Currently we have a nanny. We got her while I was pregnant to help me out with my now 20 month old DD and to let me rest since living was super difficult, as I'm sure you all know. Anyways, I've never really liked her a lot, but having a nanny has been so helpful. Now that the babies are here though, I'm really not comfortable with the idea of leaving her alone with them, or with all three kids. I told DH straight up I'm just not comfortable with her and I feel she doesn't respect me, plus her English is not great so we never know if she really understands us. She's not a bad person of course, I just am not sure I love how she handles DD (she's been with her more than the twins of course).
Anyways, my main question is, if you don't have a nanny or help, how do you manage the twins plus an older child (or children!)? I was hoping to take DD to classes in the fall, but how do I do that if I have the babies to tend to, and vice versa if I want to take them out? If you have a nanny or help was it normal to not feel comfortable with her right away?
Our nanny is a live-in (much cheaper than live-out), but I believe I've seen some of you mention you have help, but it's more of a part-time live-out situation sometimes. How does that work? I'm also a stay-at-home mom and want to be with the kids as much as possible, and really feel I need help more with cleaning and cooking at least while the babies are still so needy and tiny. Anyways, I hope I've made sense! Just looking for advice on how to live with two babies plus my toddler, with or without a nanny. TIA for any help all!!

Re: How to Handle Newborn Twins and a Toddler + Nanny?
You could always look for a PT mothers helper or someone to come a few hours a day to entertain your oldest. I've heard great things about care.com
As for getting out w everyone, it seems so daunting and overwhelming at first, but you've gotta do it. Cut yourself some slack the first few times and learn from each outing - what could you have brought/done differently? Pick something low key at first and build up to something more involved.
It gets easier. I promise.
TTC since June 2009
BFP #1 2/22/10 M/C 6w2d
BFP #2 October 2010 CP
BFP #3 1/11/11 M/C 8w5d
IUI #1 Aug 2011= BFN
IUI #2= BFP #4 9/18/11 missed M/C, D&C 10/18/11
IUIs #3&4 = BFN
IVF #1 May 2012 = BFP! Twins!!
Fraternal twins born Feb. 2013