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A Case of Prenatal Diagnosis of Congenital Total AV Block on VSD and PDA with Ultrasound Yusrawati, Yusrawati; Wahdini, Nanda Tri; Rasyid, Hauda El; Riendra, Muhammad
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.252-261.2021

Abstract

Objective : To report the diagnosis and management of congenital total AV block on VSD and PDA in pregnancy.Method : A case reportCase : A 37-year-old multiparous woman G4P3A0H2 24- 25 weeks of preterm pregnancy with fetal bradycardia, VSD, PDA with ultrasonography and CTG results was FHR 70 bpm. At 37- 38 weeks of pregnancy, termination of pregnancy was performed by cesarean delivery with preparation for complication of fetal AV block. A male baby was born with weight 2600 gram and APGAR score of 8/9. Immediate echocardiography result was situs solitus, VSD PM LR shunt, PDA LR shunt, good left ventricular function, left aortic arch and EF 74%. ECG result was sinus bradycardia, total AV block with junctional escape rhythm. Sternotomy and PPM implantation was performed by cardiothoracic surgeon three hours after the baby was born. Post PPM implantation, ECG results was HR 165 bpm and chest X- rays interpretation was cardiomegaly with plethora. Mother and baby came home in good condition on the 6th day of treatment. On the next baby’s control at 4.5 months obtained a weight of 5.4 kg with the echocardiography results was solitus, VSD PM LàR shunt, VSD muscular multiple 3 pieces LàR shunt, PDA LàR shunt, good right and left ventricular function, and left arch. The child got captopril 2x1.5 mg and planned for a 6-month repeat echocardiography.Conclusion : Congenital of total AV block on VSD and PDA is confirmed by prenatal diagnosis and preparation for comprehensive multidisciplinary management.Keywords: congenital total AV block, fetal bradycardia, fetal echocardiography, PPM, ultrasound
Correlation of Ferritine and Brain Derived Neurotrophic Factor (BDNF) Levels in Preeclampsia Putri, Dona Mirsa; Ariadi, Ariadi; Yusrawati, Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.161-177.2021

Abstract

Iron deficiency anemia that followed by low serum ferritin levels in early pregnancy has an indirect impact on decreasing the expression of Brain Derived Neurotrophic Factor (BDNF) in the maternal hippocampus. BDNF together with its receptor tyrosine kinase B (TrkB) induced the expression of metalloproteinase-9 (MMP-9) which plays an important role in blastocyst implantation, trophoblast invasion and placental development. Decreasing BDNF levels can interfere with those process which caused imbalance of pro-angiogenic and anti-angiogenic factors such as VEGF, PIGF, sFlt1 and sEng that leads to preeclampsia. This study aims to determine the correlation between ferritin and BDNF serum levels in preeclampsia.Keywords: Preeclampsia, ferritin, iron deficiency anemia, Brain Derived Neurotrophic Factor
Correlation of Brain Derived Neurotrophic Factors (BDNF) With Maternal and Perinatal Outcome in Preeclampsia Mayuliani, Mayuliani; Yusrawati, Yusrawati; Defrin, Defrin
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.148-160.2021

