Three Doctors Masked And In The OPerating Theater.

Women and Newborn Health Service

Health Professionals


King Edward Memorial Hospital

Early Pregnancy Assessment Service

Our aim    

Our aim is to provide care and support, within a sensitive and confident environment, for women who are experiencing problems in early pregnancy that do not require urgent management. 

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We provide

The dedicated Early Pregnancy Assessment Service (EPAS) provides a consultant-led service with ultrasound support.

KEMH is pleased to report the following achievements since the introduction of EPAS in July 2008:

  • 21% reduction in patient waiting times
  • Reduced patient frustration
  • 4% reduction in admissions to hospital
  • Reduced congestion in the Emergency Centre after-hours
  • Greater efficiency in the Emergency Centre
  • Increased capacity to manage urgent cases
  • Improved patient and staff satisfaction

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Referral criteria

Women in the first trimester who have had a positive pregnancy test and one or more of the following:

  • abdominal/pelvic pain
  • vaginal bleeding
  • previous ectopic pregnancy
  • previous tubal surgery
  • two or more previous miscarriages
  • IUCD in-situ

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Referral procedure

EPAS is located in the Emergency Centre and has an appointment system that operates from 0830-1230 Monday to Friday.

Bookings can be made anytime by calling (08) 6458 1431. During office hours you can also contact the EPAS midwife via the KEMH switchboard (08) 6458 2222.

Please send a referral letter with the patient or fax to (08) 6458 1402.

Women who present or are referred with non-urgent symptoms (such as mild pain or light vaginal bleeding) outside regular service hours will be assessed by a midwife and given an appointment to return to EPAS.

PLEASE NOTE: If you are concerned that your patient may not be suitable to be seen by the Early Pregnancy Assessment Service (i.e. they are haemodynamically unstable, have severe pain or heavy bleeding) please call the Emergency Centre on (08) 6458 1431 for clinical advice and to arrange urgent referral if indicated.

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Contacts for referral

The KEMH Emergency Centre is often busy and referral of non-urgent cases can result in considerable delays. If you wish to book an appointment for a patient with problems in early pregnancy or you are unsure of the appropriateness of a referral to the Emergency Centre please call EPAS on the numbers below.

Early Pregnancy Assessment Service (EPAS)
Ph: 6458 1431 or 6458 2222 (ask for EPAS midwife)

Urgent queries Less than 20 weeks
Ph: 6458 1431 (ask for gynae registrar)

Over 20 weeks
Ph: 6458 2222 (ask for senior registrar on duty)

Urgent outpatient referrals
Referral of patients to an obstetric physician’s clinic for medical problems in pregnancy.
Ph: 6458 2222 (ask to page 3419)
Fax: 6458 1031

Fetal anomalies
Advise from the coordinating midwife or fetal medicine specialist is available during office hours should you have any queries.
Ph: 6458 2705
Fax: 6458 1061

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Resources for patients

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