[matrix]

If she is pursuing a demanding specialty, consider having your kids while she's a resident; I've known a few people that did it and while it's hard, it can be the lesser of evils. Fellowship is just as hard - maybe even harder - than residency, and when you're practicing she likely won't be eligible for maternity leave initially and can face pressure from the group to keep on working (otherwise someone else might end up having those brutal all-weekend calls back-to-back... not a good way for the new person to make themselves popular with their group).

Of course, it's a different story if she will be in a more sane line of work, such as hospitalist, ER doc, etc.

[pdxandi]

She's sub-specializing in intensive care, unfortunately. We've discussed having children toward the end of fellowship for the reasons you state. It's a tough decision for us because I'll likely carry the brunt of the parental workload, but we also depend on my income for living expenses and loan repayment.

[llimllib]

We waited until my wife was done with residency and fellowship, and it has worked out well for us. We have our second child on the way shortly, feel free to message me if I can help in any way.