The VESPA study recruited from the EPAU population. Return to maternity and newborn services home, View our current vacancies and read about working with us, Read about our Media service and Communications Team, you are in significant pain despite simple pain killers such as Paracetamol, experiencing moderate to severe vaginal bleeding. The wash basin is not placed higher than 74cm (2ft 5in). Accessible toilet facilities are available. The controls for the lift are within 90cm - 120cm from the floor. a new pregnancy and under the care of the recurrent miscarriage clinic. The entrance area/door is clearly signed. These associations did not markedly change after further confounder adjustment. 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. My CPD. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). The lateral transfer space is 145cm (4ft 9in). EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. Princess Anne Hospital is Located on Coxford Road to the north West of the city. 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 The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. Visiting restrictions are in place. This accessible toilet is also used as a standard toilet. The entrance door(s) does not/do not contrast visually with its immediate surroundings. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The contrast between the wall-mounted grab rail(s) and wall is fair. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. here. Investigation, We ask that they call the unit so that we can book them a timed appointment. The hospital entrance is not clearly visible from the car park. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. The height of the toilet seat above floor level is 48cm (1ft 7in). Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. There is level access throughout the department/service. This information is for the entrance located on Grafton Way. 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 is clear signage on the department/service. Maternity Services | NHS Lanarkshire J Ultrasound Med. Project administration, Data Availability: All relevant data are within the papers Supporting information files. Copyright: 2021 Memtsa et al. 020 3688 1881 or email We would advise you attend your local emergency department unitif bleeding worsens whereby you are having to change your sanitary pad more frequently and feel unwell, or ifyou are experiencing severe abdominal pain which is not improving with simple pain relief egparacetamol. This room is not accessed via a changing room. Early Pregnancy Unit and Gynae Assessment Unit. Writing review & editing, Roles Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. There is not a red flashing fire alarm beacon within the toilet. The admission rates by patient characteristics is shown in Table 2. The soap dispenser can be reached from seated on the toilet. The width of the door opening is 86cm (2ft 10in). Report a problem or suggestion using this facility. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. There is a canopy or recess which provides weather protection at this entrance. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. Once your referral has been received, please await a telephone call from the EPAU. Peter Brocklehurst reports grants and personal fees from MRC, grants from MRC, NIHR HS&DR, NIHR HJTA, Wellcome Trust, personal fees from AG Biotest, outside the submitted work. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. The waiting room / area is approximately 7m from the clinic entrance. You can contact the service by calling 01279 827107. 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. 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. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. Do you want to change or cancel an appointment? 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. Early Pregnancy Unit and Gynae Assessment Unit | AccessAble Search for local Pregnancy near you on Yell. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. 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 Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. Mobility aids are available to help patients move around and include; wheelchairs and crutches. Early pregnancy services. It has been created to raise awareness and help others to see that what they are going through is completely normal. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. Conceptualization, 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. See below link for maternity web page if need more information needed regarding these concerns. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. Otherwise, we will assume that you're OK to continue. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. There is / are 10 consultation / treatment room(s) available. There is not a door release button when exiting. Charges apply to all users of these car parks. The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. We appreciate that this is a very difficult and painful time, this leaflet aims to answer some of the many questions you will have about what has happened. There are vertical wall-mounted grab rails on both sides of the wash basin. Early Pregnancy Unit (EPU) - Royal Berkshire NHS Foundation Trust The Early Pregnancy Assessment Unit (EPAU) in Ward C1 at the University Hospital of Wales is an integrated single unit, which takes referrals from all over Cardiff and the Vale of Glamorgan. It is likely that the caller ID will show as a private number orwithheld number. The car park does not have a height restriction barrier. Get contact details, videos, photos, opening times and map directions. The car park does not have a height restriction barrier. Contact details will be put on all outpatient letters. There is level access to the consultation / treatment room. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. The wash basin and tap(s) can be reached from seated on the toilet. 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. . This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. We found that, in general, the actual amount of time spent by the senior clinicians in the units was less than planned, and in only five units, they were present for more than 5% of the time (Fig 3). The toilet is not for the sole use of disabled people. The contrast between the dropdown rail(s) and wall is good. This may be a stressful time for both couples and their families and the unit aims to support you through the early stages of your pregnancy. Formal analysis, There are also several bus routes which stop at the Southampton General which is a short walk from the Princess Anne Hospital on Tremona Road. It is not intended for public use. