Abstracts / European Journal of Obstetrics & Gynecology and Reproductive Biology 206 (2016) e1–e127 e11 increased use of FPC, with statistical significance. These results emphasize the importance of formal sexual education in an inter- action school-health services perspective, as a promoter of sexual and reproductive health quality. http://dx.doi.org/10.1016/j.ejogrb.2016.07.056 Pelvic floor disorders and urinary incontinence No Preference Should vaginal repairs for prolapse be performed routinely as a day case operation? Victoria Asfour * , James Penny East Surrey Hospital, United Kingdom E-mail address: mdb99va@hotmail.com (V. Asfour). Introduction: In hospital stay is associated with higher cost and lower patient satisfaction scores. Day case techniques have been described for vaginal prolapse repair using local anaesthetic or regional anaesthetic techniques. Methods: All consecutive vaginal repairs performed under a sin- gle surgeon between 2013 and 2015 were retrospectively analysed. Standard general anaesthetic and local anaesthetic technique was used for all cases. Primary outcome measures were in-hospital stay and urinary retention leading to catheterisation. Post-operative retention of urine was defined as failure to void over 200 ml urine, with a less than 100 ml residual twice; it was managed with an indwelling urinary catheter for 2–3 days. Results: Fifty-seven patients (median age 65 years (42–88 years) underwent surgery. Of these 56% had previous hysterec- tomy. See Table 1 for operation type. 56% (32/57) were performed as day case procedures. Median length of stay was 5 h (2.5–11 h). 97% of day cases stayed under 8 h. 11 went home the next day. 3 patients stayed for 2 days. 11 not ascertained. Reasons for in- patient stay included: age, hypertension, social and declining an indwelling catheter. 10% (6/57) went home with a catheter for 2–3 days; of these 3 were day case and 3 were in-patients. Vaginal packs were used for 14% of patients (5 overnight, 3 for 1–6 h post-op only). 1 patient returned the next day for PV bleeding that settled spontaneously. Discussion: Indwelling catheter and vaginal packs were used when clinically indicated. Shorter hospital stay was associated with similar outcomes and higher patient satisfaction. http://dx.doi.org/10.1016/j.ejogrb.2016.07.057 Diabetes in pregnancy Poster Presentation The importance of determining C-peptide level for forecasting the therapy of gestational diabetes mellitus Attila Kun 1,* , János Tornóczky 2 1 Department Obstetrics and Gynaecology, Tolna County Balassa János Hospital, Szekszárd, Hungary 2 Diabetes Care Outpatient Unit, Tolna County Balassa János Hospital, Szekszárd, Hungary E-mail address: drkun.attila@gmail.com (A. Kun). Introduction: The majority of diagnosed gestational diabetes mellitus (GDM) can be treated with diet. In the minority of cases the therapy of GDM is diet supplemented with drug (medication or insulin). Aim: The aim of the study was to compare the C-peptide levels of women with dietetic therapy of GDM and women with diabetic and insulin therapy of GDM. Materials and methods: In a Western Hungarian region (Szek- szárd and its surroundings) 36 pregnant women were diagnosed with GDM (a three-point 75 g OGTT – fasting, 60 and 120 min blood glucose values) using the new WHO criteria. We determined fasting C-peptide levels, too. Results: 11 GDM women (age: 33.1 ± 4.4 years; [mean ± SD]; BMI at booking: 27.7 ± 5.5 kg/m 2 ) were dietetic, 15 pregnant women (age: 30.7 ± 5.0 years; [mean ± SD]; BMI at booking: 27.5 ± 6.1 kg/m 2 ) were dietetic and Inofolic (2 g myo-inositol plus 200 g folic acid) and 10 expectant mothers (age: 30.7 ± 6.0 years; [mean ± SD]; BMI at booking: 31.7 ± 7.0 kg/m 2 ) were dietetic and received insulin. The C-peptide levels of dietetic GDM were 2.06 ± 0.4 ng/ml, dietetic and Inofolic were 2.09 ± 0.5 ng/ml, and dietetic and insulin were 1.75 ± 0.7 ng/ml. Conclusions: The analysis of results of C-peptide levels showed that if they were above 2.00 ng/ml then sufficient diet or diet and Inofolic have to be used, if they were under 2.00 ng/ml then women have to be given insulin, too. http://dx.doi.org/10.1016/j.ejogrb.2016.07.058 Training and education Poster Presentation New remote hybridlab method of training for neonatal resuscitation: evaluation of trainees Ausrele Kudreviciene 1,* , R.J. Nadisauskiene 1 , P. Dobozinskas 2 , D. Vaitkaitis 2 , J. Ribeliene 1 , R. Tameliene 1 1 Lithuanian University of Health Sciences, Lithuania 2 Crisis Research Centre, Lithuania E-mail address: ausrele.kudreviciene@gmail.com (A. Kudreviciene). Proper help for newborns during first minutes of their life has a crucial impact on their mortality and morbidity. The use of simula- tion training is considered to be an indispensable tool to address. Purpose of the study: To evaluate the impact of HybridLab self-direct simulation training on self-evaluation of skills and con- fidence gained. Materials and methods: A retrospective cohort study was performed. In order to reduce neonatal and maternal morbid- ity, the Health Board of the Southern Kazakhstan Region initiated a joint project in 2010. It involved the Lithuanian University of Health Sciences, the Crisis Research Centre, and the Health Boards of the Southern Kazakhstan Region, Almaty and Astana. The new method of blended learning – remote HybridLab self- direct simulation training courses ‘Newborn resuscitation’ were held since 10th of May until 1st of August, 2015. In total, 224 neonatologists, obstetricians gynaecologists, neonatal nurses and midwifes received training in Shymkent, Southern Kazakhstan Region. HybridLab TM method consists of: (1) e-learning (partici- pants preparation before simulation class); (2) training, practice and simulation in HybridLab TM (24/7) without instructor; (3) mon- itoring, evaluating and debriefing participants’ performance from the distance (in Lithuania). The cycle of newborns resuscitation training was formed of 4 topics (3 of them were based on skills, 1 – on process): (1) preparation for newborn resuscitation; (2) assurance of adequate breathing and oxygenation; (3) assurance of adequate blood circulation; (4) newborn resuscitation: process and skills. Self-evaluation skills and confidence gained were deter- mined using Likert-scale 5 points questionnaire (strongly agree,