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All Journal Jurnal Manajemen Terapan dan Keuangan Jurnal Entropi Jurnal Bidan Prada MEDISAINS JIK- JURNAL ILMU KESEHATAN Jurnal Sehat Mandiri Menara Ilmu Jurnal Medikes (Media Informasi Kesehatan) Jurnal Doppler Jurnal Doppler Jurnal Pengabdian kepada Masyarakat Nusantara jurnal abdimas saintika Jurnal Kesehatan Tambusai Jurnal Sains Kebidanan Jurnal Perspektif ASMAT: Jurnal Pengabmas Jurnal Ilmu Sosial dan Humaniora JUMAD Journal Management, Accounting, & Digital Business Journal Innovation In Education Compromise Journal : Community Proffesional Journal Research Midwifery Politeknik Tegal Feelings: Journal of Counseling and Psychology Proceeding International Health Conference Jurnal Abdimas Kesehatan Jurnal Kesehatan Lentera Aisyiyah Analit: Analytical And Environmental Chemistry
Lisa Rahmawati
Poltekkes Kemenkes Padang
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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FAKTOR-FAKTOR YANG MEMPENGARUHI KURANG PARTISIPASI PRIA PASANGAN USIA SUBUR (PUS) DALAM MEMILIH METODE KONTRASEPSI PRIA DI DESA PAUH TIMUR WILAYAH KERJA PUSKESMAS KOTA PARIAMAN Ningsih, Mahdalena Prihatin; Rahmawati, Lisa
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 6, No 2 (2015): Jurnal Bidan Prada Edisi Desember 2015
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

ABSTRACT: Gender equality and justice in KELUARGA BERENCANA (family planning) has been one of the main strategies in the implementation of KB all over the world. Health Ministry policies in an effort to accelerate the decline in AKI basically referring to strategic intervention “Empat Pilar Safe Motherhood”, that is the first pillar KELUARGA BERENCANA. Nowadays the main problem in KB is the low participation rate of male in implementation of KB program and reproduction health. SDKI 2011 results show that the participation of male in following KB was low; 1.3% for condom usage and less than 1% for vasectomy since 1991. Whereas the achievement of KB usage for male in West Sumatera in 2011 is 12% MOP and 64.65% condom. Besides that in Pariaman City 0.47% MOP dan 25.7% condom, the lowest is in Middle Pariaman District 0.69% MOP and 21.3% condom. Low level of male participation in using contraception is influenced by many factors like education, age, social culture, religion, geography, and knowledge about contraception. Research objective: This research is purposed to know about factors that influencing the low level participation of male PUS in selecting Male Contraception Method in PauhTimur Village, Community Health Center (Puskesmas)Pariaman City working area. Research type: Descriptive analytic research with cross sectional approach. The Population is 263 male PUS in PauhTimur Village. The number of sample is 39 male which are taken for random sampling. Data analyze using univariate and bivariate. Research results show that there is correlation of knowledge (p=0.001), social culture (p=0.004), and KB service access (p=0.001) to male PUS participation. Expected by stakeholders in order to improve Education Information Communication (KIE) through counseling or other information related to male contraception to increase the knowledge about contraception.  Keywords: Participation, Male, Contraception
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASFIKSIA PADA BAYI BARU LAHIR DI RUANG MEDICAL RECORD RSUD PARIAMAN Rahmawati, Lisa; Ningsih, Mahdalena Prihatin
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 7, No 1 (2016): Jurnal Bidan Prada Edisi Juni 2016
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

