EARLY PREGNANCY
ASSESSMENT CLINIC

The Early Pregnancy Assessment Clinic (EPAC) is a dedicated clinic that provides virtual care for people during early pregnancy (less than 14 weeks gestation). We provide assessment for conditions such as vaginal bleeding, abdominal pain and cramping, ectopic pregnancy follow-up and threatened or actual pregnancy loss. We can also provide clients who do not have family doctors for their early prenatal care, and provide them early ultrasound and bloodwork requisitions.

 

Note: At this time, appointments will all be done over the phone and the Midwife will call from a blocked/private number. 

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The EPAC can provide both urgent and non-urgent care. If you are booking a non-urgent routine appointment, the wait time may be up to one month. If you are experiencing an urgent issue such as bleeding and/or pain with a positive pregnancy test, please call our office at 705-540-8054 to book a same/next day appointment. If the bleeding and/or pain is severe and cannot wait one business day, please go to the local Emergency Department. 

 

The EPAC provides requisitions for investigations such as blood work and ultrasounds to confirm if you are still pregnant with a continuing pregnancy or whether you may be experiencing a pregnancy loss. It is important to remember that blood tests or an ultrasound will not change the outcome of your pregnancy but will give information on whether your pregnancy is continuing or not. This may require more than one visit to the EPAC before a diagnosis can be confirmed. There are also scan limitations when scanning very small/early pregnancies.

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If you are experiencing pregnancy loss, our Midwives' role is to assess and identify your needs, provide emotional support, and help you decide which option is best for you. All options are provided and discussed. These options include expectant management, medical or surgical management. The Clinic can provide you with appropriate consultations and follow-ups as required. You are followed by the Clinic until pregnancy complications are resolved.

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If you are still pregnant, we can provide information and referrals to prenatal care providers in the area.​

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ELIGIBILITY

You do not need to be a current client of the Midland Midwives by the Bay. You can self-refer to the EPAC or be referred by your midwife, primary care provider or the Emergency Department. Services are offered in English and French.

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COST

Our services are free and you do not need a health card to access them. 

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