A domino birth on the CMP is where you choose to birth in hospital but with known midwives. CMP midwives will provide you with care during your pregnancy within the community. Where possible, one of your midwives will then attend hospital with you when you are in labour and care for you in hospital throughout the labour and birth. When you and your baby are discharged home from hospital your CMP midwives will continue to care for you both up to 2 weeks.
All clients booked onto the CMP and fit the eligibility criteria would be suitable for a domino birth.
For information about eligibility for the CMP, how to apply, when you meet your midwives, antenatal appointments and postnatal support, see the About the CMP FAQ.
Our midwives are currently accredited to work at the Family Birth Centre, King Edward Memorial Hospital, Fiona Stanley Hospital, Armadale Hospital and Rockingham Hospital. CMP midwives do not currently have access to Osborne Park Hospital or Joondalup Hospital and St John of God Public Hospital Midland for a domino birth. You must reside in the hospitals catchment area to be accepted.
As the CMP is managed by King Edward Memorial Hospital (KEMH) priority is given to domino birth clients living in the KEMH catchment area.
CMP midwives will continue your clinical care in the hospital and are required to work within the hospital policies and guidelines. For safety reasons CMP policy restricts all midwives to a set number of hours they can work per day. This occasionally necessitates the hospital midwives taking over your care. In the event of staffing shortages, CMP will prioritise home births over hospital births.
As much as possible your CMP midwife will stay with you during your labour and birth in hospital. However on occasion it may become necessary for her to leave you in the care of the hospital staff.
The CMP midwives follow the hospital guidelines whilst working within Perth hospitals.
You may only be attended by 2 birth partners in addition to your CMP midwife in hospital. If you want more people with you it may become necessary for them to “tag team” and take it in turns being in the room.
If you are birthing in a hospital all types of pain relief are available to you, including ‘gas and air’, pethidine and epidurals, which are not available at home.
Following the birth you may choose a 6 hour discharge (providing you meet the hospital criteria for early discharge) or you may wish to stay overnight for further support (with the exception of the Family Birth Centre). Once discharged from hospital your CMP midwives will continue to provide you with postnatal care for up to 2 weeks after baby is born. This will vary between home and clinic appointments.
All babies born in hospital or the Family Birth Centre must be cleared for discharge by the paediatricians before you can go home. In some cases this may involve a wait period as the paediatric team is invariably very busy and will put the needs of sick or unwell babies first.