BC Women’s Hospital is pleased to offer an outpatient Early Pregnancy Assessment Clinic (or EPAC) within the Reproductive Medicine Program. The clinic is located at the Women’s Health Centre and is staffed by Nurse Clinicians, with consultation by an Obstetrician/Gynecologist as needed.
The clinic offers assessment of early pregnancy complications, diagnosis and management of early pregnancy loss, as well as supportive counseling and follow up care. It is our intention for all patients to be seen and treated within two to three business days.
Eligible: Patients falling within the Vancouver Coastal Health Region and
- Who are cramping or bleeding and have a positive pregnancy test.
- Who have a non-viable pregnancy confirmed by ultrasound between 6 and 12 weeks gestational age.
Excluded: Patients with heavy bleeding, severe abdominal pain, or suspected ectopic pregnancy. These patients should be referred to their local emergency department.
Choices available to patients in the management of fetal demise:
- Expectant management.
- Medical management with Misoprostol per vagina.
- Surgical management via Manual Vacuum Aspiration with local anesthesia at the WHC.
- Surgical management via Dilatation and Curettage.
Patients with a viable pregnancy will be referred back to their care provider.
To make a referral:
Fax all patient information including ultrasound, lab results (if done) and referral letter to 604-875-3136.
OR Call the clinic at 604-875-2592 weekdays from 8am – 4pm.
After hours, you may leave a message and we will contact the patient directly.
If you require further information, please call 604-875-2592.