A domino birth is where a woman receives antenatal care just the same as for a homebirth, but with a hospital birth planned instead. After birthing your baby in hospital with your midwife, you then go home a few hours later. See the Domino FAQs here.
Women on the Community Midwifery Program who have developed complications, or a breech presentation at term, may have what is known as a "Medical domino" birth. Couples who apply to the CMP for a planned homebirth are prioritised over those wishing to have continuity of care in the home but birth in hospital.
Women can also opt for domino care with a privately practising midwife.
Things to Consider
Midwives are experts in 'normal' pregnancy and birth so you can rest assured that you will be well prepared and well supported throughout the time leading up to the birth of your baby.
Should your midwife detect any signs of complication - either during pregnancy or labour - she will refer you to specialists for additional care.
Most midwives expect women and their partners to play their part in taking responsibility for their health and well-being and will encourage you to attend Childbirth Education Classes that inform and empower you for birth and parenthood.
If you are planning to birth in a hospital you have ready access to obstetric staff and technological aids should these be necessary. In a city as small as Perth there is no risk in terms of being too far away from a hospital to access care 'if something goes wrong'.
You will have access to pharmacological pain relief including an epidural.
If you are on the Community Midwifery Program and birth at King Edward Hospital (either planned or as a transfer during labour) your CMP midwife will be with you to assist with your care until your baby is born. If your labour is long the back-up midwife will take over care from your primary midwife. As you will have met both midwives during your pregnancy you will enjoy the advantages of having someone familiar with you throughout your labour and birth. The CMP hopes to offer continuity-of-care arrangements with other hospitals across the metroplitan area to offer similar domino / transfer arrangements as at KEMH.
Your midwife will visit you at home for up to 4 weeks after your baby's birth.
While you have continuity of care with your midwife, you may also meet other maternity care providers who are not familiar with you or your aspirations for labour and birth.
Partners are generally welcome but usually cannot stay over night.
You will labour in unfamiliar surroundings.
There may be a higher chance of interventions.