ABSTRACT: FACTORS ASSOCIATED WITH GENESIS NEONATAL ASPHYXIA IN PARIAMAN HOSPITAL MEDICAL RECORD ROOM. There are many factors that can cause the asfiksia of the newborn, whether it were fakctor of mother like primi tua, poor obstetric history, grande multipara, gestasi period, anemia and maternal illness, premature rupture of membranes, long parturition, narrow pelvis, intrauterine infection, factor of fetus like fetal distress, multiple pregnancy, breech, tranverse position, birth weight, and factor placental. The occurance of asfiksia in newborn in RSUD Pariaman is relatively high, that were 438 babies. Research objective: to know about factors that related to asfiksia in newborn in medical record room RSUD Pariaman. Research type: analiytic descriptive with retrospective aproach. The research population is all babies in RSUD Pariaman. Sampling was done by using total sampling technique for 971 people. Data collection was done by using documentation sheet. Data were analyzed using univariate and bivariate. The result showed that there was significant relationship between poor obstetric history with asfiksia occurance, premature rupture of membranes with asfiksia occurance, and birth weight with asfiksia occurance. As the conclusion, that was significant relationship between obstetric history, premature rupture of membranes, and birth weight with asfiksia. Key words: Asphyxia, Newborn
HUBUNGAN TINGKAT PENGETAHUAN IBU HAMIL TENTANG ANEMIA DENGAN KETERATURAN IBU HAMIL DALAM MENGKONSUMSI TABLET FE DI WILAYAH KERJA PUSKESMAS SUNGAI LIMAU KABUPATEN PADANG PARIAMAN Ningsih, Mahdalena Prihatin; Rahmawati, Lisa
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 7, No 2 (2016): Jurnal Bidan Prada Edisi Desember 2016
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Anemia in pregnancy is a national and international problem. Anemia in pregnant women has a great influence on the quality of human resources. Anemia during the pregnancy has an impact to mother and fetus. The causes of anemia in pregnant women is because of the lack of knowledge about food that good for them besides the lack of food intake that contain Fe. The highest number of anemia in pregnant women was found in Sungai Limau Community Health Center Working Area as big as 102 from 643 pregnant women, or 16.4 %. The coverage number of Fe Tablet was also the lowest in this Community Health Center as about 58.32 %. Meanwhile, from the Hb test result it was found that 80 from 226 pregnant women experienced the anemia. Research objective: to know about The Relationship of Pregnant Mother Anemia Knowledge Level with The Regularity in Consuming Fe Tablet in Sungai Limau Padang Pariaman District Community Health Center Working Area. Research type: Analytical descriptive with cross sectional approach. Population is all 52 the pregnant women in Korong Sungai Sirah and Korong Duku Sungai Limau Community Hearth Center working area until June. Sample was taken as total sampling. The data was analyzed by using univariate and bivariate. Research result showed that there is relationship between pregnant women knowledge related to anemia and regularity in consuming Fe tablet in Sungai Limau Community Hearth Center working area Padang Pariaman district. Conclusion: most respondent had low knowledge about Fe tablet, most respondent didn’t consume Fe tablet regularly, and there was relationship between Pregnant Mother Anemia Knowledge Level with The Regularity in Consuming Fe Tablet in Sungai Limau Padang Pariaman District Community Health Center Working Area. Key words: Pregnancy, Anemia
GAMBARAN PENGETAHUAN IBU HAMIL TENTANG PERUBAHAN PSIKOLOGIS KEHAMILAN DI WILAYAH KERJA PUSKESMAS PARIAMAN Rahmawati, Lisa; Ningsih, Mahdalena Prihatin
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 8, No 1 (2017): Jurnal Bidan Prada Edisi Juni 2017
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Based on the WHO data, there are 352 from 2,321 primigravida pregnant women who complained of feer as big as 36%, anxious 42% and unconfident 22% in the pregnancy. Indonesian health demography survey results in 2012 showed that there were 50 from 850 primigravida pregnant women who complained of stress as big as 20%, anxious 35%, and fear 45% during pregnancy on February 2015, 8 from 15 interviwee women didn’t know about the pshycological changing and they complained not confident about changes in the body. The objective of the research is to know the description of pregnant women’s knowledge about psychological changes during the pregnancy in Puskesmas Pariaman Working Area. The type of this research is quantitative with analytic descriptive research design. Research population is all pregnant women that come for pregnancy check in Puskesmas Pariaman. Accidental sampling is used as sampling technique with 36 people. Univariate is chosed in data precessing. Univariate result showed that 63,9% have low knowledge level in psychological change for first trimester, 63,9% for second and third trimester respectively, and 52,8% have low knowledge level about the impact of psychological changes to the pregnancy. Pregnant women is suggessed to expand the knowledge released to pregnancy and birth, typing to be open to the social environment released to their pregnancy. These things are required to give knowledge to pregnant women so that they can understand physical and psychological condition during the pregnancy. Keywords: Psychological, pregnancy
HUBUNGAN PENGETAHUAN IBU TENTANG IMUNISASI HEPATITIS B-0 DENGAN PEMBERIAN IMUNISASI HEPATITIS B-0 DI WILAYAH KERJA PUSKESMAS PADANG ALAI TAHUN 2015 Ningsih, Mahdalena Prihatin; Rahmawati, Lisa
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 8, No 2 (2017): Jurnal Bidan Prada Edisi Desember 2017
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Hepatitis B is a silent killer disease. Many people do not know if they have been infected with this disease, so it is too late to be treated. The Higher prevalence of Hepatitis B infection in a certain place makea higher number of children and infants that will be infected by this viruses because of their undeveloped immune body system. A prevention efforts need to be optimized because of the unavailability of Hepatitis B drugs for today. Based on preliminary study conducted at Padang Alai Public Health Care for 10 mothers who have babies, 6 from mothers said they did not know about Hepatitis B-0 immunization in terms of usefulness and delivery time, while 4 others said that they knew about Hepatitis B-0 immunization and their baby had been immunized Hepatitis B-0.The type of this research is analytic description with cross sectional design. The population in this research is all mothers in Padang Alai Public Health Care area with 0-12 month’s babies. The sampling method is a total sampling with 51 people sample. Data collection method is using questionnaires. Data processing is using univariate and bivariate. The results showed that more than half of respondents (62.7%) had low knowledge about hepatitis B-0 immunization, and more than half of respondents (58.8%) did not get hepatitis B-0 immunization.The result of bivariate analysis was found that p value 0.006 (<0,05) so that it can be stated that there is relation of mother knowledge about immunization of hepatitis B-0 with hepatitis B-0 immunization in Padang Alai Public Health Care working area. Keywords: Knowledge, Immunization, Hepatitis B-0
HUBUNGAN STATUS GIZI DENGAN KEJADIAN PNEUMONIA PADA ANAK BALITA Rahmawati, Lisa
Menara Ilmu Vol 10, No 60-65 (2016): Jurnal Edisi 2016
Publisher : LPPM Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/mi.v10i60-65.1146

