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PENGARUH METODE ZILGREI TERHADAP LAMA KALA 1 FASE AKTIF PADA IBU BERSALIN Wijayanti, Tut Rayani Aksohini; Rani Safitri
Prosiding Seminar Informasi Kesehatan Nasional 2022 : SIKesNas 2022
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.636 KB) | DOI: 10.47701/sikenas.vi.1673

Abstract

Kala 1 persalinan dimulai sejak terjadinya kontraksi uterus hingga pembukaan lengkap. Terdapat beberapa hambatan yang sering ditemukan pada Kala 1 misalnya kontraksi yang tidak adekuat. Hal ini dapat diatasi dengan terapi non farmakologis yaitu metode Zilgrei. Metode Zilgrei merupakan metode yang dapat mendorong janin pada posisi yang ideal dan membuat tahap-tahap pembukaan persalinan menjadi lancar. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian metode Zilgrei terhadap lama kala 1 fase aktif pada ibu bersalin. Penelitian ini menggunakan desain pre-eksperiment dengan pendekatan one-shot case study. Sampel yang digunakan dalam penelitian ini sejumlah 32 sampel dengan teknik pengambilan Purposive Sampling. Instrument penelitian ini menggunakan lembar observasi. Hasil penelitian menunjukkan bahwa hampir seluruhnya sampel mengalami kala 1 fase aktif cepat (≤ 6 jam) sejumlah 26 sampel (81%) dan sebagian kecil mengalami kala 1 fase aktif normal (6 jam) sejumlah 6 sampel (19%). Berdasarkan hasil analisis uji One Sample T-Test diperoleh nilai signifikan p-value (0,000<0,05). Kesimpulan yang dapat diperoleh yaitu ada pengaruh metode Zilgrei terhadap lama kala 1 fase akif pada ibu bersalin. Metode Zilgrei ini dapat diaplikasikan pada persalinan sehingga dapat mempercepat lama Kala 1.
Effectiveness of Common Cold Massage Education on Improving Mothers' Knowledge in Managing Coughs and Colds in Infants Aged 0–12 Months at TPMB Nita Bantur Valiananastiti, Dita; Safitri, Rani
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 2 (2025): Jurnal Kesehatan (Oktober 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i2.825

Abstract

Cough and cold in infants are common health issues caused by viral infections in the upper respiratory tract, which negatively affect the baby's quality of life. Massage therapy has been applied to relieve these symptoms, but many mothers still lack understanding about common cold massage and how to care for their babies when experiencing cough and cold. Most mothers tend to rely on applying telon oil or taking their babies to healthcare facilities for treatment. Massage has been practiced for centuries across the world. It can have a positive effect on the body and bring about beneficial physiological changes that can be measured scientifically. This study aims to determine the effect of an intervention on the participants' knowledge, as well as to examine the distribution of respondents based on education and age. The research used a quantitative method with a pre-experimental one-group pretest-posttest design. The paired t-test showed a significant difference between pre-test and post-test scores (p < 0.05). Most respondents had a senior high school education level (73.08%) and were aged 21–30 years (61.54%). These findings indicate that common cold massage is effective in improving mothers' understanding of how to manage cough and cold in infants, making it a valuable educational alternative in child care. Thus, the right approach can lead to meaningful change.
Pengaruh William’s Flexion Exercise Terhadap Intensitas Dismenore Pada Remaja Putri Usia 12-15 Tahun Maulida, Kamila Rizka; Retnaningsih, Reny; Safitri, Rani
NUTRIX Vol 9 No 2 (2025): Volume 9, Issue 2, 2025
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v9i2.1314

