Claim Missing Document
Check
Articles

THE RELATIONSHIP OF ADOLESCENT KNOWLEDGE ON THE BEHAVIOR OF PERSONAL HYGIENE DURING MENSTRUATION : A LITERATURE REVIEW Rozy Dian Putri Rozy; Gatut Hardianto; Endyka Erye Frety
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 4 (2022): Indonesian Midwifery and Health Sciences Journal, October 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i4.2022.423-432

Abstract

Background: Reproductive health is a vital issue in health development that impacts people's mortality, morbidity and life expectancy. The importance of maintaining reproductive health because it can cause diseases, namely reproductive tract infections, especially in young women. WHO data 2007 the highest incidence of reproductive tract infections occurs in adolescents, namely 35%-42%. The purpose of this study was to determine the relationship between the level of knowledge of young women to the behavior of maintaining personal hygiene of the genital organs during menstruation. Method : the method used is literature review. For data using 5 primary research journals on google scholar with the keywords menstrual hygiene, knowledge, personal hygiene obtained free of charge. Results: The level of knowledge and age influence a person's behavior in maintaining personal hygiene during menstruation. Conclusion: Based on all the literature that has been reviewed, it can be concluded that there is a relationship between the level of knowledge and personal hygiene behavior during menstruation.  Keywords : Menstrual Hygiene, Knowledge personal Hygiene,
The comparison of maternal stress level during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic Farisya Nurliana Fatin; Gatut Hardianto; Dwi Izzati
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.23-29

Abstract

HIGHLIGHTS Maternal stress level during pregnancy in the COVID-19 pandemic had normal category. There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic. Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic.   ABSTRACT Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia. Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test. Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102). Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
THE EFFECT OF GIVING PROPOLIS EXTRACT TO PREGNANT WOMEN WITH BACTERIAL VAGINOSIS Kiki Apnita Sari; Willy Sandhika; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 3 (2023): Indonesian Midwifery and Health Sciences Journal, July 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i3.2023.247-257

Abstract

Background: Bacterial Vaginosis (BV) in pregnancy is caused by several physiological changes that disrupt the vaginal ecosystem, namely hormonal changes and vaginal flora. Treatment with antibiotics for Bacterial Vaginosis (BV) cases has a risk of resistance, so alternative therapies are needed, one of which is propolis extract. This study aims to prove the effect of giving propolis extract to pregnant women with bacterial vaginosis. Methods: This study used a quasi-experimental type of clinical trial research with The Pretest-Posttest Control Group Design. The population in this study were 100 pregnant women who experienced flour albus at Anugrah Pratama Clinic Surabaya in September-December 2021. The sample of pregnant women with BV was 44 people who were divided into control and intervention groups. Independent variabel is giving propolis extract and dependent variabel is infection of bacterial vaginosis. The sampling technique in this study was consecutive sampling. Data analysis using Chi Square Test. Results: The control group did not reduce bacterial vaginosis infection, which remained with BV (+) infection by 54.5% and BV infection (-) by 45.5%, while the intervention group was proven to reduce bacterial vaginosis infection to BV infection (+) by 18 .2% and BV infection (-) of 81.8%. Analysis: The results of the Chi-Square test showed that the p-value of BV infection was 0.012 and bacterial vaginosis infection α (0.05). Conclusion: There is a significant difference between the control group and the group given propolis extract. It can be concluded that there is an effect of propolis extract administration on reducing infection in pregnant women with bacterial vaginosis.
Risk factors associated with spontaneous abortion in Dr. Soetomo General Hospital Surabaya: a case-control study Zakira, Safira; Hardianto, Gatut
Jurnal Kebidanan Midwiferia Vol. 7 No. 1 (2021): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v7i1.1125

