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This page gives you information about third and fourth degree tears following childbirth. In the United Kingdom it is estimated that over 90 in 100 women who have a vaginal delivery will experience some degree of perineal damage. The perineum is the area between the vagina and anus. Perineal tears are graded in severity from a first degree tear (a very minor tear) to a fourth degree tear (a major tear). The majority of women with a first or second degree tear can have it repaired by a midwife or doctor in most birth settings. Tears that are more complex need to be repaired by an experienced doctor on the Delivery Suite at Gloucestershire Royal Hospital.

The short Synacthen test (SST) is a test of adrenal insufficiency which can be used as a screening procedure in the non-critically ill patient. The test is based on the measurement of serum cortisol before and after an injection of synthetic ACTH (Synacthen).

Always consider Viral Haemorrhagic Fever (eg. Ebola) as part of the differential diagnosis in patients with unexplained fever following return from an area of risk. All patients must be risk assessed for VHF before any Pathological specimens are taken.

Clotted blood. (No patient preparation or special handling required)

by Dawn Morrall, Rachel Pritchard & Kay Davis

Whether you’re coming to hospital for the first time or are already a patient, we have all the information you need about being treated at our Children’s Centre.

Palliative Care at Gloucestershire Royal Hospital

Resolving the Phlebotomy Industrial Action

by Dr Paul Perkins

The latest COVID-19 vaccine booster study is to launch in Gloucestershire this month

Your pre-operative assessment is an opportunity to discuss the risks and benefits of surgery, identify any medical conditions and improve them before your operation.

Your pre-operative assessment is an opportunity to discuss the risks and benefits of surgery, identify any medical conditions and improve them before your operation.

Dr Saha was appointed as a consultant cardiologist at GHNHSFT in 2010, having qualified from Trinity College Cambridge University, and Barts and the London Hospitals in 1997.

Microbiology

Trace element analysis including selenium (Se) is not routinely indicated in the healthy population. Selenium levels are requested whenever a deficiency or toxicity is suspected due to the medical history or clinical signs and symptoms.

You have been suggested this page because we want to measure the level of kidney function of your child/young person. This page gives you information about the glomerular filtration rate (IGFR) test that is used to do this and what to expect. At Gloucestershire Hospital NHS Foundation Trust we use iohexal to measure the IGFR of the kidneys to show us how well they are working.

The following exercises and advice will help you to get back in shape after you have had your baby. The exercises are also suitable for all deliveries. Remember to start gently and progress slowly.

We are currently involved in over 100 clinical trials and other studies ranging from testing new surgical devices to trialling new drugs.