Abstract

Objective: To analyze the correlation between BDNF and maternal and perinatal outcomes in preeclampsia.Methods: This was an observational analytic study with a cross-sectional design on 73 pregnant women with preeclampsia. The study began in January 2020 to June 2020 in the Obstetrics and Gynecology Department of Dr M. Djamil Hospital Padang.Results: The mean BDNF levels of pregnant women with preeclampsia were 519.9 ± 325.4 pg/ml. The correlation between BDNF and systolic blood pressure, diastolic blood pressure, and Mean Arterial Pressure was negatively correlated (r = -0.145, -0.1, and -0.218), with a weak correlation. There was no statistically significant relationship between BDNF and systolic blood pressure, diastolic blood pressure, and mean arterial pressure (p> 0.05). BDNF correlation with infant birth weight and the birth length was positively correlated (0.196 and 0.205) with a weak correlation. The correlation between BDNF level and Apgar score was negatively correlated (-0.039 and -0.054) with a weak correlation. There was no statistically significant correlation between BDNF with birth weight, birth length, and Apgar score (p> 0.05).Conclusion: The mean BDNF level in preeclampsia was lower than normal pregnancy, there was a negative correlation between BDNF levels and maternal outcomes in preeclampsia with a weak correlation. There was a positive correlation between BDNF levels and perinatal outcomes (birth weight and birth length) in preeclampsia and there was a negative correlation between BDNF levels and Apgar score in preeclampsia with a weak correlation.Keywords: Brain Derived Neurotrophic Factors, Preeclampsia, Maternal Outcome, Perinatal Outcome
Amnioinfusions to Treat Early Onset Anhydramnios Caused by Bilateral Renal Agenesis : Potter’s Syndrome Yusrawati, Yusrawati; Yusra, Rizka Fadhillah
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.1.89-97.2022

Abstract

Introduction: Anhydramnios is a very small amount of amniotic fluid where the MVP measurement is 2cm by ultrasound. The most common cause of anhydramnios that persists into the second trimester of pregnancy is bilateral renal agenesis. Bilateral renal agenesis is closely related to Potter's Syndrome. Potter's syndrome is a picture of reduced amniotic fluid regardless of the cause. The most common cause of newborn death in cases of anhydramnios is pulmonary hypoplasia. Amnioinfusion is an action of adding fluid into the amniotic cavity which is expected to reduce uterine pressure due to anhydramnios and maintain alveolar distension to increase fetal lung growth.Objective: The aim of this case report is to share amnioinfusion on anhydramnios.Case Report: A 26-year-old woman G3P1A1H1 gravid 27-28 weeks was referred to the fetomaternal polyclinic of RSUP M. Djamil Padang with suspicion of anhydramnios caused by bilateral renal agenesis. Physical and obstetric examinations were found to be within normal limits. On ultrasound examination, there was no amniotic fluid, so MVP was difficult to assess, no fetal kidney and bladder were seen, so it is suspected that this is a bilateral renal agenesis disorder and leads to Potter's Syndrome. The patient was subjected to amnioinfusion to prevent contractures and pulmonary hypoplasia in the fetus. From the first amnioinfusion, the MVP increased to 2.99 cm. Monitoring and amnioinfusion are carried out periodically until the fetus is viable to be bornConclusion: Amnioinfusion in bilateral renal agenesis is useful for assisting diagnosis and as a preventive therapy for pulmonary contractures and hypoplasia in the fetus as well as increasing life expectancy when the fetus is born.Keywords: Bilateral Renal Agenesis, Anhydramnios, Amnioinfusion, Potter's Syndrome
The Role Of Vitamin D And Calcium In Pre-Eclampsia And The Association With Neonatal Outcomes Fadila, Tara; Yusrawati, Yusrawati; Karmia, Hudila Rifa
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.253-266.2023

Abstract

Introduction: Pre-eclampsia is one of the main causes of maternal and neonatal death in developingcountries. A low vitamin D level can increase the risk of neonatal abnormalities. Clinical studiesreported various complications of low vitamin D levels, such as pre-eclampsia, gestational diabetes,low birthweight, and caesarean section. This study aimed to investigate the role of vitamin D inpregnancy with pre-eclampsia and its association with neonatal outcomes.Methods: This is an observational analytical study uses a cross-sectional approach to investigatevitamin D levels and pre-eclampsia, conducted in General Hospital Dr. M. Djamil Padang from Mei2021 – April 2022. A total of 5 mL blood was withdrawn to analyzed vitamin D. This study has beenapproved by Health Research Ethics Committee Andalas University (Approved number:339/KEPK/2021).Results: There was a significant difference in the levels of 1,25 dihydroxy vitamin D3 between normalpregnancy and pre-eclampsia patients (99,18 vs 72,53 pg/ml; p = 0,033). In the pre-eclampsia patients’first APGAR score, there was a significant difference in the levels of 1,25 dihydroxy vitamin D3 betweennormal, moderate, and severe asphyxia groups (114,19 vs 66,75 vs 74,78 pg/ml; p = 0,025).Conclusion: Measuring early maternal 1,25 dihydroxy vitamin D3 can lower the pre-eclampsia risksand the impact the perinatal outcomes, particularly in determining first Apgar scores.
Hospital Management Functions: A Literature Review Yusrawati, Yusrawati; Muhardi, Muhardi
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.363-371.2023