Abstract

The Maternal Mortality Ratio (MMR) in Indonesia is still fairly high. One of the top three causes of maternal death is bleeding. Spontaneous abortion is an early pregnancy problem leading to the occurrence of bleeding and direct maternal death. The causes of spontaneous abortion vary and can be caused by multiple factors. Early identification of risk factors is necessary to reduce mortality and morbidity due to spontaneous abortion and its complications. This study's objective was to identify the risk factors of spontaneous abortion in Dr. Soetomo General Hospital. This study was an observational analytic with a case-control approach. The population was all pregnant women hospitalized at the Obstetrics and Gynaecology Department in Dr. Soetomo General Hospital from January 2017 to December 2018. The samples were 120 in total, included 40 cases and 80 controls taken by consecutive sampling. The data were analyzed using univariate and bivariate analysis with the Chi-square test. The results based on the bivariate analysis showed history of previous abortion (p <0.001), chronic maternal disease (p <0.001), hemoglobin levels (p = 0.020), maternal age (p= 0.026), gravidity (p= 0.036), and infection (p= 0.037) had significant correlation with spontaneous abortion. In conclusion, risk factors associated with spontaneous abortion in Dr. Soetomo General Hospital were history of previous abortion, chronic maternal disease, anemia, advanced maternal age, multigravidity, and infection. Positive pregnancy outcomes are expected to play a role in reducing MMR in Indonesia. Therefore, high-risk pregnant women are suggested to carry out regular Antenatal care recommendations with intensive supervision.
COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Amani, Fariska Zata; Denas, Azami; Paraton, Hari; Hardianto, Gatut; Mardiyan K, Eighty; Hartono S, Tri
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
Faktor yang Berhubungan dengan Perilaku Deteksi Dini Kanker Serviks pada Pekerja Wanita di RSUD Naibonat Kia, Prisca Desyani; Hardianto, Gatut; Utomo, Budi
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.13908

Abstract

ABSTRACT One woman dies from cervical cancer every two minutes. Nearly 90% of deaths from cervical cancer each year occur in women in low and middle income countries where screening efforts are not optimal. Health workers are expected to be role models for the community who carry out early detection. This study aims to analyze factors related to early detection behavior of cervical cancer in female workers. This research is an observational study with a cross sectional design. The sample in this study were female workers aged 30-50 years, married and sexually active who were willing to be respondents. Women who had cervical cancer and underwent total hysterectomy were not included in this study. Data collection was carried out by conducting interviews with respondents using a questionnaire. The independent variables in this research are education, profession, knowledge, attitudes, affordability of access to services, and family support. Meanwhile, early detection behavior for cervical cancer is the dependent variable. A total of 167 respondents were involved in this research. There is no significant relationship between knowledge and accessibility and early detection of cervical cancer. Occupation of health workers (p=0.13, OR=0.146), non-health workers (p= 0.014, OR=0.105) and family support variables (p= 0.001, OR= 5.997) are factors related to early detection behavior of cervical cancer. The factor found to most influence the behavior of early detection of cervical cancer was family support with OR 5.997 (95% CI OR: 2.190-16.419). Lack of family support will have a 5 times greater influence on female workers not carrying out early detection of cervical cancer. Good family support, supported by sufficient information and high motivation does not rule out the possibility of respondents carrying out early detection examinations for cervical cancer. Keywords: Cervical Cancer, Early Detection, Pap Smear  ABSTRAK Satu wanita meninggal karena kanker serviks setiap dua menit. Hampir 90% kematian akibat kanker serviks setiap tahunnya terjadi pada wanita di negara berpenghasilan rendah dan menengah dimana upaya skrining belum optimal. Tenaga kesehatan diharapkan menjadi panutan masyarakat yang melakukan deteksi dini. Penelitian ini bertujuan untuk melakukan analisis faktor yang berhubungan dengan perilaku deteksi dini kanker serviks pada pekerja wanita. Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Sampel pada penelitian ini adalah pekerja wanita berusia 30-50 tahun, telah menikah dan aktif berhubungan seksual yang bersedia menjadi responden. Wanita yang menderita kanker serviks dan melakukan histeroktomi total tidak diikutsertakan dalam penelitian ini. Pengumpulan data dilakukan dengan melakukan wawancara pada responden dengan menggunakan kuesioner. Variabel independent pada penelitian ini adalah pendidikan, profesi, pengetahuan, sikap, keterjangkauan akses pelayanan, dan dukungan keluarga. Sedangkan perilaku deteksi dini kanker serviks merupakan variabel dependen. Sebanyak 167 responden terlibat pada penelitian ini. Tidak ada hubungan yang signifikan antara pengetahuan dan keterjangkauan akses dengan perilaku deteksi dini kanker serviks. Pekerjaan petugas kesehatan (p=0,13, OR=0,146), non petugas kesehatan (p= 0,014, OR = 0,105) dan variabel dukungan keluarga (p= 0,001, OR= 5,997) merupakan faktor yang berhubungan dengan perilaku deteksi dini kanker serviks. Faktor yang ditemukan paling mempengaruhi perilaku deteksi dini kanker serviks adalah dukungan keluarga dengan OR 5,997 (95% CI OR: 2,190-16,419). Dukungan keluarga yang kurang akan berpengaruh 5 kali lebih besar untuk pekerja wanita tidak melakukan deteksi dini kanker serviks. Dukungan keluarga yang baik, didukung dengan informasi yang cukup dan motivasi yang tinggi tidak menutup kemungkinan responden melakukan pemeriksaan deteksi dini kanker serviks.  Kata Kunci: Kanker Serviks, Deteksi Dini, Pap Smear
Hubungan Tingkat Pengetahuan Keputihan dengan Perilaku Hygiene Genitalia Pada Wanita Usia Produktif Widyaningrum, Dwi; Hardianto, Gatut; Djuari, Lilik
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.13783

