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We recognise that early pregnancy can be a worrying time for women and their families.  The Early Pregnancy Unit (EPU) is open to any women who is less than 14 weeks pregnant who is experiencing symptoms they find concerning (e.g. bleeding or pain), or who is unsure of the dates of their pregnancy.  If you have had a previous miscarriage or ectopic pregnancy, you can also be seen in EPU for a dating or pregnancy location scan.

The EPU)is based in the gynaecology clinic on the ground floor of Lanesborough Wing.  It is open from 08.30-11:00 Monday to Saturday.  The Saturday list is for Emergency cases only.  The EPU nurses can be contacted on 020 8725 0093 and will respond to messages after clinic, usually around lunchtime.

If you need to be seen as an emergency please go to the Accident and Emergency unit. 


How do I get referred to EPU?

This is a walk in service meaning that you can self-refer and do not need to have seen a GP first.  You must have a positive pregnancy test but be less than 14 weeks pregnant.   We will see any woman who arrives at the clinic before 11am. Please note you may experience a wait of up to four hours.


What happens in EPU?

When you arrive in the EPU, you need to book in with the receptionist.  You will be given a form to complete regarding your pregnancy.  The nurses will prioritise women based on their needs, meaning that someone who arrives in clinic after you may be seen first.  There are also follow up clinics running at the same time for patients who have previously been seen in EPU.

The EPU is a nurse-led service.  You will have a consultation and scan with a nurse and in some cases a blood test will be taken.  The nurse will discuss the diagnosis with you and give you a management plan at the consultation.


What is a trans-vaginal scan?

A trans-vaginal scan involves an ultrasound scan probe being placed inside your vagina to allow the nurse to see into the pelvis to assess the pregnancy.  This may feel slightly uncomfortable but is the most effective way of checking the viability of the pregnancy at an early stage.


Can I bring someone with me?

Yes, please bring someone with you to the appointment if you wish.


What if I need an interpreter?

An interpreter can be organised via Language Line for you.  If you require any follow-up care, an interpreter can be booked to attend these appointments with you.


What happens next?

If you are pregnant and would like to have your antenatal care at St George’s, the nurses can provide a referral form for you.

If you have had a miscarriage, surgical or medical management are options depending on the findings and the necessary follow up can be arranged during the consultation.  If you have an ectopic pregnancy, the management plan will be discussed with you.


What if I want to talk to someone about my pregnancy loss?

A dedicated women’s health counsellor available if you need to talk to someone.  If you would like an appointment, please call 020 8725 3670 and leave a message.  The counsellor will call you back to arrange a time to see you.

The hospital chaplaincy service is also available for support and spiritual care.


Where can I find further information about pregnancy loss?

The Miscarriage Association and The Ectopic Pregnancy Trust provide information and support for early pregnancy loss.