Friendly IVF : Pelaksanaan Program IVF dengan Stimulasi Sederhana pada 25 Siklus di Center Surabaya

Friendly IVF : Application of IVF Program with Simple Stimulation on 25 Cycles In Center Surabaya

Budi Santoso*

Aucky Hinting**

Samsulhadi*

*Divisi Fertilitas dan Endokrinologi Reproduksi, Bagian/SMF Obstetri & Ginekologi

** Bagian Biomedik

FK UNAIR / RSU Dr. Soetomo Surabaya

ABSTRACT

     The main problem of IVF program is financial matter, especially for developing contries. The countries like Egypt, India and Turkey have offered several methods of IVF program with low cost stimulation ovulation. Although the pregnancy rate is lower than the standart stimulation ovulation for IVF, this program still offers an alternative for infertile couples who have financial problem especially tube factor, young couples and male factor. The objective of this study was to evaluate the success of friendly IVF program, that is the IVF program with low cost ovulation stimulation. The type of research is retrospective using the data from Surabaya IVF center, between 2003 and 2006. The sample is taken from the patients who receive clomiphen citrate or combined clomiphen citrate and gonadotropin. (more…)

Add comment November 17th, 2008

Keberhasilan Penanganan Kehamilan pada Penderita Penyakit Ginjal Kronis Stadium 4

The Succesfulness of Management of Pregnancy with Chronic Kidney Disease  Stage 4

Erry Gumilar Dachlan*

Muhammad Maksum*

Baksono Winardi*

Pranawa*

*Bagian / SMF Obstetri & Ginekologi

**Bagian / SMF Ilmu Penyakit Dalam

FK UNAIR/RSU Dr. Soetomo Surabaya

ABSTRACT

      Childbearing is improtant to women with renal disease, but pregnancy has generally been regarded as very high risk in these women. Prevalence of cronic kidney disease (CKD) stage 4 in reproductive age (20-39 y.o.) < 0,00025%, only few of them becoming pregnant. CKD is defined Kidney damage for three or more months, structural or functional abnormalities of the kidney with or without decrease of GFR < 60 ml/mnt/1.73 m2 with or without kidney damage. Effect for three or more months of pregnancy on chronic kidney disease: Worsening proteinuria, developing become kidney failure, severe anemia, hypertension, urinary tract infection. Effect of chronic kidney disease on pregnancy: Abortion, preterm delivery, low birth wight, IUGR, high incidence of perinatal mortality, placental obruption, pregnancy-induced hypertension, preeclampsia.

Key words : chronic kidney disease, pregnancy

Add comment November 14th, 2008

Perbandingan Kadar Inhibin-B Basal dan Kadar FSH Basal Sebagai Alat Deteksi Penurunan Ovarian Reserve pada Peningkatan Usia

The Comparison Between Basal B and Basal FSH Levels as a Tool for Detection of Decreased Ovarian Reserve in Increasing Age

Budi Sansoto

Bagus Kurniawan

Bagian/SMF Obstetri & Ginekologi

FK UNAIR/RSU Dr. Soetomo Surabaya

ABSTRACT

      The objective of the research were to prove that measurement of basal inhibin-b level are better than measurement of basal FSH level to predict the ovarian reserve. The research was taken place on gynecology out patitent clinic dr. Soetomo hospital. The methode of this research was cross sectional study by using the population of women age 25-40 years old visiting the gynecology out patient clinic. By the inclusion criteria: normal menstrual period, has been married, and willingness to join the study; and the exclusion criteria: using hormonal medication until 2 months before, ovarian mass, obesity, history of pelvic surgery, and galactorhea; we included 42 women that meet the criteria. (more…)

Add comment November 14th, 2008

Perbandingan Isosorbid Mononitrat dan Misoprostol Pervaginam terhadap Expresi Matrix Metalloproteinase-1 di Lendir Serviks dn Penambahan Skor Bishop pada Kehamilan Lewat Waktu

The Comparison of Transvaginal Application of Isosorbide Mononitrate and Misoprostol in Expression of Matrix Metalloproteinase-1 in  Cervical Mucose and The Change of Bishop Score in Post Term Pregnancy

Agus Sulistiono

Anugrah Rahmat Sugi Arto

Agus Abadi

Bagian/SMF Obstetri & Ginekologi

FK UNAIR/RSU Dr. Soetomo Surabaya

ABSTRACT

      The objective of this studt was to know the successful comparison of ISMN and misoprostol intra vaginal in expression of MMP-1 mucous cervix and the change of Bishop score in post term pregnancy. The research was taken place on delivery room on emergency room dr. Soetomo hospital and dr. Soewandi hospital. Ther research was using experimental recearch (randomized clinical trial) by using the population of pregnant women with the case of post term with Bishop score that will have treatment of induction. After gathering 30 patient who met the criteria inclusion which diveded into 2 groups of treatment are as follows the first group of patients had ISMN 40 ng of intra vaginal nad 15 patients of intra vaginal had misoprostol 50  ug of intra vaginal treatment every 0 hours, 6 hours and 12 hours by giving 2 times maximum. (more…)