Abstract

Status gizi adalah suatu keadaan yang menggambarkan keadaan gizi seseorang berdasarkan standar yang telah ditentukan. Pneumonia merupakan suatu infeksi pernafasan yang masih menjadi masalah kesehatan di Indonesia. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan status gizi dengan kejadian pneumonia pada anak balita di Puskesmas Ambacang Padang.Jenis penelitian adalah deskriptif korelasional dengan pendekatan cross sectional, populasi sebanyak 30 orang anak balita. Sampel diambil dengan menggunakan accidental sampling. Pengumpulan data dilakukan selama satu bulan. Data dikumpulkan dengan menggunakan kuesioner. Analisa data yang digunakan adalah analisa univariat dan bivariat dengan menggunakan uji statistik chi-square.Hasil penelitian didapatkan bahwa sebagian besar (70,0%) responden yang terdiagnosa pneumonia dan hampir separuh (43,3%) responden yang memiliki status gizi kurang. Secara statistik terdapat hubungan bermakna antara status gizi dengan kejadian pneumonia (p=0,003).Diharapkan pada pihak puskesmas untuk bekerja sama dengan kader dalam memberikan penyuluhan yang intensif tentang pentingnya pemenuhan gizi yang baik pada balita di setiap kunjungan pasien balita dengan demikian dapat meningkatkan kesadaran masyarakat tentang pentingnya pemenuhan gizi yang baik untuk mencegah penyakit pneumonia dan penyakit lainnya. Kata kunci       : Status Gizi, kejadian pneumonia
HUBUNGAN MUTU PELAYANAN ANC DENGAN TINGKAT KEPUASAN IBU HAMIL DI PUSKESMAS SEBERANG PADANG KOTA PADANG Rahmawati, Lisa; Ningsih, Mahdalena Prihatin; Yusrialmi, Sherli Prima
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 10, No 1 (2019): Jurnal Bidan Prada Edisi Juni 2019
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

