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HUBUNGAN ANTARA PARITAS, USIA, DAN PENDIDIKAN IBU HAMIL TRIMESTER III DENGAN TINGKAT KECEMASAN DALAM MENGHADAPI PERSALINAN DI PUSKESMAS BANJAR I Luh Desia Ridayanti; Asep Arifin Senjaya; Ni Komang Erny Astiti
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 11 No. 2 (2023)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v11i2.2528

Abstract

In the delivery process there is also an increase in anxiety, with increasing anxiety will further increase the intensity of pain. The phenomenon of the relationship between anxiety and pain, and vice versa is a positive correlation. The more advanced the delivery process, the more anxious the pregnant woman feels and this anxiety causes more intense pain and vice versa. This study aims to analyze the relationship between parity, age, and education of third trimester pregnant women with anxiety in facing childbirth at the Banjar I Health Center. The type of research used was analytic observational with a cross sectional design. The sample used in this study was 48 respondents with a data collection tool in the form of a questionnaire. Data analysis techniques using univariate analysis and bivariate analysis. The results of data analysis using the Rank Spearmen test between anxiety level and parity (p : 0.001), age (p : 0.003), and education (p : 0.08) p value <0.05. The conclusion of the study is that there is a relationship between parity, age, and education of third trimester pregnant women with anxiety in facing childbirth at the Banjar I Health Center. Suggestions that can be given are for pregnant women, especially third trimester pregnant women, to be more active in seeking information about factors influencing anxiety levels in facing labor. So that they understand and understand more about anxiety in the face of childbirth.
DIFFERENCES IN SKILL OF MATERNAL BREASTFEEDING BEFORE AND AFTER GIVING A VIDEO ABOUT DIRECT BREASTFEEDING (DBF) METHOD Komang Ratih Janaetri; Ni Wayan Armini; Ni Komang Erny Astiti
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3219

Abstract

Direct breastfeeding is one of the methods of breastfeeding performed directly when the baby sucks and receives breast milk from the mother's breast. Skill training for breastfeeding mothers can be trained using video media. This study aims to determine the differences in the skill of breastfeeding mothers before and after giving a video on the Direct Breastfeeding (DBF) method. This research is pre-experimental with one group pretest and posttest design. The research was held on the 3rd week of February until the 2nd week of April 2023 with a total of 30 respondents who were taken using purposivesampling technique. The instruments used were video media and skill observation checklist. The intervention was provided for 5 days with a pretest and posttest interval of 4 days. Data analysis using the Wilcoxon test showed the median results before giving a video of 65.90 with a minimum value of 57.90, a maximum of 85.80 and after giving a video the median increased to 83.85 with a minimum value of 80.30, a maximum of 90.40. The results of the Wilcoxon test showed that there was a significant difference with a p-value of 0.001 < 0.05 and all respondents experienced an increase in skills (positive ranks).
Differences in Skills of Pregnant Women in the Third Trimester Before and After Being Given Guidance on Breastfeeding Techniques Dewa Ayu Wahyuli Indrayani; Ni Komang Erny Astiti; Ni Nyoman Suindri
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3246

Abstract

Breastfeeding technique is one of the factors that can influence breast milk production. Health guidance methods can increase the knowledge and skills of pregnant women in preparation for providing breast milk to their future babies. The aim of this research was to determine the differences in the skills of third trimester pregnant women before and after being given guidance on breastfeeding techniques at the Regional Level Implementation Unit of the Klungkung I Community Health Center. The type of research used was one group pretest-posttest. This research was carried out on April 11-May 11 2023 by means of purposive sampling. The population was 44 people and the sample was 32 people. The research instruments are in the form of observation sheets, Extension Event Units and Operational Procedure Units. Data were analyzed using the Wilcoxon Signed Rank Test. There is a difference in the skills of pregnant women in the third trimester before and after being given guidance on breastfeeding techniques with a p-value of 0.000<0.05. Midwives are expected to be able to provide information on the importance of the benefits of breast milk for babies.
Overview of Long-Term Contraceptive Method Selection in Post-Section Caesarea in Tabanan Regional General Hospital Ni Wayan Yuriani; Ni Komang Erny Astiti; Regina Tedjasulaksana
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 13 No. 1 (2025)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v13i1.3903

