Wye Valley NHS Trust

If you have previously given birth by caesarean section your care will differ slightly. You will continue seeing your midwife in the community setting, but will also be invited for a consultant appointment at 14 to 16 weeks and then again at 34 to 36 weeks.  A full discussion about your previous birth and current pregnancy will take place and the options for birth this time around.  Your consultant should go through the risks and benefits of both a VBAC (vaginal birth after caesarean) and an EL LSCS (elective caesarean section).  If you decide to opt for an EL LSCS…

Perinatal describes the time from pregnancy up until a year after you’ve had your baby. Pregnancy, birth and looking after a baby are life changing events and with it, which although are mostly positive, can also be challenging. Many new parents will go through a huge variety of emotions during this time and some may struggle. If you are experiencing difficult feelings and they are having an effect on your daily life, it may be that you have mental health difficulties. Below is listed the range of mental health difficulties that new mothers may experience.  Signs/symptoms of perinatal depression (PND)…

Musculoskeletal Musculoskeletal problems are referred to the service by a GP or consultant. Referrals for service users being seen in a physiotherapy department (Bromyard. Ledbury, Kington, Leominster, Ross) will be screened by a senior physiotherapist and classed as either urgent or routine. Service users are telephoned to make an appointment if urgent. If the referral is routine they will be sent a letter asking them to telephone the relevant physiotherapy department to make a convenient appointment. Urgent referrals should be assessed within 14 working days. Routine referrals should be assessed within six weeks. In both cases service users are assessed…

Meticillin Resistant Staphylococcus aureus (MRSA) patient information leaflet. MRSA is a micro-organism or germ that may be harmlessly carried by many people on their skin and in their noses where it usually causes no problem. If it gets into an area such as sputum, urine or a wound it may cause an infection, particularly in people who are already unwell.

Your perineum Your perineum is the tissue between your vagina and your anus.  During birth you can experience perineal trauma/tearing.  This can be classified into four degrees of severity: 1st degree – these only affect the skin, they usually do not require any repair and heal quickly on their own. 2nd degree – these affect the skin and the perineal muscle layer, repair is usually needed. 3rd and 4th degree – 3.5% of women will experience a more substantial tear which involves the muscle that controls the anus. This degree of tear will need to be repaired in theatre. Episiotomy…

At your booking appointment your midwife will go through all the screening that you will be offered during pregnancy and for your baby once they are born. The first screening will involve a blood test at your initial appointment, which will be looking for infectious diseases, your rhesus factor, your haemoglobin level, your blood type and if you have any antibodies.  Also at this appointment your midwife will make a referral for you to have a dating scan, which will give you an estimated date of birth for baby.  At this scan they will ask if you would like to…

The advice below is for anyone who is pregnant and needs information about measles. It includes what to do if you have any symptoms of measles, or if you have been in close contact with someone who has measles. If you need to access maternity care and you have measles symptoms or you have been in close contact with someone who has, please phone ahead. This includes if you are coming to hospital in labour, as well as the Maternity Triage or routine appointments in the hospital or community. This will help us to provide care for you in the most…

  Safeguarding adults (7/5/25) Safeguarding adults - means protecting the most vulnerable from abuse and neglect.  Find out more and how to report adult safeguarding concerns.  All adults have the right to live in safety, free from abuse and neglect. Adults have a legal right to make their own decisions, even if they are unwise, as long as they have capacity to make that decision and are free from coercion or undue influence. Abuse and neglect can take many forms. It may be an isolated incident, a series of incidents or a long term pattern of behaviour and could affect…

The Early Pregnancy Assessment Unit (EPAU) is a clinic, which assesses women in early pregnancy who have bleeding or pain (up to 18 weeks of pregnancy).  It is located on the second floor of Hereford County Hospital, within the women's health department. Your GP or Accident and Emergency doctor will arrange your appointment for you. We aim to diagnose your problem, offer advice, support and any treatment which may be needed. If you do not already have an appointment a member of the team will ring you with a date and time. We aim to see you within 2 working days.…

WVT has a key part to play in safeguarding and promoting the welfare of children. Section 11 of the Children Act 2004 places a duty on every NHS Trust to have arrangements in place to ensure that the organisation and all staff working within it have regard to the need to safeguard and promote the welfare of children. The Trust regularly reviews its arrangements against these requirements and is compliant with them. The Trust board takes the issue of safeguarding extremely seriously and receives an annual report on safeguarding children issues. The Trust’s Safeguarding Committee meets quarterly and monitors safeguarding…