The satisfaction of pregnant mother have a relation with quality of antenatal care service. The patients who feel satisfied with the quality of antenatal service, they will come back to get the service again and recommend the service to others. Of the 22 public health care in thePadang, the health care with the lowest ANC obtained by PHC Seberang Padang is equal (67.66%) with the targets should be 95%. The purpose of the study to determine the relationship between Quality of ANC Service with the Satisfaction Level At Pregnant Mother in Seberang Padang Primary Health Care, Padang district. The type of study is analytic survey with cross sectional design. The place of study in PHC Seberang Padang in 2017. With a population of 367 peoples, and a sample of 40 peoples are taken by accidental sampling. The study was conducted on using of computerized systems and analyzed by univariate and bivariate. The results of Chic-square test, there is a relationship between the dimensions of quality of responsiveness (p value: 0.002), dimensions of quality of reliability (p value: 0.000), dimensions of quality of assurance (p value: 0.000), dimensions of quality of empathy (p value: 0,000), quality dimension tangibles (p value: 0.000), and quality of ANC service with the satisfaction level at pregnant mother in PHC of Seberang Padang (p value: 0.000). The conclusion is there is a relationship between the Quality of ANC Service with the Satisfaction Level at Pregnant Mother in Primary Health Care Seberang Padang. Suggestions to PHC of Seberang Kota Padang is in order to improve all dimensions of  quality of ANC causing pregnant mother satisfaction. Keywords: Quality, Satisfaction
HUBUNGAN MINAT PESERTA DIDIK PADA MATA KULIAH ASUHAN KEBIDANAN I DENGAN HASIL BELAJAR PESERTA DIDIK DI STIKES MERCUBAKTIJAYA PADANG Rahmawati, Lisa
Jurnal Entropi VOL 08, NO 01, 2013
Publisher : Jurnal Entropi

