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The Hereford-Muheza Link Society (registered charity 1086887) Links between Herefordshire and St Augustine’s Hospital  Muheza in north-eastern Tanzania began in 1985, and have continued and strengthened each year. The Hereford - Muheza Link Society has been a registered charity since 2002 For the past 20 years St Michael’s Hospice Hereford has adopted Muheza Hospice Care as their sister hospice. In 2021, Salisbury Hospital Wiltshire became part of a tripartite link. The main activities are: Arranging educational visits, between St Augustine’s Hospital  and Hereford County Hospital and Salisbury Hospital assisting with education at St Augustine’s.  Assisiting with administrative and financial help…
Gynaecology is the branch of medicine that deals with disorders of the woman’s reproductive system. We deal with various women’s health problems including early pregnancy ones. The doctors in the department are also obstetricians and so work closely with the midwives in the maternity department. There are some clinics that take place on the second floor Women's Health area and are shared with the antenatal clinics and the pregnancy scanning department. To change or cancel your appointment, please call the telephone number on your appointment letter, or call our Referral Management Centre 01432 257810. Much of our work is general gynaecology…
  For most pain conditions, pain medication is a choice for symptom relief rather than a necessity to stop a disease process. Any treatment with medicines results in a balance of benefits and harms; if the medicine doesn’t relieve the symptoms then the result of taking the medicine is harm only. Medication can be helpful in acute or short-term pain, and may be used in persistent pain but the latest research shows us that pain medications can become less effective over time and also cause unpleasant side-effects, even increasing sensitivity to pain. That is why it is important to incorporate…
Back to Cardiac Services Cardiology Cardiology is the medical speciality dealing with the diagnosis and treatment of diseases and disorders of the heart. Cardiologists are specialists in diseases of the heart. The biggest area of heart disease treated is coronary artery disease e.g. angina. Also treated are abnormal heart rhythms, heart failure, high blood pressure and some rarer conditions. Cardiologists usually treat heart disease with drugs. Some of them are also able to provide treatment for coronary heart disease with coronary angioplasty (a procedure by which the arteries of the heart are widened). If heart surgery is required, a cardiologist…
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…
What will happen during my induction of labour? Your midwife will ask to take your observations (blood pressure, temperature, pulse, oxygen levels, breathing rate) The midwife will then ask to monitor your baby’s heartrate continuously for around 30 minutes on a CTG monitor Your midwife will then ask for your consent to carry out a vaginal examination to assess your cervix The midwife will then insert the prostaglandin (Propess) high in your vagina Your baby’s heart rate will then be monitored for another 30 minutes to check baby hasn’t immediately been affected To help encourage tightenings, it is important to…
Deep Vein Thrombosis This is when a blood clot forms in the deep vein of the calf, leg or pelvis. Women are more at risk of developing a blood clot during pregnancy and after having a baby and a caesarean section can further increase this risk.  Therefore it is essential to look out for possible symptoms. Symptoms can include: A red, hot swollen leg Your entire leg being swollen or a feeling of heaviness Tenderness or pain in your leg which may only be felt when standing or walking  A DVT can lead to a pulmonary embolism (PE), this is…
Take your first step to a smoke free pregnancy Speak to your midwife or our local maternitysmoking cessation support workers who can help you become smoke free.  Our local smoking cessation support workers, Sharon and Anna, are with you every step of the way to help you become smoke free.  They offer a FREE ongoing support, including, weekly meet ups at a venue to suit you and your family and are available for face to face or telephone contacts.  Venues where we can meet you include at your home, hospital clinic appointments and children's centres. Sharon and Anna can also support your partner…
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…
Women’s Health Department Patient information leaflet – Post-Menopausal Bleeding (PMB)   What is Post-menopausal bleeding? Any bleeding from the vagina after menopause. This can be light spotting, a change in discharge colour or heaver bleeding. What causes post-menopausal bleeding? There can be many different causes, including: The walls of the vagina become thinner. Small skin-tag growths (polyps) in the vagina, cervix or uterus. Hormone Replacement Therapy (HRT) making the womb lining thicker.   Most of the time, the cause of post-menopausal bleeding is not serious, but sometimes it can be a sign of cancer of the cervix, vagina or endometrium…

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