Otherwise, we will assume that you're OK to continue. The wash basin can be reached from seated on the toilet. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The entrance door(s) does not/do not contrast visually with its immediate surroundings. We are able to offer electives for medical students. new North Central London GP Website do not work as expected. Early pregnancy services. Early Pregnancy Assessment Unit (EPAU) - Lewisham and Greenwich The car park does have a barrier control system. 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. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. In line with our Trusts policy a chaperone is available for all intimate examinations. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. Getting To The Hospital The main car park for the Princess Anne Hospital is called the Yellow car park. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. 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 The senior clinicians were actually spending less time in the EPAUs than expected. The bollards do not restrict access to the entrance. There is a payment machine at a convenient height for wheelchair users. If you are based within a GP practice please contact the GPIT Helpdesk on If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. The Early Pregnancy Unit (EPU) provides care and support for women up to 21 and 6 days weeks gestation who may be experiencing problems in their pregnancy. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles 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. You must telephone the unit before attending we do not run a walk-in clinic or service. Contact. We are closed in Bank holidays. These are further broken down by diagnosis in Tables 3 and 4. https://doi.org/10.1371/journal.pone.0260534.g001, https://doi.org/10.1371/journal.pone.0260534.t002, https://doi.org/10.1371/journal.pone.0260534.t003, https://doi.org/10.1371/journal.pone.0260534.t004. 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. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. 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. Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. At the time of patient recruitment, we collected information about the unit referral policy with regards to the minimum gestational age at which women could be seen at the EPAU. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. The towel dispenser can be reached from seated on the toilet. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. EPAU opening times | Wirral University Hospital NHS Foundation Trust There are 21 Parent and Child Bays available on this level. There is not a mirror to aid reversing out of the lift. The Blue Badge bay(s) is/are signposted but have no markings. If your condition may affect your pregnancy, you will be referred to the appropriate department. There is not a bell to attract attention. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. Assistance may be required because there is/are slopes/ramps. The sonography team will advise if you need to empty your bladder prior to the scan. This accessible toilet is located to the right as you pass through the waiting area. Funding acquisition, Women may self-refer to the Royal Free EPAGU with early pregnancy problems. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). Always inform the staff in the department you are pregnant. There is a/are Blue Badge parking bay(s) available. 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. About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks There is level access to this accessible toilet. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). When we compared actual with planned senior clinicians presence, we found that in only 3/19 units (16%) did senior clinicians spend more than 15% of their time actively delivering clinical care, and in 13/19 units (68%) their actual documented presence was less than 5%. The width of the door opening is 88cm (2ft 11in). The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. Inside the venue, there is level access to the female toilet(s). 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 lighting levels are moderate to good. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. Is the Subject Area "Pregnancy" applicable to this article? Roles The Blue Badge bay(s) is/are clearly marked. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. Writing review & editing, Roles No, Is the Subject Area "Hospitals" applicable to this article? You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. Funding acquisition, Senior clinicians were present only in 19 of the 44 EPAUs. Search for local Pregnancy near you on Yell. 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 towel dispenser cannot be reached from seated on the toilet. 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. Formal analysis, The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. 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. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Women with nausea and vomiting in pregnancy should contact their GP for an assessment of their symptoms to exclude other causes for nausea and vomiting in pregnancy such as urinary tract infections. Discover a faster, simpler path to publishing in a high-quality journal. Detailed information, also There is an/are accessible toilet(s) within this venue designated for public use. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. Report a problem or suggestion using this facility. The width of the accessible toilet door is 87cm (2ft 10in). 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. A . Writing original draft, Parking spaces for Blue Badge holders do not need to be booked in advance. Writing review & editing, Affiliation here. Yes You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. The waiting room / area is approximately 7m from the clinic entrance. Yes 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. Print this page Some women may also be advised to monitor their symptoms at home. 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. Pregnancy Sickness Support website, here. Standard toilet facilities are available. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. 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]. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. There is step free access into the imaging room. View Accessibility Symbols. A key is not required for the accessible toilet. There are not separate entry and exit doors in the lift. The lateral transfer space is 170cm (5ft 7in). There is a space for a wheelchair user to wait within the seating area. Visit website. Methodology, 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. Staff do not need to be notified for use of the lift. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. Investigation, For more information about what these symbols mean, view our Accessibility Symbols Guide.