Back to Rapid Cardiology The two carotid arteries are the main vessels that supply blood to the brain. They originate from the main arteries of the body (the aorta and brachiocephalic artery) in the chest and travel up through the neck and into the skull. Atherosclerosis of the right or left carotid artery is the most common cause of a stroke. A carotid duplex scan is a technique to take a picture of these arteries using sound waves (ultrasound). A sound-wave transducer is placed gently on the neck. The walls and interior of the artery are visualised and the velocity…

Pulse oximetry Once baby is born they will be offered pulse oximetry to screen for possible heart problems. This is a quick test where their oxygen levels in their blood is measured on their right hand and any foot.  If the results are not normal then they will be referred to the paediatrician for further investigations. Hearing screening Hearing screening will also be offered. If you aren’t having an early discharge after birth then this will usually happen on the maternity ward, otherwise you will be sent a letter with an appointment within four weeks.  Newborn and Infant Examination (NIPE)…

Some babies will be offered additional care or observations after birth, this is called transitional care. If you have needed to take Labetalol for high blood pressure in pregnancy If you had gestational diabetes If your waters had been broken for more than 24 hours If it was thought you might have developed an infection during labour If your baby was a low birthweight If your baby was born before 37 weeks If you had meconium stained liquor during labour If your baby is jaundiced and receiving phototherapy If you have taken drugs in pregnancy If you had known Group…

1 in 13 babies are born prematurely (before 37 weeks) in the UK.  If you start showing signs of labour before 37 weeks you will need to ring our triage department as soon as possible and come in to be assessed.  Early labour signs can include: Your waters breaking Abdominal pain Regular tightenings Vaginal blood loss Our special care baby unit in Hereford can provide care for babies who are 32 weeks and above. Therefore if you were to go into labour before this then a transfer to an appropriate unit would be organised as a matter of urgency. Once…

At your booking appointment your midwife will go through all the screening that you will be offered during pregnancy and for your baby once they are born. The first screening will involve a blood test at your initial appointment, which will be looking for infectious diseases, your rhesus factor, your haemoglobin level, your blood type and if you have any antibodies.  Also at this appointment your midwife will make a referral for you to have a dating scan, which will give you an estimated date of birth for baby.  At this scan they will ask if you would like to…

Birth to 2 hours During this time you will be on Delivery Suite having your well-earned tea and toast and bath while your midwife finishes all of your labour and birth notes. Following the birth of your baby the midwife will conduct an initial top to toe examination of your baby to assess for wellbeing and to identify anything unusual. The check will be performed next to you to provide information and reassurance.  4 hours to 24 hours At this point you will transferred on to Maternity Ward and handover of care will be given from your birth midwife to…

In preparation for your caesarean section Before your elective caesarean section, a couple of pre-operative tests will need to be undertaken. These will include a swab looking for MRSA. MRSA is a bacteria often found on the skin and in the nose of healthy people but can cause infections after surgery. This will be done 4 to 6 weeks prior to your surgery usually at one of your hospital appointments. A blood test needs to be carried out to check that you are not anaemic. A sample will be kept in case you need a blood transfusion during or after…

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…