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Twin reversed arterial perfusion syndrome (TRAP or acardiac twin) in pregnancy: a case report I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Luh Made Diah Mas Cahyani Putri; Ni Wayan Dewi Purwanti; Made Diah Vendita Sakuntari; Ni Putu Nining Gianni; Ni Komang Anik Pirgantari; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 3 No. 1 (2022): Available online : 1 June 2022
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i1.18

Abstract

Introduction: A type of pregnancy that occurs in monochorionic twin pregnancies which results in the coexistence of normal "pump" twins and cardiac twins is called Twin Reverse Arterial Perfusion Syndrome (TRAP). The low oxygen pressure going to the baby causes many unique changes in the twins' physiology. These changes can lead to high prenatal mortality. Case Presentation: We present the case of a 25-year-old woman, primigravida, whose obstetrician referred to Kasih Medika Bali with suspicion of a large placenta. However, upon arrival at 35 weeks and 2 days of gestation, an ultrasound showed a twin pregnancy with suspicion of a TRAP pregnancy. Then, a baby girl was born at Payangan Hospital, Gianyar, Bali by Sectio Caesarea with a birth weight of 3155 grams, an Apgar score of 6-8-9, and a placental weight of 815 grams. The results of the examination of the second fetus that did not develop, weighing 1,705 grams in the placenta did not have an attached umbilical cord. The doctor's suspicions about the TRAP pregnancy were indeed true according to the conditions at the time of the twins' birth. The doctor found 1 healthy baby and 1 other like mass with a size large enough on ultrasound at 35 weeks 2 days of gestation. Conclusion: The incidence of pregnancy like this is very rare and needs further study in order to detect early abnormalities that occur in pregnancy. Thus, we can be aware of the risks for both mother and fetus and even treat them early. Couples can be counseled optimistically that the recurrence rate of TRAP syndrome tends to be low so that they can better plan future pregnancies in all aspects.
Planned home birth in low-risk pregnancies Made Diah Vendita Sakuntari; I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Wayan Dewi Purwanti; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Komang Anik Pirgantari; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 3 No. 1 (2022): Available online : 1 June 2022
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i1.19

Abstract

Introduction: Planned home births are often a safe option for low-risk pregnancies, according to prior studies. This study aims to ascertain the characteristics of planned home deliveries with skilled medical staff in low-risk pregnancies as well as the outcomes on mother and infant health in Denpasar, Bali. Methods:  The planned home births from 2010 to 2019 were examined in this study using a retrospective descriptive design. The study included all intended home deliveries, including those that required hospital transfers owing to difficulties. As many as 168 planned home births with private doctor assistance made up the study’s sample. Sociodemographic and clinical variables were both examined in this analysis. Results: The mean age of the sample in this study was 32 years.  The findings indicate that women planning a home delivery with a licensed doctor in low-risk pregnancies have a better likelihood of spontaneous vaginal birth and favorable outcomes for maternal health. Additionally, there is a reduced likelihood of hospital transfer (10%). Furthermore, evidence demonstrates that planned home births are typically linked to fetal wellbeing. Conclusion:  The majority of women gave birth between 38 and 40 weeks gestation. The majority of samples were deliveries were normal vaginal births. The main reasons for transfer were due to the arrested cervical dilation or the arrested progress of the fetal head.
Doula Support in The Success of a Normal Delivery I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Komang Anik Pirgantari; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 2 No. 2 (2021): Available online : 1 December 2021
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.72 KB) | DOI: 10.51559/inajperinatol.v2i2.13

Abstract

Introduction: Many mothers who give birth are less interested in giving birth normally because of the intense labor pain. Actually it can be overcome by doula assistance. The doula's presence provides emotional support during the preparation for childbirth, and the doula provides physical support by accompanying to overcome hunger, thirst, and pain. The aim of this study was to determine the effect of doulas assistance on the success of delivery. Methods: This study is a descriptive observational study with a cross-sectional design conducted at a private hospital in Bali in the period January 2020 to January 2021. The inclusion criteria in this study were all pregnant women with gestational age 34 to 40 weeks who were willing to undergo the study. While the exclusion criteria in this study were pregnant women who experienced complications during childbirth and pregnant women with incomplete clinical and demographic data. All of the data was analyzed descriptively by using SPSS 25 and was presented by frequency. Result: This study managed to collect as many as 100 pregnant women who will give birth with the help of a doula. It was found that as many as 60 people (60%) gave birth vaginally. Then followed by 31 people (31%) who underwent a Cesarean section with the help of a doula. There were also 5 people (5%) and 4 people (4%) who underwent epidural delivery and vacuum extraction with the help of a doula. Conclusion: Doula assistance during labor can increase the confidence of the mother who will give birth and support the success of normal delivery.
EFEKTIVITAS PENGGUNAAN MINYAK AROMATERAPI LAVENDER (Lavandula angustifolia) DALAM PENURUNAN TEKANAN DARAH PADA HIPERTENSI Putu Ita Purnama Dewi; Ketut Widyani Astuti
JOURNAL SCIENTIFIC OF MANDALIKA (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 3 No. 11 (2022): November
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