Abstract

Dysmenorrhea is menstrual pain that is often experienced by adolescent girls and can interfere with activities and reduce quality of life and academic achievement, so non-pharmacological efforts are needed to overcome menstrual pain, namely using William's Flexion Exercise. This study aims to determine the effect of William's Flexion Exercise on the intensity of dysmenorrhea in adolescent girls aged 12-15 years at SMP Budi Mulia Pakisaji Malang Regency. The design of this study is quantitative using a pre-experimental design with a one group pretest-posttest approach. The study sample consisted of 20 respondents selected using a purposive sampling technique. The instrument used an observation sheet for measuring pain intensity with a Numeric Rating Scale (NRS). Data analysis was carried out bivariately using the Paired T-test. The results of the study obtained an average value of pain intensity before being given exercise was 4.00 and after being given exercise the average value of pain intensity decreased to 2.70. From the results of the Paired T-test, a Sig value of 0.000 (p<0.05) was obtained, which indicates a significant effect of William's Flexion Exercise on reducing the intensity of dysmenorrhea in female adolescents aged 12-15 years at SMP Budi Mulia Pakisaji. William's Flexion Exercise can be used to reduce menstrual pain, so researchers recommend William's Flexion Exercise as a complementary therapy for non-pharmacological interventions for adolescents experiencing dysmenorrhea. Dismenore merupakan nyeri menstruasi yang sering dialami oleh remaja putri dan dapat mengganggu aktivitas serta menurunkan kualitas hidup dan prestasi belajar, sehingga diperlukan upaya non farmakologi untuk mengatasi nyeri menstruasi yaitu menggunakan William’s Flexion Exercise. Penelitian ini bertujuan untuk mengetahui pengaruh William’s Flexion Exercise terhadap intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji Kabupaten Malang. Desain penelitian ini yaitu kuantitatif menggunakan desain pre-eksperimen dengan pendekatan one group pretest-posttest. Sampel penelitian terdiri dari 20 responden yang dipilih dengan teknik purposive sampling. Instrumen menggunakan lembar observasi pengukuran intensitas nyeri dengan skala Numeric Rating Scale (NRS). Analisis data dilakukan secara bivariate menggunakan uji Paired T-test. Hasil penelitian diperoleh nilai rata-rata intensitas nyeri sebelum diberikan latihan adalah 4,00 dan setelah diberikan latihan nilai rata-rata intensitas nyeri menurun menjadi 2,70. Dari hasil uji Paired T-test didapatkan nilai Sig 0,000 (p<0,05) yang menunjukkan adanya pengaruh signifikan dari latihan William’s Flexion Exercise terhadap penurunan intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji. William’s Flexion Exercise dapat digunakan untuk menurunkan nyeri menstruasi sehingga peneliti merekomendasikan William’s Flexion Exercise sebagai terapi komplementer untuk intervensi nonfarmakologi bagi remaja putri yang mengalami dismenore.
The Connection between Individuals' Knowledge Levels and Their Interest in Using IUD Contraceptive Devices Musliani Musliani; Rosyidah Alfitri; Rani Safitri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.173

Abstract

Population policy in Indonesia represents a key government effort to regulate and control population growth. One of the most significant strategies in managing population growth is Family Planning, which helps reduce the rate of fertility and support healthier families. Among the various contraceptive methods, the IUD (Intrauterine Device) is a non-hormonal option that is commonly used by Fertile Age Couples (FACs). The goal of this study was to explore the relationship between the level of knowledge and the interest in the IUD contraceptive method among couples in the Puskesmas Pugaan area. This research employed an analytical approach using a cross-sectional design. The population for this study included all fertile couples in the Pugaan Health Center area. A purposive sampling technique was applied, selecting a sample of 20 participants. Data were collected through questionnaires, and the data were analyzed using the chi-square test with the SPSS version 25 software. The study found that 12 participants (60%) had good knowledge of IUDs, 5 participants (25%) had sufficient knowledge, and 3 participants (15%) had poor knowledge. Regarding interest in using IUDs, 16 participants (80%) expressed an interest, while 4 participants (20%) were not interested in using the IUD. The chi-square statistical test yielded a P value of 0.000 (P < 0.05), indicating a statistically significant relationship between knowledge level and interest in the IUD contraceptive method. In conclusion, this study demonstrates that there is a significant relationship between the level of knowledge and the interest in using IUD contraception at Puskesmas Pugaan. These findings suggest that improving the knowledge of couples about contraceptive methods like the IUD may play a crucial role in increasing interest and usage rates, contributing to more effective population control efforts
The Relationship Between the Length of Use of Implantable Contraceptives with Changes in Acceptor Weight Dewi Lestari Sayem; Rani Safitri; Nila Widya Keswara
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.194