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Abstract

Salah satu faktor yang mempengaruhi keberhasilan belajar adalah minat mahasiswa terhadap materi pembelajaran. Minat sangat besar pengaruhnya terhadap keberhasilan belajar seseorang. Apabila seseorang berminat terhadap pelajaran maka ia akan belajar dengan baik dan pelajaran itu akan mudah dipahaminya. Tujuan penelitian ini adalah untuk mengetahui hubungan antara minat dengan hasil belajar mata kuliah Asuhan Kebidanan I pada mahasiswa tingkat II Kebidanan STIKes MERCUBAKTIJAYA Padang. Penelitian ini merupakan penelitian analitik dengan desain cross sectional. Jumlah populasi 86 orang mahasiswa dan sampel diambil secara total sampling. Pengumpulan data menggunakan kuisioner dan dokumentasi hasil belajar. Sedangkan teknik analisa untuk melihat hubungan minat dengan hasil belajar menggunakan korelasi product moment. Berdasarkan temuan penelitian sebagian besar mahasiswa tingkat II Kebidanan STIKes MERCUBAKTIJAYA Padang memiliki minat yang cukup dalam belajar dengan nilai minat 78,48% dan 95,3% mahasiswa memperoleh nilai Asuhan Kebidanan I dengan IP diatas 3,00. Berdasarkan analisis data korelasi Product Moment, ternyata terdapat hubungan yang bermakna antara minat dengan hasil belajar mahasiswa dengan keeratan hubungan 0,399 pada tingkat kepercayaan 95%. Sejalan dengan temuan itu, peneliti menyarankan agar pengelola Program Studi D III Kebidanan STIKes MERCUBAKTIJAYA Padang untuk mempertahankan dan meningkatkan minat belajar mahasiswa dalam setiap proses pembelajaran, lebih membimbing mahasiswanya dalam mencapai minat yang baik dan diharapkan kepada peneliti selanjutnya untuk dapat melanjutkan atau mengembangkan lagi penelitian ini dengan melibatkan variabel-variabel lain seperti motivasi, bakat, inteligensi dan faktor lingkungan yang mempengaruhi hasil belajar.
EFEKTIFITAS TEKNIK COUNTER PRESSURE DAN ABDOMINAL LIFTING TERHADAP PENGURANGAN RASA NYERI PADA IBU BERSALIN KALA I FASE AKTIF DI BPM KOTA PADANG Lisa Rahmawati; Mahdalena Prihatin Ningsih
Jurnal Medikes (Media Informasi Kesehatan) Vol 6 No 2 (2019): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v6i2.190

Abstract

Nyeri persalinan merupakan kondisi fisiologis yang secara umum akan dialami oleh hampir semua ibu yang akan melahirkan. Rasa nyeri persalinan dapat berkurang bila dilakukan dengan teknik counter pressure dan abdominal lifting yakni dengan menekan tulang sakrum dan massage abdominal. Teknik ini merupakan salah satu pengurangan rasa nyeri persalinan non farmakologi yang dilakukan pada ibu dalam kala I fase aktif persalinan. Penelitian ini bertujuan untuk mengetahui Efektifitas teknik abdominal lifting dan teknik counter pressure terhadap pengurangan rasa nyeri persalinan. Jenis penelitian ini adalah kuasi eksperimen dengan one group pretest dan post test. Populasi dalam penelitian ini yaitu seluruh ibu bersalin kala I fase aktif di Bidan Praktik Mandiri Kota Padang. Metoda pengumpulan sampel secara purposive sampling dengan jumlah sampel sebanyak 16 orang. Pengumpulan data menggunakan skala intensitas nyeri pada saat pretest sebelum dilakukan intervensi dan post test setelah dilakukan intervensi. Pengolahan data secara univariat dan bivariat. Hasil penelitian univariat didapatkan bahwa rata-rata nyeri persalinan sebelum teknik abdominal lifting 7,63 dengan standar deviasi 1,23 dan teknik counter pressure 7,81 dengan standar deviasi 1,33, sedangkan hasil penelitian univariat sesudah dilakukan teknik abdominal lifting sebesar 7,19 dengan standar deviasi 1,47 dan teknik counter pressure sebesar 6,56 dengan standar deviasi 1,41. Hasil penelitian bivariat didapatkan bahwa terdapat efektifitas teknik counter pressure terhadap pengurangan skor nyeri persalinan kala I fase aktif dengan nilai p 0,000 dan tidak terdapat efektifitas teknik abdominal lifting terhadap pengurangan nyeri persalinan kala I fase aktif dengan nilai p 0,110. Diharapkan responden dan tenaga kesehatan dapat mengaplikasikan teknik counter pressure dan abdominal lifting dalam persalinan agar dapat membantu mengurangi nyeri yang dirasakan selama persalinan sehingga dapat meningkatkan kenyamanan ibu.
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP TENTANG KEJADIAN IKUTAN PASCA IMUNISASI DENGAN KEPATUHAN IBU DALAM MEMBERIKAN IMUNISASI DPT-HB-HIB DI WILAYAH KERJA PUSKESMAS LUBUK BUAYA KOTA PADANG Lisa Rahmawati; Mahdalena Prihatin Ningsih
Jurnal Medikes (Media Informasi Kesehatan) Vol 7 No 1 (2020): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v7i1.223

