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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…
At Wye Valley NHS Trust we are able to support staff whose friends or family members would like to undertake a placement with us and are willing to arrange this independently. This option is available for work experience learners aged 14 years old plus, and it is the only option available for students aged 14 to 16 years old. In order to enable this work experience placement to take place the member of internal staff will need to complete the process and checklist available from the work experience team. Please email workexperience@wvt.nhs.uk Please note that some areas have age restrictions in…
  Training for General Practice  Why not come to our beautiful county and join our local Vocational Training Scheme for General Practice?  Herefordshire has a well-established training programme. The hospital experience is based  at Hereford County Hospital in the heart of the city of Hereford, and  surgery-based jobs are within the county and within easy reach of Hereford City. We have a mixture of rural and city training practices and you are usually able to spend time in both. The half-day release programme takes place on the hospital site at the Post-Graduate Medical Centre. We have a high ratio of…
Our theatre team undertake more than 13,000 operations every year for inpatients and day surgery patients. We care for our patients by ensuring that operations are carried out in the safest, most modern surroundings, with high quality care and treatment, provided by our expert theatre surgeons and theatre teams. Our dedicated theatre team is always looking for ways to improve the service we provide.  We keep up to date with current research and progress, as well as assessing and review our skills regularly.  We operate on patients from Herefordshire and the surrounding areas, and patients from other areas can choose…
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…
Congratulations on the birth of your baby This section describes what to expect in terms of care of you and your baby from the moment baby is born up until you are discharged from your Midwife to your Health Visitor.  

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