.  The fact that they initially didn't want to use one is irrelevant now.  No relatives are near and it isn't feasible for either of them to leave the workforce to care for the baby.  It's a no-brainer.  We used babysitters when our children were little.  They were wonderful and treated our children with loving care.  I have friends with young children whose nannies are better with the children than they are themselves. Raising a family takes flexibility.  If one thing doesn't work, try something else.