You are not the one deciding at 3am
Your nurse is a licensed pediatric RN with a nurse practitioner behind her. So the call about whether something matters is not yours to make on no sleep.
- Licensed RN on every shift
- Clinical oversight behind her
Birmingham, Alabama
The comfort of in-home newborn care, with the clinical support of a pediatric care team behind every shift.
A licensed pediatric RN awake in your house overnight. Weighted feeds, rapid testing at home for your baby and your whole family, and a nurse practitioner behind every shift.
What makes us different
It is a marketing term, not a protected title, so it tells you nothing about who is actually coming. What sits behind the person in your house at 3am is the thing worth asking about.
Your nurse is a licensed pediatric RN with a nurse practitioner behind her. So the call about whether something matters is not yours to make on no sleep.
We can weigh a feed instead of describing it, for an objective estimate of what your baby took. Concerns get noticed early rather than at the next weight check.
When somebody gets sick, our nurse practitioner can evaluate and test at home, for your baby and the rest of the family. No waiting room with a toddler and a newborn.
This is not traditional night nursing. It is concierge newborn and pediatric care, built around licensed nurses, clinical oversight, and access to care when your family needs it.
Check AvailabilityOur Services
Most families start with one of these. Shifts are built around your night rather than a fixed window, and there is no minimum number of nights.

A licensed RN stays awake all night so you can actually sleep. She feeds, changes and settles your baby, and you wake up to a written note about how the night went.

Someone with the baby during the day so you can sleep, shower, eat a meal sitting down, or give your older child some attention for an hour.

If feeding is not going the way you hoped, your nurse sits with you through a real feed. Latch, bottles, pumping, or all three. We can weigh a feed when it would help, for an estimate of what your baby actually took.

The newborn work taken off you while you heal. Less lifting, fewer trips out of bed, and someone in the house who knows what they are looking at.

Your nurse works through the room you actually have, not a catalog nursery, and helps you settle your baby in it. Current AAP guidance applied to your house.

A class built around your questions, in your home or online. What is normal, what is not, and what to do about it at 3am.
Side by side
Both get you help overnight. They are built for different things.
| A typical night nanny service | On Call Peds Care |
|---|---|
| Care for the night | A clinical care team behind your growing family |
| Caregivers who may or may not be nurses | Licensed RNs selected for newborn and pediatric experience |
| Feeding support based on how the feed looked | Clinical feeding assessment, plus weighed feeds when indicated |
| Can tell you what they are seeing | Can recognize a clinical concern, document it, escalate it, and connect you with the provider overseeing your care |
| No clinical oversight behind the caregiver | Nurse practitioner oversight, with a collaborating physician |
| Illness in the house means a trip out | COVID, flu, RSV and strep testing, evaluation and treatment options from our nurse practitioner, at home |
| Focused on the baby | Newborn care, plus whole-family support when you need it |
Some agencies do employ nurses. Whoever you are considering, ask whether the person in your home is a licensed RN, and who is behind them.
What Families Say
“Having On Call Peds Care there to care for our newborn overnight gave my wife and me the rest we desperately needed. That extra sleep did not just make us feel better, it made us better parents. If you are on the fence about night nursing, I cannot recommend them highly enough. It was worth every penny.”
“On Call Peds Care is the best decision my husband and I made postpartum. Leslie and her team provided the most personalized care for me and my baby. Knowing you have medical professionals watching after your child while you sleep brings a peace I truly cannot explain.”
“Having a reflux baby made nights so hard and left me exhausted and unsure how to help. Bringing in a nurse was such a gift. She helped us get our girl comfortable, reset, and start learning to self-soothe. So grateful for the support of an RN and NP who helped us create a plan.”
“I had an issue on a Friday night at 9pm, and by 10pm I had completed a video consultation while sitting up in my bed, and was able to pick up a prescription by Saturday morning. She checked in on me over the next few days to make sure everything had cleared up.”
“I had already taken three of my five kids to the pediatrician for a rash that of course spread to the other two. I dreaded going back. I remembered On Call Peds Care, and in less than an hour I had booked a call, been seen by Leslie, and my child's prescription was ready at CVS.”
“My little one was having some work of breathing and the telemed option was so convenient. Leslie was able to see his retractions, hear him, and provide recommendations. Not having to lug your sick little one into the office along with siblings is so worth it.”
“No hefty co-pay. No hours of waiting to be seen in a strange and scary looking exam room. No exposure to other sicknesses. No being treated like just another number to check off a list. Leslie even checked back in with me a few days later to ask about my son.”
“You have helped me grow my confidence as a first time mom. You have been there through the night when I have had a sick child and have walked me through many illnesses and scary moments. Could not have made it without you.”
“Love that any questions I have had, Leslie has gotten back to me much faster than my pediatrician clinic. She followed up with me when I was potty training my two year old. I felt like I had a bonus mom checking in on me. She is the best.”
“Leslie is the most trustworthy person with babies, children and mommas. She has all the knowledge to support new moms on their breastfeeding journey, and children when they are sick. Anyone would be lucky to have her support them in motherhood.”
“I cannot even begin to describe all the ways you have helped me as a mom. From breastfeeding questions, to baby led weaning advice, to helping me feel more confident when my little ones are sick. Whenever I am looking for an answer, I always come back to your page.”
“You have helped me as a first time mom in so many ways. It helped me learn the ropes of breastfeeding, exclusively pumping for 11 months, a possible shellfish allergy, eczema, and general pediatric and infant health information. I love what you do.”
“So easy to talk to. She gives great education, listens to all of your questions and concerns, and answers them.”
Why Choose Us
Founded by pediatric nurse practitioner Leslie Brewer, CRNP, and shaped by her experience as a mother of five, our approach blends clinical expertise with real understanding of the newborn season.
Not a sitter or a student. Verifiable with the Alabama Board of Nursing in two minutes.
Your nurse is not deciding alone at 3am. There is clinical oversight and a clear escalation path.
Awake, not sleeping between wakings. Those are very different products sold under the same name.
Feeds, diapers and sleep recorded as they happened, so you know how the night actually went.
Common Questions
Your nurse cares for your baby so you can sleep. That includes feeding or bringing baby to you to nurse, diapering, soothing, safe sleep setup, and monitoring. You also get coaching on feeding, wake windows, and newborn cues, so you feel more confident after every shift.
Yes. Every caregiver is a licensed registered nurse with pediatric or postpartum clinical experience. On Call Peds Care was founded by a pediatric nurse practitioner, and our care approach is built on current evidence rather than personal opinion.
We provide in-home newborn care throughout Birmingham and surrounding communities including Hoover, Vestavia Hills, Mountain Brook, Homewood, Trussville, Alabaster, and Chelsea. Telehealth visits are available to families anywhere in Alabama.
Most families reach out during the third trimester, which gives us time to match you with the right nurse and plan your schedule. We do accept shorter notice requests when nurses are available, so contact us even if your baby has already arrived.
No. Overnight care is our most requested service, but we also provide daytime shifts, postpartum recovery support, feeding help, and short visits for specific concerns. We build the schedule around what your family actually needs.
Schedule expert in-home newborn and pediatric support. Our licensed nurses are available day or night to give your family peace of mind.