When dealing with a chronic health condition or the management of persistent pain it is best to consult with a physiotherapist to find the best exercises that work for you. Persistent pain (over three months) should not be treated the same way as acute pain. Staying active and mobile Keeping active maintains fitness and improves physical and mental well-being, both of which are of critical importance in the management of pain.   An excellent resource by ‘HealthTalk’ challenges some of the myths related to pain and exercise. It includes videos and shared experiences of those living with persistent pain. Also,…

Video: What positions are best for giving birth? In this video, a midwife talks through some of the best positions to give birth. Research shows that adopting upright positions in labour can: Aid in the descent of baby through your pelvis Reduces the pressure on your aorta, the large blood vessel which transports oxygenated blood from your heart to the rest of your body. This in turn increases the oxygen supply to baby, and decreases the chance of abnormal fetal heart patterns and therefore reduces the chance of caesarean section. Allows baby to get into an optimal position for birth…

The risks associated with induction of labour

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…

About the service Our health visiting teams work with families, early years, health colleagues and other agencies to support the health and wellbeing of pre-school children across Herefordshire. Health visitors are qualified nurses or midwives who have additional training in specialist community and public health nursing. They have specialist training in children's development and health promotion. The health visiting teams comprise health visitors, community staff nurses, and community nursery nurses. As a service, we are committed to supporting the training of students, so students may accompany us during visits. If you would prefer for a student not to be present,…

Aromatherapy is a great way to individualise your birth environment and to help you feel more relaxed.  Relaxation is key in labour, as this can help you release more oxytocin - the love hormone which helps labour progression. The use of aromatherapy in labour and birth has been found to reduce the need for stronger forms of pain relief. One study found that the need for opioid pain relief reduced from 6% down to 0.4% (Burns et al, 2000). Aromatherapy is a complementary therapy that uses essential oils, derived from plants, for their therapeutic benefit.  The benefits are wide-ranging and…

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…

Hopefully you will experience a problem free pregnancy, but for some people pregnancy will involve complications, which will require extra monitoring and care. It is likely that your community midwife will have discussed important signs and symptoms with you at the beginning of your pregnancy. However, it is beneficial to remind yourself of these so you can seek medical help if you have concerns.   This section of the website includes information about: Pre-eclampsia Obstetric Cholestatis A breech baby Premature labour Hyperemesis Diabetes Fetal medicine Previous caesarean section    

Russell Hardy MBE, chair Russell Hardy MBE became chair of Wye Valley NHS Trust in November 2016. He is also the Chair of South Warwickshire NHS FT’s Board and Council of Governors, having taken on the roles in 2015. Russell has a wealth of experience from working in both NHS trusts and private companies, with a firm understanding of working in large organisations and overseeing strategic developments. Russell also chairs the Remuneration and terms of service committee. Glen Burley, chief executive for the Foundation Group In April 2025, Glen's role changed to chief executive for the Foundation Group.  Prior to…

'Maddie's' story My waters had gone at around 11pm, my partner and I were in bed and I was actually eating profiteroles rolls before going to sleep at the time! It was strange that day…as we had put the car seat into the car, I had sorted all of the babies bottles and had literally got everything ready. After I had realised my waters had gone I phoned maternity triage, the midwife was very helpful and reassured me as I started to get very nervous. I thought I was going to go over my due date. She advised me to…