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All Journal International Journal of Public Health Science (IJPHS) Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal JURNAL PENELITIAN KESEHATAN Journal of Issues in Midwifery Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Jurnal Bidan Pintar (JuBiTar) Jurnal Kebidanan Malakbi AloHA International Journal of Health Advancement (AIJHA) Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo International Journal of Advanced Health Science and Technology Gema Bidan Indonesia (e- Journal). Frontiers in Community Service and Empowerment
Evi Yunita Nugrahini
Poltekkes Kemenkes Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Efektivitas Metode Lamaze Terhadap Tingkat Nyeri Pada Ibu Bersalin Ihda Nabilah Rumaitsa; Evi Yunita Nugrahini; Dwi Purwanti; Siti Mar’atus Sholikah
Gema Bidan Indonesia Vol. 11 No. 2 (2022): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v11i2.71

Abstract

Labor pain is defined as a condition that feels unpleasant and very subjective because each mother’s pain treshold is different either scale or level. If not controlled properly, it will have an impact on the health of the mother, baby and delivery process. Pain control due to contractions needs to be done, among others, by the Lamaze method. Objective: To find out the effectiveness of the Lamaze method against the pain level of maternity mothers. Method:This research is a Literature Review by reviewing customized articles. Article searches were conducted in 4 databases (Proquest, ResearchGate, Semantic Scholar and Google Scholar) using Boolean Operators with article selection using PRISMA Flowchart as well as article quality assesment using JBI Critical Appraisal. The results found 17 articles that met the inclusion. Results: After reviewing 17 articles, 10 of them stated that the Lamaze method proved effective against reducing the level of labor pain. In addition to pain, 5 article stated that the Lamaze method affects anxiety, 4 articles stated that this method affects the duration of labor and 6 articles state that this method is able to improve a good and healthy labor outcomes. Conclusion: The results of the study based on a review of 17 articles obtained, concluded that the Lamaze method proved effective in reducing pain levels in maternity mothers. In addition, this method also affects the level of anxiety, the duration of labor and labor outcomes (both maternal/neonatal outcomes). Implications: To add to the Literature Review related to the management of labor pain in a non pharmacological manner using the Lamaze method.  
INFLUENCE EXERCISE AEROBICS LOW IMPACT TO COMPLAINT PREMENOPAUSE Pusparini, Hanna; Jeniawaty, Sherly; Harumi, Ani Media; Nugrahini, Evi Yunita
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): Journal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v10i2.1089

Abstract

During the premenopausal period there is a sharp decrease in estrogen, an increase in gonadotropins hormones, and hormonal balance disorders which cause several complaints including hot flush, bone and joint disorders, anxiety disorders, insomnia, memory loss, depression, irregular menstruation. This study aims to assess the effect of low impact aerobic exercise on premenopausal complaints. This research is a Pre-Experiment with OneGroupPretest-Posttest Designs. The sample in this study was 39 premenopausal mothers taken using purposive sumpling technique. The independent variable is low impact aerobic exercise, and the dependent variable is premenopausal complaints. Data collection used the MRS questionnaire instrument. Data were analyzed using the Wilcoxon Signed Rank Test with p<0.05. The results of the study showed that there was a decrease in premenopausal complaints after low impact aerobic exercise. From the results of the analysis using the Wilcoxon Signed Rank Test, it was concluded that there was an effect of low impact aerobics exercise on premenopausal complaints, which initially mostly had moderate complaints which changed to mild complaints. After the test was carried out, the results showed that there was an effect of low impact serobic exercise on premenopausal complaints with a p value of 0.000 < α 0.05.
Application of The Tri Core Breastfeeding Model Using Audiovisual-Based E-Modules to Increase The Motivation Of Working Mothers in Exclusive Breastfeeding in The Working Area of The Wonoayu Sidoarjo Health Center Pramudianti, Domas Nurchandra; Titi Maharrani; Evi Yunita Nugrahini; Amaliya, Aida; Hamiduzzaman, Mohammad
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.316