Abstract

Based on the health profile of Indonesia in 2016, the number of cases of diphtheria in 2016 CFR (Case Fatality Rate) diphtheria, namely by 5.8%. Of all cases of diphtheria, amounting to 51% of them do not get vaccinated. Known from the annual report of Padang City Health Department 2017 Immunization coverage DPT-HB-Hib lows are in Lubuk Buaya Public Health Center (70.26%) of the 95% targets. The aim of research to determine the relationship level of knowledge and attitude about AEFI with Mother Compliance in giving immunization of DPT-HB-Hib in Lubuk Buaya Public Health Center. This research method is analytical survey with cross sectional study, data collection was done on January 22-March 12, 2019 in Lubuk Buaya Public Health Center. The population was mothers with babies aged 3-9 months, using a sampling technique purposive sampling with a sample of 66 respondents. Collecting data using questionnaires. Data were analyzed using a computerized with chi-square test. Results of univariate analysis obtained 60.6% of mothers do not obey the immunization of DPT-HB-Hib, 51.5% of mothers good knowledge, 56.1% of women have a negative attitude and 87.9% of infants with AEFI DPT-HB-Hib fever. The results of the bivariate analysis contained levels of knowledge about AEFI relationship with Compliance mother in immunization of DPT-HB-Hib (p = 0.002) and there is a relationship with Compliance AEFI Attitudes about Women in Giving Immunization DPT-HB-Hib (p = 0.039). It was concluded that there is a relationship between the level of knowledge and attitudes about AEFI maternal immunization compliance in providing the DPT-HB-Hib. For that is expected to increase outreach health workers about the DPT-HB-Hib and AEFI in order to minimize the perception and poor view of the DPT-HB-Hib and AEFI. Keywords : Immunization DPT-HB-Hib, Level of Knowledge, Attitude, AEFI
Co-Authors Abdul Muhid, Abdul Afrahamiryano Afrahamiryano Afwa Al Abid, Asrorul Agus Dwi Cahya Anggraeni, Tika Ath Thaariq, Nurul Aziza Ath Thaariq, Nurul Aziza Bd, Faridah Bimo Rafi Prayogo Clarisa Ayu Amanta Dewi, Yulia Ratna Elok Dwi Vidiyastutik Evelyn Danielle Wijaya Faridah BD, Faridah BD Fidela Nurul Janitra Fithriani Armin Fitriah, Iin Prima Gamara, Putri Gunawan, Aan Hanna Tabita Hasianna Silitonga Harum Nida'ul Husna Indira Xena Salvita Inesya Azzahra Putri irma yunita Ismawatie, Emma Isnaini Isnaini Jimat, Resi Tondho Karimatul Hidayah Mahdalena Prihatin Ningsih Maulani, Yulita Meilisa Sajdah Minarni Wartiningsih Miswaty, Titik Ceriyani Muinah Fadhilah, Muinah Nadia Refina Tiurlan Barasa Neneng Salda Neni Fitra Hayati Ngatimun Ngatimun Ni Djoman Juliasih Nike Sari Oktavia Nurul Aziza Ath Thaariq Pratama, Dian Septiani Putri, Arum Kusuma Rati Purnama Sari Ryaz, Faeza Salda, Neneng Salsabila, Unik Hanifah Saputri, Indah Dwi Saputri, Lita Angelina Sarwan, Sarwan Sindi Rosadi Sudibyo Suharso Suharso Thaariq, Nurul Aziza Ath Tri Mira Sofia Verina, Kiki Vinne Maharani Yani Trihandayani Yuanita Sandra Yulfa Henim Rumita Yuliva, Yuliva Yusrialmi, Sherli Prima Zazak, Siti Zipora Sembiring