We do all the cleaning ourselves! And this is actually the very first year where I have my very own built in babysitter! We are slowly letting Emma (almost 14) babysit for short periods of time. It has been such a blessing! Before that, I had a babysitter I would hire for any appointments that I needed to attend (mostly dentist or dr appointments). Besides an occasional babysitter, we have no outside help. Our family runs like a team and we get things done together! It's definitely getting easier the older my kids get.