Abstract

Family planning aims to regulate birth of children, ideal birth distance and age, regulate pregnancy, through promotion, protection and assistance according reproductive rights to create a quality family. This research determined overview of the choice of long-term contraceptive methods in post caesarean section at Tabanan Regional Hospital. The design used descriptive observational  and conducted at Tabanan Regional Hospital on 28 September – 10 November 2024 with 40 respondents post caesarean section days 0-7. Primary data was taken using questionnaire. The results is 72.5% respondents were aged 20-35 years (60.0% of whom chose MKJP), 50.0% had secondary education (40.0% of whom chose MKJP), 55.0% were multipara (50,0% of them chose MKJP), 50.0% had good knowledge (all of them chose MKJP) and 70.0% had husband support (all of them chose MKJP). It is hoped this research can increase the coverage of MKJP among post-cesarean section mothers at Tabanan Regional Hospital by providing effective counseling/education so high rate of caesarean section deliveries can be offset by increasing rate of MKJP uses. It is recommended that hospitals increase the coverage of long-term contraceptive methods for post-cesarean mothers by providing effective and targeted health education/counseling using attractive media.
BIMBINGAN MASSAGE PERINEUM PADA IBU HAMIL SEBAGAI UPAYA MENCEGAH LASERASI PERINEUM SAAT BERSALIN Sriasih, Ni Gusti Kompiang; Darmapatni, Made Widhi Gunapria; Astiti, Ni Komang Erny; Suindri, Ni Nyoman
Sasambo: Jurnal Abdimas (Journal of Community Service) Vol. 8 No. 2 (2026): Mei
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/3t90wp96

Abstract

Laserasi perineum merupakan salah satu komplikasi persalinan yang dapat meningkatkan risiko perdarahan dan infeksi pada ibu. Upaya pencegahan melalui massage perineum menjadi salah satu pendekatan non-farmakologis yang efektif untuk meningkatkan elastisitas jaringan perineum. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu hamil dalam melakukan massage perineum sebagai upaya mencegah laserasi saat persalinan di Desa Medahan, Kecamatan Blahbatuh, Kabupaten Gianyar, Bali. Metode yang digunakan meliputi Komunikasi, Informasi, dan Edukasi (KIE) melalui ceramah, diskusi kelompok kecil, serta simulasi praktik menggunakan phantom. Evaluasi dilakukan menggunakan desain pretest dan posttest untuk mengukur peningkatan pengetahuan dan keterampilan peserta. Sebanyak 30 ibu hamil terlibat dalam kegiatan ini. Hasil menunjukkan adanya peningkatan signifikan pada pengetahuan ibu hamil, dengan nilai mean dari 10,67 menjadi 20,00, serta keterampilan dari 7,63 menjadi 15,00 setelah intervensi. Seluruh indikator statistik, termasuk median, minimum, dan maksimum, juga mengalami peningkatan optimal. Kesimpulannya, bimbingan massage perineum efektif dalam meningkatkan pengetahuan dan keterampilan ibu hamil serta berpotensi mencegah laserasi perineum saat persalinan. Program ini diharapkan dapat diimplementasikan secara berkelanjutan sebagai bagian dari upaya promotif dan preventif dalam kesehatan ibu dan anak. Perineal Massage Guidance for Pregnant Women as an Effort to Prevent Perineal Laceration During Childbirth in Medahan Village, Blahbatuh, Gianyar, Bali Perineal laceration is one of the common complications during childbirth that can increase the risk of bleeding and infection in mothers. Preventive efforts through perineal massage represent a non-pharmacological approach that can improve perineal tissue elasticity. This community service activity aimed to enhance the knowledge and skills of pregnant women in performing perineal massage as an effort to prevent perineal laceration during childbirth in Medahan Village, Blahbatuh District, Gianyar Regency, Bali. The method employed included Communication, Information, and Education (CIE) through lectures, small group discussions, and practical simulations using a phantom model. Evaluation was conducted using a pretest–posttest design to measure improvements in participants’ knowledge and skills. A total of 30 pregnant women participated in this activity. The results showed a significant improvement in participants’ knowledge, with the mean score increasing from 10.67 to 20.00, and skills from 7.63 to 15.00 after the intervention. All statistical indicators, including median, minimum, and maximum scores, also showed optimal improvement. In conclusion, perineal massage guidance is effective in improving the knowledge and skills of pregnant women and has the potential to prevent perineal laceration during childbirth. This program is expected to be implemented sustainably as part of promotive and preventive efforts in maternal and child health.
Effectiveness of infant massage therapy on weight gain in low birth weight infants: A literature review Ni Made Sulastri; Ni Wayan Armini; Ni Komang Erny Astiti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i3.3444

