Aww Tiff - that's a hard one ... but don't let the NUM try to guilt you into a decision one way or another. Whatever decision you make, the pros and cons have to be what is important to you and your family ... not what somebody else is guilting you into.

Besides, all the time you spend on BB means that you haven't been out of the birthing loop while you haven't been working - you've been supporting women through pregnancy/birth via a different hands-off route, so you won't be de-skilled at all!

Do you have the option to go back part-time or casual? If so, perhaps start off with one shift a week (or fortnight) ... see how it goes ... increase it by one shift per week/fortnight if you feel comfy with your fatigue and mental health levels.