Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. View our cookie policy. Writing review & editing, Roles Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. There is a space for a wheelchair user to wait within the seating area. Payment signs do not make it clear if parking charges apply to Blue Badge holders. The Miscarriage Association The Ectopic Pregnancy Trust A number of organisations give dedicated support and advice to people affected by pregnancy loss: CRADLE is anational registered pregnancy loss charity working in partnership with Lewisham and Greenwich NHS Trust. There is a low section of the desk (76cm or below) available. The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. There is step free access into the imaging room. Get contact details, videos, photos, opening times and map directions. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). c) previous ectopic pregnancy Continuing will take you away from the The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. Click through the PLOS taxonomy to find articles in your field. View Accessibility Symbols. Senior clinician (consultant gynaecologist) involvement in the delivery of acute clinical care has been of interest recently [11], as there is emerging evidence of their positive impact on Emergency Departments (EDs) and Acute Medical Units, contributing to reduced mortality, fewer emergency hospital admissions and accelerated discharge from hospital [1214]. Conceptualization, They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. These associations did not markedly change after further confounder adjustment. Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. Urgent GP referrals are seen on the same day. There is a vertical wall-mounted grab rail on the transfer side. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . The ramp/slope is located in front of the entrance. Despite the fact that an advanced training module in acute gynaecology and early pregnancy has been running for a number of years from The Royal College of Obstetricians and Gynaecologists, to our knowledge, a rigorous assessment of its quality and effectiveness has not been undertaken [21]. The height of the soap dispenser is 99cm. We may be able to offer an immediate appointment for those walking in, but if not, women will be asked to attend A&E or return at a later date or time. The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. here. Validation, https://doi.org/10.1371/journal.pone.0260534.g002. Women may also be referred to the units if they are pregnant and have a previous history of miscarriage or ectopic pregnancy, or if there is a suspected gynaecological problem that requires urgent clinical assessment. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). The bollards do not restrict access to the entrance. Theyprovide a range of services such as peer support and counselling services. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Resources, There is not sufficient space to write or sign documents on the counter. . There are bollards outside this entrance. For service contact details please visit the relevant service page. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain No, Is the Subject Area "Nurses" applicable to this article? The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. EPAUs are currently operating in most acute hospital units in the UK aiming to provide women with comprehensive early pregnancy care, which includes clinical and ultrasound assessment, laboratory investigations, further management, as well as counselling and support, all in an out-patient setting. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. There is a/are door(s) into the day room/lounge area. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. Sexual health, contraception and HIV services, Vaginal bleeding and/or pain in early pregnancy up to 16 weeks, A loss of liquor before 16 weeks (watery vaginal loss), A positive pregnancy test and ascanresult showinga pregnancy of unknown location with pain, bleeding or other relevant symptoms, A previous ectopic pregnancy (at sixweeks gestation they can be referred for a scan). There is / are 1 Ultrasound Room(s) available. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Methodology, EPAU opening times. There is also a need to further explore the skill mix of a multidisciplinary team of nurses, midwives and sonographers, which could facilitate effective running of EPAUs in the absence of senior clinicians. There are accessible toilet facilities within the department/service. These are further broken down by diagnosis in Tables 3 and 4. https://doi.org/10.1371/journal.pone.0260534.g001, https://doi.org/10.1371/journal.pone.0260534.t002, https://doi.org/10.1371/journal.pone.0260534.t003, https://doi.org/10.1371/journal.pone.0260534.t004. The floors which are accessible by this lift are B-LG-G-1-2. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles Visualization, The floors which are accessible by stairs are B-LG-G-1-2. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Once your referral has been received, please await a telephone call from the EPAU. View photos. Non-urgent referrals seen on the same or next day. Study participants will not be individually informed of the study results; however, dissemination to the public will be through media outreach (e.g., press release) upon publication of this study. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. The reception area/desk is clearly visible from the entrance. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Methodology, Data curation, There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. Patients already under the care of the early pregnancy assessment unit (EPAU) may contact the team through the following number: 01904 726489 . Also required will be vehicle registration number, date of appointment and time of appointment. Dispensation notices are issued at the main reception at the UCH site (07.00-20.00 Monday to Friday and 08.00-16.00 on Saturdays, Sundays and Bank Holidays). If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. A previousmolar pregnancy, not less than 8 weeks gestation. Assistance may be required because there is/are uneven surfaces. Staff do not need to be notified for use of the lift. There is a/are wall-mounted grab rail(s) available. Site map. The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. There is a canopy or recess which provides weather protection at this entrance. There is / are 4 consultation / treatment room(s) available. