The purpose of this study is to evaluate how the obstetrics and gynaecology residency program and trainees have been affected by the Corona Virus pandemic in Europe. Study Design: This study is a cross-sectional explorative survey using an online questionnaire. The questionnaire comprised of 40 questions that were subdivided into 4 subjects; workload, specialist training aspects in obstetrics and gynaecology, health and safety of the trainee and women's health and maternal health issues. Inclusion criteria consisted of being a trainee in Obstetrics and Gynaecology (ObGyn) at the time of the COVID-19 pandemic in Europe or trainees who had recently finished their training during the time of the outbreak. Taking part in the survey was voluntary. The questionnaire was shared on the website of the European Network for Trainees in Obstetrics and Gynaecology (ENTOG), ENTOG social media, in the ENTOG-newsletter and through the national representatives of ENTOG. Results: 110 ObGyn trainees from 25 different countries responded to the questionnaire. Almost all trainees (95 %, N = 105) reported an effect on their training due to COVID-19 pandemic. Training was interrupted in 21 % of cases (n = 23). Trainees observed a decrease in educational activities or lectures and a decrease in number of patients. The possibility of training surgical skills decreased, because 67 % (N = 74) trainees reported that surgeries were cancelled. Trainees expressed concerns about reaching the goals of their ObGyn specialist training in 60 % (n = 66) of cases.A decrease in workload was experienced during the first COVID-19 wave in Europe by 60 % (n = 66) of trainees. On average these trainees worked 33 % less hours compared to a normal workweek. Although 22 % (n = 24) were expected to be available continuously for 24 h a day and 7 days a week for unscheduled duties, 15 % (n = 16) were deployed to work on special COVID-units. Concerning preparation, 45 % of the trainees (n = 50) had not received any training for treating COVID-positive patients. Trainees claimed to have enough personal protective equipment (PPE), although problems were reported. Any form of psychosocial support was arranged for 65 % of trainees (n = 71) by the hospital or department. The results of the survey suggest that obstetric care was not affected much (92 % (n = 102) of the respondents said at least necessary care continued) while patients in need for reproductive medicine were affected the most; out of the 110 departments 58 % (n = 60) were closed and 35 % (n = 36) reduced their activities. Access to family planning and benign gynaecology were also significantly reduced; 77 % and 87 % respectively of the departments were less accessible or only open to emergency cases. Conclusion: COVID-19 pandemic has had a tremendous effect on the ObGyn training in Europe. Exposure to learning opportunities, surgeries and teaching has been decreased during the outbreak and may result in a decrease in quality of care provided to women in the future if impairment of training is not recove...

The Hayman suture and the BBT's performances were identical in the management of PPH due to uterine atony. All methods have pros and cons and the choice of the intervention depends on a variety of factors including the severity of bleeding, experience of the surgeon and the accessibility of the tools.

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Objectives To adapt and validate the OAKHQOL for using in osteoarthritis patients of Turkish population. Methods The cross-cultural adaptation of OAKHQOL according to guideline used forward and backward translations from French to Turkish, with an emphasis on expert committee informed decision making. Patients with knee and hip osteoarthritis were recruited into the study. Systemic inflammatory rheumatic diseases were in exclusion criteria. Internal consistency of OAKHQOL subgroups were assessed. Face and content validity were assessed via cognitive debriefing interviews with OA patients. The OAKHQOL subgroups were correlated with SF36, Lequesnes index, Nothingam Health Profile (NHP), WOMAC and VASpain to evaluate construct validity. Spearman correlation coefficient managed to compare qualitative parameters. p<0.05 was significant. Results Eighty two patients (63 female) with aged 56,31 (SD:11,12) years were recruited. Sixtynine patients had osteoarthritis at knees, 11 had at hips and 2 patients had both. The Body Mass Index (BMI) was 27,19 (SD:3,90) and the disease duration was 4,77 years (range: 0,5 – 30). The internal consistency of OAKHQOL subgroups (1 to5) were 0,80; 0,51; 0,87; 0,77 and 0,31. The mean scores of subgroups were 47,19 (SD: 19,77); 42,46 (SD: 34,58); 56,47 (SD: 22,96); 59,92 (24,89) and 49,75 (34,32). According to expert and patient desicions the Turkish version of OAKHQOL had good face and content vaidity. The physical activity, pain and mental health subgroups of OAKHQOL had significant correlation with all subgroups of SF36. The social support and social activities subgroups had not significant correlation with SF36 scores. Lequesnes index had good correlation only with physical activity (p=0,001) and pain (p<0,0001) subgroups of OAKHQOL. The total score of WOMAC had significant correlation with the physical activity (p=0,001), pain (p=0,001) and mental health (p=0,001) subgroups of OAKHQOL. Physical activity and pain subgroups of NHP had significant correlation only with the physical activity, pain and mental health subgroups of OAKHQOL. There was not any significant correlation with social support and social activities subgroups of OAKHQOL with other quality of life scales. Conclusions The psychometric properties of Turkish version of OAKHQOL show that it is useful scale to assess the quality of life of patients with knee and hip osteoarthritis in our population. Disclosure of Interest None Declared

Regardless of the time frames, patients who had successful terminations had a broader angle, less amount of misoprostol use and shorter duration of induction as compared to the failed termination groups. What do the results of this study add? The uterocervical angle has never been measured in second trimester pregnancies to predict the timing of termination. Our study demonstrated the useful application of this ultrasonographic finding in the prediction of successful second trimester terminations.