Abstract

ABSTRACT Vaginal discharge is a common complaint among women of childbearing age, reproductive age, and puberty. It can occur at all ages, including the productive age. Of all the diseases experienced by women worldwide, 33% are reproductive health problems caused by a lack of knowledge about vaginal discharge. This research is an analytical observational study with a cross-sectional approach. The sample was obtained using purposive sampling, and data from 78 productive-age female respondents. Research instrument using a questionnaire. The statistical test used was Spearman's Rank correlation test. The study shows that 33 individuals (42%) have good knowledge about vaginal discharge, while 41 respondents (53%) have sufficient genital hygiene behavior. The statistical test result with α=0.01 obtained a significance value of p=0.000 and a correlation coefficient value of 0.494. The value of p < α indicates a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. The statistical test results with α=0.05 indicate a significant relationship (p<0.001) with a correlation coefficient of α =0.494 means that there is a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. Keywords: Vaginal Discharge, Genital Hygiene, Knowledge, Behavior, Productive Age Women  ABSTRAK Keputihan merupakan keluhan umum dikalangan wanita usia subur, usia reproduksi, dan pubertas. Keputihan dapat terjadi pada semua usia termasuk usia produktif. Dari semua penyakit yang dialami wanita di dunia, 33% adalah masalah kesehatan reproduksi yang diakibatkan oleh minimnya pengetahuan tentang keputihan. Penelitian ini bersifat analitik observasional dengan pendekatan cross sectional. Teknik pengambilan sampel  dengan purposive sampling didapatkan data 78 responden wanita usia produktif. Instrument penelitian menggunakan kuisioner. Uji statistik yang digunakan adalah uji Spearman's Rank. penelitian menunjukkan 33 responden(42%) memiliki pengetahuan yang baik tentang keputihan, sedangkan 41 responden (53%) memiliki perilaku hygiene genitalia yang cukup. Hasil uji statistik dengan α=0,05 diperoleh nilai signifikansi p<0,001 nilai koefisien korelasi (0,494) terdapat hubungan yang bermakna antara tingkat pengetahuan tentang keputihan dengan perilaku hygiene genitalia dengan korelasi sedang. Kata Kunci : Keputihan, Hygiene Genitalia, Pengetahuan, Perilaku, Wanita Usia Produktif
SOSIODEMOGRAPHIC FACTORS ON CONTRACEPTIVE USE AMONG MARRIED WOMAN: EVIDENCE FROM THREE INDONESIA DEMOGRAPHIC AND HEALTH SURVEY (IDHS) Latifah, Nur Faridah; Jayanti, Ratna Dwi; Hardianto, Gatut
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 3 (2024): Indonesian Midwifery and Health Sciences Journal, July 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i3.2024.239-249