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. Early Pregnancy Unit and Gynae Assessment Unit | AccessAble The intercom is in a suitable position to allow wheelchair users to gain access. . Theyprovide a range of services such as peer support and counselling services. View on a map. The width of the accessible toilet door is 87cm (2ft 10in). Access to the hospital is via the main hospital lifts. There are 21 Parent and Child Bays available on this level. The sonography team will advise if you need to empty your bladder prior to the scan. 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. Clinic 3 - Early Pregnancy Unit. Accident and Emergency Department/999 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. There is step free access at this entrance. Where applicable, participants gave informed written consent before taking part in the study. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. Citation: Memtsa M, Goodhart V, Ambler G, Brocklehurst P, Keeney E, Silverio SA, et al. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . A key is not required for the accessible toilet. We will keep you updated and we have refreshments available for your comfort. The height of the toilet seat above floor level is 48cm (1ft 7in). 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. Download the app Get a . 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. The Miscarriage Association, Wakefield, United Kingdom, Roles If you have concerns with regards to this please speak to the nurse in charge. Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. 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. As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. The toilet roll holder is not placed higher than 100cm (3ft 3in). Roles On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). The service is then located on the right. Methodology, The UCLH email address for Blue Badge parking enquiries is. 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. You will often be seen at around 6 -7 weeks for a reassurance scan. As you face the toilet pan the transfer space is on the left. The car park is located to the left of the main underground car parks. You will be given a copy of your ultrasound report. Yes The toilet roll holder can be reached from seated on the toilet. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . 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. All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. The car parking facilities are for Blue Badge holders only. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. Methodology, To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. No, Is the Subject Area "Cohort studies" applicable to this article? The height of the reception counter is low (76cm or lower) . To obtain mobility aids please contact a member of staff. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. Conceptualization, 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Writing original draft. The lighting levels are moderate to good. Visit website. PLoS ONE 16(11): For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Models were either unadjusted or adjusted for gestational age unit policy. No, Is the Subject Area "Pregnancy complications" applicable to this article? Investigation, The type of flooring in walkways and corridors is vinyl/laminate. Based on this study, the sample size of 44 units, each contributing 150 patients, was calculated to give us 90% power to detect a 5% absolute difference in the risk of an emergency admission. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Resources, In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. The emergency pull cord alarm is not fully functional. Tel: 0118 322 8741. Early Pregnancy Assessment & Gynaecology Unit: RFL - North Central London GP Website Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Your browser is out of date! There is not a Patient Advice and Liaison Service (PALS) at the hospital. We carefully assessed the burden and timings of the study participation and questionnaires on patients. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. View Article PubMed/NCBI . The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. Contact us. Your local Accident and Emergency department can still be used if you have an emergency or accident not related to your pregnancy (chest pain, difficulty breathing, collapse, etc). Funding acquisition, Early pregnancy services - Northern Ireland Maternity and Parenting There is / are 4 consultation / treatment room(s) available. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. The main door(s) open(s) automatically (away from you). For more information about PLOS Subject Areas, click The contrast between the internal door and wall is good. Investigation, They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. Non-urgent referrals seen on the same or next day. Institute of Health Economics, Edmonton, Canada, Roles Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board Traffic light controlled pedestrian crossing points are located adjacent to each tube station. The soap dispenser can be reached from seated on the toilet. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. Writing review & editing, Roles You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The barrier controls/touchscreen can be reached from the car. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. A to Z of services | Croydon Health Services NHS Trust The unit is open Monday to Friday, from 9am-5pm. Language interpreters can be provided on request. There is step free access to the reception area/desk. Euston Square station has lift access from the platform to the street. GAU is a 24 hour service and can offer advice and . There is a low section of the desk (76cm or below) available. The dropped kerb does not have tactile paving. Early pregnancy - Bradford Teaching Hospitals NHS Foundation Trust The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. we'll add the event details to your CPD section automatically. 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. As it is not necessary for UCH staff to see the Blue Badge at the time of issuing a dispensation notice, a notice can be issued in advance and posted or emailed to patients. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Always inform the staff in the department you are pregnant. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). Early Pregnancy Assessment | Mid Yorks There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. For more information about what these symbols mean, view our Accessibility Symbols Guide. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. Data curation, Tel: 01793 605257 Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). No, Is the Subject Area "Hospitals" applicable to this article? Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment.
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