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Early Pregnancy and Acute Gynaecology Unit (EPAGU)



  • St Thomas' Hospital
    8th floor, North Wing
    St Thomas' Hospital
    Westminster Bridge Road
    London SE1 7EH

    Tel: 020 7188 0864

    The phone line for advice and results from a member of the nursing team is open 3-6pm Monday to Friday and 1-3pm on weekends and bank holidays.  

    Please call us on the above number to cancel and amend appointments.

  • North Wing

    Download map to Early Pregnancy and Gynaecology Unit (PDF 1Mb)

Directions: from the main North Wing entrance, turn right at main reception and then left towards North Wing. Take the lift to the 8th floor and follow signs to the Early Pregnancy and Acute Gynaecology Unit (EPAGU).

This is a nurse-led, specialist unit for women who need emergency care for:

  • problems up to 18 weeks of pregnancy such as such as pain, bleeding or excessive vomiting
  • non pregnant women with gynaecological problems (problems related to the female reproductive system).

Opening hours

  • Monday to Friday: 8.30am-6pm.
  • Weekends and bank holidays: 9.30am-3pm.
  • Closed on Christmas Day.

If you require urgent medical assistance when the unit is closed, please go to the emergency department.

Who can come to the unit

If you are up to 18 weeks pregnant and experience a pregnancy related problem please call on 020 7188 0864 to discuss your symptoms with a specialist nurse who will give advice and arrange assessment at a pre agreed time, as necessary.

You can make this referral yourself. You do not have to have been seen by a GP or other doctor. You can no longer present directly to EPAGU.

This line will be open:

  • Monday to Friday: 9am–6pm
  • Weekends and Bank Holidays: 9am–3pm.

If you are concerned about the heaviness of your bleeding or degree of pain, please make your way to your nearest emergency department (A&E).

If you are not pregnant but have a gynaecological problem you will need a referral from your GP or another doctor who has assessed you. They need to call the Guy's and St Thomas' gynaecology registrar on 020 7188 7188, bleep 0480.

Before coming to the unit

National and local guidelines drawn up to protect the wellbeing of patients and staff due to the coronavirus pandemic have meant we can now allow only your partner to attend the unit with you. This may change as the situation develops.

Please do not bring other family members, including children. We realise that this may be a challenge, particularly with schools closed but urge you to make every effort, understanding why we are asking this.

At the unit

You can now only enter the unit after seeing a receptionist based at the main entry point to EPAGU and the gynaecology ward. You will have phoned ahead and be expected on our electronic diary. You will be asked standard screening questions for coronavirus and then accompanied through to EPAGU reception where you will register.

Dependent on your phone discussion with one of our nurses you may first go for an ultrasound scan. Otherwise one of our specialist nurses will be expecting you. If you have a scan first you will be seen by a nurse once this has been done.

We do not provide ultrasound scans on a Saturday.

You may be asked to provide a urine sample and, if necessary your blood pressure, pulse and temperature will be checked.

The nurse:

  • will discuss your problem in detail, may examine you and arrange any necessary blood tests.
  • discuss a management plan and answer any questions that you may have.
  • may refer you to the on call team of doctors.
  • will decide if it is safe for you to go home.
  • will explain why you need to stay in hospital if that is what is recommended.
  • will arrange a follow up appointment, if necessary.

Unless you ask us not to, we will send your GP, information about the care we have given you.

Follow-up appointments

After your first visit you may be given a follow-up appointment. If so, please come at the time given to you. This is so that you do not miss your allocated slot. We will do our best to see you at your appointment time, however delays can sometimes occur.

If your symptoms have worsened or gone before your follow up appointment, please call us on 020 7188 7188, bleep 0480 and a specialist nurse will discuss the best plan for you.

If you need an interpreter

If you would like an interpreter or signer at your follow-up appointment, please let us know or contact our language support service on 020 7188 8815 or email In an emergency we will do our best to arrange an interpreter either in person or over the phone for you.

Unit staff

  • Consultant gynaecologist / lead clinician – Ms Jude Hamilton
  • Head of nursing for gynaecology – Ms Alice Denga
  • Gynaecology matron – Mrs Christine Phipps
  • EPAGU sister – Mrs Anca Tambrescu
  • Nurse practitioner – Mrs Myra Venturillo
  • EPAGU deputy sister – Ms Luminita Stoica

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