Abstract

Hospital management is a process of organizing the available resources to support the efficiency and effectiveness of healthcare services provided. The main functions of hospital management include operational management, cost and financial management, materials management, and human resource management. This literature study aims to review each hospital management function based on previous studies within the last five years (2019-2023) obtained from scientific database searches. The inclusion criteria were studies with topics correlated to the four categories of hospital management functions and written in Indonesian/English. Articles that were published from books were excluded. A total of eight studies which were published in accredited journals and can be accessed in full-text form, were analyzed. The results of this study demonstrate that good management will improve overall hospital performance. High-quality financial management will support optimizing the availability of supporting materials for clinical and diagnostic services in hospitals. In addition, adequate human resources planning and organizing, as well as an appropriate work system design, will acknowledge the need for human resource development to increase the professional competence needed to provide health care in the hospital.
Retrospective Analysis of 277 Cases of Placenta Accreta Spectrum Diagnosed with Ultrasound at A Single Tertiary Care Center Adora, Hadikagusti; Yusrawati, Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.422-430.2023

Abstract

Introduction : Placenta accreta spectrum (PAS) is characterized by abnormal placental adherence and failure to separate from the uterine wall after delivery. The PAS-associated morbidities include peripartum hysterectomy (loss of fertility), massive hemorrhage and the requirement of blood transfusion (leading to consumptive coagulopathy and multisystem organ failure), admission to the intensive care unit (ICU), injury to adjacent organs, and death. Its incidence is on the rise due to an increasing number of caesarean deliveries. Objective : The goal of our study is to analyze the characteristics and outcomes of PAS managed at a tertiary care center with a high volume of PAS. Methods : The design of analytic observation research with a retrospective cross sectional method with ultrasound diagnosis of PAS at M. Djamil Central General Hospital from January 2020 to December 2022 was reviewed. Details of obstetric backgrounds, predelivery diagnosis, peripartum management, and outcomes were analyzed with mean difference test and chi square. Results : Two hundred and seventy-seven women with PAS were identified with ultrasound from 4,500 deliveries during the study period (6.15%). Approximately 45.48% of women with PAS had hysterectomy, while 54.52% did not; 3 cases were conservatively performed. Emergency and elective caesarean sections were accomplished in 32.85% and 67.15%, respectively. There was 3.25% maternal mortality. Anterior PAS (83.3%) is associated with attachment to the previous uterine scar and intraoperative blood loss compared to posterior PAS (15.88%) (p<0.05). The PAS patients with previous uterine surgery had the highest chance of peripartum hysterectomy (p<0.001). Conclusion : The placenta accreta diagnosed by antepartum ultrasound is approximately 6.15%. Almost half of the women in the study had hysterectomies. Only one-third of women with PAS in our study underwent emergent surgery. Anterior PAS is associated with placental attachment to the previous uterine scar and greater intraoperative blood loss compared with posterior PAS. The history of previous uterine surgery in women with PAS increased the chance of peripartum hysterectomy even further. The placenta accreta spectrum should be managed in a center with a high level of surgical expertise.
Characteristics of Pregnant Women with Oligohydramnions Treated with Amnioinfusion at d DR. M. Djamil Padang Rahman, Andio; Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.372-378.2023

