Daily Dose, Housemanship Diaries, Second Posting (Obstetrics & Gynaecology)

Being the EPAU (Early Pregnancy Assessment Unit) House Officer – Housemanship Diaries



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EPAU of the Early Pregnancy Assessment Unit is like working in a clinic. Before I begin, allow me to express how much I absolutely love it when I am allocated as the “EPAU House Officer” for the day.

The hospital that I am practicing in is Hospital Umum Sarawak otherwise known as Sarawak General Hospital.

The working hours as an EPAU HO is from 8am till 5pm, with a lunch break from 12pm till 2pm. This is then followed by the continuation of work from 2pm till about 5pm.

Most of the cases seen here are patients who go for follow up most likely due to foetal growth restriction (FGR) or cases referred from Klinik Kesihatan. There are some cases whereby the gestation is yet to be seen in utero likely because it is too early but the pregnancy test appears positive, hence they are on follow up for scan of gestational viability after a week or two. In terms of gynae cases, most of the patients that come in are impending miscarriages or patients who have miscarriage but are on follow up to check on their B-hCG.

As an EPAU house officer, our duty is to first screen through the cases that comes in. As I mentioned before, some cases are referred while some are on follow-up.

Thus, we will screen through by writing their age followed by their gestation and parity and finally, any relevant antenatal history.

After we are done screening, we help out with writing the scan findings, calling the patients or helping to take bloods.

There’s not much that needs to be done actually but on certain days whereby the patient load is tremendous, it can get extremely busy.

However, being an EPAU house officer is a good experience and a good change of scene especially if you’ve been allocated to the ward always.


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