It includes a stuffed toy human baby to play with and the player slips its Wii Remote inside.

Babies will also dynamically respond to players' performance through audio and visual cues,[2] including the Wii Remote speaker.

[3] Excessive movement of the baby controller will briefly suspend play with a reminder of such warning, but will otherwise not penalize player performance.

[1] Majesco was slated to release Babysitting Mama alongside another similar game developed by Zoink Games, WiiWaa, which was similarly controlled with a plush toy monster that the Wii Remote is inserted into.

However, without sufficient funds to support the release of both games, Majesco turned down a publishing deal for WiiWaa in favor of Babysitting Mama, reasoning that Mama was part of a previously successful and more familiar intellectual property, and was thus more likely to succeed.