Abstract

Introduction : Oligohydramnios is a condition of reduced amniotic fluid. This is often detected accidentally during ultrasonography examination so that there is often a delay in diagnosis. Amnioinfusion is one of the therapies given to pregnant women with oligohydramnios Aim: This study aims to determine the characteristics of pregnant women with oligohydramnios who are treated with amnioinfusion Method: This was a descriptive study using medical record data of inpatients at the Fetomaternal Polyclinic, Dr. M. Djamil Hospital Padang from March 2022 to March 2023. The inclusion criteria were pregnant women diagnosed with oligohydramnios and the exclusion criteria were multiple pregnancies. Sampling was done by total sampling. Result: There were 12 pregnant womens who met the inclusion and exclusion criteria. Most of the subject aged 20-35 years (91.7%), high school graduates (58.3%), and multiparous (66.7%). There are as many as 50% of fetuses with congenital abnormalities. Most of the oligohydramnios were diagnosed in the third trimester (83.3%). Pregnant women with oligohydramnios have a relatively high proportion of preterm births (41.7%). Most of the subject still have good fetal outcome (alive) (66.7%). Conclusion: Pregnant women with oligohydramnios had age, education and parity who were not at high risk but more often had fetuses with congenital abnormalities and premature births. Amnioinfusion reduces fetal mortality
PAPP-A Levels and IGF-1 Levels in Early-Onset Preeclampsia and Late-Onset Preeclampsia Soufal, Juan Habli; Yusrawati, Yusrawati; Basyir, Vaulinne
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.519-524.2024

Abstract

Introduction: The pathophysiology of preeclampsy is not yet fully understood, but failure of tropoblast invasion and placentation, which is influenced by factors such as pregnancy-associated plasma protein A (PAPP-A) and insulin-like growth factor 1 (IGF-1), is thought to play a role. Aims: This study aimed to explore the difference in PAPP-A and IGF-1 levels between Early-Onset Preeclampsia (PEAD) and Late-Onset Preeclampsia (PEAL), assuming that the role of PAPP-A and IGF-1 is more significant in the pathogenesis of PEAD than PEAL. Methods: This is an analytical observational study with a cross-partition comparative study design. Clinical data were obtained at Dr. M. Djamil Padang Hospital, while PAPP-A and IGF-1 levels were measured at the Biomedical Laboratory of the Faculty of Medicine, Andalas University. Samples are tested according to reagent procedures and analyzed by experts.Results: Average PAPP-A levels were 2.45+0.35 pg/mL in the early onset preeclampsy group and 2.85+0.50 pg/mL in the late onset preeclampsy group. These two levels differed statistically significantly (p=0.006). That means that low levels of PAPP-A are associated with and play a role in the pathogenesis of early onset preeclampsy. Average IGF-1 levels were 4.66+0.91 pg/mL in the early onset preeclampsy group and 5.39+0.74 pg/mL in the late-onset preeclampsy group. These two levels differed statistically significantly (p=0.010). That means that low levels of IGF-1 are associated with and play a role in the pathogenesis of early onset preeclampsy. PAPP-A levels were significantly positively correlated with IGF-1 levels (p=0.000). Conclusion: PAPP-A levels are lower in PEAD than PEAL, as are IGF-1 levels. These findings confirm the role of PAPP-A and IGF-1 in preeclampsia. Both of these hormones have potential as indicators and markers for the prediction and management of preeclampsy in early and late onset periods.
Correlation of Maternal Serum 25 Hydroxy Vitamin D with Newborn Anthropometry Iqbal, Muhammad; Yusrawati, Yusrawati; Karmia, Hudila Rifa; Serudji, Joserizal
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.579-585.2024

