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Early Pregnancy Complications

We provide medical care to women who are experiencing complications in early pregnancy.
About our Service

The Early Pregnancy Assessment Clinic (EPAC) provides care to women who are experiencing complications, such as spotting, bleeding, and cramping in early pregnancy. For more information about our service, read our brochure Miscarriages: Information to help you understand.

The clinic is staffed by nurses and gynecologists Monday to Friday 8-4pm. It is our intention to see patients within 2 business days of receipt of referral.  Note: this is not a walk-in service.

The services provided at EPAC include: 

  • Urgent gynecologic consult regarding complications in early pregnancy;
  • Transvaginal ultrasound;
  • Management of early pregnancy complications and miscarriage including follow up of expectant management, misoprostol, and IPAS procedure;
  • Grief and loss counseling.
  • EPAC does not accept referrals for women with a confirmed ectopic pregnancy (pregnancy outside of the uterus). Most women who are diagnosed with ectopic pregnancy will be transferred to Vancouver General Hospital for care.
  • If you have experienced more than one consecutive miscarriage (2 in a row) or a late miscarriage (greater than 10 weeks gestation), your doctor may refer you to our Recurrent Pregnancy Loss Clinic.

Your doctor, midwife, or the emergency department can refer you to EPAC once a concern has been identified. 

Patients may also self–refer by calling 604-875-3137 weekdays 8:00am-4:00pm (please do not walk-in without an appointment). After hours, patients may leave a message and your call will be returned as soon as possible.

Note: ultrasound is not required prior to referral as this service is provided in the clinic

Who is Eligible for the EPAC Clinic?

Eligible patients:

  • Women between 6 weeks and 12 weeks+6 days gestational age
  • Women who are cramping or bleeding and have a positive pregnancy test
  • Women with a confirmed non-viable pregnancy less than 12 weeks 6 days size on ultrasound
  • Women with a confirmed ectopic pregnancy in a PREVIOUS pregnancy

Excluded patients*:

  • Women with heavy bleeding
  • Severe abdominal pain
  • Suspected/confirmed ectopic pregnancy

*These patients should be referred to their local emergency department.

Our Services

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SOURCE: Early Pregnancy Complications ( )
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