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

Abstract

Hipertensi merupakan peningkatan tekanan darah baik diastolik maupun sistolik secara hilang timbul atau menetap. Hipertensi dapat terjadi secara esensial (primer atau idiopatik) dimana faktor penyebabnya tidak dapat diidentifikasi, atau secara sekunder, akibat dari penyakit tertentu yang diderita. Salah satu terapi yang dapat menurunkan hipertensi yaitu aromaterapi. Aromaterapi merupakan salah satu pengobatan komplementer yang menggunakan minyak esensial sebagai agen terapi utama. Salah satu tanaman yang dapat dijadikan sebagai aromaterapi adalah bunga lavender (Lavandula angustifolia). Aromaterapi lavender merupakan suatu cara perawatan tubuh atau penyembuhan dengan menggunakan minyak esensial. Aromaterapi lavender bekerja dengan mempengaruhi fisik dan juga emosi. Tujuan dari review artikel ini untuk mengetahui penggunaan aroma terapi lavender (Lavandula angustifolia) pada penurunan hipertensi. Metode yang digunakan dalam pembuatan artikel review ini yaitu studi pustaka. Pustaka yang digunakan merupakan jurnal nasional maupun internasional yang membahas mengenai penggunaan aroma terapi lavender pada hipertensi yang diterbitkan secara online dari berbagai situs seperti Google Scholar, Science Direct, Researchgate, Pubmed, dan Springerlink dengan menggunakan kata kunci aromaterapi lavender dan hipertensi. Kesimpulan pada review artikel ini Berdasarkan hasil analisis beberapa artikel bahwa penggunaan aromaterapi lavender sebagai relaksasi efektif menurunkan tekanan darah atau hipertensi secara signifikan.
Adenomyosis- surgical treatment for women’s infertility Laparotomy with Osada technique I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Komang Anik Pirgantari; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 3 No. 2 (2022): (Available online: 1 December 2022)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i2.25

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Introduction: Adenomyosis became challenging in the gynecological field and healthcare economic aspect. The prevalence of adenomyosis is widely ranged in different countries. Infertility is one of the frightening complications. Thus a radical adenomyosis tissue removal method using the triple-flap (the Osada technique) could be done. Using this technique the adenomyosis tissue can be removed as much as possible while maintaining normal uterine function. Thus, in this case, report, we performed a woman diagnosed with adenomyosis underwent the surgery with Osada technique. Case description: A 30-year-old woman went to the medical care of Kasih Medika. She has been married for 4,5 years and did not have any children. She had a history of abdominal pain every menstruation, and it has persisted since 2 months ago even though not on the menstrual schedule. Transvaginal sonographic examination revealed a diffusely enlarged uterus and thickening of the uterine wall. A laparotomy is performed using the Osada technique (triple flap. After that, around 1 month after surgery, the patient will undergo an ultrasound examination and the patient will undergo the GnRH agonist therapy (Tapros) 3 times. Conclusion: Adenomyosis is one of the challenging diseases. Adequate treatment must be done to minimalize the infertile probability Laparotomy with the Osada technique could be done. Infertility examination in both couples also must be done. Undergoing the GnRH agonist therapy also can give a better result for the patient.
The Incidence of Vaginal Deliveries in Obese Mothers at Prof Dr. I.G.N.G Ngoerah Hospital In 2022 I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Wayan Dewi Purwanti; Made Diah Vendita Sakuntari; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 4 No. 1 (2023): (Available online: 1 June 2023)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v4i1.30