Abstract

The tri core breastfeeding model is a health education model for breastfeeding mothers that includes three main aspects: lactation education, self-efficacy or increased confidence in breastfeeding mothers, and support from the surrounding environment. The importance of increasing self-confidence when breastfeeding, especially in working mothers, is something that needs to be considered. The government's efforts to increase exclusive breastfeeding coverage are contained in Government Regulation No.33/2012 on breastfeeding. This study aims to analyze the application of tri core breastfeeding models using audiovisual-based e-modules to increase the motivation of working mothers in exclusive breastfeeding. This study used a quasy experiment method with a non-equivalent control group design. The intervention group (18 people) used e-modules, while the control group used e-leaflets (18 people). The results of this study obtained ρvalue 0.000 < α = 0.05. It can be concluded that there is a significant difference between the use of audiovisual-based e-module media and e-leaflets on increasing motivation for exclusive breastfeeding in working mothers. Data analysis in this study used marginal homogeneity test and mann whitney test. The application of tri core breastfeeding models using audiovisual-based e-modules is expected to be able to increase exclusive breastfeeding coverage in working mothers.
Exclusive breastfeeding behavior based on physical endurance and economic resilience of the family Maharrani, Titi; Nugrahini, Evi Yunita; Junaedi, Mohammad Dwinanda; Pratami, Evi
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24543

Abstract

Breast milk is the best food for babies that can be given until the child is two years old or more, it is proven that breast milk has advantages that cannot be replaced by any food and drink because it contains the most appropriate, complete, and always adjusting nutrients with the baby's needs at all times. This study aimed to analyze the relationship between physical endurance and economic resilience of the family on exclusive breastfeeding behavior. This research was analytic research using a cross-sectional design. The sample of this research was 108 postpartum mothers who were taken by simple random sampling technique. The independent variables in this study were physical endurance and economic resilience, while the dependent variable was the behavior of exclusive breastfeeding. All data were collected using a questionnaire prepared by the researcher, and data were analyzed using a logistic regression test. Adequacy of food, housing ownership, and health insurance ownership are factors that influence exclusive breastfeeding behavior with a p-value <0.05. While 8 other indicators including nutritional adequacy, family health, resting place, income, income adequacy, children's educational ability, dropping out of school, and ownership of family savings do not affect exclusive breastfeeding behavior. Physical endurance relationship between the behavior of exclusive breastfeeding on the indicator of food adequacy and the factor of economic resilience affects the behavior of exclusive breastfeeding on the indicators of housing ownership and health insurance.
Community Empowerment Through the Formation of Nutrition Awareness Groups Among Adolescents as a Prevention of Stunting Pratami, Evi; Nugrahini, Evi Yunita; Kasiati; Sukesi; Titi Maharrani
Frontiers in Community Service and Empowerment Vol. 3 No. 4 (2024): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i4.91

Abstract

Stunting is a serious problem in the health and social that has a big impact. Curative efforts for stunting require high levels of material and non-material support, so that prevention becomes an effective and efficient step. This service involves empowering teenagers through the formation of nutrition awareness groups. The methods used are training, mentoring and evaluation, activities are carried out by examining participants health, providing material, practice and evaluation. This service was 37 participants, Wonoayu Health Center, Sidoarjo Regency. The result of the activity was the formation of a youth group regarding adolescent nutritional awareness, the results of the pretest knowledge about reproductive health were highest in the sufficient category (40.54%) and in the posttest there was an increase to the highest frequency in the good category (67.56%). The results of the pretest knowledge about stunting were highest in the poor category (51.35%) and in the posttest there was an increase to the highest frequency in the good category (62.16%) and in the pretest, knowledge about the role of adolescent nutrition as an effort to prevent stunting was highest in the poor category (54.05%,) and in the posttest, there was an increase to the highest frequency. good category (72.22%). In conclusion, this activity is able to increase teenagers' knowledge about reproductive health, stunting and the role of nutrition during adolescence in preventing stunting. Suggestions for activities continue to be carried out on an ongoing basis with the support of policy makers, schools and health service agencies.
Hubungan Kadar Hemoglobin dengan Penyembuhan Luka Perineum Ibu Nifas di TPMB Kecamatan Kenjeran Indiarti, Amalia; Jeniawaty, Sherly; Nugrahini, Evi Yunita; Pramudianti, Domas Nurchandra
Journal of Issues in Midwifery Vol. 8 No. 2 (2024)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2024.008.02.1