Abstract

Background: Low birth weight infants (LBWI) are at risk of growth disorders and neonatal complications. Baby massage therapy is a non-pharmacological intervention believed to improve infant growth and weight gain. Purpose: To examine and analyze the research findings related to the effectiveness of infant massage therapy on weight gain in low-birth-weight infants Method: This literature review analyzed articles from Google Scholar, PubMed, and ScienceDirect published between 2021–2026. Studies that focused on infant massage therapy and weight gain in underweight or premature infants were included. The inclusion criteria are described in this article. Results: The analyzed studies showed that infant massage therapy promotes weight gain in underweight and premature infants. Massage increases activity of the vagus nerve, which in turn boosts digestion, nutrient absorption, sleep quality, and milk production in infants. Other benefits include better physiological stability, less stress and better bonding between mother and baby. Conclusion: Infant massage stimulates the parasympathetic nervous system and maintains the production of growth hormone, thus promoting the absorption of nutrients and the growth of infants. The results show infant massage therapy is safe, effective and cost-efficient.
OPTIMALISASI EDUKASI PRENATAL PERAWATAN BAYI BARU LAHIR DENGAN  E-MODUL INTERAKTIF Ni Komang Erny Astiti; Ni Made Dwi Purnamayanti; Ni Made Dwi Mahayati; Ni Wayan Suarniti; I Nyoman Wirata
Optimal Midwife Journal Volume 1 No. 1 Juni 2024
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740715