Abstract

Background: Data on contraceptive use are needed to evaluate contraceptive use and plan for future needs. Changes in contraceptive method use and the factors that influence contraceptive method use are serious matters that need to be considered. Methods: This study used secondary data from the Indonesian Demographic and Health Survey (IDHS) in 2007, 2012, and 2017. The research design used was cross-sectional. Researchers used descriptive analysis to determine the characteristics of married women who use contraception. Inferential analysis was used to see the relationship between sociodemographic factors and the use of contraceptive method types. Results: The results of the analysis showed that the most widely used type of contraception from 2007-2017 was injectable contraception. Most married women who used contraceptives were in the age group of 30-39 years, had only 1-2 children, had a high school education and below, and worked as housewives. Women living in rural and urban areas have equal opportunities to obtain contraceptive services. Even women with the lowest wealth index still have access to contraceptives. The chi-square test results of age, education, occupation, residence, and wealth index variables with p = 0.000 (p < 0.005) from 2007-2017, as well as the variable number of children with p = 0.000 (p < 0.005) in 2007, p = 0.002 (p < 0.005) in 2012 and p = 0.000 (p < 0.005) in 2017. Conclusion: This study found a positive association between contraceptive method use and the variables of age, education, occupation, number of children, place of residence, and wealth index.
Collagen-1 and elastin expression in cervical tissue: A comparison across cervical elongation, pelvic organ prolapse, and combined conditions Widyasari, Anis; Hardianto, Gatut; Kusumastuti, Etty Hari; Kurniawati, Eighty Mardiyan
Majalah Obstetri & Ginekologi Vol. 32 No. 3 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I32024.189-195

Abstract

HIGHLIGHTS Pathogenesis of cervical elongation is still limited, including the histological and molecular differences between a cervical elongation and a normal cervix. The expression of collagen-1 level in the cervical elongation group was stronger compared to the cervical elongation with POP and control group.   ABSTRACT Objective: This study aimed to assess differences in the expression of collagen-1 and elastin in cervical tissues among patients with Cervical Elongation (CE), Pelvic Organ Prolapse (POP), a combination of CE with POP, and those without either condition. Materials and Methods: An analytical study with a cross-sectional design was conducted, using immunohistochemistry (IHC) to analyze cervical tissue samples preserved in paraffin blocks. Patient groups included those diagnosed with CE, POP, CE combined with POP, and a control group without CE or POP. All participants underwent surgery between January 2021 and April 2023. IHC was used to measure the expression levels of collagen-1 and elastin in each tissue sample. Observations were made under 400x magnification, focusing on five randomly selected visual-field areas in each sample to determine the area fraction. Two experienced pathologists conducted the analyses in a blinded manner to ensure objective evaluation. Results: Statistical analysis using the Kruskal-Wallis test revealed significant differences in the expression of collagen-1 across the four groups (CE, POP, CE with POP, and control). Patients with CE showed a higher expression of collagen-1 than those with CE and POP combined, as well as the control group. However, no significant differences in elastin expression were observed among the groups. Conclusion: Collagen-1 expression differs significantly across patients with CE, POP, and CE combined with POP, suggesting a distinct role in cervical tissue remodeling in these conditions. Conversely, elastin expression was consistent across all groups, indicating that it may not play a differentiating role in these pathologies. These findings highlight collagen-1’s potential involvement in the structural changes associated with CE and POP.
Perbandingan Tingkat Stres Pembelajaran Terhadap Gangguan Siklus Menstruasi pada Mahasiswa Kebidanan Tingkat Akhir Universitas Airlangga Adelia Ayu Qurrotul Jannah; Gatut Hardianto; Dewi Setyowati
Al-Hayat: Natural Sciences, Health & Environment Journal Vol. 3 No. 1 (2025): Al-Hayat: Natural Sciences, Health & Environment Journal 
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/alhayat.v3i1.9341

