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Women's Ambulatory Day Unit: NMUH
NCL WideNorth Middlesex Women’s Ambulatory Day Unit (WADU) is a service for acute gynaecological and early pregnancy problems. The service looks after women up to 18 weeks of pregnancy for a variety of problems in a specially designed emergency area, including clinic rooms, scan facilities and treatment areas.
Opening times
WADU: Every day, 8am-8pm
Early pregnancy unit (EPU) scanning: Monday to Sunday 9am-5pm, after 5-8pm emergencies only
Last referral accepted at 7pm
Eligibility Criteria
Inclusions
- early pregnancy problems <18 weeks of pregnancy (miscarriage, ectopic, PUL)
- positive pregnancy test with abdominal pain and vaginal bleeding
- hyperemesis (nausea and vomiting in pregnancy)
- gynaecological problems more than six weeks post-partum
- up to six weeks post- op for gynaecological procedures
- bartholin’s abscess/cyst for Word catheter
- non-pregnant patients with abdominal pain can be referred by discussion with the gynaecology on-call team
- coil check after insertion during caesarean section (Miss Rouabhi's list, Deputy Clinical Director and WADU Lead)
Exclusions
- children <16 years old unless agreed by SpR/consultant/and paediatrician
- postmenopausal bleeding (PMB) should NOT be referred to WADU. Arrange referral to the rapid access service via GP
- menorrhagia if Hb is 80 g/l or less
- normal early pregnancy seen on a scan performed within the last seven days unless new bleeding has occurred
- women who are 18 weeks’ gestation should be referred to the Obstetric Assessment Unit – (Maternity triage)
- clinically unstable patients should be seen in A&E
- from 7pm-8am patients should be seen in A&E
How to Refer
Telephone
Acute gynaecological cases in the non-pregnant women must be discussed with the consultant in EPU for an USS.
Letter
Referral methods: Email, Hand to Patient
Patients can walk in with a GP referral. They can also be referred by: NMUH A&E, Fertility, BPAS, local Sexual Health clinics; NUPAS; Marie Stopes; and 111.
Self-referral
Self-referral is available for patients with recurrent miscarriage, ectopic pregnancy and molar pregnancy.
Locations
North Middlesex University Hospital
Service Feedback
Related Services
Early Pregnancy Assessment & Gynaecology Emergency Clinic: UCLH
Emergency clinic for women with pain or/and bleeding in early pregnancy or pregnant women with high risk of ectopic pregnancy NCL WideEarly Pregnancy Assessment & Gynaecology Emergency Diagnostic Unit: RFL
EPAGU provides a seven-day per week specialist service for women who need emergency care for early pregnancy and gynaecological problems NCL WideEarly Pregnancy Assessment & Gynaecology Emergency Diagnostic Unit: WH
For women with problems during early pregnancy NCL WideGynaecology: UCLH
Gynaecology care at UCLH NCL WideRelated Topics View All
Gynaecology
Service related to gynaecologyMaternity
Information about maternity services available across NCLWomen's Support
Women's support servicesUrgent & Emergency Care for Adults
Emergency, rapid access and urgent care servicesNavigating Self-Care
Care navigators can find services by clinical need in this list of self-care optionsReview date: Thursday, 20 February 2025