Abstract

Prenatal health education for newborn care prepares parents to care for their future babies. The topic has been facilitated in pregnant women's classes, but its implementation has not optimally involved the role of husbands, lack of media use, and unidirectional learning methods. Efforts to overcome educational innovations in newborn care by involving husbands and facilitating media and interactive modules for newborn care. This media contains information on baby massage, how to bathe, and umbilical cord care, presented in pictures and text and equipped with videos. Audio-visual presentation of material can optimize learning objectives. The study analyzed differences in knowledge before and after prenatal education on newborn care with interactive media e-modules. This study was a pre-experimental numerical pair, with a sample of 30 pregnant women, based on purposive sampling. Data collection using questionnaires in the form of pretest and posttest. Data analysis with Wilcoxon (ρ=0.005). The results showed an increase in the median knowledge (pretest) from 54.17 to 75.00. Educational media E Interactive Module is effective for pregnant women's knowledge about newborn care (ρ=0.000). Health workers can optimize health education for newborn care by implementing classes for pregnant women that involve husbands and using interactive educational media. Recommendations for using media and interactive modules for sustainable newborn care are used in pregnant women's classes, especially in education about newborn care, so that pregnant women and husbands can independently practice their abilities in carrying out newborn care using the media guide. Pendidikan kesehatan prenatal perawatan bayi baru lahir, bertujuan  mempersiapkan orang tua merawat calon bayinya. Topik tersebut telah difasilitasi pada kelas ibu hamil, tetapi pelaksanaannya belum maksimal melibatkan peran suami, penggunaan media yang kurang serta metode pembelajaran  searah.. Upaya mengatasi dengan inovasi edukasi perawatan bayi baru lahir dengan melibatkan suami dan fasilitasi media e modul interaktif perawatan bayi baru lahir. Media ini berisikan informasi pijat bayi, cara memandikan dan perawatan tali pusat yang disajikan berbentuk gambar, teks serta dilengkapi video. Penyajian materi secara audio visual dapat mengoptimalkan tujuan pembelajaran. Penelitian menganalisis perbedaan pengetahuan sebelum dan setelah edukasi prenatal perawatan bayi baru lahir dengan media e modul interaktif. Penelitian ini merupakan pre eksperimental numerik berpasangan, dengan jumlah sampel 30 ibu hamil, berdasarkan purposive sampling. Pengumpulan data menggunakan kuesioner pengetahauan berupa pretest dan posttest. Analisis data dengan Wilcoxon (ρ=0.005). Hasil penelitian menunjukkan peningkatan median pengetahuan (pretest) 54.17 menjadi 75.00. Media edukasi E Modul Interaktif efektif terhadap pengetahuan ibu hamil tentang perawatan bayi baru lahir (ρ=0.000). Pemberian pendidikan kesehatan perawatan bayi baru lahir oleh tenaga kesehatan dapat dioptimalkan pada pelaksanaan kelas ibu hamil dengan melibatkan suami serta menggunakan media edukasi yang interaktif. Rekomendasi penggunaan media e modul interaktif perawatan bayi baru lahir  secara berkelanjutan digunakan dalam kelas ibu hamil khususnya pada edukasi tentang perawatan bayi baru lahir, sehingga ibu hamil dan suami dapat secara mandiri melatih kemampuan mereka dalam melakukan perawatan bayi baru lahir dengan menggunakan panduan media tersebut.
PENGARUH PIJAT OXYTOSIN TERHADAP KELANCARAN ASI PADA IBU POST PARTUS : LITERATURE REVIEW Ni Luh Sri Sudani; Ni Made Dwi Mahayati; Ni Komang Erny Astiti
Maternity and Neonatal : Jurnal Kebidanan Vol. 13 No. 2 (2025): Maternity and Neonatal : Jurnal Kebidanan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30606/jmn.v13i2.3927

Abstract

ASI yang tidak lancar merupakan masalah yang dialami oleh ibu menyusui. Ibu sering mengeluhkan puting susu lecet dan bayinya sering menangis, sehingga tidak memberikan ASI. Penyebab ketidaklancaran ASI salah satunya adalah menurunnya produksi ASI pada hari pertama setelah melahirkan dapat disebabkan kurangnya rangsangan hormon oksitosin dan prolaktin yang sangat berperan dalam kelancaran produksi ASI, untuk pengeluaran produksi ASI di butuhkan upaya non farmakologis berupa pijat oksitosin. Tujuan penelitian ini adalah untuk menganalisis pengaruh pijat oksitosin terhadap kelancaran ASIHasil sekunder mencakup durasi menyusui.Beberapa data based digunakan sebagai pencariaan secara elektronik antara lain PubMed dan Google Scholar dari tahun 2020 sampai tahun 2025. Keyword yang digunakan adalah pijat oksitosin/Oxytocin massage, produksi air susu ibu/ Breast milk production. Berdasarkan 11 artikel yang ditinjau, seluruh penelitian menunjukkan bahwa pijat oksitosin memiliki pengaruh positif terhadap kelancaran maupun peningkatan produksi ASI pada ibu post partum. Kesimpulan berdasarkan analisis yang telah dilakukan adalah melakukan terapi pijat oksitosin dapat meningkatkan produksi ASI pada ibu post partum. Saran peneltiian ini adalah pelatihan dan edukasi kepada tenaga kesehatan maupun keluarga ibu menyusui tentang teknik pijat oksitosin perlu digalakkan agar intervensi ini dapat diterapkan secara luas sebagai upaya non-farmakologis dalam meningkatkan produksi ASI.
Gambaran Karakteristik Ibu Hamil Dengan Kekurangan Energi Kronis (KEK) di Puskesmas Baturiti I Ni Made Budiartini; Ni Ketut Somoyani; Listina Ade Widya Ningtyas; Asep Arifin Senjaya; Ni Komang Erny Astiti
Journal of Advanced Nursing and Health Systems Innovation Vol. 2 No. 1 (2026): Journal of Advanced Nursing and Health Systems Innovation (JANHSI)
Publisher : PT. Dilatra Global Advisory