Abstract

The disrupted female reproductive cycle is often related to stress. One of the things that happens to women who experience stress is reproductive disorders related to menstrual events. High stress levels in final semester students are probably due to the large number of assignments that must be completed, high physical activity where final semester female students are in addition to activities on campus such as practicing in hospitals. This irregular menstrual cycle is influenced by several factors, including hormonal changes due to stress in an unstable emotional state. This study aims to analyze the comparison of stress levels on menstrual cycle disorders of midwifery final level students at Airlangga University. This study uses an observational analytic design with a cross-sectional approach. The instrument used is a questionnaire distributed via online g-form. The research data were analyzed using the Mann-Whitney U test. The results showed that the most respondents experienced no stress as much as 53 or 71.6%, while those who experienced stress were 21 or 28.4%.. it can be concluded that there is a significant difference in the level of stress with disruption of the menstrual cycle in final level students of midwifery at Airlangga University
Co-Authors Adelia Ayu Qurrotul Jannah Aisha Grayli Cahyani Akhmad Risdianto Andriyanti, Andriyanti Anggreini Wahyu Prastika Anis Widyasari Arum Dewi Pusparini Aulia Rahma Oktaviya Azami D Azinar Boedi Setiawan Budi I Santoso Budi Santoso Budi Utomo Budi Utomo Cahyani, Aisha Grayli Denas A, Azami Denas, Azami Dewi Setyowati Dini Lukita Hapsari Dony Rosmana Dony Rosmana Bimantara, Dony Rosmana Eighty M Kurniawati Eighty Mardiyan K, Eighty Eko Budi Koendhori, Eko Budi Endyka Erye Frety Ernila, Febe Fariska Zata Amani Farisya Nurliana Fatin Farisya Nurliana Fatin Fedik A Rantam Fitriana, Farida Hadi, Tri Hastono Setyo Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Harlina Harlina Hartono S, Tri Henky Mohammad Masteryanto Hermanto Tri Joewono Icha Nur Oktaria Isnin Anang Marhana Ivon Diah Wittiarika Izzati, Dwi Jayanti, Ratna Dwi Juniastuti Juniastuti Kanda Izzatul Aini Ardelia Kartuti Debora MS, Kartuti Kartuti Debora, Kartuti Kasiati Kasiati Kia, Prisca Desyani Kiki Apnita Sari Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Latifah, Nur Faridah Lilik Djuari Mardianti Mardianti, Mardianti Martono Tri Utomo Maulidia Fahmadina Rozana Mei Indarti Mokhamad Anhar Dani Muhammad Miftahussurur Mustofa, Vina Firmanty Nila Kurniasari Ningrum, Astika Gita Norma Pattinama Nur Anisah Rahmawati Nur AR Widiatmoko Nuswantoro, Djohar Panada Sedianing Drastita Pharahita, Syifa Pandya Putra, M. Dimas Abdi Rahmawanti, Nova Rahmawati, Nur Anisah Reca Dwi Putri Suswanti Riani Widia Parantika Rim Kosim Rozy Dian Putri Rozy Rustam, Mardianti Safitri, Cahyani Tiara Samsriyaningsih Handayani Sari, Gadis Meinar Setyo Hadi, Tri Hastono Suswanti, Reca Dwi Putri Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Tri HS Hadi Wahyul Anis Wahyuningtyas, Riska Widati Fatmaningrum Widjiati Widjiati Widyaningrum, Dwi Willy Sandhika Yuli Triyani Zakira, Safira