Lot's of thoughts on this. The first is, don't agonize over the timing. I did this, and as luck had it, it took me 16 months to get pregnant the second time. Completely shot my "perfect timing" down the drain. I ended up getting pregnant during my last year of NP school, took boards 1 week before graduating and had my second child 2 months later. I had already accepted an NP position and they very graciously held the spot until my standard 12 week maternity leave was over. I have numerous colleagues who got pregnant very quickly after starting their new NP jobs and it was never an issue. All of them also were able to take the 12 weeks of maternity leave despite not meeting FMLA work length requirements. I think employers realize that young female FNP's will possibly get pregnant and take leave at some point during their employment and don't think twice about it. It's extremely common. When you say maternity leave is not as generous, what do you mean? Your job is protected for up to 16 weeks provided you have worked there 12 months under FMLA. There is no variation in that, perhaps some places give you more? We're now trying for our 3rd- I'm coming up on my 1 year FNP anniversary so I can chime in on 'waiting a little bit and then getting pregnant'. At this point, I have gained a little bit of confidence in my role and don't battle the imposter syndrome anymore, I feel a bit more settled as an NP, my routine, the work/life balance, etc. and feel like it's as good a time as any to get pregnant and god willing have a maternity leave. I'll take 12 weeks again this time and won't think twice about it. That's my experience if it helps at all, but my thought is- do what makes YOU happy. Ready for a family? Start trying now, it'll happen when it happens and the rest of life will rearrange to make it all fit. Just enjoy it!