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background -- Chronic Energy Deficiency (CED) in pregnant women remains a prevalent nutritional problem and can have serious impacts on both maternal and fetal health, including an increased risk of pregnancy and childbirth complications. Objectives – This study aimed to find out the characteristics of pregnant women with CED in Puskesmas Baturiti I. Methods – The sample was 40 pregnant women with CED at Puskesmas Baturiti I who were determined by total sampling technique. The data collected on March to April 2025. It was collected by questionnaire and conducted by univariate analysis Results – The results showed that pregnant women with CED at Puskesmas Baturiti Baturiti I were mostly in the ideal age range of pregnancy (85%), most had secondary education (40%), the majority of parity was primigravida (65%), half of the respondents had adequate economic status (50%) and the other half were inadequate (50%). Nutritional status before pregnancy was mostly in the good category (62.5%). Conclusion – This study produces new information to increase education related to important indicators of SEZ occurrence that are beneficial for all pregnant women, not only at the research site.
Efektifitas Media Visual Berbasis Video dalam Meningkatkan Breast Self-Examination Skills Pada Remaja Putri Ni Putu Vika Suryandani; Ni Komang Erny Astiti; Ni Wayan Armini
Bali Medika Jurnal Vol 11 No 2 (2024): Bali Medika Jurnal Vol 11 No 2 Desember 2024
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v11i2.465

