Wye Valley NHS Trust

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…

About this service The Pain Management Service supports people suffering from acute (short term) pain whilst in hospital or living with chronic pain (long term pain). The service aims to reduce pain where possible, and help people live the best possible life with ongoing pain.  Chronic pain means long term or persistent pain. This often affects the person’s quality of life both physically, and emotionally.  When pain becomes long term there are lots of complicated changes in the nervous system. Nerve pathways become more sensitive.  We have a multidisciplinary team of Doctors, Nurses, Psychologists and Physiotherapists. We work together to…

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…

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…

After your baby is born your midwife will ask whether you would like your baby to have a Vitamin K supplement. It is known that newborn babies have about 30% to 60% of the vitamin K an adult would have stored in their liver. It isn’t known why this is or if there is a reason for this. However, a very small amount of babies are born very deficient in Vitamin K and go on to develop Vitamin K Deficiency Bleeding (VKDB). VKDB can cause bleeding from the nose, umbilicus, mouth or into the brain which can in turn cause…

Job Title: Consultant Orthopaedic and Trauma Surgeon (locum post since 2002) Orthopaedic Associate Specialist since 1991 - Hereford Qualifications M.B.Ch.B. 1972 - Iraq F.R.C.S. 1982 - Scotland Diploma in Biomedical Engineering 2000 - Scotland Outpatient Services Clinic Emergency and trauma clinic, Tuesday morning - Hereford County Hospital Spinal and general orthopaedic clinic, Tuesday afternoon - Hereford County Hospital Paediatric and general orthopaedic clinic 1, 3 and 5, Friday morning - Hereford County Hospital General orthopaedic clinic 2 and 4, Friday afternoon - Leominster Community Hospital  Inpatient and Day Case Operating Times Mr Majeed and his team operate all day Wednesday. Conditions…

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…

Inflammatory arthritis activity can vary and there will be times when it is manageable and other times when you may experience flare-ups. A flare-up of your inflammatory arthritis may include symptoms such as worsening of joint pain, swelling, stiffness, fatigue and general “unwell” feeling. Flare-ups are unpredictable and can start suddenly or after an illness such as a chest or urinary infection or a stressful period (physical or mental). Triggers may not always be identifiable. You must seek urgent medical attention if you have a joint that becomes red, hot, swollen, and painful and a fever, as this may suggest…

During labour various assessments can be used to ensure your labour is progressing normally and your baby is not experiencing difficulties.  One thing we recommend is listening to your baby’s heartbeat. During labour when the uterus (womb) contracts the maternal blood flow does not flow as freely through the placenta and your baby has reduced oxygen supply.  This is completely normal and babies are able to adjust to this without any problems.  Occasionally babies have difficulty in adjusting and this may be reflected in the pattern of the heartbeat. Methods of monitoring Before we start to monitor your baby the…

Melissa Mayo - Operational Support Officer – Referral Management Centre Typical day for myself would be supporting the day to day running of the RMC and our staff. We have approx. 35 staff within our department with a mixture of clinic clerks and coordinators for a vast range of services within WVT. My main role is to ensure the smooth running of the RMC each day – From workloads, short notice support, processes and also validation into our services PTL’s (2ww, urgent and routine). Having joined the trust in 2016 as a clinic clerk in the RMC, I was always inspired…