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Clinic 3 - Early Pregnancy Unit. Hospital staff do not receive disability awareness / equality training. Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. Writing original draft, View photos. Formal analysis, Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. A summary of all units showing their characteristics in respect to the key factors of interest and outlining participants median age, parity, deprivation score, ethnicity and gestational age at presentation is provided in Table 1. The reception area/desk is clearly visible from the entrance. There is level access throughout the department/service. The service provides specialist care for the following: Where medically appropriate, we offer a range of management options for conditions in early pregnancy and acute gynaecology. This video animation tells the story of one couples experience of miscarriage. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). Investigation, Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. We use cookies on this site to enhance your user experience, Hospital Parking (Blue Badge Parking Only), Getting To (Clinic 3 - Early Pregnancy Unit), Consultation / Treatment Room (Ultrasound), Consultation / Treatment Room (Consultations), To view the web page described above click here (opens in new tab), To find your way around the University College Hospital sites please click here, Availability and Location of Standard Toilets, Elizabeth Garrett Anderson Wing link (new tab) - click here. Methodology, When you attend an event booked through the North Central London GP Website, If you require an ultrasound we aim to offer this within 72 hours of referral. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. Water bowls for assistance dogs are available on request. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The hospital entrance is clearly visible from the car park. The lateral transfer space is 145cm (4ft 9in). The email address for the Patient Advice and Liaison Service (PALS) is. You will often be seen at around 6 -7 weeks for a reassurance scan. The height of the intercom is 134cm (4ft 5in). We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. The controls for the lift are within 90cm - 120cm from the floor. The results of our study indicate that the presence of senior clinicians in early pregnancy units may not lead to more effective care when this is measured by the proportion of women who are admitted as an emergency. All rights reserved. If you are having a problem in early pregnancy, your first contact should be with your GP, or the out-of-hours service when your GP surgery is closed. There is level access into the day room/lounge area. The post code for the Sat-nav is SO16 5YA. You will have a telephone assessment with a specialist EPAU nurse, and they will advise whether you need to attend a booked appointment for a face-to-face assessment and/orscan. Getting To The Hospital This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. There is a canopy or recess which provides weather protection at this entrance. The other possibility is that senior clinicians, who are fully trained in general obstetrics and gynaecology, lack the additional clinical and ultrasound skills necessary for the effective running of an EPAU. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. If you have concerns with regards to this please speak to the nurse in charge. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. Forty units met this target, whilst four units recruited between 143 and 149 women. The toilet roll holder can be reached from seated on the toilet. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The hospital does have a dedicated car park. Roles Department of Statistical Science, University College London, London, United Kingdom, Roles Investigation, This department/service has; a main reception, accessible toilet facilities for everyone, ambulant toilet facilities for everyone, consultation rooms, standard toilet facilities and a waiting room/area. Both provide consultant-led care for women who experience problems in early pregnancy. Mirrors are placed at a lower level or at an angle for ease of use. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. The entrance door(s) does not/do not contrast visually with its immediate surroundings. There are not volunteers available for help and assistance at the hospital. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. There is not a 120cm hatched zone around the Blue Badge parking bay(s). From the west of the city Southampton General Hospital can be accessed via several routes from the M271. In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. Copyright: 2021 Memtsa et al. The width of the door opening is 88cm (2ft 11in). Future research is needed to assess whether increased participation of senior clinicians and actual time commitment in provision of early pregnancy care, a change in their training could have more significant impact on the rate of emergency admissions and other indicators of the quality of clinical care in early pregnancy. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. Visualization, Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. There is a space for a wheelchair user to manoeuvre. Early Pregnancy Unit (Day time): 0151 604 7450. . This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The study ran from December 2016 to July 2017. There is not a/are not door(s) into the waiting room / area. The total number of opening hours per weekend was used to illustrate weekend opening. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. The Miscarriage Association, Wakefield, United Kingdom, Roles The Early Pregnancy Clinic should be your first port of call.