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Emergency Gynaecology

Who can attend the Emergency Gynaecology Unit (EGU)?

This is a 24 hour walk in service.  If you have had a positive pregnancy test and are experiencing abdominal pain and/or vaginal bleeding, you can attend this unit.

You can also attend if you have severe vomiting in pregnancy. If you are unsure whether you fit our admission criteria, please feel free to contact us for advice over the phone.

If you are not pregnant but have abdominal pain or vaginal bleeding, you can attend this unit only if your General Practitioner (GP) has assessed you and has discussed your case with the consultant on-call.  If you have not been assessed by your GP and you feel your case is an emergency, you should attend your local Accident and Emergency Department.

What will happen when I arrive in the unit?

When you arrive in Emergency Gynaecology Unit, you will register at reception.  A nurse will obtain your baseline observations and undertake an initial assessment (triage) of your condition.  We will take an in-depth history of your symptoms and decide on what tests/scans or investigations you may need.  We will inform you of the next steps in your care or you may be discharged at this point.

 

Tests

If you require further investigations or a scan, these may take time and you may have to wait for up to four hours.

 

Scanning

If you are over 7 weeks pregnant, have not yet had a scan performed in your pregnancy and you are experiencing pain or bleeding, we will try to arrange an urgent scan for you that same day. Ths may not always be possible.  If you attend over the weekend or in the evening, your scan will be arranged for the next available appointment, which may be 2-3 days later.

If you are under 7 weeks pregnant it is unlikely that you will receive a scan until your blood pregnancy hormone levels have been established.

If it is necessary for you to have a scan and you are less than 10 weeks pregnant, the scan should be performed vaginally in order to gain the most information.

If you have already had a scan which has shown a viable pregnancy and you experience further pain or bleeding you will be assessed by a nurse or doctor prior to having another scan. If a further scan is indicated this may be arranged for a later date (ie 7- 14 days)  in order to allow time for the pregnancy to progress

If you have already had a scan performed in your pregnancy and you are more than 12 weeks pregnant, we will try to listen to your baby's heartbeat using a machine.  If for some reason the heartbeat cannot be heard, a scan will be arranged for the next available appointment.

Blood tests

Depending on the reason why you attend the unit, you may need to have blood samples taken.

What else do I need to know?

We are classified as an Accident and Emergency (A&E) service, which means that you may be in the department for up to four hours.

If you have been discharged from our care or are awaiting further appointments but your symptoms return in the interim, please contact us for further advice.

Coping with problems in early pregnancy can be difficult and it may be advisable for you to bring someone with you for support.

 

Follow up appointments

In some cases you may be asked to return for repeat blood tests or scans. You will be given an appointment time for this.

Please note that whilst we make every effort to see you at the appointed time, it is not always possible if there are unwell or upset patients needing to be seen urgently.

 

Our staff:

  • Manager - Sarah Atkinson
  • Sister - Katie O'Toole (Acting Manager)

The EGU is a nurse-led service.  Our nursing staff have expertise in early pregnancy problems.  Consultant and medical support is available in the unit when required.

 

Service location:

Our service is located on the second floor (Ward 63) of Saint Mary's Hospital and the service is available 24 hours a day, seven days a week.

 

Contact details:

(0161) 276 6204 or (0161) 276 6912

 

Information leaflets:

We have a number of patient information leaflets containing information that you may find useful:

Please click on the titles below to view the leaflet:

 

Further support:

www.miscarriageassociation.org.uk

www.ectopic.org.uk

www.earlypregnancy.org.uk