S464 Free communication (oral) presentations/International Journal of Gynecology & Obstetrics 119S3 (2012) S261–S530 single motor units were identified by means of a recently developed surface EMG decomposition algorithm. The know the site and the extension of episiotomy, gynaecologists involved in the study were asked to draw a picture of the episiotomy in a standard form. Results: All episiotomies were performed on right side, except three on the left and three in the midline. In women who underwent mediolateral right episiotomy (82 up to date), a statistically significant reduction of the number of IZs was observed, after delivery, in the right ventral quadrant, corresponding to the side of episiotomy, while women who had Caesarean section did not present any significant change in the innervation pattern. Conclusions: The results of the present study showed that pregnant women could have a fast and reliable clinical test which would provide indications about their sphincter innervation pattern. This information could help the obstetricians to choose which side would be preferable for performing episiotomy if this intervention will be deemed necessary at the time of delivery. O576 WOMEN’S POST-ABORTION CONTRACEPTION EXPERIENCES IN NEPAL: MISSED OPPORTUNITIES FOR PREVENTION C.H. Rocca 1 , M. Puri 2 , C.C. Harper 1 , M. Blum 1 , P. Lamichhane 2 , J.T. Henderson 1 . 1 University of San Francisco, San Francisco, CA, United States; 2 Center for Research on Environment Health & Population Activities, Kathmandu, Bagmati, Nepal Objectives: Abortion has been legal in Nepal since 2002. Little is known about women’s post-abortion contraceptive practices. Research on contraceptive counseling and method uptake is needed to inform improvements in reproductive health services and policy in Nepal and similar contexts. Materials: We examined contraceptive counseling and method choices among 838 women, aged 16–35, obtaining a legal abortion at four clinics in 2011. Participants completed in-person interviews at their abortion visits (77% participation rate). Methods: We use descriptive analyses to assess women’s selection and receipt of contraceptives. We use multivariable logistic regression to assess factors associated with selecting an effective contraceptive method: hormonal methods, long-acting reversible contraception, or sterilization. Results: Most participants had at least two children (55%); 13% were nulliparous. Most wanted no more children (59%), and 36% wanted to postpone pregnancy for at least two years. Just over one-third had never used an effective contraceptive method. Two-thirds (68%) of participants received contraceptive counseling, usually from a clinic nurse (69%). Overall, 62% of women selected an effective method, including pills (16%), injectables (32%), implants (4%), intrauterine devices (IUDs) (6%), female sterilization (4%), and male sterilization (2%). In multivariable analysis, factors associated with selecting an effective method were receipt of counseling, clinic site, age, lower education, and having one or more children. Most women selecting pills or injectables left the clinic with supplies (83%), but only 39% of those choosing an IUD, implant or sterilization left the facility with the method or some other effective method. Additionally, 16% of women selected condoms, but only 63% of these women left with supplies. Among the 23% choosing no method, the most common reasons were husband away (43%) or abstinent/infrequently having sex (25%). Conclusions: Improvements in post-abortion contraception provision are needed in Nepal, as current practices leave many women at risk of repeat unintended pregnancy. Many women do not receive information on contraception, and a sizable portion of those selecting a method leave the clinic without supplies. Efforts are needed to increase the availability and acceptance of implants and IUDs. Post-abortion counseling should address the needs of women who anticipate having sex infrequently and do not adopt contraception, as they remain at risk for unintended pregnancy. Participant characteristics by whether an effective contraceptive method was chosen: percentages; p-values from Chi-square and t-tests; and odds ratios from multivariable logistic regression predicting selecting an effective method (n = 838) Characteristic Selected an Effective Contraceptive Method Total (100%) No (38%) Yes (62%) P, Chi-square or t-test Adjusted OR Age (years, mean 26 26 27 * 0.93*** Education: > primary school 69 81 62 *** 0.88*** Husband’s Education: > primary 85 93 80 *** Residence Urban 59 61 57 ns Rural 41 39 43 Currently lives with husband/partner 84 69 93 *** Ever used method (most effective) No effective method 37 50 29 *** ref Hormonal method 57 45 65 . 1.31 IUD, implant 6 5 6 1.07 Parity 0 13 26 5 *** ref 1 32 31 32 . 6.58*** 2 39 29 45 . 9.33*** 3 or more 16 14 18 . 6.31 *** Has a son 67 56 74 *** Has a daughter 59 48 65 *** Any happiness if pregnant, next 6 months 15 22 10 *** 0.74 Husband: any happiness if pregnant, next 6 months 24 33 19 *** Desired timing of next pregnancy Wants no more children 59 47 66 *** Child in >2 years 36 44 31 Child in < 2 years/not sure 5 8 3 Received contraceptive counseling 68 67 69 ns 2.35*** Clinic facility Public Hospital 1 45 32 66 *** ref Public Hospital 2 8 12 31 . 0.17*** Private Clinic 1 28 38 3 . 0.18*** Private Clinic 2 20 17 69 . 0.47*** Abortion type Surgical procedure 80 75 83 ** ref Medication 20 25 17 . 1.01 *p < 0.05; ** p ≤ 0.01, *** p ≤ 0.001 O577 CLINICAL AND LABORATORY PARAMETERS OF POLYCYSTIC OVARY SYNDROME IN ADOLESCENTS BETWEEN 10 AND 19 YEARS D. Rodeiro 1 , I. Bouzas 1 . 1 UERJ, Rio de janeiro, Brazil Objectives: The clinical criteria for the diagnosis of the POS in adolescence have not yet been defined, and are put as similar to those of the adult phase. However, not always in adolescence may we use the same criteria of the adult phase adequately, mainly when correlating lower gynecological ages and take into account the characteristics of this age range as well as the evolutionary character of the diseaseObjective: Evaluate clinical and laboratory variables in adolescents related to PCOSMaterials: This study is a part of a line of research about the Metabolic Syndrome and Polycystic Ovarian Syndrome, which is underway in the Service of Endocrine Gynecology of the Nucleus of Adolescent Health Studies (NESA), connected to Pedro Ernesto University Hospital (HUPE) from the Rio de Janeiro State University (UERJ). This Service is considered as a reference in the field of adolescence. A case study conducted at an out-patient clinic with transverse observation, consisting of a convenience sample of 61 adolescents from December 2007 through to December 2010. Methods: Observational, comparative, transversal cut study with 61 female adolescents aged between 10 and 19, underwent a clinical and laboratory evaluation of hormonal, lipid profile,m etabolism of glicose. Two groups were created: G-1: 30 with PCOS, and G-2: 31 without PCOS Results: Observed: G-1 presented acne (p < 0.0001), menstrual irregularity (p < 0.0001) hirsutism (p = 0.011), FH PCOS (p = 0.023), MS (p < 0.0001) fas ting glucose (p = 0.015), fasting insulin (p = 0.001), insulin post Oral Glucose Toelarance Test(Insulin-120) (p = 0.0001), HOMA-IR (p = 0.0002), TG (p = 0.025), Total Testoterone (TT)(p = 0.005), LH (p = 0.031) greater than G-2. And G/I (p = 0.003) and QUICK (p = 0.004) lower than G-2 Logistic regression analysis observed:insulin 120≥75 (p = 0.003), acne (p = 0.006) and MS(p = 0.025) (p = 0.010) significant to predict PCOS According to the ROC curve, ’cut-off’ for Insulin 120≥90, which best discriminates the presence of PCOS in this sample under study.