In order to evaluate postoperative nutrition in women who have undergone Caesarean section, we conducted a national survey. Questionnaires were sent to 100 randomly selected obstetric units in the UK, and were completed and returned by senior midwives. We found that that only 21.5% of units had a departmental policy concerning feeding after Caesarean section. Midwives decided when women could eat and drink in the majority of obstetric units (78.5%), often without the help of guidelines. The period of postoperative starvation was found to vary greatly, from < 1 h in some units to > 24 h in others. We suggest that all obstetric units should produce guidelines in order to rationalise postoperative feeding for women following Caesarean section.

Doctor of Pharmacy (PharmD) programs continually engage in curricular redesign to ensure practice readiness of graduates. With ever-increasing demands on clinical competency and curricular time, it is important to be intentional when determining curricular priorities and prioritize contemporary pharmacist practice. This paper describes how to adapt a national framework for pharmacotherapy curricula to emphasize the pharmacist’s role within a given topic area in order to facilitate conversations about allotting curricular time during a curricular redesign. Customized Tier descriptions based on various factors expected of student pharmacists during Advanced Pharmacy Practice Experiences (APPEs) were developed (e.g., relative autonomy of the pharmacist in managing the topic, emphasis on licensing exams, frequency with which students can expect to encounter the topic at school-specific experiential placements, and condition-specific information). Topics were also reprioritized to address regional variations in practice and ideologies. Customizing a national framework to determine program-specific considerations for prioritizing topics within the pre-APPE curriculum can help faculty and students alike maintain focus on highly critical and foundational concepts, while also making sure not to completely disregard topics of lower priority. We have proposed such a framework for programs to utilize when facilitating conversations surrounding curricular reforms and topic prioritization.

Program/Project Purpose: The Global Health program at Ben Gurion University (BGU) provides students with a comprehensive learning experience that combines theory and practical work that actually demonstrate aspects of global health and social justice. An intense, one-month, summer program was first launched last summer based on a platform of a previous full semester course. The program aims to introduce students with key concepts and theories of public health ethics, globalization and their interactions. Structure/Method/Design: Located in the Negev desert, BGU is involved in the development of Israel's southern periphery, and its health faculty is engaged in researching the impact of geopolitics on access to health services and social determinants of health. Israel holds a unique position on the perspective of global health: It stands at the forefront of both bioscience and social medicine, maintaining a developed medical infrastructure that provides relatively generous healthcare coverage to its citizens. Nevertheless, Israel's unique demographic and social composition introduces challenges of health disparities and social justice. These characteristics present a "living" laboratory opportunity for the study of health challenges in globalized societies. The way we found most efficient to fulfil the course aims, was the integration of a practicum into the more traditional theoretical part, where students can work with NGOs that have strong relation to questions of social justice.Outcomes & Evaluation: Following this principle teaching methods integrate frontal teaching, field trips and a practicum: In the first part student delve into the study of global health from the perspectives of public health as well as from the viewpoint of globalization theories; in the second part of the program specific topics and case studies of global health are tackled. Different ways in which global processes impact the distribution of health resources, pose new bioethical quandaries and alters our understanding of health are discussed. Integrated into those discussions are considerations of ethical, social, political and historical concerns related to global health. Field trips to diverse sites are also conducted for direct exposure to those topics, among them are immigration, Eco-health and health diplomacy. In the final part of the program, students are placed in a one-week practicum to have on-the-ground experience in issues facing the global health workforce. Evaluation by an external reviewer from BGU sociology of health department has been carried to capture changes in knowledge and strength and weaknesses of the program. Going Forward: This year graduate students from Israel, U.S., India and China participated with a variety of backgrounds: MDs, public health graduates-students, social workers and psychologists went through the program. In the coming years we aim to broaden the scope in terms of having more disciplines and countries involved. Funding: Israeli Council for Higher Education. Abstract #: 01ETC100 Knowledge, at...

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INTRODUCTION: In November 2017, the Task Force on Clinical Practice Guidelines of the American College of Cardiology and American Heart Association provided new criteria for the diagnosis of hypertension. We sought to determine if the new diagnostic criteria (>130/80) would impact the diagnosis and potential management of hypertensive disorders of pregnancy. METHODS: In a retrospective descriptive study, two groups of mother/fetus pairs were identified: 1) those with a hypertensive disorder of pregnancy diagnosis (gestational hypertension, preeclampsia with or without severe features, eclampsia or HELLP syndrome) 2) no hypertensive disorder of pregnancy diagnosis. 294 consecutive deliveries were reviewed from 2016 following IRB approval. RESULTS: 31 patients were identified for the hypertensive disorder of pregnancy and 31 for the no hypertensive disorder of pregnancy groups. Baseline demographics of each group were similar except for body mass index. Body mass index was significantly higher in the hypertensive disorder of pregnancy group. In women with a hypertensive disorder of pregnancy diagnosis, 65% met criteria for preexisting hypertension using the new guidelines compared to 19% without a diagnosis of a hypertensive disorder of pregnancy (p=0.0008). Preexisting hypertension would have been diagnosed in 78% of those diagnosed with gestational hypertension using the new criteria. CONCLUSION: Our results indicate adopting the new hypertension guidelines would increase the prevalence of chronic hypertension in pregnancy, and in turn the number who require specific antepartum surveillance and intrapartum management. Utilizing the new, more sensitive criteria for diagnosing chronic hypertension would also decrease the number of patients diagnosed with gestational hypertension.