Early Pregnancy and Gynaecology Unit (EPAGU)



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.

On Wednesday 8 January, the unit will open at 10.30am due to staff meeting and training. All other opening times remain unchanged.

Who can come to the unit

If you are up to 18 weeks’ pregnant and experience a pregnancy related problem you can walk in to be seen by a specialist nurse. You do not need an appointment.

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.

EPAGU is an emergency unit. We cannot predict how many patients will attend or how long your visit to the unit will take.   

Before coming to the unit

It is often a good idea to have the support of a partner, close friend or relative. Please note that we have limited space in our waiting area.

If you need to bring your children with you, please try to contact a relative or friend as soon as possible to come and take care of them for you. You may not be feeling well and need help to look after them.

At the unit

We aim to see you as soon as possible.You will be asked about your problem and referred to another member of staff for tests or an ultrasound scan as necessary.

Please do not eat or drink until the nurse has seen you.

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

Once your investigations are complete you will be seen by a specialist nurse who will:

  • discuss your problem in more detail and may examine you
  • explain our findings, discuss a plan and answer questions that you may have
  • refer you to the on call doctors if necessary
  • decide if it is safe for you to go home
  • explain why you need to stay in hospital if this is recommended
  •  arrange a follow-up appointment at the unit 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.

You need to come to this appointment, even if your symptoms have gone. If your symptoms worsen before your appointment, please do not hesitate to come back to the unit or the emergency department.

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 languagesupport@gstt.nhs.uk. 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 Nadia Tavernier-Gustave
  • EPAGU sister – Mrs Anca Tambrescu
  • Nurse practitioner – Mrs Myra Venturillo
  • EPAGU deputy sister – Ms Luminita Stoica

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