Early Pregnancy Units

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Royal Free Hospital

No walk-in. GP referrals must register in the A&E department before attending.

Urgent GP referrals seen on same day. Non-urgent referrals seen on same or next day.

Opening hours: Mon–Fri 07:30–20:00


Mon–Fri walk-in clinics operate on a first-come, first-served basis, with priority given to seriously unwell patients. Patients may experience long waits (up to four hours).

Opening hours: Mon-Fri 09:00-12:00 and 14:00-16:30; Sat and Sun 09:00-12:30 (on weekends, need to attend A&E first). 


Unit offers an assessment of women with bleeding and or pain in early pregnancy i.e. up to 17+6/40. Also see women who have had previous miscarriages, ectopic, and molar pregnancies. 

For management of miscarriage, currently offer expectant, medical and surgical options, including MVA.

Day unit for women with hyperemesis in early pregnancy where they can have IV fluids and antiemetics as a day-case rather than being admitted.

Walk-in service for emergencies after discussion with on-call team (opening hours: Mon–Fri 08:00–18:00)

St Mary's

Services include:

  • Management of recurrent miscarriages and sub-fertility
  • Specialist uterine surgery – intra-uterine adhesions/septum division/fibroids
  • Early pregnancy service (opening hours: Wed AM)
  • Specialist antenatal clinic
  • Counselling
  • Comprehensive research and clinical trials


See also Gynaecology: Urgent Referrals service page.

Eligibility criteria



For pregnant women with pain or/and bleeding in early pregnancy up to 13 weeks and 6 days or pregnant women with high risk of an ectopic pregnancy.

St Mary's

For women who have had:

  • 3 or more miscarriages at less than 13 weeks OR 
  • 1 or more miscarriage(s) greater than 13 weeks, 
  • and no more than one previous live birth
  • and are less than 42 years of age

How to Refer


Referrals from a GP, A&E unit or urgent care centre, or from other healthcare providers in public/private sectors.

Self-refer if:

  • had three previous, recurrent miscarriages
  • a previous ectopic pregancy
  • a previous molar pregnancy

Self-refer by contacting unit prior to attendance on 020 7472 6374 or 020 7794 0500 x38205/31468. 

Opening hours: Mon–Fri 07:30–20:00


Patients can be sent directly to the unit with a referral letter or GPs can phone to make an appointment if it is not urgent.

GP referral to Early Pregnancy Clinic (opening hours: Mon–Thurs PM and Fri AM, appointment only)

t: 020 7288 3786/3734

f: 020 7288 5934

St Mary's

Send referrals to Recurrent Miscarriage Service, Winston Churchill Building, St Mary's Hospital, London W2 1NY

t: 020 3312 1117

e: imperial.rmc.admin@nhs.net

Contact Details


Specialist nurse advice – t: 020 7472 6374‚Äč or 020 7794 0500 x38205 or x31468

f: 020 7317 7680


GP enquiries – t: 020 3447 9411 or 020 3447 6515 (Early Pregnancy Unit nurses)

f: 020 3447 6598

External Links