Copyright 2023 AccessAble. Both provide consultant-led care for women who experience problems in early pregnancy. 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? Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. The Yellow car park is an underground car park on levels B and C of the Princess Anne Hospital with accessible Blue Badge Bays located on Level C. There are also 21 parent and child bays on level C of the Yellow Car park. There is sufficient space to write or sign documents on the desk. 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]. Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. Early pregnancy and acute gynaecology units The transfer space is obstructed by a waste disposal bin. Funding acquisition, 2023 North Central London GP Website This site is intended for healthcare professionals only. The drop off bays have a maximum 20 minute waiting restriction. Occasionally, for both early pregnancyand emergency gynaecology you may need to be admitted into hospital for us to perform further investigations,monitor you, or initiate treatment but we will keep you informed of this and support you through this process. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. 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. e) three or more previous miscarriages 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Writing review & editing, Affiliation Data curation, this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. There is a clear unobstructed route to the reception point. Payment machines are located inside the hospital building. The width of the accessible toilet opening is 84cm. They were established following a publication by Bigrigg and Read [5] in 1991 who reported on cost savings and improved quality of early pregnancy care following the opening of an EPAU in their local hospital. The hospital does have a dedicated car park. Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching Otherwise, we will assume that you're OK to continue. This involves clinical review, investigations,diagnosis and treatment on the same day. The clinic is open from 08.30 to 11.00 Monday to Saturday. 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. 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The main door(s) open(s) automatically (away from you). This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. There is level access into the day room/lounge area. Supervision, Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. There is level access to the consultation / treatment room. 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. Access to the hospital is via the main hospital lifts. However, at the time of your scan, you can be accompanied by your partner. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Copyright 2023 AccessAble. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The towel dispenser can be reached from seated on the toilet. A mobile hoist is not available on the department/service. The hospital does have a dedicated car park. This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. There is a/are Blue Badge parking bay(s) available. If you have concerns with regards to this please speak to the nurse in charge. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Language interpreters can be provided on request. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). Methodology, The height of the towel dispenser is 125cm (4ft 1in). The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. Also required will be vehicle registration number, date of appointment and time of appointment. We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. If you have a non-urgent concern not related to your pregnancy such as chest/urine/ear infections, skin complaints, viral infections, exposure to infections i.e chickenpox, you should see your GP for advice as they are better placed to help with these problems. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. The hospital entrance is not clearly visible from the car park. The entrance door(s) does/do contrast visually with its immediate surroundings. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. 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 not a clear knee recess beneath the low section of the desk. About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Non-urgent referrals seen on the same or next day. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page Funding acquisition, clinic appointment letter. 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. Contact details will be put on all outpatient letters. When you attend an early pregnancy appointment you can bring one adult support partner with you however no children are currently able to attend with you. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. new North Central London GP Website do not work as expected. Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View An email request option is offered where the completed dispensation will be emailed so the patient/carer can print prior to arriving for their appointment, email requests are via. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. 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). A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Software, To obtain mobility aids please contact a member of staff. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) See below link for maternity web page if need more information needed regarding these concerns. Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. The Early Pregnancy Unit | Princess Alexandra Hospital Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary.