Wye Valley NHS Trust

When you have diabetes, you’re more at risk of heart and circulatory disease. And poor circulation makes other diabetes complications worse-like problems with your eyes and feet. That’s why it’s even more important to take good care of your heart when you have diabetes. If you have high blood sugar levels for a period of time, even slightly high, your arteries can start to get damaged, and make them more likely to develop fatty deposits (atheroma). If atheroma builds up in your coronary arteries, this can lead to a heart attack. To help protect yourself, get your HbA1c, blood pressure…

Being physically inactive is when you don’t move your body for long periods of time. High blood pressure, high cholesterol, type 2 diabetes and being overweight all increase the risk of heart and circulatory problems. Being physically active regularly helps reduce these conditions. Being active is anything that raises your heart rate, this can be activities like hanging the washing out, walking outdoors or sports. You should be able to hold a conversation while you are active. Regular activity doesn’t just protect your heart, it can help improve your general health and wellbeing. The amount of physical activity you can…

1 in 13 babies are born prematurely (before 37 weeks) in the UK.  If you start showing signs of labour before 37 weeks you will need to ring our triage department as soon as possible and come in to be assessed.  Early labour signs can include: Your waters breaking Abdominal pain Regular tightenings Vaginal blood loss Our special care baby unit in Hereford can provide care for babies who are 32 weeks and above. Therefore if you were to go into labour before this then a transfer to an appropriate unit would be organised as a matter of urgency. Once…

Once baby is born, the midwife (or you!) will bring baby up to your abdomen or chest depending on the length of baby’s cord. Baby will be gently dried whilst on you and a warm layer will be placed over the top of you and your baby. We aim to keep baby skin to skin with you for at least an hour or as long as you like. Skin to skin has many benefits to you and baby: Calming for both baby and mother Helps to regulate baby’s temperature Enhances the bonding process Helps to regulate baby’s breathing and heart…

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…

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.  

Gestational diabetes If you have been diagnosed with gestational diabetes, it is because it has been found that you have a higher than normal level of glucose (sugar) in your bloodstream. It is called gestational diabetes because it has been found whilst you are pregnant.  In a small amount of cases, it may be that a woman has undiagnosed diabetes, not caused by pregnancy.  The only way to know this is after your baby is born.  If your blood glucose remains high or uncontrolled postnatally then it is likely you have type 2 diabetes, your GP will check this at…

At your booking appointment your midwife will go through all the screening that you will be offered during pregnancy and for your baby once they are born. The first screening will involve a blood test at your initial appointment, which will be looking for infectious diseases, your rhesus factor, your haemoglobin level, your blood type and if you have any antibodies.  Also at this appointment your midwife will make a referral for you to have a dating scan, which will give you an estimated date of birth for baby.  At this scan they will ask if you would like to…

Jaundice is a common condition which affects many newborn babies. It is usually mild and causes a yellow tone to the skin and sometimes to the sclera (whites of the eyes). It usually resolves after a few days and isn’t too much of a concern. However, occasionally babies will need treatment for jaundice. This is most likely to be in the form of phototherapy, but if it is severe then an exchange transfusion may be advised, this is rarer. Jaundice occurs because when babies are in the womb, they have many more red blood cells than average to allow for…

Safer staffing levels in our hospitals We know that having the right staff with the right skills in the right place at the right time is essential to the delivery of safe, high quality patient care. That is why, following national guidance, we publish the planned and actual number of nursing and midwifery staff working on each ward, together with the percentage of shifts meeting safe staffing guidelines.  Safe staffing isn’t just about the number of staff on the ward. It is also about the different skills and qualifications staff have. The type of illness or conditions on particular wards also needs…