I think women should have choices and should be able to do what they like, and I think it's a great choice to stay at home and raise kids, just as it's a great choice to have a career. But I don't entirely approve of people who get advanced degrees and then decide to stay at home. I think if society gives you the gift of one of those educations and you take a spot in a very competitive institution, then you should do something with that education to help others... But I also don't approve of working parents who look down on stay-at-home mothers and think they smother their children. Working parents are every bit as capable of spoiling children as ones who don't work - maybe even more so when they indulge their kids out of guilt. The best think anyone can teach their children is the obligation we all have toward each other - and no one has a monopoly on teaching that.
It would have been helpful if there was a Mayo Clinic chapter about the topic of leaving. Man, I would have read that chapter over and over -- leaving your wailing baby in the morning without wanting to slit your wrists; leaving your desk even though you are only a half hour away from completing something that would feel so good to wrap up; leaving the building so no one notices that you are actually leaving. I was much more interested in honing that skill than learning how to puree apples and carrots to freeze in ice-cube trays (not that I ever did that either). As long as I was a full-time working mother with a clock to punch or a train to catch -- as I would be for eight more years -- I never figured out how to leave with grace or with so-called conviction.