My Aunt finished med school in the Philippines and started her residency in America around the late 80s. She met and married her husband, who was a JUNIOR in college for a Microbiology/Chem BS. They had their first kid in 1990, he finished his degree, and got into UCLA school of dentistry. Needless to say, he finished dental school, she finished her residency for pediatrics, and they live a nice comfortable life. My grandmother started living with with them when she was 4 (i think?) and took care of my cousin when they were away, and when she was an infant, I think my aunt dropped her off at a family friend's apartment.
Then again, this was in the early 90s... maybe life was less complicated than it is now?