Abstract

Luka perineum merupakan trauma yang dialami oleh 75% wanita yang melahirkan dan dapat menyebabkan morbiditas jika proses penyembuhan luka terganggu. Salah satu faktor yang mempengaruhi proses penyembuhan luka perineum adalah oksigenasi jaringan dan nutrisi yang berhubungan dengan kadar hemoglobin dalam darah. Tujuan penelitian ini untuk mengetahui hubungan kadar hemoglobin dengan penyembuhan luka perineum pada ibu nifas di TPMB Kecamatan Kenjeran. Jenis penelitian ini adalah analitik korelasional dengan pendekatan prospektif. Sampel pada penelitian ini diambil dengan menggunakan teknik purposive sampling dengan jumlah sampel sebanyak 37 ibu nifas dengan luka perineum. Variabel bebas dalam penelitian ini adalah kadar hemoglobin dan variabel terikatnya adalah penyembuhan luka perineum ibu nifas. Untuk menganalisis hubungan antara dua variabel menggunakan uji analisis chi-square. Hasil penelitian menunjukkan bahwa 21 (56,8%) dari 37 ibu nifas mengalami anemia postpartum. Sedangkan penyembuhan luka perineum dengan kategori baik dialami oleh 23 (62,2%) dari 37 ibu nifas. Dari hasil uji analisis chi-square terhadap kedua variabel tersebut, didapatkan nilai p-value sebesar 0,006. Karena nilai p < 0,05, maka terdapat hubungan yang signifikan antara kadar hemoglobin dengan penyembuhan luka perineum pada ibu nifas. Kadar hemoglobin berhubungan dengan distribusi oksigen dan nutrisi ke jaringan perifer. Oleh karena itu, hubungan kadar hemoglobin dengan penyembuhan luka perineum menunjukkan bahwa jika kadar hemoglobin di atas batas normal, maka semakin baik kondisi luka perineum pada hari ke-7.
The Efektivitas Senam Nifas Dengan Media Video Terhadap Involusi Uteri Pada Ibu Nifas Gladis Angelina, Arvemin Sovia; Ani Media Harumi; Yuni Ginarsih; Evi Yunita Nugrahini
Gema Bidan Indonesia (e-Journal) Vol. 13 No. 3 (2024): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v13i3.226

Abstract

Selama masa nifas, organ reproduksi secara perlahan akan mengalami perubahan seperti keadaan sebelum hamil. Perubahan organ reproduksi ini disebut involusi. Perdarahan merupakan penyebab utama kesakitan dan kematian ibu pada masa nifas, dimana 50%-60% karena kegagalan uterus berkontraksi secara sempurna. Kontraksi uterus yang tidak kuat berkontraksi akan menyebabkan involusi uteri tidak berjalan dengan baik. Oleh karena itu, perlu dilakukan perawatan masa nifas yang efektif, salah satunya adalah senam nifas. Efektivitas promosi kesehatan sangat bergantung pada media yang digunakan selama penyuluhan. Salah satu media yang menarik dan interaktif adalah video. Tujuan dari penelitian untuk mengetahui efektivitas senam nifas dengan media video terhadap involusi uteri ibu nifas di PMB Afah Fahmi. Jenis penelitian ini menggunakan desain Pre experimental dengan pendekatan One Group Pre-test Post-test Design. Populasi dalam penelitian ini adalah seluruh ibu nifas di PMB Afah Fahmi yang berjumlah 84 responden. Sampel berjumlah 38 responden diambil menggunakan Purposive Sampling. Instrument pengumpulan data pada penelitian dengan menggunakan lembar checklist dan video senam nifas. Analisis data bivariate menggunakan uji Wilcoxon signed rank test. Hasil penelitian ini adalah hampir seluruh involusi uteri ibu nifas berjalan dengan normal (92%) sebelum diberikan intervensi senam nifas dan berjalan dengan cepat (89,5%) sesudah diberikan intervensi senam nifas dengan media video. Hasil uji analisis Wilcoxon signed rank test didapatkan p-value = 0,001 yang berarti terdapat efektivitas antara senam nifas dengan media video terhadap involusi uteri pada ibu nifas di PMB Afah Fahmi. Senam nifas yang dilaksanakan secara benar, rutin dan teratur akan membantu menguatkan kontraksi otot rahim sehingga mempercepat involusi uteri. Penggunaan media video, dalam senam nifas ini menawarkan aksesibilitas yang tinggi, memungkinkan ibu nifas untuk mengikuti senam kapan saja dan di mana saja. Diharapkan senam nifas dapat dijadikan salah satu program rutin karena dapat memberikan banyak manfaat untuk menangani komplikasi masa nifas.
Pengaruh Terapi Kombinasi Musik Alam dan Suling Terhadap Tingkat Kecemasan Ibu Bersalin Kala I Hati, Devi Permata; Purwanti, Dwi; Islamiah, Ahdatul; Nugrahini, Evi Yunita
Jurnal Kebidanan Malakbi Vol 6 No 2 (2025): Agustus 2025
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v6i2.1533

