Early Pregnancy Assessment Unit

women sitting in front of a computer

The early pregnancy assessment unit (EPAU) is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. We see women and birthing people in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital).

We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant gynaecologist. 

When necessary, our staff will provide ongoing support and advice either in person or by telephone.

Please note: This is not a walk-in service, we operate an appointment system only.

Getting an appointment

If you visit your GP, go to the emergency department, or consult with another healthcare professional, and they believe you should be referred to the unit, they can submit the referral via email downloading the EPAU referral form.

The team  assess your referral and then contact patients by telephone within a few days, so please check that all your contact details are up to date. You might just need a telephone consultation, but if you need an appointment, we'll arrange that with you.  The referral process:

  1.  Patients attends GP
  2. GP completes referral form and emails to the EPAU team
  3. EPAU assess referrals
  4. EPAU offeres telephone triage to patients
  5. Appointment scheduled (some patients might not require a telephone consultation).

What to expect

You will be seen by a clinician and we might perform an ultrasound scan so that we can visualise the pregnancy. The scan may be done externally through the abdomen, or internally through the vagina. Neither of these are harmful to the pregnancy. Depending on the outcome of the scan, you might need a blood test.

For more information please contact your nearest EPAU service. Check locations below for opening times and contact details.

Histology testing

This information is for people who are experiencing a miscarriage in the first three months of pregnancy. 

What happens to our pregnancy after miscarriage?

Following a miscarriage within the hospital, the person caring for you will need to discuss your wishes for your pregnancy. These are outlined in the ‘What are our choices?’ section below. Usually, histology testing will then be conducted before your chosen wishes are carried out, however if you do not feel this is something that you would like please make a member of staff aware.

If you experience a miscarriage at home, it is common that you may not realise when the pregnancy is passed. However, if you would like to consider the choices below then we would ask you to contact the Early Pregnancy Unit so that these wishes can be organised for you.

What are our choices?

One of the professionals caring for you will be able to discuss the different arrangements that are available and answer any questions you may have.

There are two options that you can consider:

  • hospital arrangements — This option means that the hospital will take responsibility for the arrangements and a communal cremation will be organised with a local contracted funeral director. This takes place at Chelmsford Crematorium and there is a garden of remembrance which can be visited.
  • own arrangements — This option allows you to organise your own arrangements and once histology testing has been completed, we will be able to contact you to arrange collection. There are many choices to consider including organising an individual service with a funeral director of your choice, having a private ceremony where you live; or purchasing a remembrance plant. This can be a difficult choice and is individual to each person/s.

What tests will be carried out?

Histology testing is routinely carried out unless you decide this is not something you would like to proceed with.

Histology testing looks at the cells under a microscope to determine that they are regular pregnancy cells.

For many people this is all that will be reported from the testing, and we will not contact you further regarding this. Sometimes, we will need to follow up people with further blood tests or another type of referral and in this instance, you may receive a telephone call from the unit.

Will this tell us why the miscarriage has happened?

Unfortunately, this testing will not be able to explain why a miscarriage has happened. Approximately one in five pregnancies will end in miscarriage and we often never know why. Although, we think that most happen because of some kind of abnormality while the pregnancy is developing, these occur randomly and are not under anyone’s control. Many people feel that they are somehow to blame and that they must have done something wrong, but this is rarely the case.

If you have had three or more pregnancy losses, you may ask for an early reassurance scan in your next pregnancy. These scans are normally done at 7-8 weeks. If you have had three miscarriages, your GP can refer you to the hospital for investigations.

Further information

If you would like further information about this, please contact the Early Pregnancy unit using the details at the bottom of this page.

Alternatively, you can visit these websites:

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Get in touch with us

Basildon Hospital

For women and birthing people up to 14 weeks pregnant only.

Call 01268 524900 Monday to Friday between 9am and 5pm.

Broomfield Hospital

For women and birthing people up to 17 weeks pregnant only.

Call 0300 443 2600 Monday to Friday between 9am and 5pm.

Southend Hospital

For women and birthing people up to 17 weeks pregnant only.

Call 0300 443 1787, Monday to Friday between 8am and 4pm.