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Domino Birth on the CMP


Frequently Asked Questions


About a domino birth on the CMP

The Community Midwifery Program also offers limited spaces to women wishing to have a ‘domino’ birth.

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What is a domino birth?

A domino birth on the CMP is where you choose to birth in hospital but with your known midwife. The CMP midwife will provide you with care during your pregnancy within the community. She/he will then attend hospital with you when you are in labour and care for you in hospital throughout the labour and birth. When you are discharged home from hospital your CMP midwife will continue to care for you for up to 4 weeks postnatal.

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Who is eligible for a domino birth?

All clients booked onto the CMP and fit the inclusion criteria would be suitable for a domino birth.

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How do I find out more about the CMP?

For information about eligibility for the CMP, how to apply, when you meet your midwife, antenatal appointments and postnatal support, see the About the CMP FAQ.

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Which hospitals could I chose to have a domino birth at with the CMP?

You may choose to birth at either Swan District Hospital (SDH), Armadale Hospital, King Edward Hospital (KEMH), Family Birth Centre (FBC) or Rockingham Hospital.

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What is the role of the CMP midwife in hospital?

Our midwives are currently accredited to work at the FBC and KEMH although the CMP team is currently working with other hospitals to gain accreditation in the near future. Should you chose a hospital where the CMP midwife is currently not accredited, then your midwife will attend you in labour as a support person only and will be unable to provide the midwifery care; this will be left to the hospital midwife.

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Will my CMP midwife be with me at all times during my labour and birth?

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.

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What polices and guidelines do CMP Midwives follow during my birth?

The CMP Midwives follow the hospital guidelines whilst working within WA hospitals.

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How many birth partners am I allowed?

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.

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What pain relief can I have?

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.

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What happens after the birth?

Following the birth you may choose a 6 hour discharge (providing you meet the hospital criteria for early discharge) or may wish to stay overnight for further support (with the exception of the FBC). Once discharged from hospital your CMP midwife will continue to provide you with postnatal care until 4 weeks postnatal. This will vary between home and clinic appointments.

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Will my baby be checked by a doctor before I go home?

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.

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