Early Pregnancy Unit & Gynaecology Assessment Unit Burnley General Teaching Hospital, Casterton Avenue, Burnley, BB10 2PQ 01282 425 071 / 01282 804 268 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. Telephone: 0161 922 6000 Funding acquisition, No, Is the Subject Area "Miscarriage" applicable to this article? c) previous ectopic pregnancy Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. It is not intended for public use. Conceptualization, Writing review & editing, Affiliation Validation, Royal Free London (RFL)offers a seven-dayper week specialist service for women who need emergency care for early pregnancy and gynaecological problems at Royal Freeand Barnet Hospitals. Investigation, www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. Investigation, The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. The door(s) open(s) away from you (push). There is / are 1 Ultrasound Room(s) available. https://doi.org/10.1371/journal.pone.0260534.t001. EPAU opening times. The floors which are accessible by stairs are B-LG-G-1-2. In addition, obtaining good quality data on emergency admissions from the Emergency Department based on routine hospital databases proved to be challenging, and we were only able to confidently utilise the data obtained from a fraction of the participating units. Payment signs do not make it clear if parking charges apply to Blue Badge holders. The drop-off point is located on Beaumont Place. This website is for healthcare professionals only. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Download the app Get a . This relatively low level of senior clinicians involvement could explain the lack of an observed association between their presence and emergency admissions in this study. There is a clear unobstructed route to the reception point. There is not a dropped kerb from the drop-off point. The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. Water bowls for assistance dogs are available on request. Resources, The reception area/desk is clearly visible from the entrance. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. No, Is the Subject Area "Pregnancy complications" applicable to this article? The hospital entrance is clearly visible from the car park. The route from the car park to the hospital entrance is not clearly signposted. EPU and UGCC | NHS Frimley Health Foundation Trust Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. A mobile hoist is not available on the department/service. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. There is step free access to the reception point. You may find that certain parts of the Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. BSL interpreters can be provided on request. There is space for an assistance dog to rest within the seating area. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). The car park is located at the side of the Elizabeth Garrett Anderson Wing. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. General Practitioner (GP) There is sufficient space for a wheelchair user to use the waiting area. Clinic 3 - Early Pregnancy Unit | AccessAble We have a dedicated team of nurse practitioners, doctors, sonographers and consultants who aim to offer seamless care to assess, diagnose and offer treatment and support if required. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page Software, To view other access guides that are related to this one please use the links below. This accessible toilet is located straight ahead as you enter and to the right. 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. Warren Street (bus stop W) no's 18 and 205. Early Pregnancy Assessment clinics | Homerton Healthcare NHS Foundation There is / are 10 consultation / treatment room(s) available. The dropped kerb does not have tactile paving. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. In line with our Trusts policy a chaperone is available for all intimate examinations. Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). A member of staff is available to assist with opening the door if required. There is no signage on or near the toilet door. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. All units were asked to recruit a minimum number of 150 women each. 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. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414. 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 an/are accessible toilet(s) within this venue designated for public use. 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 door(s) is/are single width with a locked extension leaf. Yes Investigation, If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife Opening Times. These data were collected retrospectively at the end of the three-month period corresponding to the date when the last woman recruited to the cohort study was discharged from each hospitals EPAU. The mirror is not placed at a lower level or at an angle for ease of use. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. The car park is located to the left of the main underground car parks. 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. The drop off bays are on the side of the access road to the car park and there are no kerbs. d) previous tubal surgery The waiting room / area does not have background music playing. Writing review & editing, Affiliation We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. Differences in the organisation of early pregnancy units and the effect Volunteers can be found on the ground floor of the main University College Hospital building. The clinic reception is located to the left as you enter. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Non-urgent referrals seen on the same or next day. Validation, Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. There is / are 4 consultation / treatment room(s) available. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. we'll add the event details to your CPD section automatically. We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy This involves clinical review, investigations,diagnosis and treatment on the same day. 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). Volunteers do not receive disability awareness / equality training. Otherwise, we will assume that you're OK to continue. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Always inform the staff in the department you are pregnant. Walk-in Centres There are not volunteers available for help and assistance at the hospital. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. Language interpreters can be provided on request. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. There is not a bell to attract attention. Tel: 0118 322 8741. The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. The lighting levels in the imaging room are low to moderate. To provide a one-stop service. The emergency pull cord alarm is not fully functional. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. The car park does not have a height restriction barrier. The name / number of the room surveyed was; D190. Tommys Tommy's is a charity that funds research for pregnancy and babies. There is a vertical wall-mounted grab rail on the transfer side. Staff do not need to be notified for use of the lift. We obtained clinical data from 6,606 women. Detailed information, also here. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. There is not a clear knee recess beneath the low section of the desk. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). There is not a Patient Advice and Liaison Service (PALS) at the hospital. If a scan is required and where it cannot be performed on the same day we will do our best to ensure that any wait is as short as it can be and we will endeavour to keep you updated of any delays. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. The Blue Badge bay(s) is/are signposted but have no markings. We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. Parking spaces for Blue Badge holders do not need to be booked in advance. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The post code for the Sat-nav is SO16 5YA. King's College Hospital Early Pregnancy Assessment Unit (EPAU) Address: Suite 8, Third Floor Golden Jubilee Wing Denmark Hill London SE5 9RS Telephone: 0203 299 3168 Usual Opening Times Location Map Get Directions This is a walk in service so you need no appointment, simply attend the unit. Payment machines are located inside the hospital building. If your condition may affect your pregnancy, you will be referred to the appropriate department. The day room/lounge area is not always open. Email this page A previousmolar pregnancy, not less than 8 weeks gestation. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). This information is for the entrance located on Grafton Way. Data curation, The Blue Badge bay(s) is/are clearly marked. Contact details for early pregnancy services for your Trust can be found on the homepage. No, Is the Subject Area "Cohort studies" applicable to this article? This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. The reception area/desk is clearly visible from the entrance. There is not a flashing fire alarm beacon within the waiting room / area. Yes https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. There is step free access to the reception area/desk. Resources, Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. On the UCH site, security staff, at the security desk in the UCH Atrium and at the Elizabeth Garrett Anderson Hospital EGAH reception are able to issue dispensation notices out of hours. The National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. 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. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. There is not a/are not Blue Badge parking bay(s) available. There is a waiting area close to the reception point. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. There is not sufficient space to write or sign documents on the counter. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Clinic 3 - Early Pregnancy Unit. If our guide needs updating - just let us know using this form. The transfer space is obstructed by a waste disposal bin. The toilet roll holder is placed higher than 100cm (3ft 3in). However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). 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). on the right to withdraw consent, can be found in the website's privacy policy. Investigation, Miscarriage is the most common type of pregnancy loss. The maternity unit is situated on the second floor of the hospital (level2). Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. You should still contact the Early Pregnancy Unit on the phone number below, which will inform you of where to call in the event of an emergency. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. Early Pregnancy Unit - Cardiff and Vale University Health Board Data curation, The unit sees women with common symptoms such as bleeding or pain in early pregnancy. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. . Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Early pregnancy assessment unit - East Lancashire Hospitals NHS Trust Access to the building between 21:00 - 07:00 is via intercom. King's College Hospital Early Pregnancy Assessment Unit (EPAU) Upon completion of data collection, we revisited the activity in all 44 units. Formal analysis, Yes For more information about what these symbols mean, view our Accessibility Symbols Guide. Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. The towel dispenser can be reached from seated on the toilet. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. Do not wait to be called by the EPAU team. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The IHE does not currently receive funds for research related to the submitted work. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. Coping with problems in early pregnancy can be difficult, however unfortunately due to COVID 19 restrictions we are limited to the number of people who can be allowed into the department. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. Writing original draft, To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Both telephone and email applications will be coordinated by the UCH main reception team. . There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. The width of the door opening is 86cm (2ft 10in). 2018 37:1533-1538. pmid:29119588 . Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. Women's experiences of early pregnancy assessment unit services: a Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. Planned and actual senior clinician presence, unit size, and weekend opening. However, there was evidence of an association between the emergency admission rate and weekend opening hours. Formal analysis, There is not a red flashing fire alarm beacon within the imaging room. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. Report a problem or suggestion using this facility. The hospital entrance is not clearly visible from the car park. We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. The contrast between the walls and floor is good. This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. The email address for the Patient Advice and Liaison Service (PALS) is. Maternity Services | NHS Lanarkshire Standard toilet facilities are available. Validation, Women may self-refer to the Royal Free EPAGU with early pregnancy problems. Tel: 01793 605257 Getting To The Hospital Please be aware that some external resources may be restricted to NHS Secure Network connections only.
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