EPAS is a dedicated outpatient service to assess, diagnose and manage woman with threatened or actual early pregnancy loss, less than 20 weeks pregnant. This unit is staffed by a nurse/midwife, sonographer and receptionist. An obstetric registrar, staff specialist and social worker are available immediately when required.



  • Women who have bleeding and/or discomfort under 20 weeks pregnant
  • Women with a non-viable pregnancy confirmed on ultrasound scan
  • Woman with gestational trophoblastic disease (molar pregnancy)
  • Women who require methotrexate treatment.


  • Women with other early pregnancy problems e.g. hyperemesis, diabetes, hyper/hypo-thyroid
  • Women who are greater than 20 weeks pregnant should be reviewed in the Birthing Unit
  • Any woman less than 20 weeks pregnant whose condition worsens (i.e. increased pain and/or bleeding) should be reviewed in an emergency department.

Referral and appointments

  • All woman must be assessed by their general practitioner (GP) prior to obtaining an appointment in EPAS
  • A named referral from your GP is necessary addressed to Dr Alastair Morris
  • Referral guidelines are located in the quick link for GP's
  • Please fax referral to (02) 9463 1005. Include copies of all relevant blood tests and ultrasound results.
  • Women should receive a call from EPAS within two business days from receipt of referral to discuss ongoing care and schedule the appointment.

Other information

Advice for women:

  • Bring your Medicare card
  • Please bring all previous blood and ultrasound results
  • Be prepared to stay up to three hours
  • If possible come with a partner, relative or friend and if possible do not bring children
  • You are likely to have a vaginal ultrasound. A full bladder is not required
  • Fasting prior to this appointment is not required
  • Should non-urgent surgery be a management choice, this is not likely to take place on the same day as your initial appointment
  • If your condition changes before you attend EPAS (i.e. increased pain and/or bleeding) please attend the Emergency Department as soon as possible.

Quick links: For Patients

EPAS patient information brochure

Support group websites

Bears of Hope

Bereavement Care Centre

Open doors counselling and education services

Pillars of Strength

Pregnancy Loss Australia



Red Nose Grief and Loss: Bereavement Support

Pregnancy, Birth & Baby Helpline: 1800 88 24 36
You can ring the helpline any time of the day or night, 7 days a week.

Recognition of Early Pregnancy Loss

NSW Health links

Thinking of having a baby

Early Pregnancy - When things go wrong

Prevention of Haemolytic Disease of the Newborn - Important Information for Rh (D) Negative Women

Quick links: For GPs

Early Pregnancy Assessment Service Referral Form

Referral guidelines for general practitioners and medical staff

EPAS Policy

Maternity - Rh (D) Immunoglobulin (Anti D) Guideline

FAQs - Use of Rh (D) Immunoglobulin


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Women's Health Ambulatory Care, Level 3, Clinical Services Building, Royal North Shore Hospital,
Westbourne St,
St Leonards, NSW 2065

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Monday to Friday
8:00am - 2:00pm
(exc. public holidays)
By appointment only

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Phone: 02 9463 2350

Fax: 02 9463 1005

Healthdirect Australia

A 24-hour government health information and advice line.

Phone: 1800 022 222