Wye Valley NHS Trust

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…

The Rheumatology Service at Hereford County Hospital focuses on inflammatory arthritis and connective tissue disease. Our service provides: Early diagnosis and long-term management to preserve joint function and prevent major organ damage. Expertise in diagnosis and management of patients with complex systemic inflammatory disease. Special interest in early inflammatory arthritis and vasculitis. Ultrasound service and intra-articular and soft tissue injections. Education and specialist knowledge to patients, their families and carers about their disease, drugs, and monitoring. Rheumatology patient telephone and email advice service. Physiotherapy led clinics for Inflammatory Back Pain, Axial Spondyloarthropathies, Hypermobility Syndromes and Fibromyalgia Peripheral clinic in Llandrindod…

Referral to general podiatry is through your GP or other Healthcare Professional. The service will triage referrals taking into account your medical history, foot condition and level of pain, prioritising those patients with greatest need.  Nail surgery is available to patients from 12 years upwards. Children biomechanics available to children aged 8-17 years. We work to the 18 week referral to treatment time. Urgent referrals are given priority and seen in the next available clinic. Urgent referrals to the Podiatric Specialist in Diabetes are usually seen within 3 days. Podiatry referral can be made via Electronic  Referral System or paper referral…

The maternity ward is located on the second floor at Hereford County Hospital. If you are not wishing for an early discharge from Delivery Suite or if you and your baby need some additional monitoring or support with feeding then you will be transferred to Maternity Ward shortly after birth. When you arrive a midwife will be assigned to care for you and they will come and introduce themselves. There are also Maternity Support Workers and Healthcare Assistants on the ward who can support you and help you with baby cares. Below is some useful information about how the ward…

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…

The Neurophysiology department at The County Hospital provides a comprehensive neurophysiology diagnostic service to both inpatients and outpatients. Investigations include EEG (Electroencephalogram), Ambulatory EEG, Multiple Sleep Latency Testing and Evoked Responses. The service also provides physiologist and consultant led nerve conduction studies and consultant only electromyography (EMG). We accept GP referrals for most of our investigations.  All GP referrals can now be made via the NHS e-referral system. The department consists of a Service Manager, Consultant Neurophysiologist, 2 Clinical Physiologists, a Medical Secretary and an Administrative Assistant. Links with other Services The department works closely with the neurology, paediatric and…

The risks associated with induction of labour

  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…

Some of the drugs used to treat inflammatory arthritis can harm an unborn baby. We recommend that you speak with us if you are planning to become pregnant or father a child.   Your treatment may need to be changed before you stop using contraception.   If you have an unplanned pregnancy and are stopping or have recently stopped taking regular medication for your arthritis, please contact us as soon as possible.   Useful links: VERSUS ARTHRITIS – Pregnancy and Arthritis https://www.versusarthritis.org/media/22936/pregnancy-and-arthritis-information-booklet.pdf VERSUS ARTHRITIS – New pregnancy guidelines launched by the British Society for Rheumatology https://www.versusarthritis.org/about-arthritis/healthcare-professionals/professional-network-and-clinical-updates/network-news/december-2022-network-news/new-pregnancy-guidelines-by-the-british-society-for-rheumatology/ BSR – 2 updated guidelines for prescribing rheumatology drugs during pregnancy and…