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Introduction: One of the risk factors seen most frequently in obstetric practice is maternal obesity. Women who were overweight or obese made up more than half of all female fatalities due to direct or indirect causes. Obesity increases the chance that the mother will experience obstetric problems during pregnancy, labour, and delivery, making fetal assessment more technically difficult. Methods: This study uses quantitative descriptive univariate analysis. The type of data is secondary data taken from the birth register. This study examines women who gave birth in 2022 and were identified as belonging to the obesity category by Prof. Dr. I. G. N. G. Ngoerah Denpasar General Hospital. Results: At Prof.dr.I.G.N.G Ngoerah Denpasar General Hospital, 21 obese pregnant women will give birth throughout 2022. Of the 21 people, 81% give birth by emergency C-section, 4,8% by elective C-section, and 14,2% give birth vaginally. Obese pregnant women have a higher risk of needing a cesarean section. Patients with obese class III had a significantly higher risk of infant morbidity than those with a normal BMI, according to their findings. Conclusions: Obese pregnant women are at increased risk of having a cesarean section. Therefore, health workers must provide knowledge to pre-pregnant or pre-marital women to maintain their BMI so they do not become obese during pregnancy. Thus, morbidity and mortality rates can also be reduced.
Activity of Bangle Rhizome Extract (zingiber cassumunar roxb.) Inhibits the Growth of Trichophyton rubrum and Trichophyton mentagrophytes Inderiati, Dewi; Widhyasih, Retno Martini; Aryadnyani, Ni Putu; Warditianin, Ni Kadek; Astuti, Ketut Widyani
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 14 No 2 (2023): SANITAS Volume 14 Nomor 2 Tahun 2023
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2023.475

Abstract

Bangle rhizome extract (zingiber purpureum roxb.) is a herbal plant that is widely consumed in Indonesia. Bangle rhizome extract (zingiber purpureum roxb.) has broad medical properties such as diuretic, anti-hypertension, brochodilator, immunomodulator, analgesic, anti-inflammatory, anti-oxidant, anti-tumor, anti-diabetic, anti-microbial and anti-fungal. The aim of this research was to determine the yield results of extracts using the solvents Aquadest, Aceton, Ethanol 70%, Ethanol 96% and Methanol. And to find out the results of phytochemical screening tests and active ingredient content using GCMS. The stages of this research include the extraction process, phytochemical screening test and GCMS. The results of research on the yield of Bangle rhizome extract with the five solvents obtained the largest yield, namely with distilled water, 7.2 percent. Based on the phytochemical screening test, Bangle rhizome extract was positive for containing secondary metabolites such as tannins, alkaloids, triterpenoids, steroids and saponins. The lowest MIC results for Bangle extract were in Aquadest solvent at 6.25 mg/mL with a value of 0.049 mg/mL and continued in 70% Ethanol solvent with a value of 3.125 mg/mL in the fungus Trichophyton rubrum and in the fungus Trichophyton mentagrophytes with an MIC value of 3.125 mg/mL. while the highest MIC value was obtained in the solvent acetone, Ethanol 96%, Methanol with a value of 0.049 ml/ML for both fungi.
Review Aktivitas Anti Inflamasi Daun Jeruk Purut, Daun Dadap, Dan Daun Sirih Berdasarkan Kearifan Lokal Bali Dalam Usada Tenung Tanyalara Lestari, Ni Wayan Febriari; Astuti, Ketut Widyani
Journal Sport Science, Health and Tourism of Mandalika (Jontak) Vol. 5 No. 1 (2024)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jontak.v5i1.1844

