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…

Temporary suspension of home birth service: Frequently asked questions 1.      Why has the home birth service been temporarily suspended? The Trust has temporarily paused the service following a national request for all NHS Trusts to assess the sustainability and safety of their home birth provision. Although no recent safety concerns about the Trust’s home birth service have been noted, in light of the national directive, we have reviewed the service and have identified areas in which we need to improve to ensure that we have a safe and sustainable service. In response to the national and local increase in the…

Birth Story 1 – An emergency caesarean section ‘I had my daughter 7 weeks early on the 7th January 2022 by category 1 caesarean section. I had come in during the middle of the night for monitoring as baby’s movements felt very off. I had felt her move, but my gut instinct was telling me something was wrong. Thought I'd just go in and she would be fine on the monitor, put my mind at rest and I could go home to bed. Turned out baby was in distress and within an hour of being on the monitor, I had…

Reasons you may be offered an induction of labour  The following circumstances in pregnancy may result in an induction of labour being offered to you: Post-dates pregnancy Advanced maternal age (40 years of age or more) Suspected big baby Suspected small baby Diabetes Pre-eclampsia Reduced fetal movements IVF If your waters break before tightenings start Obstetric Cholestasis Skip to the factsheet that is relevant to you, so you can start to make a fully informed decision on whether you would like an induction of labour.  Post-dates pregnancy A term pregnancy is classed as anything between 37 and 42 weeks. The…

Further reading  Royal College of Obstetrics and Gynaecology: Induction of labour, information for patients https://www.rcog.org.uk/en/patients/patient-leaflets/induction-of-labour---information-for-people-who-use-nhs-services/  NICE, Induction of Labour guideline   National Childbirth Trust https://www.nct.org.uk/sites/default/files/related_documents/Newburn%20Induction%20of%20labour%20pp12-13.pdf  Why Induction Matters by Rachel Reed (Book - 2018)  MidwifeThinking.com - Rachel Reed   Inducing labour, making informed decisions by Dr Sara Wickham (Book - 2018)  In Your Own Time: How western medicine controls the start of labour and why this needs to stop by Dr Sara Wickham (Book - 2021)  Your human rights during your birth  Obstetric Cholestasis  Appendix  Risks associated with having a caesarean section include:  Higher than normal blood loss – haemorrhage Infection Injury…

Women’s Health Department Patient information leaflet – Post-Menopausal Bleeding (PMB)   What is Post-menopausal bleeding? Any bleeding from the vagina after menopause. This can be light spotting, a change in discharge colour or heaver bleeding. What causes post-menopausal bleeding? There can be many different causes, including: The walls of the vagina become thinner. Small skin-tag growths (polyps) in the vagina, cervix or uterus. Hormone Replacement Therapy (HRT) making the womb lining thicker.   Most of the time, the cause of post-menopausal bleeding is not serious, but sometimes it can be a sign of cancer of the cervix, vagina or endometrium…

The Rheumatology Service at Hereford County Hospital focuses on inflammatory arthritis and connective tissue disease. Our service provides: Early diagnosis and long-term management to preserve joint function and prevent major organ damage. Expertise in diagnosis and management of patients with complex systemic inflammatory disease. Special interest in early inflammatory arthritis and vasculitis. Ultrasound service and intra-articular and soft tissue injections. Education and specialist knowledge to patients, their families and carers about their disease, drugs, and monitoring. Rheumatology patient telephone and email advice service. Physiotherapy led clinics for Inflammatory Back Pain, Axial Spondyloarthropathies, Hypermobility Syndromes and Fibromyalgia Peripheral clinic in Llandrindod…

The risks associated with induction of labour

The maternity ward is located on the second floor at Hereford County Hospital. If you are not wishing for an early discharge from Delivery Suite or if you and your baby need some additional monitoring or support with feeding then you will be transferred to Maternity Ward shortly after birth. When you arrive a midwife will be assigned to care for you and they will come and introduce themselves. There are also Maternity Support Workers and Healthcare Assistants on the ward who can support you and help you with baby cares. Below is some useful information about how the ward…

Surname Init Title Position Title Registration Body Acharya J Mr. Consultant diabetets and endocrinology General Medical Council Adeyemo AD Mr. Consultant Laparoscopic Surgeon General Medical Council Adbuljabbar M Mr. Locum Consultant Surgeon General Surgery General Medical Council Agarwal S Dr. Consultant Anaesthetist General Medical Council Agwu J Dr. Chief Medical Officer General Medical Council Ahmad B Dr. Consultant Gastroenterology General Medical Council  Ahmed A Dr.  Consultant Radiologist  General Medical Council Akhtar M Mr. Consultant Urology General Medical Council Akhtar S Ms. Consultant Obstetric and Gynaecology General Medical Council  Al-Watter Z Mr. Consultant Trauma and Orthopaedics General Medical Council  Al-Zahid S…