Abstract

Vitamin D deficiency (VDD) is identified as a public health problem in many countries, and pregnant women have been identified as a high-risk group, among whom the prevalence of VDD ranges between 20 and 40%. Vitamin D deficiency causes essential health problems, not only in the mother but also in the baby, because the mother's vitamin D stores are the primary source of vitamin D for the fetus. During pregnancy, severe vitamin D deficiency in mothers has been associated with biochemical evidence of impaired bone homeostasis, congenital rickets, and bone fractures in newborns. This study aims to determine the correlation between umbilical cord blood 25(OH)D levels in term pregnancy and Neonatal anthropometry. This research is analytical research using a cross-sectional approach. The sample in this study amounted to 40 people. Data analysts use people tests. The results of this study obtained an average umbilical cord serum 25(OH)D level of 14.70 ± 4.93. There was no correlation between umbilical cord blood 25(OH)D levels in term pregnancy and neonate anthropometry (p>0.05). The average level of 25(OH)D is included in the insufficiency category. Therefore, it is necessary to increase vitamin D supplementation during pregnancy.
Co-Authors ., Subki Adang Bachtiar Adang Bachtiar Ade Helmi Adela Resa Putri Adora, Hadikagusti Adrial Adrial, Adrial Afdal Afdal Afdal Afdal Afdal, Afdal Afriana Afriana Afriwardi Afriwardi Agustin, Hamdi Aida Fitriani, Aida Aisah Djumadisstsaniah Akbar Shiddiq Alfina, Nabila Alvin, Alfannya Amani, Risca Amel Yanis Amilia, Fenni Amir, Arni Ananda, Yovan Allif Andi Friadi Andini, Nurul Andio Rahman Anggun Hatika Riska Annisa Defani Annisa Defani Annisa Namirah Nasution Annisa Namirah Nasution Annissa Qatrunnada Antonius, Puja Agung Ariadi Ariadi Ariadi Ariadi Ariadi, Ariadi Ariescha, Putri Ayu Yessy Arif Sabta Aji Arni Amir Arni Amir Arni Amir Ashal, Taufik Asnah, Megaiswari Biran Asri, Ennesta Asrida Aulia Echi Ramadhani Aulia Echi Ramadhani Ayu Anissa Bahri Azhar, Al- Azwarni, Azwarni Bangun T. Purwaka, Bangun T. Basyir, Vaulinne Berliana, Besty Berliani, Hasvia Bobby I. Utama Bobby Indra Utama Bustamam, Nawarti Damar Prasmusinto Darmawati Darmawati Darmayanti Siregar Daulat Azhari Dedy Kurnia Defrin Defrin Defrin, Defrin Delmi Sulastri Dennis Haruna Desmawati Desmawati Desmawati Desmawati Desmawati Desriati Sinaga Dewi Susanti Dewi, Fitriana Dia Rofinda, Zelly Dia Dian Isti Angraini Dian Isti Angraini Dini F. Omari Dira Desfi Rahmayani Dona Mirsa Putri Dona Mirsa Putri Dona Mirsa Putri, Dona Mirsa Dwiana Ocviyanti Dwita , Beauty Deannisa Yondra Dyka Aidina Efrida Efrida Eka Kurniawan Elfira Yusri Elmatris Sy Emeraldy Chatra Emi Safrina Emilzon Taslim Emilzon Taslim Eny Yantri Eny Yantri Erda Mutiara Halida Erkadius Erkadius