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Early Pregnancy Assessment Clinic

We provide medical care to those who are experiencing complications in early pregnancy.
What we do

At the Early Pregnancy Assessment Clinic (EPAC), we provide care to those experiencing complications, such as spotting, bleeding, and cramping in the first trimester of pregnancy.

Our services
  • Urgent gynecologic consult regarding complications in early pregnancy
  • Transvaginal ultrasound if needed
  • Medical management of miscarriage using mifepristone and misoprostol
  • Surgical management of miscarriage
  • Grief and loss counselling
For more information about miscarriage, including frequently asked questions and treatment options, visit: Miscarriage

EPAC Research

We engage in research to improve the understanding of miscarriage in the first trimester of pregnancy. All new patients seen through the Early Pregnancy Assessment Clinic contribute de-identified information to the EPAC Data Registry for research purposes; your participation is truly appreciated. All patients may opt-out of participation.

For more information visit: EPAC research and the EPAC data registry


Clinic hours: Monday - Friday, 8:00am-4:00pm

Your healthcare provider, or the emergency department can refer you using our online referral form once a concern has been identified.

OR you can contact us directly for an appointment at 604-875-2592 during clinic hours. 

We try to contact patients within 2 business days of receiving your referral to arrange an appointment. Please do not walk in without an appointment.  If you call after hours, please leave a message and your call will be returned as soon as possible.

Who is eligible for the EPAC clinic?
If your pregnancy is between 6 and 12 weeks gestation and
  • You experience cramping or bleeding or
  • You had a confirmed ectopic pregnancy in the past
OR If you had an ultrasound which showed
  • A pregnancy demise of less than 13 weeks
  • Pregnancy of unknown viability
  • Pregnancy of unknown location
When to go to the emergency department
If you are pregnant and have any of the following
  • Heavy bleeding
  • Severe abdominal pain
  • Suspected or confirmed ectopic pregnancy (pregnancy outside of the uterus).

If you experience any of these - go to your local emergency department.

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