The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which is supported by the Gynaecology Department and overseen by a specialist consultant.
We understand that this can be an extremely stressful and emotional time. Bleeding and/or pain in early pregnancy is not unusual and does not necessarily indicate a problem, but it should always be investigated. Our aim is to identify why you’re experiencing pain and/or bleeding. Our investigation will be led by a scan of your womb, which will be carried out in the Radiology Department.
Early Pregnancy Assessment Unit
We accept referrals from healthcare professionals only. Patients must have a positive pregnancy test and be experiencing bleeding and/or pain. Patients must be at least six weeks pregnant. Self-referrals are only accepted from those with a history of recurrent miscarriage, previous ectopic or previous molar pregnancy.
Once you have been referred to the EPAU, one of our specialist nurses will contact you by telephone to arrange an appointment. We aim to make contact within 4 days of the referral being received. If necessary, an appointment will be arranged as soon as possible, hopefully within the next 7 days.
You are welcome to bring a partner or a close friend with you to the appointment (no children please). Bear in mind that your visit will probably last for longer than an hour, so try to leave enough time.
It is important that you have a full bladder for your scan. There is a water fountain in the the Radiology Department but you may have to wait for a scan so please do not overfill your bladder!
When you arrive at Harrogate District Hospital, please go directly to the EPAU and not the scan department. The nurse will take a brief history and ask questions regarding your current pregnancy, any previous pregnancies, and your general health. You will then be sent for your scan. There are two options available depending on need:
- General abdominal scan
- Trans-vaginal (internal) scan. This is not usually uncomfortable, and will not harm the pregnancy.
Once your scan is completed, you will return with the EPAU to discuss the results.
If your scan confirms a live pregnancy, you will be discharged. You will need to ensure you have referred yourself for antenatal care.
If your scan shows that you have had a miscarriage, the nurse will discuss the options available to you. You will be given all the time you need to make an informed decision.
If the scan shows you have an ectopic pregnancy (a pregnancy growing outside the womb) you may need to have further tests. The options of management will be discussed with you.
Sometimes scans are inconclusive – this means it may not be possible to give you a definite answer on your first visit. It may be that it is too early to see a heartbeat on the scan. In this situation, we may arrange for another scan and/or blood tests to look at the pregnancy hormone levels.
You will be kept fully informed throughout your care, but please feel free to ask any questions or discuss your concerns at any time.
Opening hours
The early pregnancy unit is open 08.30-14.30 Monday-Friday (apologies but currently there is no Sunday service). Scans are performed between 9-10.30am.
Location
The Early Pregnancy Assessment Unit is based in B008 on the ground floor of Harrogate District Hospital. Look out for the purple signs.
Useful links
- The Miscarriage Association offers support and information for those who have been affected by miscarriage, ectopic pregnancy or molar pregnancy
- The Ectopic Pregnancy Trust