Household help plays a crucial role in supporting new mothers during the confinement period, and hiring a confinement nanny is a common choice among families in Singapore. However, recent controversies have raised concerns about trust, qualifications, and ethics within the industry.
One alarming case involved ex-actor Joshua Ang, who revealed that his confinement nanny overfed his newborn, leading to the baby being admitted to the ICU. Such incidents highlight the importance of thorough vetting, clear communication, and setting proper expectations before hiring a confinement nanny.
This post explores the ethical challenges in the industry, the lessons learned from this case, and how families can protect themselves when hiring a confinement nanny.
Summary of the Joshua Ang Confinement Nanny Case
In March 2023, ex-actor Joshua Ang took to social media to share his distressing experience with a confinement nanny he had hired for his newborn. According to his account, the nanny repeatedly overfed the baby, despite being told to follow a structured feeding schedule. This resulted in the infant suffering from serious digestive issues, which ultimately led to admission into the intensive care unit (ICU).

Ang expressed frustration over the nanny’s lack of professionalism and unwillingness to follow instructions, emphasizing that her actions put his child’s health at risk. The case sparked discussions online, with many parents sharing their own experiences of confinement nannies who disregarded parental preferences or lacked proper training. While some defended confinement nannies, pointing out the value of experience over rigid textbook methods, others highlighted the risks of hiring unverified or unregulated nannies.
The case served as a wake-up call for parents to be more cautious when selecting confinement help, raising important questions about industry standards, training, and accountability.

Reflections on Trust and Ethics in the Confinement Nanny Industry
The confinement nanny industry operates largely on word-of-mouth recommendations, social media reviews, and agency listings. However, this lack of strict regulation means that not all nannies have formal training or adhere to best practices—something the Joshua Ang case made painfully clear.
1. The Risks of Unverified Training and Experience
Many confinement nannies claim to have years of experience, but experience alone does not equate to expertise. Without formal certifications in newborn care, lactation support, and postpartum recovery, parents are left to trust a nanny’s word and past client testimonials.
Parents should prioritize confinement nannies who have attended recognized infant care training programs, such as those offered by reputable agencies like WINGS, Thomson Medical, or government-recognized institutions like KKH (Kandang Kerbau Hospital). They should also verify whether the nanny is familiar with modern feeding practices rather than outdated methods.
2. Parental Boundaries vs. Nanny Autonomy
A major issue in confinement care is the balance between parental instructions and nanny autonomy. Some nannies believe their years of experience give them the right to make decisions without consulting parents, even when it comes to feeding schedules and sleep routines.
However, parents have the final say in how their newborn is cared for. The best confinement nannies understand that their role is to support parents, not override their choices. Open and respectful communication is key to avoiding conflicts.
3. The Lack of Regulation in the Industry
Unlike nurses or childcare professionals, confinement nannies in Singapore do not require a license or formal accreditation, leading to inconsistencies in care standards and accountability. Parents often rely on word-of-mouth recommendations, which may not always reflect a nanny’s true capabilities or professionalism. While some agencies conduct background checks, these vary in thoroughness, and freelance nannies operate with minimal oversight, increasing the risk of unqualified individuals being hired.
To address this, parents should:
- Request verifiable references from past employers.
- Ask for proof of training in newborn care and postnatal recovery.
- Ensure there is a clear written agreement detailing the nanny’s responsibilities and adherence to parental instructions.
How to Avoid Similar Issues When Hiring a Confinement Nanny
To prevent experiences like Joshua Ang’s, parents can take the following precautions:
1. Research and Verify Credentials
- Choose nannies with certifications in infant care, breastfeeding support, and emergency response.
- If hiring through an agency, ensure they conduct background checks and offer replacements in case of issues.
- Speak with past clients to confirm consistency in service and professionalism.
2. Set Clear Expectations from Day One
- Have a detailed discussion on feeding schedules, sleeping arrangements, and childcare philosophies.
- Draft a written agreement that outlines the nanny’s duties and any non-negotiable rules.
- Clarify expectations for handling disputes or disagreements.
3. Monitor and Address Issues Early
- Observe interactions between the nanny and the baby in the first few days.
- If concerns arise, address them directly instead of waiting for the situation to escalate.
- If the nanny refuses to comply with instructions, consider finding a replacement immediately.
For more insights on what to consider when selecting a confinement nanny, understanding key factors can help parents make an informed choice.

Conclusion
The case of Joshua Ang’s confinement nanny raises important concerns about trust, accountability, and professionalism in the industry. While confinement nannies provide valuable postpartum care, parents must be vigilant in selecting the right caregiver for their newborn.
By verifying qualifications, setting clear expectations, and maintaining open communication, parents can ensure a safer and smoother experience. Trust should be built on transparency and professionalism, not just word-of-mouth recommendations.
If you are planning to hire a nanny, also consider the hidden costs associated with hiring a confinement nanny to avoid unexpected financial surprises. With the right approach, families can find qualified, ethical, and trustworthy nannies to support them during the postpartum period.