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Early Pregnancy Assessment Service

Women's Health Ambulatory Care

Level 3, Clinical Services Building

Royal North Shore Hospital

Westbourne St

St Leonards


Early Pregnancy Assessment Service

Contact us

Phone: 02 9463 2350

Fax: 02 9463 1005


Healthdirect Australia - A 24-hour government health information and advice line.

Phone: 1800 022 222


Pregnancy, Birth & Baby Helpline - You can ring the helpline any time of the day or night, 7 days a week

Phone: 1800 88 24 36

Opening hours

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

Related Services

 What we do

Early Pregnancy Assessment Service (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.

 What to bring

  • 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.

 When to visit us


  • 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.

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards

Bus Route 114 stops directly at the hospital

The hospital is close to St Leonards train station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

 Referral information

  • 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