Blood tests help us to ensure that the medication is being used safely and not causing any harmful effects. When you first start a DMARD, such as Methotrexate or Sulfasalazine, you will need 2 weekly blood tests for 6 weeks, then monthly thereafter. Once your condition is stable on the medication, your blood tests should be every 2 to 3 months, unless required more often. We also check your bloods when you are on a biologic drug, and we will let you know the required frequency for each specific biologic. Should there be any cause for concern, either your GP…

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…

At Wye Valley NHS Trust we provide the following diagnostic tests: 1. Multi-night overnight oximetry – This involves wearing a watch-like monitor on a finger during sleep and is done at home. It is collected from the sleep clinic, worn overnight over a minimum of two consecutive nights and then returned for a recording of your night's sleep to be downloaded. 2. Limited Channel Sleep study – This is a slightly more in-depth test. It involves attending the sleep clinic for a ‘fitting’ session and then the equipment. This is worn overnight at home and returned the next day. It…

The risks associated with induction of labour

If you have a flare-up of your Rheumatology symptoms and need advice, follow the steps below and we will help you: 1.     Contact the Rheumatology department: 01432 36 4020 orrheumatology.patient@nhs.net 2.     Leave a voicemail message and include following details: Your full name and date of birth Your hospital number and/or NHS number (if known) Explain that you are having a flare-up and need some clinical advice Please make sure you say you are on PIFU pathway 3.     The team will review your concerns and decide if you need a telephone or face-to-face appointment. 4.     If the team thinks you need…

The first step is to get in touch with the Voluntary Services team. We will chat to you about volunteering and the areas you may be interested in supporting.

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…

The Intensive Therapy Unit has six beds and provides both High Dependency (level 2) and Intensive Care (Level 3). We are able to provide all forms of multi-organ support for critically ill patients. We provide an Outreach service, staffed by experienced critical care nurses. This allows early intervention in critically ill patients, ward staff education and ITU patient follow-up. We are part of the Birmingham and Black Country Critical Network and submit data to the Intensive Care National Audit and Research Centre (ICNARC). This ensures that we regularly review the outcome of our patients and ensures the provision of a…

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…