Abstract

Kanker payudara adalah penyebab utama kematian di seluruh dunia. Salah satu bentuk pencegahannya dengan melakukan deteksi dini melalui pemeriksaan payudara sendiri (SADARI). Penelitian ini bertujuan untuk mengevaluasi perbedaan keterampilan SADARI remaja putri sebelum dan setelah diberikan pendidikan kesehatan menggunakan video di SMP Negeri 3 Negara. Metode penelitian yang digunakan adalah desain pre-eksperimental dengan pre-test dan post-test satu kelompok dan melibatkan 54 responden yang terpilih melalui proportionate cluster random sampling. Analisis data dilakukan secara univariat dan bivariat dengan melakukan uji wilcoxon dengan nilai signifikansi kurang p < 0,05. Uji regresi linear tidak dilakukan dalam penelitian ini karena hasil uji normalitas menunjukkan p = 0,000 (< 0,05) sehingga data tidak berdistribusi dengan normal dan tidak memenuhi persyaratan uji regresi linear. Hasil penelitian menunjukkan terjadinya peningkatan yang signifikan pada keterampilan SADARI setelah intervensi, dengan hasil median yang menunjukkan perubahan dari 0 menjadi 10 (p = 0,000) dan efek ukuran Cohen’s d sebesar -0,90 yang menunjukkan efek besar. Penelitian ini mendukung efektivitas penggunaan media visual berbasis video dalam pendidikan kesehatan SADARI, yang dapat diimplementasikan dalam program UKS sehingga dapat meningkatkan kesadaran diri remaja putri dalam melakukan deteksi dini kanker payudara. Implikasi praktisnya adalah meningkatkan kesadaran juga keterampilan SADARI yang dapat memininalisisr angka kematian akibat kanker payudara di masa yang akan datang.   Breast cancer is a leading cause of death worldwide. One form of prevention is by conducting early detection through breast self-examination (BSE). This study aims to evaluate the differences in BSE skills of adolescent girls before and after being given health education using videos at SMP Negeri 3 Negara. The research method used was a pre-experimental design with a pre-test and post-test in one group and involving 54 respondents selected through proportionate cluster random sampling. Data analysis was carried out univariately and bivariately by conducting the Wilcoxon test with a significance value of less than p <0.05. Linear regression tests were not carried out in this study because the results of the normality test showed p = 0.000 (<0.05) so that the data were not normally distributed and did not meet the requirements of the linear regression test. The results showed a significant increase in BSE skills after the intervention, with median results showing a change from 0 to 10 (p = 0.000) and a Cohen's d effect size of -0.90 indicating a large effect. This study supports the effectiveness of using video-based visual media in BSE health education, which can be implemented in the UKS program so that it can increase self-awareness of young women in conducting early detection of breast cancer. The practical implication is to increase awareness and BSE skills that can minimize the number of deaths due to breast cancer in the future.
Co-Authors Agus Sri Lestari Agustini, Ni Made Anak Agung Gede Agung, Anak Agung Gede Ariyani, Ni Wayan Artawa, I Made Budi Asep Arifin Senjaya Astuti, Ni Made Wiwik Bungnga, Juwita Yimma Atma Dewa Ayu Wahyuli Indrayani Dewi, Ni Made Puspita Dwi Purnamayanti, Ni Made Erawati, Ni Luh Putu Sri Friyati, Ni Luh Gede Mei Gusti Ayu Marhaeni Heri Setiyo Bekti I G A A Novya Dewi I Gusti Agung Ayu Novya Dewi I Gusti Ayu Surati I Gusti Ayu, Hadi Damayanti I Made Suarjana I Nyoman Hariyasa Sanjaya I Nyoman Wirata I Nyoman Wirata I Nyoman Wirata Komang Ratih Janaetri Lely Cintari Listiana Ade Widya Ningtyas Listina Ade Widya Ningtyas Listina Ade Widyaningtyas Luh Desia Ridayanti Made Widhi Gunapria Darmapatni Maharani, Luh Gede Mutra Ni Gusti Kompiang Sriasih Ni Ketut Somoyani Ni Ketut Sri Kurniati Ni Ketut Sri Satriani Ni Komang Yuni Rahyani Ni Luh Putu Ayu Seprianti Ni Luh Putu Sri Erawati Ni Luh Sri Sudani Ni Made Budiartini Ni Made Dwi Damayanti Ni Made Dwi Mahayati Ni Made Dwi Malahayati Ni Made Sulastri Ni Made Sulastri Ni Nyoman Budiani, Ni Nyoman Ni Nyoman Suindri Ni Putu Vika Suryandani Ni Wayan Armini Ni Wayan Armini Ni Wayan Dewi Purwanti Ni Wayan Suarniti Ni Wayan Suarniti Ni Wayan Yuriani Ningtyas, Listina Ade Widya Novyadewi, I Gusti Agung Ayu Oktarini, Putu Ayu Purnamayanti, Ni Made Dwi Putu Ayu Oktarini Regina Tedjasulaksana Ruspawan, I Dewa Made Sang Ayu Kompiang Suartiningsih Sari, Ni Wayan Ayu Nirmala Satriani, Ni Ketut Sri Senjaya, Asep Arifin Sri Rahayu SRI RAHAYU Sudiadnyana, I Wayan Suliastari, Ni Wayan Tedjasulaksana, Regina Tirtawati , Gusti Ayu Utarini, Gusti Ayu Eka Wirata , I Nyoman Wirata, I Nyoman Yuliarini, Ni Wayan