Early Pregnancy Assessment Service (EPAS) - 1West
Early Pregnancy Assessment Service (EPAS)
EPAS is a low risk clinic for women experiencing vaginal bleeding and /or lower abdominal pain under 20 weeks gestation. We also manage women who require monitoring following treatment of ectopic or molar pregnancy. The service also manages women with moderate hyperemesis.
The care provided in EPAS will meet the clinical, emotional and social needs of the individual woman. Care is provided with honesty, respect, dignity and sensitivity.
A team approach including a nurse and doctor will consult with you and offer medical and emotional support to you.
Social Worker consultation is available, however may need to be arranged as a follow-up appointment.
IF YOU ARE HAVING HEAVY VAGINAL BLEEDING OR HAVE SEVERE LOWER ABDOMINAL PAIN PLEASE PRESENT TO YOUR NEAREST EMERGENCY DEPARTMENT OR PHONE 000 FOR AN AMBULANCE.
LOCATION: The Early Pregnancy Assessment Service is located on 1 WEST, Level 1, Ward Tower Block at St George Public Hospital. Parking is available around the hospital or in the car park in Belgrave Street.
EPAS HOURS: Monday- Friday (Excluding public holidays)
Strictly 7.30-8.30am (no appointment necessary)
REFERRALS: Referrals from Emergency departments, local GP’s, or self.
WHAT TO BRING
- Medicare Card and/or Health fund card
- Any blood tests or ultrasound results relevant to the pregnancy
- Referral letter if available
Please be advised that your appointment may take some time and you may be here for several hours depending on test results.
If possible bring your partner, friend or relative for support. It is advisable not to bring young children.
You are not required to fast prior to your appointment unless advised by a doctor.
BLOOD COLLECTION: This is an important investigation for certain management. We will provide request forms for blood collection as required.
ULTRASOUND: This is an integral diagnostic tool when determining the cause of bleeding and pain in early pregnancy. A full bladder is NOT required prior to an ultrasound at this service. It is common for a trans-vaginal ultrasound to be performed, which is the most accurate way to assess early pregnancy. This procedure may be uncomfortable but not painful.
When the results from investigations are available, the EPAS doctor will explain them to you. They will discuss the options for further management if required. Please do not hesitate to ask questions or request further explanation. Our clinicians are aware of your anxiety and concern.
Your follow up will be with EPAS or your local GP depending on your results. A letter will be provided to your local GP regarding your EPAS presentation, investigation and management.