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"Poor A&E experience with miscarriage"

About: The Ulster Hospital / Early Pregnancy Clinic The Ulster Hospital / Emergency Department

(as the patient),

In August 2024 I attended the Ulster Hospital A&E department as I was experiencing vaginal bleeding whilst pregnant, on the advice of the out of hours doctor, it being a Sunday.

I was seen quickly by the triage nurse to do a pregnancy test and then was sent back in the waiting room. There are no sanitary products vending machines in the waiting room toilets so I was bleeding through my clothes. After many hours in the waiting room I was taken through to the cubicles where a doctor palpated my abdomen and I was advised that, as I was at high risk of ectopic pregnancy due to my specific risk factors, the doctor wanted me to be scanned by gynaecology / obstetrics before I could go home. I was sent back to the waiting room.

After a number of hours, a nurse took pity on me and found me a bed in the cubicles where I waited until midnight and then decided to go home as I had not been seen by gynaecology and I had been waiting for 11 hours at that stage, bleeding and in pain.

I gave up on being seen by the NHS and I went for a private HCG blood test three days later and a private scan four days later and the staff there advised me that I needed to be urgently seen at the hospital due to the risk of ectopic and that I could self-refer to the early pregnancy unit (EPU), a fact of which I had not been made aware previously.

I then contacted the EPU who asked me to come in the next day. Once I was with the EPU, the care I received from the staff there was exemplary over the course of the next month, as my pregnancy of unknown location was carefully monitored to ensure my safety.

It has taken me a year to be able to write this, as I still find the whole experience distressing. I understand that efforts have been made in the interim to improve the experience of women suffering miscarriages so my hope is that my experience is no longer typical.

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Responses

Response from Jennifer Nicholson, Lead Nurse - Emergency Care, Emergency Medicine - A&E, South Eastern Health and Social Care Trust 3 days ago
Jennifer Nicholson
Lead Nurse - Emergency Care, Emergency Medicine - A&E,
South Eastern Health and Social Care Trust
Submitted on 06/08/2025 at 18:39
Published on Care Opinion at 18:39


Hi microscopiumzt34

Thank you for telling us of the difficult experience you had when you attended ED. I am truly sorry to hear it was not a good experience for you and has been difficult for you to write about it and has caused you significant distress.

There have been some improvements within ED with dignity packs kindly donated by voluntary organisations for patients requiring sanitary products. We have also purchased additional sanitary items and ensured a constant supply to give to patients when they need them or ask for them. We have unfortunately had products disappear rapidly after being left out in the past so we are unable to leave them out for patients to help themselves.

We continue to work with our colleagues in the gynaecology/obstetrics team to improve the time to review for our patients and ensuring that we are communicating with patients any reasons in delay for reviews. I do accept there is still work to be done in improving the experience for the patients who do experience long delays and we will continue to look for opportunities to improve on this.

Unfortunately the demand for ED far exceeds the capacity and patients do wait much longer than we would wish for them. This is something that concerns staff and it is raised regularly to management. Please be reassured as a team we are continually review our service and look for opportunities to improve. Your story highlights the need for this continual review and reaching out to our referring teams to explore better experiences for our patients.

Thank you for giving me this opportunity to respond to your difficult experience.

Kind Regards

Jenny

Lead Nurse Emergency Care

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Response from Sister - Gynaecology Outpatient Services, Woman & Acute Child Health - Gynaecology, South Eastern Health & Social Care Trust yesterday
Submitted on 08/08/2025 at 12:46
Published on Care Opinion at 15:30


Dear microscopiumzt34,

I am so sorry to hear about your loss and your experience of it.

I am glad that when you got to EPU your experience was positive and I will pass this on to the Early pregnancy staff.

We are working with ED to try and improve patients waiting times.

Should you need our services in the future, please contact us.

Kind Regards,

Louisa

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