3–7 September 2006, London, UK Oral poster abstracts excluded the patients with the vaginal and cervical laceration and the cases of Cesarean section (27 cases), postpartum hysterectomy (5 cases). At each scan we evaluated the location of bleeding points. If we could not find out the bleeding points, at the first, we grasped deeply the uterine cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock. After that we inserted three tablets of misoprostol (cytotec) to the anus and infused uterotonic drugs (oxytocin). When the bleeding focus was at upper segment of the uterus, we could control the bleeding with uterotonic drugs. If the bleeding was from lower segment of the uterus, we could stop the bleeding with grasp- ing the uterine cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock and placement of the sutures at the same site. Results: The causes of the bleeding from upper segment of the uterus (15/23, 65%) were placental remnant (9 cases), atonic bleeding (5 cases), uterine inversion (1 case). we could find out the bleeding point in 80% (12/15) on ultrasonographic evaluation and stop bleeding with evacuation, curettage, manual reduction and uterotonic drugs. But we could see the bleeding point in only 25% women (2/8) with bleeding from lower segment of the uterus (8/23, 35%) on ultra- sonographic examination. We could control the bleeding in these patients by grasping the cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock. Conclusions: We think that ultrasonographic examination is useful method to managing the women with postpartum bleeding, partic- ularly the patients with bleeding from upper segment of the uterus. OP12: CONTROVERSIES OP12.01 Evaluation of educational aid to developing countries H. Gilstad NSFM, St Olav, Norway Introduction: The Nelson Mandela School of Medicine, Durban, South Africa, and The National Center for Fetal Medicine (NCFM), Trondheim, Norway, have collaborated in developing an educational program in the use of ultrasound technology in pregnancy care for advanced midwives in the province of KwaZulu-Natal, South Africa. The education is taking place on campus in Durban, and a follow-up Internet solution is developed. The educational program is evaluated in a Ph.D. project. The preliminary results are presented here. Objectives: The first objective is to evaluate cross-cultural, communicative and didactic challenges related to the education of the advanced midwives, both when it comes to the education on campus and the education on the Internet. The second objective is to evaluate how the advanced midwives experience the match between the educational program on the one hand and their daily work on the other. Methods: Both quantitative and qualitative methods are applied in the collection of the empirical material. The material is analyzed through theories on language and communication, mainly Critical Discourse Analysis inspired by Norman Fairclough. Results: The evaluations indicate that there is a complexity of aspects influencing the education of the advanced midwives. The relevance of the education depends on contextual aspects in their daily work. Conclusions: Similar educational programs should be developed in collaboration with the potential users, in order for the education to be relevant to their daily work, and consequently in order to improve the care for pregnant women and their fetuses. OP12.02 OB-GYN ultrasound informatics L. D. Platt , N. S. Silverman, I. E. Zador Center for Fetal Medicine and Women’s Health, Los Angeles, United States Objective: ObGyn informatics is significantly lacking when com- pared to strides in obgyn imaging. This ongoing study evaluates 7 commercially available data acquisition and reporting systems used in US. Methodology: We defined sets of benchmarking parameters and applied a scoring system related to 5 main categories and elements that were evaluated with each product. Results: The results to date demonstrate differences among commer- cially available reporting systems. These differences appear more significant in the ability to extract data and thus require other databases for useful scientific review. Other systems lack adequate linking between abnormal cases and key words in the database. While ease of reporting to the referring physician is a matter of personal preference even in this area marked difference exist. The inability to handle 4D volumes remains a major flaw of most systems. Cost appears to be the major difference in many of these products. Conclusion: Early observations from this work in progress indicate that there is great variation among the various obgyn ultrasound data acquisition and reporting products. OP12.03 Investigation of optimization techniques to prepare ultrasound images for electronic transfer by memory sticks E. C. Parry 1 , R. Sood 2 , D. T. Parry 2 1 University of Auckland, New Zealand, 2 Auckland University of Technology, New Zealand Objectives: Bhutan is a remote Himalayan country. It is planned to introduce portable ultrasound services to improve uptake of antenatal care and identify high risk pregnancies. Sonographers are inexperienced and need advice whilst in remote areas. This study aimed to develop techniques for producing good quality images from a high quality portable ultrasound machine for electronic transfer and review. The project will use store and forward methods via physical transfer of memory sticks, so the image requirements include maximal compression as well as ease of post-scan interpretation Methods: Using a Terason portable ultrasound machine with a 4C2 curvilinear probe, a first-trimester scan, routine anomaly scan, third-trimester scan and pelvic scan were performed. Images and short video loops were stored onto the hard drive. Images were then transferred via a 512 MB memory stick. Histogram equalisation was then used along with compression to. gif, and. jpg and. tif formats. The images were then shown to an experienced Obstetrician and graded for ease of interpretation. Results: In all cases the non-compressed image was regarded as the highest quality image. Histogram equalisation did not consistently improve the quality of the image, other manipulations were helpful. OP12.02: Table Workflow Security Data mining Cost benefit Product support Ease of Use HIPAA, JAHCO Database Structure Billing Remote vs local troubleshooting Automatic Data Import Audit trail Production Statistics Startup cost Company vs 3rd party Appointments Electronic Signature Research and Education Version upgrades Level of training Paperless-EMR Outcome Service contract Try the product prior to purchase Report Management Licensing Service call response times Image Management Image Management Backup and Restore Ultrasound in Obstetrics & Gynecology 2006; 28: 412–511 487