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Early Pregnancy Assessment Unit (EPAU)
Following your attendance at the Urgent and Emergency Care Centre, you have been assessed as suitable for home management of pain and/or bleeding in early pregnancy. Your assessment means that you are safe to go home and you should contact the Early Pregnancy Assessment Unit (EPAU) for advice or support if required on 01709 427072.
Some common causes of bleeding and pain in early pregnancy are:
It is normal to feel anxious during this time, but there are many reasons why pain and/or bleeding can occur in early pregnancy. If you feel that you need to rest, you can, but try to keep as active as you feel able to. There is not always a specific treatment to stop your bleeding and unfortunately, miscarriage cannot be prevented.
Taking pain relief such as Paracetamol for any back or abdominal pain you might have, is perfectly safe. It is important to wear sanitary pads only and not tampons if you are experiencing vaginal bleeding.
If you have had vaginal bleeding, please take a repeat pregnancy test 1 week after the bleeding stops. If the pregnancy test is negative, or if the test is positive and you are still experiencing symptoms please contact EPAU, who will be able to offer you further advice and support.
If your pain gets worse and is not managed with pain relief such as paracetamol, or your bleeding increases, please contact EPAU (Monday to Friday, 8am - 4pm) or the Gynaecology Inpatient Ward if outside of these times.
If you develop any of the following:
- very heavy bleeding
- severe abdominal pain
- shoulder tip pain
- fainting or a fever
seek help immediately by phoning 999 or come back to the Urgent and Emergency Care Centre (A&E).
EPAU can be contacted on 01709 427072 (Monday to Friday, 8am - 4pm)
Gynaecology can be contacted outside of these hours on 01709 424349 (any time)
Produced by EPAU, January 2022. Revision due January 2024. Version: 1.0 ©The Rotherham NHS Foundation Trust 2022. All rights reserved.