Abstract

Weight gain in contraceptive implant acceptors can have various negative health impacts, including degenerative diseases such as heart disease, hypertension, and a reduced ability to carry out daily activities. This study aimed to examine the relationship between the duration of contraceptive implant use and weight gain among women of reproductive age. A quantitative design with a cross-sectional approach was applied. The study population consisted of all contraceptive implant acceptors registered at the health facility, totaling 74 respondents. The sampling technique used was random sampling to ensure representativeness. The independent variable in this research was the duration of contraceptive implant use, while the dependent variable was weight change. Data were collected using a structured questionnaire, and statistical analysis was performed using the chi-square test. The results revealed a statistically significant relationship between the duration of contraceptive implant use and weight gain among respondents. Specifically, the longer the duration of implant use, the higher the likelihood of experiencing weight gain. This finding supports existing evidence that hormonal contraceptive implants may cause side effects, including increased body weight. If not properly managed, such weight gain can lead to overweight or obesity, conditions that substantially raise the risk of developing metabolic disorders such as diabetes mellitus, as well as cardiovascular diseases including hypertension and coronary heart disease. Based on these results, it is recommended that contraceptive implant users undergo regular weight monitoring to identify changes early. Additionally, health education programs emphasizing balanced nutrition and adequate physical activity should be implemented for women using hormonal contraceptives. Health care providers are encouraged to deliver comprehensive counseling prior to implant insertion, ensuring that potential side effects and preventive measures are clearly explained. Such proactive steps will help women make informed decisions and maintain optimal health while using contraceptive implants.
The Effect of Combined Stimulation of Baby Massage and Lavender Essential Oil on Gross and Fine Motor Skills in Infants Aged 3–12 Rani Safitri; Fadlila Ammari; Rosyidah Alfitri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.195

Abstract

Gross motor and fine motor development are critical aspects of early childhood growth, yet a significant proportion of infants and toddlers continue to experience delays in these areas. According to the World Health Organization (WHO) in 2016, approximately 20–40% of infants aged 0–2 years face delays in developmental processes, with 5–25% experiencing gross and fine motor disorders. Delays in gross motor skills can reduce adaptability and creativity during the adaptation period, while delays in fine motor skills may hinder a child’s learning process. Beyond adequate nutrition provided by the mother, stimulation is an essential strategy to optimize growth and development. One promising approach is the combination of baby massage and lavender essential oil, which may offer both physical stimulation and relaxation benefits that support motor skill advancement. This study aims to determine the effect of combined baby massage stimulation and lavender essential oil application on the improvement of gross and fine motor skills in infants aged 3–12 months. A pre-experimental quantitative design with one-group pretest–posttest was applied to a sample of 40 infants. Data analysis employed the Wilcoxon signed-rank test to assess changes in motor development scores before and after the intervention. Results indicated a probability value (p-value) of 0.02 (<0.05), suggesting a statistically significant improvement in both gross and fine motor skills following the intervention. These findings highlight the potential of integrating tactile and aromatherapy-based stimulation into infant care routines to enhance motor development. Further research with larger and more diverse samples is recommended to validate these results and explore the underlying mechanisms of action.
The Effect of Pineapple Juice (Ananas Comosus) on Dysmenorrhea Pain Siti Maimuna Bin Gani; Rani Safitri; Nila Widya Keswara
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.196

Abstract

Menstrual pain, also known as dysmenorrhea, is one of the most common reproductive health problems experienced by adolescent girls. This condition often recurs every month and can interfere with school attendance, concentration, and participation in daily activities. Many individuals choose pharmacological treatments such as analgesics to relieve symptoms. However, excessive use of pain relievers can lead to side effects, prompting interest in non-pharmacological approaches. One such approach is the consumption of pineapple juice, which contains beneficial compounds such as pectin, vitamin C, and the enzyme bromelain. Bromelain has anti-inflammatory properties, aids in muscle relaxation, and improves blood circulation, potentially reducing uterine muscle contractions that cause pain. This study aimed to determine the effect of pineapple juice consumption on reducing menstrual pain among adolescent girls. The research design used was pre-experimental with a pretest–posttest approach. The population included 121 adolescent girls who experienced menstrual pain, and the sample was obtained through accidental sampling. Pain quality was evaluated using observation sheets, while pain intensity was measured with the Numeric Rating Scale (NRS), which has a validity coefficient of r = 0.90 and reliability above 0.95. Before the intervention, the majority of respondents reported a pain intensity score of 6 (46.7%), with a mean score of 5.86. Following the administration of pineapple juice, pain intensity predominantly decreased to a score of 4 (86.6%), with a mean score of 3.06. The Wilcoxon test produced a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention pain levels. In conclusion, pineapple juice is effective in significantly reducing menstrual pain in adolescent girls. This finding supports its potential as a simple, affordable, and natural alternative to pharmacological treatments. Further research with a control group and larger sample size is recommended to strengthen the evidence.
Effectiveness of Banana Blossom on Breast Milk Production in Breastfeeding Mothers Rani Safitri; Siti Salma Karim; Rosyidah Alfitri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.198

