North 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, 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 80g/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