What is it? Pulmonary rehabilitation (PR) is a supervised programme of exercise and education, designed for the treatment of people with a long-term lung condition who are troubled by breathlessness.  Who is it for? If you have any of the following conditions you may benefit from Pulmonary Rehabilitation: • Chronic Obstructive Pulmonary Disease (COPD) • Interstitial Lung Disease (ILD) • Bronchiectasis Who and where we are we? The Pulmonary Rehabilitation services within Wye Valley NHS trust is run by the Physiotherapy team who deliver the Pulmonary Rehab programme to patients throughout Herefordshire.  It is currently based off site at Hinton…

The Intensive Therapy Unit has six beds and provides both High Dependency (level 2) and Intensive Care (Level 3). We are able to provide all forms of multi-organ support for critically ill patients. We provide an Outreach service, staffed by experienced critical care nurses. This allows early intervention in critically ill patients, ward staff education and ITU patient follow-up. We are part of the Birmingham and Black Country Critical Network and submit data to the Intensive Care National Audit and Research Centre (ICNARC). This ensures that we regularly review the outcome of our patients and ensures the provision of a…

After your baby is born your midwife will ask whether you would like your baby to have a Vitamin K supplement. It is known that newborn babies have about 30% to 60% of the vitamin K an adult would have stored in their liver. It isn’t known why this is or if there is a reason for this. However, a very small amount of babies are born very deficient in Vitamin K and go on to develop Vitamin K Deficiency Bleeding (VKDB). VKDB can cause bleeding from the nose, umbilicus, mouth or into the brain which can in turn cause…

Health chiefs in England are encouraging parents to be aware of the signs of respiratory illnesses in young children, as data from Public Health England (PHE) shows cases are starting to rise in parts of the country. Respiratory illnesses, including colds and respiratory syncytial virus (RSV) are very common in young children and we see them every year. Last winter, due to the various restrictions in place to reduce the spread of COVID-19, there were far fewer infections in younger people. This means many will not have developed immunity and so we may see more cases this year than in…

Melissa Mayo - Operational Support Officer – Referral Management Centre Typical day for myself would be supporting the day to day running of the RMC and our staff. We have approx. 35 staff within our department with a mixture of clinic clerks and coordinators for a vast range of services within WVT. My main role is to ensure the smooth running of the RMC each day – From workloads, short notice support, processes and also validation into our services PTL’s (2ww, urgent and routine). Having joined the trust in 2016 as a clinic clerk in the RMC, I was always inspired…

Your midwife will talk to you about your choices for contraception when you are being discharged from the hospital. Contraception should ideally be commenced 21 days after giving birth. The most reliable form of contraceptive is the implant or the coil, this is because it doesn’t rely on the user to remember to take it. However, everyone has a different health history and therefore this may limit your options, for example if you have a personal or family history of bloods clots, cancer, diabetes, asthma or migraines. Your GP will also discuss contraception with you at your 8 week postnatal…

Take your first step to a smoke free pregnancy Speak to your midwife or our local maternitysmoking cessation support workers who can help you become smoke free.  Our local smoking cessation support workers, Sharon and Anna, are with you every step of the way to help you become smoke free.  They offer a FREE ongoing support, including, weekly meet ups at a venue to suit you and your family and are available for face to face or telephone contacts.  Venues where we can meet you include at your home, hospital clinic appointments and children's centres. Sharon and Anna can also support your partner…

It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of basic human need, when care and compassion are what matter most. The NHS is founded on a common set of principles and values that bind together the…

Membrane sweeps A membrane sweep or ‘stretch and sweep’ is when the midwife or doctor inserts two fingers into the vagina, through the cervix (if it is open enough) and uses a circular sweeping motion around the membranes in order to try and stimulate your body to release the hormone prostaglandin and create tightenings. NICE guidelines suggest that a sweep can be discussed and offered to women from 39 weeks. Although a membrane sweep isn’t a formal stage in the induction of labour process, it is still classed as a method of inducing labour and is often thought of as…

Waterbirth has many benefits including: Lower chance of postpartum haemorrhage Lower chance of having an episiotomy Decreased need for stronger pain relief (epidural and pethidine) Lower chance of perineal trauma A more positive birth experience No difference in baby’s wellbeing at birth (Burns et al, 2022) Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth | BMJ Open Waterbirth is offered routinely for women who have had an uncomplicated pregnancy. The criteria for women wishing to use water at Hereford are:  BMI < 35 Baby is in a…