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Gynaecology Assessment Unit (GAU)
What we do
We are a specialised unit for women with emergency gynaecological conditions. We provide access to diagnostic ultrasound and bloods with onward referral to appropriate treatment, clinics and specialties.
Expected conditions include:
Red / swollen / painful lump on the vagina known as a Bartholin’s cyst
Sudden abdominal pain
Pelvic inflammatory disease
Severe nausea and vomiting in pregnant women (6 to 14 weeks)
Post operative problem for women who have had gynaecological surgery within last 30 days
Vaginal bleeding or pain in early stages of pregnancy (between 6 to 14 weeks pregnant), presenting outside of Early Pregnancy Unit working hours 8am – 4pm weekdays
Fluid collection related to underlying gynaecological cancer known as Ascites
Ovarian Hyperstimulation following fertility treatment
Post-natal problems for women who are 10 days post delivery
What to expect while under our care
We aim to see you within 4 hours of arriving to the unit. However emergency patients are seen by the same staff on the ward so there may occasionally be a delay.
Our nurse coordinator will ask you to provide a urine sample and your temperature and blood pressure will be checked. Your consultation will be with one of our doctors. An in depth history of your symptoms will be taken. Decisions will be made as to which tests or investigations you may require for example blood tests, having a speculum inserted into your vagina and swabs taken, an abdominal examination and an ultrasound.
After your investigations, your doctor may:
Decide you are medically fit and able to go home
Arrange a follow-up appointment at the unit
Ask you to contact the unit for test results
Refer you to another speciality
Refer you to your GP
Explain the likelihood of having to stay in hospital and the reasons
Refer you to another outpatient clinic within the gynaecology speciality
These decisions will be undertaken with your consent.
Level 11, Thomas Kemp Tower, Royal Sussex County Hospital.
Women with gynaecological conditions may be referred via the following:
Accident & Emergency department
Urgent Care Centre
Early Pregnancy Unit
From another speciality
This is not a walk in clinic however it is open 24 hours a day, 7 days a week with all referrals triaged by the Gynaecological Registrar on-call on bleep 8618.
GPs should refer emergency patients via the Professional Support Line on 0300 130 3045.
All haemodynamically stable non pregnant woman with suspected subacute/acute gynaecological conditions (where initial treatment within primary care, if appropriate, has been unsuccessful)
Early pregnancy cases presenting outside of the Early Pregancy Unit working hours of 8am to 4pm Monday to Friday
Patients that are haemodynamically/medically unstable
Pregnant women over 14 weeks should be referred to the Day Assessment Unit or Labour Triage Ward
A 12 bedded ward based in Hayward’s Heath. It caters for elective gynaecology and breast care for women having surgery.
The ward also accommodates the Early Pregnancy Unit, colposcopy and out-patient hysteroscopy clinics.
01273 523191 Level 9, Millenium Wing, Royal Sussex County Hospital
Gynaecology inpatients ward is located on Level 9 of the Millenium building caring for women with emergency gynaecology conditions and following cancer surgery. It also provides care for women having specialist treatment of endometriosis.