Add comment November 14th, 2008

Perbandingan Jumlah Leukosit, Hitung Jenis Leukosit, dan Kadar Calprotectin pada Wanita Tidak Hamil, Hamil Normal, Preeklamsia Ringan, dan Preeklamsia Berat

Ratio of  Leucocyte Count, Differantial Leucocyte Count, and Level of Calprotectin in Normal Women, Normal Pregnant Women, Mild Preeclampsia, and Severe Preeclampsia

Bangun Trapsila Purwaka

Reni Widiyanti

Bagian/SMF Obstetri & Ginekologi

FK UNAIR/RSU Dr. Soetomo Surabaya

ABSTRACT

      The objective of this research was to compare leucocyte, differential count, and level of calprotectin in normal women, normal pregnant women, mild preecalamsia, and severe preclampsia. The design of the study was observational analytic. The research was bone at Emergency Room and Outpatient Clinik in Dr. Soetomo Hospital, Surabaya. The patients were women reproductive age, normal pregnant women, mild preeclampsia, and severe preeclapsia on third trimester. We observed 13 women in reproductive age, 13 normal pregnalt women, 13 pregnant women with mild preeclampsia, and 13 pregnant women with severe preeclampsia. (more…)

Add comment November 12th, 2008

Hubungan Ekspresi Cyclin D1dengan Stadium Klinis, Grading Sel Tumor dan Metastasis Kelenjar Karsinoma Sel Skuamosa Serviks (Pada pasien karsinoma serviks yang dilakukan operasi histerektomi radikal di RSU Dr. Soetomo)

Correlation between Cyclin D1Expression with the clinical Staging, Tumor Cell Grading and the Lymph Node Metastasis of Non Kereantinizing Squamous Cell Cervical Cancer (At the patient’s who had Undergone Radical Hysterectomies in Dr. Soetomo General Hospital)

H. Suhatno*

Silwanus Andrian *

Endang Yoewarini*

*Bagian/SMF Obstetri dan Ginekologi

**Bagian/SMF Patologi Anatomi

Fakultas Kedokteran Universitas Airlangga/RSU Dr. Soetomo Surabaya

 

ABSTRACT

     The objective of this study was to investigate the correlation between Cyclin D1 expression and clinical staging, tumor cell grading and the lymph non kereatinizing squamous cell cervical cancer. This research was observational study with cross sectional approcah in Gynecologi Oncology Clinic and Pathology Anatomy Department of Dr. Soetomo General Hospital, Surabaya. The samples are tissues (cervix ana lymph node) covered with paraffin block collected from radical hyaterectomies in Dr. Soetomo General Hospital, Surabaya January 1st, 2003 to November 31st, 2006. 10 samples were collected consecutively for each clinical staging (IA, IB, IIA), thus 30 samples totally. (more…)

Add comment November 5th, 2008

Cell phone risk to sperm supported

Source: Fertility and Sterility 2008; Advance online publication

Evaluating the effects on ejaculated human semen of exposure to electromagnetic radiation from cell phones in talk mode. (more…)

Add comment October 20th, 2008

Magnesium sulfate’s protection against cerebral palsy confirmed

Source: New England Journal of Medicine 2008; 359: 895-905

Assessing whether magnesium sulfate alters the likelihood that a woman at risk for preterm birth will have a child that develops cerebral palsy.

MedWire News: Prescribing magnesium sulfate to women at risk for preterm delivery reduces their risk of having a child with cerebral palsy, research confirms. (more…)

Add comment September 16th, 2008

Vulvovaginal atrophy and sexual dysfunction ’strongly linked’

Source: Menopause 2008; Advance online publication

Studying the relationship between vulvovaginal atrophy and sexual dysfunction among sexually active postmenopausal women.

MedWire News: Vulvovaginal atrophy is strongly linked to sexual dysfunction in postmenopausal women, research suggests.

“Therapies aiming to reduce the symptoms of vulvovaginal atrophy may also relieve symptoms of sexual dysfunction,” reason the authors of the study, led by Kristen Levine (University of North Carolina at Chapel Hill, USA). (more…)

Add comment August 13th, 2008

Telomerase overexpression may explain endometriosis pain and infertility

Source: Human Reproduction 2008; 23: 1511-9

Scientists test the theory that endometriosis is associated with abnormal endometrial expression of telomerase and telomere lengthening.

MedWire News: The enzyme responsible for maintaining telomeres, the ends of chromosomes thought to block apoptosis in some cancer cells, may play a role in endometriosis, research suggests. (more…)

Add comment August 13th, 2008

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