Abstract

Exclusive breastfeeding for the first six months is one of the most valuable investments in a child’s health, growth, and intelligence, yet ensuring sufficient breast milk production can be a challenge for some mothers. The banana heart, or banana flower, is an inexpensive and easily accessible part of the banana plant traditionally used to enhance lactation. Rich in fiber, vitamins, and minerals, it is believed to support maternal health and stimulate milk production. This study aimed to determine the effect of banana heart consumption on the average increase in breast milk production among breastfeeding mothers in the Bahari Health Center Working Area. A quasi-experimental design with a pretest–posttest control group was employed, involving breastfeeding mothers divided into treatment and control groups. The treatment group consumed banana heart preparations, while the control group maintained their regular diet. Breast milk production was measured before and after the intervention. Results indicated that, before treatment, the average breast milk production in the treatment group ranged from 401–500 cc, with a mean of 496.67 cc. After consuming banana heart, production significantly increased to 801–900 cc, with a mean of 816.67 cc. In contrast, the control group’s production remained between 401–500 cc, with a mean of 453.33 cc, showing no significant change. Statistical analysis confirmed the positive effect of banana heart consumption on increasing breast milk production. In conclusion, banana heart can be considered an effective, low-cost, and locally available dietary intervention to improve lactation outcomes, supporting the practice of exclusive breastfeeding for six months. Public health initiatives could promote the use of banana heart as a natural approach for mothers experiencing lactation challenges.
The Relationship Between Early Marriage and The Incidence of Retained Placenta Rani Safitri; Sulastri Sulastri; Nila Widya Keswara
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.200

Abstract

According to the World Health Organization (WHO), in 2015 the global maternal mortality rate (MMR) reached 303,000 deaths. In Indonesia, the MMR for the same year was 305 maternal deaths per 100,000 live births, significantly higher than the national target of 75 per 100,000 live births. The top five causes of maternal death in Indonesia include hemorrhage (30.3%), hypertension in pregnancy (27.1%), infection (7.3%), prolonged labor (1.8%), and abortion (1.6%). One complication that can contribute to maternal morbidity and mortality is placental retention, a condition in which the placenta fails to be delivered within 30 minutes after childbirth. In 2016, 51 cases of placental retention were reported in the study area, raising concerns about its prevalence and contributing factors. This study aimed to determine the relationship between maternal age and the incidence of placental retention. An analytic survey method was applied using secondary data, with a total population of 398 mothers and a sample of 80 respondents selected through purposive sampling. Data analysis employed chi-square testing. The findings revealed that the majority of respondents were not in the at-risk age group (61 respondents or 76.2%), and most did not experience placental retention (64 respondents or 80%). However, statistical analysis demonstrated a significant relationship between maternal age and placental retention, with a p-value of 0.001, indicating that age is a contributing factor. In conclusion, maternal age plays a significant role in the occurrence of placental retention, emphasizing the importance of adequate maternal health education, early antenatal care, and close monitoring during delivery, especially for those in high-risk age categories. Targeted interventions to address age-related risks may help reduce maternal complications and contribute to lowering the maternal mortality rate.
Papaya Consumption and its Effect on Breast Milk Production in Post Partum Women : Study at Mabu’un Health Centre Rina Lasmilawati; Nila Widya Keswara; Rani Safitri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.211

