The respiratory physiology service at Wye Valley NHS Trust provides a service in respiratory, exercise and sleep physiology, for inpatients and outpatients from the Trust. The department provides a comprehensive range of investigations in order to: Aid diagnosis Give an objective assessment of how a condition affects the patient’s functionally Display and define the contribution of any secondary condition Monitor improvement with treatment or deterioration with time  Investigations are performed on patients with various types of lung disease, cardiac and oesophageal conditions and, on occasions, patients being considered for non-thoracic surgery when their cardio-pulmonary state gives cause for concern. Patients…

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…

Pre-employment checks Once you have been offered a post, we have to undertake a number of mandatory checks which help us to keep you, our patients, staff and visitors safe. These checks have to be completed before we can agree your start date and send you a contract. We aim to complete these checks as quickly as possible. For your information, here is a list of the checks that we carry out for everyone who applies for a job at Wye Valley NHS Trust. Identity  We will ask you to provide us with documents which confirm your identity. These documents…

Congratulations on your pregnancy!  If you are newly pregnant you will need to self-refer to Wye Valley NHS Trust in order to make your first appointment.  Your first meeting with your midwife will take place when you are between eight to ten weeks pregnant. Whether this is your first pregnancy or you have had a baby before, you may have lots of questions about what to expect from your pregnancy care at our Trust.  This section will hopefully answer these queries and give you some additional useful information. We aim to provide the best possible care and experience for mothers, babies…

When your baby is born they are still receiving oxygen and blood through the umbilical cord and placenta to allow a smooth transition into life outside of the womb. At any one time, a third of a baby’s blood volume is in their placenta. Therefore it is recommended that the cord is left unclamped until baby has received all of their blood. If the cord is left until it has stopped pulsating, baby can benefit from increased iron, oxygen and weight gain.Delayed cord clamping is now routinely practised. This is when the cord is left for at least one minute…

There is now strong evidence to say that homebirth is as safe as giving birth in hospital with many other psycho-social benefits.  Hutton et al (2019) state that ‘The risk of perinatal or neonatal mortality was not different when birth was intended at home or in hospital’. The Birthplace Study which involved 17,000 cases showed that homebirth is just as safe as giving birth in hospital for second or subsequent births. A possible explanation for this is that labouring in hospital is much more likely to involve interventions, which can interfere with normal physiology and cause further problems such as…

Staff roles in pharmacy

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…

Labour can be categorised into the latent phase of labour and the active/established stage. The pain relief options will be slightly different for each stage. The Latent Phase This is the early phase of labour where your cervix will be softening and getting ready for established labour.  You may experience some period type discomfort and irregular tightening’s, the sensations you feel will most likely be in your lower abdomen and lower back as your cervix softens. For this stage of labour, there are lots of things you can do to help yourself feel more comfortable: Use a hot water bottle…

subject access request, access records