Abstract

Pengobatan tradisional merupakan sistem pengobatan yang dilakukan secara turun-temurun dengan memanfaatkan berbagai sumber alam, seperti tanaman, hewan, maupun mineral. Pengobatan tradisional di Bali memanfaatkan informasi yang tertuang pada Usada atau naskah yang memuat sistem pengobatan, bahan obat, serta cara pengobatannya. Salah satu jenis Usada Bali adalah Usada Tenung Tanyalara yang mencangkup pengobatan terhadap penyakit umum seperti bengkak. Daun jeruk purut (Citrus hystrix DC.), daun dadap (Erythrina subumbrans (Hassk.) Merr.), serta daun sirih (Piper betle L.) berdasarkan Usada Tenung Tanyalara dapat dimanfaatkan untuk mengatasi bengkak pada kaki. Tujuan penulisan artikel ini adalah untuk mengetahui dan membuktikan khasiat bahan tersebut melalui studi literatur. Artikel ini dibuat dengan melakukan identifikasi, pengkajian, evaluasi, serta penafsiran terhadap literatur hasil penelitian yang telah dipublikasikan secara online di lingkup nasional maupun internasional. Berdasarkan hasil penelitian secara in vivo maupun in vitro, diperoleh informasi bahwa daun jeruk purut, daun dadap, serta daun sirih dalam bentuk ekstrak maupun sediaan mampu mengatasi bengkak dengan memberikan efek antiinflamasi. Aktivitas antiinflamasi pada daun jeruk purut diduga diperoleh dari kandungan lupeol yang mampu menekan gen NLRP3. Sedangkan, pada daun dadap dan daun sirih, aktivitas antiinflamasi diduga berasal dari senyawa flavonoid yang menghambat jalur lipoksigenase atau siklooksigenase, sehingga menurunkan respon inflamasi. Berdasarkan studi yang dilakukan, disimpulkan bahwa terdapat kesesuaian efek farmakologis pada penggunaan empiris Usada Tenung Tanyalara dengan hasil uji ilmiah sebagai antiinflamasi.
Uji Efektivitas Gel Ekstrak Etanol Daun Ikut Lutung (Acalypha hispida Burm.f.) untuk Penyembuhan Ulkus Diabetik Secara In Vivo Liyani, Kadek Yunita; Dewi, Ni Pande Kadek Sinta; Damayanti, Dewa Ayu Trisna; Siwananda, I Dewa Made; Aryani, Kadek Indra; Astuti, Ketut Widyani
Jurnal Farmasi Sains dan Terapan (Journal of Pharmacy Science and Practice) Vol 11, No 1 (2024): February
Publisher : Jurnal Farmasi Sains dan Terapan (Journal of Pharmacy Science and Practice)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jfst.v11i1.5073

Abstract

Ulkus diabetik adalah luka dengan ketebalan penuh yang merusak jaringan akibat komplikasi diabetes. Penggunaan topikal menjadi salah satu bahan perawatan ulkus diabetes. Penelitian ini bertujuan untuk mengetahui efektivitas gel ekstrak etanol daun lutung untuk penyembuhan ulkus diabetik pada tikus diabetes. Induksi diabetes dilakukan menggunakan aloksan 150 mg/kgBB secara intraperitoneal. Tikus diabetes membuat luka dengan panjang 5 mm dan kedalaman 1 mm menggunakan pump biopsy pada bagian punggung. Hewan uji dibagi ke dalam kelompok gel 10%, gel 20%, gel 30%, povidon iodin, dan plasebo. Pengolesan gel dilakukan 2 kali sehari selama 7 hari. Parameter penyembuhan luka diukur dengan mengukur diameter dan eritema luka. Analisis data menggunakan program SPSS uji Saphiro Wilk (p>0,05), uji Levene (p>0,05), uji Kruskall Wallis (p<0,05) dilanjutkan dengan uji Man-Whitney (p<0,05). Hasil pengamatan menunjukkan diameter kelompok gel 20% dan 30% memberikan penurunan nilai diameter yang berbeda signifikan (p<0,05) terhadap kontrol negatif dengan nilai diameter yang paling kecil pada kelompok 30%. Hasil juga menunjukkan kelompok gel 30% memberikan pengurangan tanda eritema yang berbeda signifikan (p<0,05) terhadap kelompok negatif. Dapat disimpulkan bahwa gel ekstrak etanol daun lutung konsentrasi 20% dan 30% menunjukkan efektivitas terhadap proses penyembuhan ulkus diabetes dengan hasil optimal pada konsentrasi gel 30%.
Uji Efektivitas Gel Ekstrak Etanol Daun Ikut Lutung (Acalypha hispida Burm.f.) untuk Penyembuhan Ulkus Diabetik Secara In Vivo Liyani, Kadek Yunita; Dewi, Ni Pande Kadek Sinta; Damayanti, Dewa Ayu Trisna; Siwananda, I Dewa Made; Aryani, Kadek Indra; Astuti, Ketut Widyani
Jurnal Farmasi Sains dan Terapan (Journal of Pharmacy Science and Practice) Vol. 11 No. 1 (2024): February
Publisher : Faculty of Pharmacy, Widya Mandala Surabaya Catholic University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jfst.v11i1.5073

