The senior clinicians were actually spending less time in the EPAUs than expected. Please call the ward to find out more. The tube stations are located at opposite ends of the hospital main building. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. e0260534. Writing review & editing, Affiliation The door(s) open(s) away from you (push). If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. We will also send an electronic copy to your GP. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. The Ectopic Pregnancy Trust The door(s) open(s) away from you (push). On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Investigation, Early Pregnancy Unit (Day time): 0151 604 7450. . There is not a play area or toys/books for a child to play with. View on a map. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Staff do not need to be notified for use of the lift. You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. Theyprovide a range of services such as peer support and counselling services. Referrals are either from GP or the emergency department. You are accessing this website using a legacy browser. There is a/are clinical waste disposal units. Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. There is room for a wheelchair user to manoeuvre. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Please check the latest information before planning your journey. Yes Methodology, This is an external link. There is not a play area or toys/books for a child to play with. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. 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. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. There is not a/are not door(s) into the waiting room / area. 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. Methodology, Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. View Article PubMed/NCBI . Where possible units will try to give you fluid and anti-sickness medication as a day patient to avoid you having to stay in hospital where possible. This information is for the entrance located on the lower ground floor. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . Formal analysis, The bollards do not restrict access to the entrance. The department/service does play background music. Both units contribute to large multicentre research projects. Hospital staff do not receive disability awareness / equality training. Supervision, There is not a bell to attract attention. For service contact details please visit the relevant service page. . This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. Opening Hours for patient assessment and care planning. There is sufficient space next to the bed/couch for a mobile hoist to operate. 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. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. There is / are 4 consultation / treatment room(s) available. If you are over 20 weeks of pregnancy please contact Maternity Triage. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. There is step free access to the reception area/desk. Yes Methodology, You can find your nearest walk-in centre at www.nhs.uk. Formal analysis, All patients should receive a call back within one working day of a message being left acknowledging the message. Clinic 3 - Early Pregnancy Unit. There is a/are door(s) leading into the department/service. Detailed information, also The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). You can change the description, reflection or CPD Credit Hours at any time from within There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. Investigation, The wash basin is not placed higher than 74cm (2ft 5in). The lateral transfer space is 145cm (4ft 9in). Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The contrast between the dropdown rail(s) and wall is good. The wash basin cannot be reached from seated on the toilet. 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. The towel dispenser can be reached from seated on the toilet. We will keep you updated and we have refreshments available for your comfort. The contrast between the towel dispenser and the wall is good. The entrance area/door is clearly signed. There is / are 1 Ultrasound Room(s) available. Warren Street (bus stop W) no's 18 and 205. The width of the door opening is 86cm (2ft 10in). Data curation, The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. VESPA included the services provided by MASS in the submittal for funding to NIHR. By clicking any link on this page you are giving your consent for us to set cookies. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. The height of the reception desk is high (110cm+). Visit website. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . There is not a red flashing fire alarm beacon within the imaging room. 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. Funding acquisition, It is likely that the caller ID will show as a private number orwithheld number. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. Where applicable, participants gave informed written consent before taking part in the study. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. The day room/lounge area is not always open. A . Euston Square station has lift access from the platform to the street. clinic appointment letter. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). There is a/are clearly marked/signposted Blue Badge parking bay(s) available. Yes Site by daysix. You must telephone the unit before attending we do not run a walk-in clinic or service. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The mirror is not placed at a lower level or at an angle for ease of use. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. If you have concerns with regards to this please speak to the nurse in charge. 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. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. There are parking charges for the hospital car park. Recurrent pregnancy loss The total number of opening hours per weekend was used to illustrate weekend opening. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. Patients already under the care of the early pregnancy assessment unit (EPAU) may contact the team through the following number: 01904 726489 . If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? The unit is open Monday to Friday, from 9am-5pm. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page This is to ensure you have a consultation with the specialist nursing team who can call you back and advise the best management going forward. 33 days (IQR 2447) was the median time for units to complete recruitment. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. Dementia friendly signage is not provided. 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. PLOS ONE promises fair, rigorous peer review, The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. Telephone: 0161 922 6000 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. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. Disposal facilities are available in the toilet. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. The waiting room / area is approximately 7m from the clinic entrance. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. Validation, Detailed information, also Pregnancy Sickness Support website, here. 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. The lift does have a visual floor indicator. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. The email address for the Patient Advice and Liaison Service (PALS) is. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. If our guide needs updating - just let us know using this form. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. 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. Five working days should be allowed by patients/carers to receive their dispensation notice in the post, to allow time for the request to be processed and received in by second class post. Send email. The dimensions of the accessible toilet are 156cm x 241cm. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. There is not an assistance dog toilet or toileting area on the hospital site. The contrast between the internal door and wall is good. There are not parking charges for the hospital car park. Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. Aberford Road There is sufficient space next to the bed/couch for a mobile hoist to operate. Also required will be vehicle registration number, date of appointment and time of appointment. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Ultrasound based assessment for suspected pelvic pathology. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Software, The Unit is open at all times. There is not a flashing fire alarm beacon within the room. My CPD. There is not a Patient Advice and Liaison Service (PALS) at the hospital. Conceptualization, Please send a referral letter with all patients. The height of the soap dispenser is 99cm. It is not intended for public use. Forty units met this target, whilst four units recruited between 143 and 149 women. There are coat hooks in the toilet at 107cm and 147cm from the floor. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Funding acquisition, The contrast between the external door and wall is good. 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. It has been created to raise awareness and help others to see that what they are going through is completely normal. Our study has several limitations. In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. The height of the towel dispenser is 125cm (4ft 1in). Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. The room does not have background music playing. The waiting room / area does not have background music playing. There is a waiting area close to the reception point. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. Formal analysis, There is a low section of the desk (76cm or below) available. Some women may also be advised to monitor their symptoms at home. You will be given a copy of your ultrasound report. Visualization, We accept GP, midwife and A&E referrals for assessment. This site is intended for healthcare professionals only. The wash basin can be reached from seated on the toilet. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. There is level access to this accessible toilet. There are vertical wall-mounted grab rails on both sides of the wash basin. The specific roles of these authors are articulated in the author contributions section. There are 21 Parent and Child Bays available on this level. Methodology, The lighting levels at the reception point are good. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. There is pictorial signage on or near the toilet door. There is not a red flashing fire alarm beacon within the toilet. Water bowls for assistance dogs are available on request. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. Opening Times. The contrast between the dropdown rail(s) and wall is good. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: 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. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Project administration, The drop-off point is located on Beaumont Place. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The height of the toilet seat above floor level is 48cm (1ft 7in). The hospital does have a dedicated car park. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. An ambulant toilet with wall mounted grab rails is available. https://doi.org/10.1371/journal.pone.0260534.g002. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles View photos. There are volunteers available for help and assistance at the hospital. Accessible toilet facilities are available. The entrance area/door is clearly signed with the name of the service/department.
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