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Gynaecology and EPAU Wards

Visiting times (all maternity wards)

Partners/siblings of the baby (only): 8am-6pm
Other visitors: 6pm-8pm

Marina Ward

Marina ward is the gynaecology and breast care ward for routine and emergency admissions. Women admitted for routine surgery are admitted on the day of their operation. The Ward Comprises of 15 beds, including 3 en-suite side rooms and the Early Pregnancy Unit is located within the ward. The ward is a training area for student nurses and midwives who are always supervised by a team of experienced nurses. We welcome feedback from patients and all patients receive a satisfaction questionnaire.

Patient leaflets

EPAU (Early Pregnancy Assessment Unit)

Our Early Pregnancy Unit is situated in the Maternity block on the 1st floor (Marina Ward). This is a clinic that provides care and support to women experiencing complications in early pregnancy (less than 18 weeks). Some of the complications we come across are miscarriages, ectopic pregnancies, molar pregnancies, foetal abnormalities, vaginal bleeding, pelvic pain etc.

We aim to provide the best care to our patients/couples going through such complications. We have exam & quiet rooms where couples can be seen by doctors or nurses in order to maintain privacy & dignity. As a teaching hospital sometimes medical or nursing students may be present in consultations or scanning. Sometimes there may be a wait for the Dr, if they are busy with other patients elsewhere, but we aim for you to be seen within a reasonable time.

How do I get referred?

We do not have a walk in service. Appointments are made via GPs, Midwives or Accident & Emergency. These referrals can be made over the phone or fax. The staff in EPAU will then ring you with an appointment. We aim to see patients on the same day or at least within 2 days of receiving the referral. If you have any complications with your pregnancy (i.e abdominal pain or bleeding) over the weekend, we advise that you go to A&E where the doctors will see you.

The only patients that can self refer are those with a past history of molar pregnancy or ectopic pregnancy. If you need a scan because of a previous history of miscarriages (without any symptoms), your GP needs to refer you to the main scanning department (01895 279868) for a ‘reassurance scan’ not EPAU.

What tests/investigations may be done?

  • Pelvic ultrasound scan
  • Blood tests
  • Physical examination

Please note that if you are less than 8 weeks pregnant, you will have an internal scan. We cannot guarantee that there will always be a female sonographer. Over 8 weeks you can have a trans-abdominal scan but you need to have a full bladder.

When you come up to the unit you will see a Sister who will take your history, answer questions that you may have and even discuss your treatment options. This Sister will offer you support and comfort if the pregnancy is not going very well. You can also contact her for advice or if you have questions that she can answer. Because we’re on Marina ward, we work closely with the nursing team and at times they cover EPAU when the sisters are not in.

We also have a clinical psychologist on site who offers counselling to couples if they want an appointment with her. Other patients/couples may wish to see a chaplain – this can be organised as well. We also have leaflets in other different languages and an interpreter can be organised if you let us know in advance. Feel free to also bring in a relative or friend who can interpret for you if you wish to do so.

Treatments we Offer

  1. Medical management of miscarriage with medication(ie misoprostol)
  2. Conservative treatment of miscarriages
  3. Medical management of ectopic with methotrexate
  4. (Surgery) ERPC or D&C for miscarriages
  5. Referrals to Charing Cross Hospital for anyone with a molar pregnancy

Other Useful Links

www.miscarriageassociation.org.uk  - Information & support on pregnancy loss
www.ectopic.org                                - Ectopic Pregnancy Trust
www.molarpregnancy.co.uk              - Information on molar pregnancies
www.earlypregnancy.org.uk              - The Association of Early Pregnancy Units

EPAU STAFF

Miss A. Kothari                       - Lead Consultant & other doctors who work with her
Kay Chambara                         - Lead Sister
Lily May Raquepo-Gaban        - Sister
Chandima Withanage-Dona     - Coordinator
Fiona Bottomley                       - Lead Sonographer & her team

Opening Times & contact details

Monday – Friday  8-4:30pm
Tel 01895 279440
Fax 01895 279189
EPAU does not open over weekends & bank holidays. If you are bleeding or in pain, outside the working hours please see your GP or go to A&E.