Abstract

Anxiety is a common psychological disturbance experienced by mothers during the first stage of labor, with a particularly high prevalence. This condition is primarily triggered by the intensity of pain and various other psychological and physical stressors, which can negatively impact the progression of labor. Immediate intervention is therefore crucial to mitigate potential risks to both maternal and fetal safety. The study's theoretical basis posits that therapeutic sounds, such as nature and flute music, can stimulate the hypothalamus, which in turn regulates the body's stress response and leads to a reduction in cortisol levels. This physiological change was hypothesized to directly mitigate the psychological distress and anxiety experienced by laboring women. This research aimed to analyze the effect of a combined nature and flute music therapy on anxiety levels in women during the first stage of labor. A one-group pre-test/post-test design was implemented, and the study's population consisted of women in the first stage of labor at TPMB Afah Fahmi. A purposive sampling technique was used to select a sample of 31 respondents based on specific criteria. The independent variable was the music combination, and the dependent variable was the anxiety level, which was measured using the PASS questionnaire. The results demonstrated a significant effect of the intervention (p=0.000). Before the therapy, the majority of participants experienced moderate anxiety, which dramatically decreased following the intervention, with nearly half of the respondents reporting only mild anxiety. In conclusion, the combination of nature and flute music serves as an effective, non-pharmacological intervention for reducing anxiety. It is recommended that future studies conduct larger, controlled trials to further investigate this therapy and its potential for broader application in maternal healthcare.
Family Education in Increasing Exclusive Breastfeeding Coverage In Lakarsantri District Surabaya Pratami, Evi; S, Rekawati; Isfentiani, Dina; Sukesi, Sukesi; Kasiati, Kasiati; Purwanti, Dwi; Evi Yunita Nugrahini; Pipitcahyani, Tatarini Ika; Titi Maharrani; Novita Eka Kusuma Wardhani
Frontiers in Community Service and Empowerment Vol. 4 No. 2 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i2.95

Abstract

Breast milk is the best food for babies and always disseminated by the government and health workers. Regulations explains that every baby has the right to get exclusive breast milk from birth for 6 (six) months. There are 34.64% of mothers in Lakarsantri Subdistrict, Surabaya who do not provide exclusive breastfeeding to their babies. There are many reasons given, including breast milk does not come out, the baby does not want to breastfeed and the mother works. Community service activities in the form of education on exclusive breastfeeding mothers and families. This community service activity aims to increase the commitment of mothers and families in exclusive breastfeeding. The counseling material includes the definition of exclusive breastfeeding, how to breastfeed, how to store breast milk properly and efforts to increase breast milk production. The participants were mothers and families with infants and toddlers. The number of participants was around 20 people. The media used were leaflets and demonstrations on how to pump breast milk. The results of the activity were able to increase the community's knowledge of the definition, how to store breast milk, factors that affect breast milk and the correct way to express breast milk.
Pengaruh Media Booklet Terhadap Pengetahuan dan Sikap Ibu Hamil tentang Hepatitis B Rasmawati, Atik; Wardani, Novita Eka Kusuma; Nugrahini, Evi Yunita; Nurwulansari, Fitria
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20956

