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Hospital of Saint John and Saint Elizabeth - you are in good hands

Early Pregnancy Assessment Clinic (EPAC)

The Early Pregnancy Assessment Clinic (EPAC) has been set up to assist a range of women who either are, or wish to be pregnant but have concerns about actual or possible complications.

The clinic also recognises that with the restrictions in the National Health Service and the availability of services particularly in London, that there exists a need to provide additional support and guidance whether you are looking to have your baby privately or on the NHS.

We aim to complement the services operating within the NHS and to this end this service is not exclusively designed for women who plan to have their baby privately.

The clinic is divided into two complimentary parts.

  • The first is led by a consultant obstetrician and gynaecologist and provides a one stop service that may be booked via a referral from your GP or directly by you
  • The second is led by a team of midwives and offers support and guidance to mothers who have questions about where to have their baby

The Consultant Led Clinic

Who should attend the clinic and what does it offer?
The clinic is an outpatient based clinic offering a one stop service to patients who are concerned or anxious mothers to be with:

  • Bleeding in early pregnancy
  • Pelvic pain with a positive pregnancy test
  • Severe nausea/vomiting in early pregnancy
  • Anxiety due to a history of a previous miscarriage or ectopic pregnancy
  • A desire to have an assessment of an assisted conception pregnancy
  • A desire to receive pre-pregnancy assessment/counselling

The consultant will take a history, perform an ultrasound scan and where necessary perform blood tests as part of the first consultation. The list above is not exhaustive and is designed to provide a guide to people who may seek additional support during pregnancy or who need advice when planning a pregnancy.

The Midwife Led Service

This service is not designed to convince you to have your baby privately and in many cases will be a service that complements the support you may be receiving from your GP or midwife.

In the time leading up to the first scan there are many questions and many anxieties that every mother faces. This can be a one off visit or a longer term support offering:

  • Advice on becoming pregnant
  • Information on available services, both within the NHS and privately
  • Ways to feel more empowered at work
  • Information on ante natal screening
  • Information on home births, NHS and private
  • When to see your midwife or doctor
  • Support on all areas that concern or interest you to allow you to feel in control of your pregnancy
  • What exercises to do
  • What diet to follow

Additional Information

You can download a detailed Fact Sheet about the Early Pregnancy Assessment Clinic.



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