Provides non-acute outpatient care for women experiencing pain and/or bleeding
before 13 weeks of pregnancy.
Appropriate for clinically stable patients <13 weeks with:
• Bleeding or pain in early pregnancy
• Pregnancy of unknown location (PUL)
• Intrauterine pregnancy not yet visualised with concerning Beta-hCG trend
• Threatened or incomplete miscarriage
• Retained products after miscarriage
• Suspected molar pregnancy
GP or Specialist referral required
EPAS Canberra is not a walk-in emergency service.
You will be assessed by an Obstetrician or Midwife, who will determine if any additional investigations, such as blood tests or an ultrasound, are needed.
URGENT CARE:
Call 000 or attend the nearest Emergency Department if clinically unwell, unstable, severe pain, or continued heavy bleeding.
ULTRASOUND ASSESSMENT
Sometimes transvaginal is recommended, to assess pregnancy location and viability.
DIAGNOSTIC TESTING
Further testing such as histopathology or karyotype if clinically required.
SERIAL SURVEILLANCE
Follow-up with serial ultrasound and Beta-hCG/ progesterone where clinically appropriate.
ANTI-D
Anti-D can be arranged when indicated.
Referral checklist:
Please include:
• EDC and LMP if known
• Current pregnancy ultrasound reports
• Beta-hCG/ progesterone level(s)
• Blood group, if available
• Relevant medical, social and presenting history