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'Martha's Rule' is an important patient safety initiative that gives patients, families, carers and our staff an additional escalation pathway if they are concerned that a patient is acutely deteriorating.
The Pathology Laboratory at Wye Valley NHS Trust is located to the right of the main entrance of the County Hospital in Hereford. The Pathology Laboratory provides a full range of pathology investigations for Herefordshire and some areas in Powys. Samples originate from the County Hospital, General Practice surgeries and the Community Hospitals. The laboratory has electronic links with all locations to ensure speedy and accurate return of results. Pathology handbook Our full test repertoire and information for users and patients can be found in the Wye Valley NHS Trust’s Pathology Handbook The above link is for the controlled version…
Birth Story 1 – An emergency caesarean section ‘I had my daughter 7 weeks early on the 7th January 2022 by category 1 caesarean section. I had come in during the middle of the night for monitoring as baby’s movements felt very off. I had felt her move, but my gut instinct was telling me something was wrong. Thought I'd just go in and she would be fine on the monitor, put my mind at rest and I could go home to bed. Turned out baby was in distress and within an hour of being on the monitor, I had…
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…
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…
Welcome to Wye Valley NHS Trust Community Midwifery, our aim is to support you and your family through pregnancy, labour and after the birth. As a team of Community Midwives we aim to provide the highest standard of care support and advice. We offer of range of options where to give birth to your baby, either in hospital, or at home. It is our aim to help you achieve your ideal birth experience, be that in the home or within the hospital. We have five Community Midwifery Teams providing care to the women of Herefordshire. Your named midwife is linked…
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…
The risks associated with induction of labour
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…

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