Young working mothers are not the only ones who are struggling to balance family life and careers. Many middle-aged American women face this dilemma as they provide routine childcare for their grandchildren while pursuing careers and trying to make ends meet. Employment among middle-aged women is at an all-time high, and grandmothers, are rearranging hours to take care of their grandchildren, experiencing additional loss of salary and reduced old age pension accumulation. This book explores the strategies of, and impacts on, working grandmothers. While all of the grandmothers in this book are pleased to spend time with their grandchildren, many are readjusting work schedules, using vacation and sick leave time, gutting retirement accounts, and postponing retirement to care for grandchildren. Some simply want to do this; others do it in part because they have more security and flexibility on the job than their daughters do at their relatively new jobs. Many are sequential grandmothers, caring for one grandchild after the other as they are born, in very intensive forms of grandmothering. Some also report that they are putting off retirement out of economic necessity, in part due to the amount of financial help they are providing their grandchildren. Finally, some are also caring for their frail older parents or ailing spouses just as intensively. Most expect to continue feeling the pinch of paid and unpaid work for many years before their retirement. This book provides a unique perspective on a phenomenon faced by millions of women in America today.