Abstract

Ulkus diabetik adalah luka dengan ketebalan penuh yang merusak jaringan akibat komplikasi diabetes. Penggunaan topikal menjadi salah satu bahan perawatan ulkus diabetes. Penelitian ini bertujuan untuk mengetahui efektivitas gel ekstrak etanol daun lutung untuk penyembuhan ulkus diabetik pada tikus diabetes. Induksi diabetes dilakukan menggunakan aloksan 150 mg/kgBB secara intraperitoneal. Tikus diabetes membuat luka dengan panjang 5 mm dan kedalaman 1 mm menggunakan pump biopsy pada bagian punggung. Hewan uji dibagi ke dalam kelompok gel 10%, gel 20%, gel 30%, povidon iodin, dan plasebo. Pengolesan gel dilakukan 2 kali sehari selama 7 hari. Parameter penyembuhan luka diukur dengan mengukur diameter dan eritema luka. Analisis data menggunakan program SPSS uji Saphiro Wilk (p>0,05), uji Levene (p>0,05), uji Kruskall Wallis (p<0,05) dilanjutkan dengan uji Man-Whitney (p<0,05). Hasil pengamatan menunjukkan diameter kelompok gel 20% dan 30% memberikan penurunan nilai diameter yang berbeda signifikan (p<0,05) terhadap kontrol negatif dengan nilai diameter yang paling kecil pada kelompok 30%. Hasil juga menunjukkan kelompok gel 30% memberikan pengurangan tanda eritema yang berbeda signifikan (p<0,05) terhadap kelompok negatif. Dapat disimpulkan bahwa gel ekstrak etanol daun lutung konsentrasi 20% dan 30% menunjukkan efektivitas terhadap proses penyembuhan ulkus diabetes dengan hasil optimal pada konsentrasi gel 30%.
Co-Authors Anak Agung Gede Rai Yadnya Putra Anak Agung Wahyu Putri Agustini Anak Agung Wahyu Putri Agustini Anak Agung Wahyu Putri Agustini Arifani Siswidiasari Aryadnyani, Ni Putu Aryani, Kadek Indra Cokorda Istri Mirayani Pemayun Cokorda Istri Mirayani Pemayun Cokorda Istri Mirayani Pemayun D. A. Satriawati Damayanti, Dewa Ayu Trisna Dewa Ayu Satriawati Dewi Inderiati Dewi LPMK Dewi, Ni Pande Kadek Sinta Firsta Sesarina Mintariani Firsta Sesarina Mintariani Firsta Sesarina Mintariani Fitri NPE G. M. D. Putra I Gde Pande Aninditha Putra Wicaksana I Gusti Made Aman I Gusti Ngurah Agung Dewantara Putra I Gusti Ngurah Jemmy Anton Prasetia I Made Agus Gelgel Wirasuta I Nyoman Hariyasa Sanjaya I Nyoman Hariyasa Sanjaya I Wayan Martadi Santika I Wayan Putu Sutirta Yasa I. N. K. Widjaja Ida Bagus Made Oka L.P.M.K. Dewi Lestari, Ni Wayan Febriari Liyani, Kadek Yunita Luh Putu Febryana L Luh Putu Febryana Larasanty Luh Putu Febryana Larasanty M. D. Abimanyu M. R Sutharini Made Diah Vendita Sakuntari Made Diah Vendita Sakuntari Made Diah Vendita Sakuntari Made Krisna Adi Jaya N. K. Cahyaningsih N. K. M. Ariani, N. L. P. V. Paramita N. P. A. D. Wijayanti N. P. A. D. Wijayanti N. W. M Lina N.M.P. Susanti Ni Komang Anik Pirgantari Ni Komang Anik Pirgantari Ni Komang Anik Pirgantari Ni Komang Cahyaningsih Ni Luh Gede Lisniawati Ni Luh Made Diah Mas Cahyani Putri Ni Luh Made Diah Mas Cahyani Putri Ni Luh Made Diah Mas Cahyani Putri Ni Luh Md Dwi Laxmi Satriani Ni Luh Md Dwi Laxmi Satriani Ni Luh Md Dwi Laxmi Satriani Ni Nyoman Fabby Sukarmini Ni Nyoman Mahatriny, Ni Nyoman Ni Nyoman Wiwik S Ni Nyoman Wiwik S. Ni Putu Ariantari Ni Putu Ayu Dewi Wijayanti Ni Putu Linda Laksmiani Ni Putu Nining Gianni Ni Putu Nining Gianni Ni Putu Nining Gianni Ni Putu Sanggra Payani, Ni Putu Ni Wayan Dewi Purwanti Ni Wayan Dewi Purwanti Ni Wayan Dewi Purwanti Pande Ketut Suwanti Devi, Pande Ketut Putu Ita Purnama Dewi R. A. I. K. Maharani Rasmaya Niruri Rini Noviyani Sagun Chandra Yowani Santri Yulita Santri Yulita, Santri Siwananda, I Dewa Made T. Maharani Warditianin, Ni Kadek Widhyasih, Retno Martini Yeyet C. Sumirtapura Yeyet C. Sumirtapura