Well, I don't have as many clients per month as you, but here's what I usually do when I'm on-call. Typically, I try to stay within an hour's drive, but sometimes I may want to go a little further away. For instance, my dad's house would be a two hour drive. What I do is call my client to check on her to see if anything sounds like it could be happening. If not, I'll ask if she'd be comfortable with me being two hours away. So far, they always say, "Sure! Go ahead and enjoy yourself. I'll call you if I need you." I even do this if I want to go see a movie for 2 hours, since my cell phone doesn't pick up a signal in the theater. Of course, if someone ever said that she wasn't comfortable with the idea, or if labor is suspected, then I wouldn't go. I hope that you can find a way to balance things out a bit with on-call and family time; I know it can get tricky. 
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