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Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. 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. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. There is step free access to the reception point. There is a canopy or recess which provides weather protection at this entrance. Formal analysis, Methodology, Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. Is the Subject Area "Pregnancy" applicable to this article? Disposal facilities are available in the toilet. The width of the door opening is 87cm (2ft 10in). https://doi.org/10.1371/journal.pone.0260534.t001. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. 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. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. As you face the toilet the wall-mounted grab rails are on both sides. There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. Parking spaces for Blue Badge holders do not need to be booked in advance. There is step free access at this entrance. If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. Data curation, The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Yes Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. Find Early Pregnancy Assessment Unit in Worksop, S81. There is room for a wheelchair user to manoeuvre. The relationship between emergency admissions from the Emergency Department and senior clinicians presence in EPAU is shown in Fig 4. https://doi.org/10.1371/journal.pone.0260534.g004. The height of the toilet seat above floor level is 48cm (1ft 7in). The post code for the Sat-nav is SO16 5YA. The Miscarriage Association, Wakefield, United Kingdom, Roles The width of the door opening is 86cm (2ft 10in). Funding acquisition, You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment The wash basin is not placed higher than 74cm (2ft 5in). It is not intended for public use. Mobility aids are available to help patients move around and include; wheelchairs. The distance between the floor and the highest table is 43cm (1ft 5in). Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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 a payment machine at a convenient height for wheelchair users. Tel: 01793 605257 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The width of the accessible toilet door is 87cm (2ft 10in). The mirror is not placed at a lower level or at an angle for ease of use. If you are referred to the unit, an appointment will be offered for the next available clinic based on the following set criteria: Women between 6 - 13 weeks of pregnancy with a . Writing review & editing, Affiliation Data curation, There is not a clear knee recess beneath the low section of the desk. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) Copyright 2023 AccessAble. The hospital entrance is not clearly visible from the car park. b) vaginal bleeding This accessible toilet is located to the right as you pass through the waiting area. There is not a/are not door(s) into the waiting room / area. The door(s) is/are double width but one door is locked. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. Walk-in Centres Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. Yes If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. Detailed information, also We see women in the first 18 weeks of pregnancy only. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page Our study has several limitations. There is an/are accessible toilet(s) within this venue designated for public use. Methodology, Sergio A. Silverio (Kings College London) is supported by the National Institute for Health Research Applied Research Collaboration South London [NIHR ARC South London] at Kings College Hospital NHS Foundation Trust. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. The Unit is open at all times. Investigation, The contrast between the walls and floor is good. Payment machines are located inside the hospital building. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. 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. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. All rights reserved. Software, The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlotte's & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. This information is for the entrance located on the lower ground floor. Funding acquisition, new North Central London GP Website do not work as expected. 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 overCardiffand the Vale of Glamorgan. Dementia friendly signage is not provided. There is sufficient space next to the bed/couch for a mobile hoist to operate. Statistical models were adjusted for final diagnosis, maternal age at initial visit, deprivation score, and unit referral policy regarding gestational age, as these variables have a known effect on the rate of emergency admissions [1517]. This room is not accessed via a changing room. Methodology, Validation, For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. Upon completion of data collection, we revisited the activity in all 44 units. In this national prospective cohort study, we aimed to determine whether higher participation of senior clinicians in the delivery of first trimester pregnancy care would result in better quality clinical care reflected in a lower risk of acute admissions to hospital for women presenting with first trimester complications. 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. Methodology, Writing original draft, The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. There are strong links with the Institute of Reproductive and Developmental Biology (IRDB) at Imperial College London run by Professor Phillip Bennett, with projects ranging from the study of the microbiome to novel biomarkers in early pregnancy. The specific roles of these authors are articulated in the author contributions section. GAU is a 24 hour service and can offer advice and . Data curation, Guidelines: care is provided to women following guidelines that have been produced by the department. In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. Opening Hours for patient assessment and care planning. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. Data curation, The width of the door opening is 88cm (2ft 11in). View Accessibility Symbols. The contrast between the external door and wall is good. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. Senior clinician (consultant gynaecologist) involvement in the delivery of acute clinical care has been of interest recently [11], as there is emerging evidence of their positive impact on Emergency Departments (EDs) and Acute Medical Units, contributing to reduced mortality, fewer emergency hospital admissions and accelerated discharge from hospital [1214]. People who still have an ongoing pregnancy will be discharged back to the care of their midwife. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Your GP can be accessed for a range of non-urgent services. Google map of Princess Anne Hospital Location. The Miscarriage Association The Ectopic Pregnancy Trust The soap dispenser can be reached from seated on the toilet. A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. There is a/are clinical waste disposal units. There is a space for a wheelchair user to manoeuvre. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. Find Early Pregnancy Assessment Unit in Worksop, S81. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. Yes Early Pregnancy and Gynaecology Emergency Unit (EPU) Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. Early Pregnancy Unit (Day time): 0151 604 7450. . A . We received input from patients who had experienced first trimester pregnancy complications in the design and timing of the study materials, and management oversight through membership of the study steering committee. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. There are bollards outside this entrance. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles This accessible toilet is located straight ahead as you enter and to the right. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. Getting To The Hospital The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. d) previous tubal surgery There is not a hearing assistance system. The following websites have helpful information and forums to access information and support. There is a clear unobstructed route to the reception point.