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Background and objectives: There are only few training programs in obstetric emergencies currently in use and only some of them were evaluated with an adequate sample of participants. Therefore, we present the evaluation of the novel Standardized Trainings in Obstetrical Emergencies (STrObE), conducted in Lithuania. The aim of this study was to analyze whether participants' self-reported knowledge and confidence increased after the trainings, and whether the impact of the trainings was long-lasting. Materials and methods: Data was collected across the majority of hospitals providing secondary and tertiary obstetrical care in Lithuania in 2015. A total of 650 obstetricians- gynecologists and midwives attended the trainings, 388 (response rate 59.7%) of them filled in the initial questionnaire before the trainings, 252 (64.9%) immediately after, 160 (41.2%) 6 weeks after, and 160 (41.2%) 6 months after the trainings, which was the final sample for the analyses. Participants used a Likert-type scale to evaluate their knowledge and confidence about management of urgent obstetrical situations: vacuum-assisted vaginal delivery, shoulder dystocia, postpartum hemorrhage, preeclampsia/eclampsia, early preterm labor, and dystocia. We assessed how participants' self-reported knowledge and confidence changed after the trainings (compared to before the trainings) and how long the effect was retained for. Results: The mean score of self-reported knowledge in obstetrical emergencies increased immediately after the trainings comparing to the scores before the trainings (P &lt, 0.001) and it did not differ further between the three time points after the trainings (i.e. immediately, 6 weeks, and 6 months, P &gt, 0.05). The same pattern was observed for self-reported confidence scores. The increase in self-reported knowledge and confidence after the trainings was stable. Moreover, the self-reported knowledge and confidence gains were greater for those participants with lower work experience, although benefit was seen across all experience levels. Conclusions: STrObE improved participants' self-reported knowledge and confidence and lasting positive effects were observed for at least 6 months after the initial trainings. Moreover, the trainings were more beneficial for those with lower work experience, although they benefited all the participants.

The aim of the study was to analyse treatment of women diagnosed with endometrial cancer in Lithuanian University of Health Sciences Kaunas Clinics: to determine the factors influencing the selection of surgical treatment approach and to compare specifications of surgery and outcomes of surgical treatment. A retrospective cohort study was performed. The participants were divided into two groups – operated by laparoscopy and laparotomy, and in further evaluation operated by Total Laparoscopic Hysterectomy (TLH) and Laparoscopic-Assisted Vaginal Hysterectomy (LAVH). Women operated for endometrial cancer in 2012 (n= 117) and 2016 (n= 143) were included into the study. We concluded that: 1. The choice between laparoscopic versus open surgery is influenced by uterine volume, tumor histology and stage of disease. 2. Laparoscopic approach is related with shorter hospital stay and less post-operative complications, though lymphonodectomy, omentectomy and type 2 hysterectomy were performed less often. 3. Laparoscopic approach in 2016 was related with shorter time of surgery, shorter hospital stays and less complications, though it was not related to the type of surgery (LAVH or TLH).

Aims To analyse patients’ opinion about communication with a surgeon before and after the surgical treatment of endometrial cancer using the CAHPS®. Method Perspective cohort study of 57 (response rate 79.2%) patients treated for endometrial cancer in Lithuanian University of Health Sciences Hospital. The translated CAHPS® and Rosenberg Self-Esteem Scale (group A – low self-esteem, 15 points (n=47)) was used with 2 additional questions about pain. χ2 tests were made, data was considered statistically significant if p

Aims To analyse characteristics and outcomes of laparoscopic surgeries (laparoscopic-assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH)) due to a change of guidelines for treatment of endometrial cancer. Method A retrospective cohort study. The participants: women operated for endometrial cancer by laparoscopy in Lithuanian University of Health Sciences in 2012 and 2016. In 2012 there were 26 patients operated by TLH and 55 by LAVH, in 2016 - 79 operated by TLH and 16 by LAVH. Outcomes evaluated: duration of surgery, lymph node resection, hospital stay, intraoperative and postoperative complications. One-way ANOVA was performed to compare continuous variables and χ2 tests to compare categorical variables, data was considered statistically significant if p