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Abstracts / European Journal of Obstetrics & Gynecology and Reproductive Biology 206 (2016) e1–e127 Training and education Training and education Oral Presentation No Preference The crucial needs of sexual and reproductive healthcare: sharing experience of observing evidence-based practices in Edinburgh, the UK Antenatal care pattern amongst women with perinatal mortality: 2 year experience in Royal London Hospital Lela Shengelia Laxmi Shingshetty ∗ , Mehreen Mirza, Henna Rather, Javaid Muglu National Center for Disease Control and Public Health, Georgia E-mail address: maillela69@gmail.com. Introduction: Development of sexual and reproductive healthcare is crucial need for Georgia. The country is on transitional phase of developing and implementing sexuality education and reproductive healthcare services within barriers of culture, religion and political dilemmas. The UNFPA/EBCOG scholarship on the quality of care in maternity, sexual and reproductive health in Eastern Europe and Central Asia was a good opportunity to achieve experiences of evidence–based practice in Edinburgh, the UK. I was privilege to have such opportunity of observing various issues relating to sexual and reproductive health and services delivered by some facilities at Edinburgh, the UK to the people in real needs of those services. The purpose of the programme was to observe; thereby, experience closely the approaches and services are delivered by gynecologists, midwives and nurses and later to implement those experiences in developing a strategic sexuality and reproductive healthcare services in country. Special target was to observe the youth friendly services provision and providing the adolescent sexuality education in the schools. Thus, it was a participatory observation method that extended from 21st February to 5th March 2015. Results: I observed 46 patients including early pregnancies, female sex workers, Men-having–sex with men, STIs and post-menopausal women in nine facilities. I experienced that the Scotland Government has positively addressed the issues of sexual and reproductive healthcare and successfully implemented reproductive health strategy and action plan based on harm reduction. It was observed that evidence-based approach is implemented in every reproductive health service in Edinburgh. I found that the sexual and reproductive healthcare rights of all groups of population in needs, especially adolescents are well respected. The interaction between clients and providers is based on equity and respect rather than judgmental. Conclusion: Respecting and delivering equity-based services rather than discriminating the people in needs are crucial to address the sexual and reproductive healthcare issues. Thus, a multisectoral approach involving policymakers, politicians, religious leaders, civil society and people in needs are essential to develop and implement a successful sexual and reproductive healthcare programme. http://dx.doi.org/10.1016/j.ejogrb.2016.07.275 e105 Obstetrics and Gynaecology, Royal Lonon Hospital, London, United Kingdom E-mail address: lux.newton@gmail.com (L. Shingshetty). Background: The prevalence of stillbirth in England and Wales was 4.9 stillbirths per 1000 total births. The risk factors for stillbirth amongst many include obesity, pre-existing diabetes and pre-existing hypertension, advanced maternal age, illicit drug use, low education and low socioeconomic status, no antenatal care and small for gestational age. Ethnicity remains strongly associated with stillbirth with Asian and black women twice at risk compared to white women. London has a diverse population with 40% being non-white who have higher incidence of such risk factors. We assessed the antenatal care pattern amongst women in East London catering largely ethnic black and Asian population. Methods: The data of perinatal mortality was collected over 2 year period from October 2013 until October, 2015 in department of Obstetrics of Royal London Hospital. The hospital records were accessed for full details of ethnicity, gestational age, type of perinatal mortality and birth weight. Antenatal record for appointments schedule and antenatal admissions were recorded from the hospital patient record system. Results: There were 180 perinatal deaths during this period. The antenatal booking before 12 weeks was reported in 58% (66/113) of Asian women, 62% (10/16) of Black women, 46% (15/32) of White women and only 10% (2/19) of other groups including migrant population, which also had 36% (7/19) women unbooked. The reduced number of antenatal appointments (<5 appointments) was seen in nearly 60% of Asian women, 56% of Black women, 68% of White women and 52% of other group women. Discussion: The proportion of antenatal booking before standard 12 weeks is poor amongst the women who have perinatal mortality. This is obviously a missed opportunity to identify any modifiable risk factors which can improve the outcome of pregnancy. The pattern of reduced antenatal appointments is also consistent in women who have perinatal mortality. The risk profile of women booking late or reduced access to antenatal care have shown that most common barriers to attendance at antenatal care in modern western society are low socioeconomic status, low educational level, unmarried status, ethnic origin of the woman, difficulties in obtaining appointments and long distances. We conclude that even though there is an equal prospect of access to high standard maternity services but background social disadvantage leads to relatively poor outcomes in their pregnancies. The emphasis needs to be laid on revising the policies of improving the uptake of maternity care amongst the socially disadvantaged women, which will subsequently reduce perinatal mortality. http://dx.doi.org/10.1016/j.ejogrb.2016.07.276