For a variety of reasons I have found it's sometimes much easier to simply pay for help. It's amazing how much can get accomplished in an hour or two, with paid help. You can also hire a young babysitter to come over and play for an hour with your daughter a few hours a week, when you need a break.

I also find the more I adapt my environment so that I can manage better, the more functional I am. Buying a couple of trash cans that have hands free sensors has really helped.