Wye Valley NHS Trust

Membrane sweeps A membrane sweep or ‘stretch and sweep’ is when the midwife or doctor inserts two fingers into the vagina, through the cervix (if it is open enough) and uses a circular sweeping motion around the membranes in order to try and stimulate your body to release the hormone prostaglandin and create tightenings. NICE guidelines suggest that a sweep can be discussed and offered to women from 39 weeks. Although a membrane sweep isn’t a formal stage in the induction of labour process, it is still classed as a method of inducing labour and is often thought of as…

You can call the Biologics team on 01432 355 444 ext. 5794 or the Advice Line on 01432 36 4020. You can also email the biologics team on wvt.rheumbiopatient@nhs.net

Biologic appointments – 01432 355 444 ext. 5794 CNS/Ultrasound/AS appointments – 01432 36 4019 Osteoporosis appointments- 01432 355 444 ext. 5461 Any other appointment - 01432 257810

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…

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…

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…

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…