Women's Ambulatory Day Unit: NMUH

NCL Wide

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, 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.

Email: northmid.epaureferrals@nhs.net

Self-referral

Self-referral is available for patients with recurrent miscarriage, ectopic pregnancy and molar pregnancy.


Locations

North Middlesex University Hospital

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Review date: Thursday, 20 February 2025