We have no live-in helper but have hired a local lady for part-time help. We take my son everywhere in an unpadded sling (like the Maya Wrap that the HK LLL sells). We have a pram, but even if with a wiggly, large year old toddler it is wayyyyy easier to get around if you just leave the pram at home. Eating out is almost impossible with a baby in HK, though.