Erwani, Erwani Eryati Darwin Eti Yerizel Eva Chundrayetti Eva Decroli Evi Hasnita Fadila, Tara Fadri, Rince Alfia Fajria Khalida Farah Mutiara Farah Tri Ulfa Feby Andammori Feni Andriani Feni Andriani Feny Wartisa Fika Tri Anggraini Finny Fitry Yani Firdawati, Firdawati Fitrayeni Fitrayeni Fitri Ernalis Fitri Khoiriyah Fitri Khoiriyah Fitri Khoiriyah Fitriana dewi Fitriani agustina Fonny Kurnia Putri Fonny Kurnia Putri Gistin Husnul Khatimah Gustina Lubis Gustina Lubis Gustuti, Rina Hadikagusti Adora Hadyan Imal Fathoni Hafni Bachtiar Hafni Hafni Halida, Erda Mutiara halifah, elka Halim, Fauziatul Halimahtussakdiah, Halimahtussakdiah Hamidah, Waldatul Hardisman Haryani Hastuti, Irena Puspi Hauda El Rasyid Hayati, Mawar Helen Evelina Siringoringo Helmizar Helti Lestari Sitinjak Hema Malini, Hema Herman Kristanto Hirowati Ali Hirowati Ali, Hirowati Hudila Rifa Karmia Hudila Rifa Karmila Hudila Rifa Karmila Hudila Rifa Karmila Hudilla Rifa Karmia Hudilla Rifa Karmia Hudilla Rifa Karmia Humaira, Noni Husna Yetti Ida Mukhlisa Idwar, Idwar Iffah, Uliy Ilhami Fadhila Ilvira Ulpa Ismail Ilvira Ulpa Ismail Indah Fitriani Indah Lisfi Indah Ridhoila Indradewa, Rhian Indri Juliyarsi Insani, Aldina Ayunda Intan Julianingsih Iria Ningsih Busri Iria Ningsih Busri Irza Wahi Ismailinar, Ismailinar Izmi Fadhillah Nasution Izmi Fadhillah Nasution Januar, Januar Johanes C Mose Johanes C. Mose Johanes C. Mose Joserizal Serudji Juan Habli Soufal Junaidi Junaidi Juneke J. Kaeng Karmia, Hudila Rifa Karmia, Hudilla Rifa Karmila, Hudila Rifa Kartika, Yudha M Khairul Hasni Khatimah, Gistin Husnul Laila Isrona Laila Rahmi Lailaturrahmi Lailaturrahmi Liawati, Rezi Lili Irawati Lisma Evareny Lisma Evareny Lita Nafratilova Lova, Oke Adinda Lukman Hakim Lusiana El Sinta Bustami Lydia Aswati, Lydia Made K. Karkata, Made K. Maharani, Cut Rika Mahata, Liganda Endo Maihani, Syarifah Maisuri T. Chalid, Maisuri T. Makmur Sitepu, Makmur Malinda Meinapuri Mardiana, Rosa Mardoni Efrijon Maryam Syifaurrahmah Masrul Masrul Masrul Masyudi Masyudi Masyudi Masyudi Mauyah, Nizan Mawar Hayati Mayetti Mayetti Mayuliani Mayuliani Mayuliani, Mayuliani Megawati Sinambela Meilinda Agus, Meilinda Meilinda, Agus Melda Amalia Meldafia Idaman Miranie Safaringga Mone, Ansyari Mudjiran Mudjiran Mudjiran Mudjiran Muhammad Alhardi Nurdin Muhammad Brahmana Putra Muhammad Iqbal Muhammad Iqbal Muhammad Iqbal Muhammad Johar Nafis Muhammad Riendra Muhardi Muhardi Muhardi Muhardi Mukhlis Mukhlis Mukhlis Mukhlisa, Ida Muliari Muliari Munasiroh, Hidayatul Muranda, Annisa Restu Musrizal Musrizal, Musrizal Nadya Khaira Nurdi Nadya Khaira Nurdi Nafis, Muhammad Johar Nanan Sekarwana Nanda Tri Wahdini Nasution, Annio Indah Lestari Nega Olavia Nelmi Silvia Netti Meilani Simanjuntak Nina Cahyanti Ningsih, Rena Afri Nofalia, Pina Nora Hayani