EPAC
The Early Pregnancy Assessment Clinic (EPAC) is an emergency service available to all women referred by their GP or healthcare professional. EPAC at Southmead Hospital accepts women who are experiencing pain and/or bleeding between 6 and 18 weeks of pregnancy, and see over 5000 emergency patients each year.
You must be referred to the clinic; it is not a drop-in service.
After referral you are usually contacted within 24 hours and have a first consultation on the phone with one of our experienced early pregnancy team. A time to attend will be given to you if you need to come to clinic for an ultrasound or blood test.
To contact the EPAC phone 0117 414 6778. Leave your name and phone number, and we will call you back as soon as possible.
If you require emergency medical assistance please contact NHS 111. In an emergency such as very heavy bleeding or severe pain, phone 999 or go to the Emergency Department.
Management of miscarriage
EPAC at Southmead Hospital offers a choice of treatment following diagnosis of a miscarriage: conservative management, medical management and surgical management under both local anaesthetic and general anaesthetic.
Ectopic pregnancy
Treatment varies between conservative, medical and surgical management.
Current Anti D guidelines
Anti D 500 IU is recommended for all rhesus negative women with vaginal bleeding after 12 weeks of pregnancy. If bleeding continues intermittently, Anti D 500 IU is repeated after 6 weeks. If bleeding is heavy or there is significant pain, Anti D 500 IU is repeated after 2 weeks.
© North Bristol NHS Trust. This edition published January 2025. Review due January 2028. NBT003772
Contact EPAC
Southmead Hospital
Consultant in charge: Jane Mears
Midwife/Advances Nurse Practitioner: Kathryn Lloyd
Nurse Practitioner: Helen Jones
Telephone: 0117 4146778
Fax: 0117 4146776
St Michaels Hospital: Ward 78
Consultant in charge: Caroline Overton
Midwife/Nurse Practitioners: Carolyn Turville and Hazel Endean
Telephone: 0117 3427790
Fax: 0117 3425776