Abstract

ABSTRACT Hepatitis B is an infectious disease that can cause liver infection and potentially lead to serious complications, such as liver cirrhosis and liver cancer. Pregnant women infected with hepatitis B have a high risk of transmitting the disease to their babies during pregnancy, labor and delivery and can cause death in both mother and baby. Adequate knowledge about hepatitis B can help pregnant women to take appropriate preventive measures, such as vaccinating their babies against hepatitis B and following antiviral treatment. However, there are still many pregnant women who have insufficient knowledge and attitudes about Hepatitis B. The Surabaya City Government has implemented a program to prevent and control hepatitis B virus in pregnant women, namely infectious and non-communicable disease screening activities in pregnant women, triple elimination examinations and HBIg (Hepatitis B Imuoglobolin) vaccination. This study aims to analyze the effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. This research is a quantitative study with a pre-experimental research method with a one group pretest post test approach. Respondents of this study were pregnant women who attended pregnant women's classes with a sample of 97 people. The sampling technique in this study was purposive sampling with data analysis using the Wilcoxon Sign Rank Test. The results of the analysis of the effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B using the Wilcoxon test, showed that the p-value obtained was 0.000, so the hypothesis was accepted, meaning that there was an effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. Based on the description above, it can be concluded that there is an influence of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. Education with booklet media is useful for increasing the knowledge and attitudes of pregnant women about hepatitis B. Mothers' knowledge is good or bad depending on how often they participate in prenatal classes, prenatal care at health facilities, Posyandu activities, and other activities. Keywords: Booklet¸ Hepatitis B, Pregnant Women, Knowledge, Attitude ABSTRAK Hepatitis B merupakan salah satu penyakit menular yang dapat menyebabkan infeksi hati dan berpotensi mengakibatkan komplikasi serius, seperti sirosis hati dan kanker hati. Ibu hamil yang terinfeksi hepatitis B memiliki risiko tinggi untuk menularkan penyakit ini kepada bayinya selama kehamilan, proses persalinan dan bisa menyebabkan kematian pada ibu dan bayi. Pengetahuan yang adekuat tentang hepatitis B dapat membantu ibu hamil untuk mengambil tindakan pencegahan yang tepat, seperti melakukan vaksinasi hepatitis B pada bayinya dan mengikuti pengobatan antivirus. Namun, masih banyak ibu hamil yang memiliki pengetahuan dan sikap yang kurang tentang Hepatitis B. Pemerintah Kota Surabaya sudah melaksanakan program upaya pencegahan dan penanggulangan virus hepatitis B pada ibu hamil yaitu kegiatan skrining penyakit menular dan tidak menular pada ibu hamil, pemeriksaan triple eliminasi dan pemberian vaksinasi HBIg (Hepatitis B Imuoglobolin). Penelitian ini bertujuan untuk menganalisis pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Penelitian ini adalah penelitian kuantitatif dengan metode penelitian pra eksperimen dengan pendekatan one group pretest post test. Responden penelitian ini yaitu ibu hamil yang mengikuti kelas ibu hamil dengan sampel berjumlah 97 orang. Teknik pengambilan sampel dalam penelitian ini dengan cara purposive sampling dengan analisa data menggunakan uji Wilcoxon Sign Rank Test. Hasil analisis pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B menggunakan uji Wilcoxon, menunjukkan nilai p-value diperoleh 0,000 maka hipotesis diterima, artinya ada pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Berdasarkan uraian di atas dapat disimpulkan bahwa ada pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Edukasi dengan media booklet bermanfaat untuk meningkatkan pengetahuan dan sikap ibu hamil tentang hepatitis B. Baik buruknya pengetahuan ibu sesuai dengan seberapa sering mereka mengikuti kegiatan kelas ibu hamil, kontrol kehamilan di fasilitas kesehatan, kegiatan Posyandu dan kegiatan lainnya. Kata Kunci: Booklet, Hepatitis B, Ibu Hamil, Pengetahuan, Sikap
Co-Authors Amalia Puspita Sari Amaliya, Aida Ani Media Harumi Destresa Nurul Rahmanda Domas Nurchandra Pramudianti Dwi Purwanti Evi Pratami Evy Diah Woelansari Fani Kusuma Hardiyanti Ginarsih, Yuni Gladis Angelina, Arvemin Sovia Hamiduzzaman, Mohammad Harumi, Ani Media Hati, Devi Permata Hermiyanti, Pratiwi Ihda Nabilah Rumaitsa Indiarti, Amalia Ira Puspita Sari Ira Rahayu Tiyar Isfentiani, Dina Islamiah, Ahdatul Islamiah Istiqomah, Anisa Ikhlasani Nur Juliana Christyaningsih Junaedi, Mohammad Dwinanda Kasiati Kasiati, ., Kasiati, Kiaonarni O.W Klanting Kasiati Lembunai Tat Alberta Lully Hani Endarini Mujayanto Museyaroh, Museyaroh Novita Eka Kusuma Wardhani Nur Hatijah Nurwening TW Nurwulansari, Fitria P, Teresia Retna Paryanti . Pramudianti, Domas Nurchandra Purwanti, Dwi Pusparini, Hanna Queen Khoirun Nisa Mairo, Queen Khoirun Rahayu Sumaningsih Rasmawati, Atik S, Rekawati Sherly Jeniawaty, Sherly Siti Mar’atus Sholikah Sriami . Sukesi . Sukesi, Sukesi Sukesi Suliati Sumasto, Hery Susilorini . Teta Puji Rahayu Titi Maharrani Titi Maharrani Titi Maharrani Titi Maharrani Wardani, Novita Eka Kusuma Yohanes Kambaru W