Noroyono Wibowo Nova Nova Novita, Lenny Novy Ratnasari Sinulingga Novy Ratnasari Sinulingga Novysa Basri Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur, T.M. Nurhastuti, Nurhastuti Nurhayati Nurhayati Nurhayati1, Nurhayati Nuri Hayati, Nuri Nurmayanti, Mesi Nurrizma, Delsy Nurul Fitriyah Nurulia Muthi Karima Nurwijayanti Nuswil Bernolian Nuzulia Irawati Ocktifiana, Melian Ori John Permatasari, Ressy Putri Mentari Faisal PUTRI WULANDARI Putri Zelfitri Zen Putri, Mira Eka Putri, Ratih Elsa Rafika Oktova Rahma Afifah Rahmahtrisilvia Rahmahtrisilvia Rahman, Andio Rahmat Syawqi Rahmatina B Herman Rahmi Andrita Yuda Rahmi, Ulva Ramya Sausan Rani Ashari Rani Ashari Rani Ashari Rasyid, Hauda El Ratna Lestari Habibah Rauza Sukma Rauza Sukma Rita Rena Afri Ningsih Rena Afri Ningsih Reno Muhatiah Reno Muhatiah Ressy Permatasari Reyhan Julio Azwan Reyhan Julio Azwan Reyhan Julio azwan Reyhan Julio Azwan Reyhan Julio Azwan Ria Yusnita, Raja Ria, Desyan Riendra, Muhammad Rika Effendy Rima Irwinda, Rima Rimbun Wahyu Gumilar Rina Gustuti Rina Oktaviana Rina Rina Rina Rina Rinal Effendi Rinang Mariko, Rinang Rionitara W ikarya Riri Karnain Ririn Ririn Riska Riska Rizanda Machmud Rizka Fadhillah Yusra Rizka Fadhillah Yusra Rizki Meizikri Rizki, Fina Rizkia, Mira Rossy Azhar Rozi Sastra Purna Ryskina Fatimah Siregar Safarina G Malik Safrina, Emi Salma Afriliza Salma Afriliza Saputra, Al Mahfud Saputra, Rudy Juli Sari Surahmi Sari, Maharani Permata Satrio B. Purnomo Satya W. Yenny Selfi Renita Rusjdi Septiani, Nanda Shylvia Helmanda Simanjuntak, Netti Meilani Sinaga, Desriati Siska Anggraini Siska Siska Sonny Muhammad Ikhsan Mangkuwinata Soufal, Juan Habli Sri Murniyanti Sri Wahyuni Suci Padma Risanti Suci Padma Risanti Suhaeb, Firdaus W Sundari, Eva Suryani, Susie Susiarno, Hadi Syamel Muhammad Syandrez Prima Putra Syarifah Maihani Tara Fadhillah Tara Fadila Tatik Mariyanti, Tatik Taufik Jahidin, Taufik Taufik, Said Tia Reza Titik Respati Titin Sumarni Tiyan Febriyani Lestari Tsaputra, Antoni Ulfa Farah Lisa Ulvi Mariati Ulvi Mariati UMAR ISKANDAR, UMAR Valdi, Fitra Vauline Basyir Vaulinne Basyir Vaulinne Basyir Wahdini, Nanda Tri Wijaya, Caesar Muhammad Wildayani, Desi Wilfa Muslimah Sihaloho Win Konadi Wiwie Putri Adila Wiwie Putri Adila Wizia, Lady Yantri Maputra Yaumil Fuziah Yaumil Fuziah Yenita . Yessi Pertiwi Yessi Pertiwi Yolanda Pratami, Yolanda Yolanda Syahdia Yolanda Syahdia Yudha M Kartika Yulia Fauziah Amizuar Yulika, Marzatia Yulistini Yulizawati . Yulizawati, Yulizawati Yuniar Lestari Yusmalia Hidayati Yusmalia Hidayati Yusra, Ainil Yusra, Rizka Fadhillah Yustini Alioes Z, Martias Zahraini Zahraini Zakaria Yahya Zakaria, Chepi Ali Firman Zaki, Sayed Ahmad Zen, Putri Zelfitri Zen, Putri Zelfitri Zulfani Sesmiarni Zulfikar Zulkarnain Edward Zulkarnaini Zulkarnaini