Background: In preparation for emergency cesarean section will involve many decisions and move the various personnel from various disciplines with specific time limits in order to save mothers and neonate. Lack of harmony among team members will result in the need for longer time intervals, so that morbidity and increased maternal and neonate mortality.
Objective: Todetermine the effect of “responsetime” of emergency cesarean section to the out come of pregnancy in the Sarjito hospital.
Methods: The study designis aretrospective cohort.
Results: There were 150 cases of emergency Caesarean sectionin dr. Sardjito hospital during January 1, 2011 through December 31, 2011. The data retrievalis doneby taking aretrospectivecohortdata frommedical records of patients who entere dthestudy subjects. There were 150 cases of emergency Caesarean sectionin 681 cases of Caesarean section during 2011. Fromtable 4it can be seenthat the distribution of execution Caesarean section based on worked hours, 64 cases(42.7%) founded at work and 86 cases(57.3%) in the off hours. Basedon gestational age≥37 weeks there were 116 cases (77.3%) and<37 weeks there were 34 cases(22.7%). As for the difference intime <60 minutes there were 22 cases (14.7%) andat ≥ 60 minutes the re were 128 cases(85.3%). Type ofanesthesiaused was 123 cases(82.6%) regional anesthesia (spinal/ epidural) and 27 cases (17.4%) GA. From all cases of emergency Caesarean section,90.5% operator is are sidentand the restby a specialist. There were nosignificant differences in bivariate and multivariate analyzesto morbidity and mortality to maternal and neonatal.
Conclusion: No significant difference was found morbidity and mortality out comes for maternal and neonatal carein the “responsetime” <60 minutes and≥60 minutes at SarjitoHospital.
Key words: emergency cesarean section, decision – delivery time interval, response time, delivery time

Background: Administration of GnRH agonist on endometriosis can increased apoptosis and inhibit proliferation of endometrial cells ectopic. How the effectiveness of GnRH agonist for 3-6months prior to FIV in endometriosis needs to be studied further. Objective: To determine the effectiveness of GnRH agonists for 3-6 months before FIV output number of mature oocytes, total dose and duration of gonadotropin stimulation with a long protocol stimulation. read more

Background: Curettage is a minor operative action that mostly done in the field of Obstetrics and Gynecology. Pain caused by the actions of curettage is an individual reflection to various stimuli, received and interpreted differently influenced by emotional, motivational, cognitive, social and cultural rights. Several anesthetic techniques combined with the provision of other Medical studied for pain. Diazepam has increased GABA effect, sedatives and hypnotics, in this study combined with paracervical block.
Aim of study: Compare the intensity of pain and side effects the addition of diazepam 10 mg to paracervical block anesthesia with paracervical block only in curettage.
Design and method: Randomised control trial research. Conducted research in Dr. Sardjito hospital and Panembahan Senopati Bantul District Hospital, which lasted for six months from August 2011. Subjects who met the inclusion criteria were divided into two groups (paracervical block and diazepam 10 mg;paracervical block). Anxiety was measured with the State Trait Anxiety Inventory (STAI). Pain was measured by the Wong-Baker FACES Pain Rating Scale. Factors suspected to affect the test were analyzed by t-tests and Chi-square.
Result: There were 60 patients in this study. Provision of Diazepam 10 mg in combination with paracervical block has result in obtained lower pain scores.

Background: Preeclampsia is one of the main causes behind maternal and perinatal mortarity and morbidity. The pathogenesis remains unclear but recently many that the failure of spiral arteries remodeling will eventually lead to placental hypoxia. On preeclampsia complicated-pregnancy, the trophoblast apoptosis is considered being excesive.
Eventhought this hypothesis is till understudy, it is believed that trophoblast apoptosis regulation play a role in preeclampsia complicatedpregnancy pathophysiology. Molecular apoptosis mechanism in human is very complex and involves many signaling molecules, among
them is Bcl-2. Bcl-2 group consist of proapptosis (Bax)) and apoptosis inhibitor (Bcl- 2 and Bcl-XL).
Objective: To compare the expression of Bcl-XL protein on prcgnancy trophoblast between severe preeclampsia complicated-pregnancy and
normotension pregnancy.
Method: This cross sectional study involves population of severe preeclampsia and normotension patient that being treated at RSUP
Sardjito from October 2011 until March 2012. Placenta samples were obtained from 43 severe preeclampsia complicated-pregnancy and 38
placentas from normotension pregnancy. Bcl-XL protein expression was observed using immunohistochemistry technique. statistical
analysis was done using independent t-test (p<0.05).
Result: There was significant difference Bcl-XL protein expression on trophoblast cells in severe preeclampsia, complicated-pregnancy group
1.29±0.12 compared to normotension pregnancy group 1.71±0.14 with p=0.00. From the logistic regression analysis reveals that the presence of severe preeclamsia has a consistent statistically
significant role to the Bcl-XL protein expression with p= 0.000.
Conclusion: Bcl-XL protein expression is lower in severe preeclampsia complicated- pregnancy compared to normotension pregnancy.
Keyword : trophoblast, severe preeclampsia,Bcl-XL protein, apoptosis.