Wye Valley NHS Trust

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…

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…

  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…

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…

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…

Further reading  Royal College of Obstetrics and Gynaecology: Induction of labour, information for patients https://www.rcog.org.uk/en/patients/patient-leaflets/induction-of-labour---information-for-people-who-use-nhs-services/  NICE, Induction of Labour guideline   National Childbirth Trust https://www.nct.org.uk/sites/default/files/related_documents/Newburn%20Induction%20of%20labour%20pp12-13.pdf  Why Induction Matters by Rachel Reed (Book - 2018)  MidwifeThinking.com - Rachel Reed   Inducing labour, making informed decisions by Dr Sara Wickham (Book - 2018)  In Your Own Time: How western medicine controls the start of labour and why this needs to stop by Dr Sara Wickham (Book - 2021)  Your human rights during your birth  Obstetric Cholestasis  Appendix  Risks associated with having a caesarean section include:  Higher than normal blood loss – haemorrhage Infection Injury…