There is now strong evidence to say that homebirth is as safe as giving birth in hospital with many other psycho-social benefits.  Hutton et al (2019) state that ‘The risk of perinatal or neonatal mortality was not different when birth was intended at home or in hospital’. The Birthplace Study which involved 17,000 cases showed that homebirth is just as safe as giving birth in hospital for second or subsequent births. A possible explanation for this is that labouring in hospital is much more likely to involve interventions, which can interfere with normal physiology and cause further problems such as…

Close and loving relationships Babies are born very dependent on their parents. Their brains undergo huge development in the first two years of life. This development depends on a loving bond or attachment relationship with a primary caregiver, usually a parent. Research in a relatively new branch of science called Epigenetics is showing just how important close and loving relationships with our primary caregivers are to our long term emotional health and wellbeing. The experiences of infants with their parents actually impacts their DNA and can positively or negatively affect the next generation. The most important stage for brain development…

About the Upper Gastrointestinal (GI) team The Upper GI (Gastrointestinal) Service at Hereford County Hospital is made up of a skilled and supportive team, including surgeons, specialist nurses, gastroenterologists, radiologists, pathologists, and oncologists. Together, we assess and treat conditions affecting the upper part of your digestive system, including your oesophagus (gullet), stomach, gallbladder, bile ducts, and liver. We provide care for a wide range of non-cancerous (benign) conditions, such as gallstones, acid reflux, and hernias. If a more serious (cancerous) condition is suspected, we will arrange the appropriate investigations and refer you to our specialist cancer team (Upper GI Cancer…

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…

The risks associated with induction of labour

Physiotherapists identify and maximise movement potential through health promotion, preventative healthcare, treatment and rehabilitation. Physiotherapy is an autonomous profession and practice is characterised by reflective behaviour and systematic clinical reasoning, both contributing to and underpinning a problem solving approach to patient centred care. Your Physiotherapist will: Assess current levels of function Identify treatment aims Devise and offer a treatment plan Liaise with and signpost to other professions where necessary Treat a wide spectrum of conditions including musculoskeletal, neurological, rheumatology, paediatrics, mental health, respiratory, palliative care and orthopaedic conditions. Accessibility / Acceptability Physiotherapy services can be accessed by all service users…

Labour can be categorised into the latent phase of labour and the active/established stage. The pain relief options will be slightly different for each stage. The Latent Phase This is the early phase of labour where your cervix will be softening and getting ready for established labour.  You may experience some period type discomfort and irregular tightening’s, the sensations you feel will most likely be in your lower abdomen and lower back as your cervix softens. For this stage of labour, there are lots of things you can do to help yourself feel more comfortable: Use a hot water bottle…

Wye Valley NHS Trust is the provider of healthcare services at Hereford County Hospital, which is based in the city of Hereford, along with a number of community services for Herefordshire and its borders. We also provide healthcare services at community hospitals in the market towns of Ross-on-Wye, Leominster and Bromyard.  The Trust exists to improve the wellbeing, independence and health of the people we serve. Our workforce of around 3,000 provides a range of specialist and generalists functions. We have strong clinical network connections with trusts in Birmingham, Worcester, Gloucester and Cardiff. With an annual turnover of around £295…

Quality and safety are at the heart of our services. We are constantly driving improvement in safety, outcomes, access, efficiency and patient and service user satisfaction. Wye Valley NHS Trust is regulated by the Care Quality Commission to provide care at a number of locations across the county. See our Care Quality Commission compliance status Infection prevention and control (IPC) Infection prevention and control is a critical part of the Trust’s day-to-day work. We have a zero tolerance approach to preventable healthcare associated infections and comply with the Care Quality Commission standard to ensure that people are protected from the…

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…