Comfort measures in labour and birth

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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…

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…

Obstetric cholestasis (OC) or Intrahepatic cholestasis of pregnancy, affects around 0.7% of pregnancies in a multi-cultural society.  If you have been diagnosed with this condition, it may have started with itchy skin, which may have been worse on your hands and feet, but can be anywhere on your body. It is caused when the bile that flows through your liver slows down or even stops.  This leads to bile acids building up in your liver, which then leak out into your bloodstream and cause itching.  Some women find that the itching is worse at night, affects their sleep and can…

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…

The Recall action for Philips Respironics CPAP machines is ongoing. If you have not been contacted for a replacement machine, please get in touch with the Sleep Service to arrange this. Contact 07790981645 on Monday to Friday between 9am and 12am. Or send a text with your details and what is required Thank you for your patience.  Frequently asked questions about the recall  Should I carry on using my machine? Yes. CPAP treatment is the only treatment available for moderate to severe obstructive sleep apnoea hypopnoea syndrome (OSAHS). The consequences associated with untreated OSAHS can include: higher risk of strokes…

'Maddie's' story My waters had gone at around 11pm, my partner and I were in bed and I was actually eating profiteroles rolls before going to sleep at the time! It was strange that day…as we had put the car seat into the car, I had sorted all of the babies bottles and had literally got everything ready. After I had realised my waters had gone I phoned maternity triage, the midwife was very helpful and reassured me as I started to get very nervous. I thought I was going to go over my due date. She advised me to…

The advice below is for anyone who is pregnant and needs information about measles. It includes what to do if you have any symptoms of measles, or if you have been in close contact with someone who has measles. If you need to access maternity care and you have measles symptoms or you have been in close contact with someone who has, please phone ahead. This includes if you are coming to hospital in labour, as well as the Maternity Triage or routine appointments in the hospital or community. This will help us to provide care for you in the most…