Abstract

Adequate breast milk production is crucial for the health and development of newborns, yet many postpartum mothers face challenges in breastfeeding. Various factors, such as diet, nutritional status, and stress, can significantly influence milk production. Young papaya is known to contain lactagogum, which can stimulate the hormones prolactin and oxytocin, both of which play a vital role in enhancing breast milk production. This study aimed to examine the effect of young papaya consumption on breast milk production among postpartum women. A quantitative design with a quasi-experimental approach, specifically a post-test control-only group design, was used for this study. The sample consisted of 20 postpartum women, who were divided into two groups: the treatment group (consuming young papaya) and the control group. Data were collected through a questionnaire, and the analysis was conducted using Fisher's exact test with SPSS software. The results revealed that 70% of the mothers experienced smooth breast milk production, with the treatment group (those who consumed young papaya) reporting significantly higher levels of smooth milk production compared to the control group. Fisher's exact test showed a statistically significant association between the consumption of young papaya and the smoothness of breast milk production (p=0.005). In conclusion, the consumption of young papaya has a positive effect on increasing breast milk production in postpartum women. The papain enzyme present in young papaya appears to stimulate the hormones essential for milk production. Therefore, increasing awareness and education about the benefits of young papaya consumption as a lactagogue can play a significant role in supporting successful breastfeeding. Further studies with larger sample sizes are recommended to validate these findings and explore the long-term effects of young papaya consumption on lactation.
Co-Authors Aan Ardianza6 Abdul Basyid Addina Khoirurnisa Adi Putri, Silvia Adzkia, Legabina ahmad yani Ajeng Ayu Pertiwi Alim, Zainal Amalia, Waifti Anasthia Agusthian Thaib Andi Suharman Anggraeni, Tyas Anik Purwati Anik Sri Purwanti Armansyah Armansyah Astutik, Rini Ayu Lestari Bachriatus sakina Bianti, Nur Dewi Fika Abubakar Dewi Lestari Sayem Dewi, Selvi Prabandari Purnama Dewinta Ristawati Dita Meiliana, Rully Dukomalamo, Purnawati Dwi Ernawati Dyah Ayu Wulansari Eka Ad’hiya Eka Karina Sari Priastuti Erpidawati, Erpidawati Fadhlya Adri, Rantih Fadila, Nailatul Fadlila Ammari Fadya, Bianca Adinda Mustika FAHMI ALFIANI Faridah Faridah Fatmawati Ramli Fauziyah, Iin Firdaus, Lina Fitri Mia Rahmawati Friassantano, Risgar Hadriansyah Hamdi, Muhammad Hani Pramita Harmonika, Harmonika Hartita Sibua Hasanuddin Henny Indrawati Herlina Diatric Heryka Hidayat, Elin Hindrya, Meynar Hutabarat, Sintong H. Huwiani Huwiani Iffa, Okta Imtizil Iftitatur Wirdaniyah Ijawati S. Dimara, Rahelina Indriyanti Utok Intan Silfiyatul Millati Irma Susanti Irmawati Naser ishak, Isnawati adeningsih Iwan Sumarli Jayanti, Ade Indra Julita Aishah Kartikasari, Linda Kenny Kenny Keswara, Nila Widya Khalid Al Harbi Khoirunnisa, Addina Khoirurnisa, Addina Kurnia, Erisa Vatiatul Lario, Shevani Hoa Tio Latifa Putri, Tasya Lilik Lestari Lois C Henderang M. Hadeli Marhum, Sultan Setiawan Maulida, Kamila Rizka Maulina, Rifzul Meiliana, Rully Dita Meis Nurhayati S. Yunus Mohammed Saifulaman Mohammed Said Muh. Ihsan Muh. Jayadi Jahidin Muqtafin, Muqtafin Musliani Musliani Nariswari, Nuzul Dian Nasser Al Qahtani Neng Sholihat Nur Aulia Putri Nurdiana, Ilvi Nurhikmah Nuriyah Nabila Nurjanah Abubakar Nurlaelah Umar, Nurlaelah Painem, Painem Pratiwi, Desy Ayu Purwanto, Hadi Putra, Agung Dwi Raden Maria Veronika Widiatrilupi Rahmawati, Marsela Rahmayanti, Elifa Ihda Refindra Wijaya, Tiara Reny Retnaningsih Rina Lasmilawati Risnawati Risnawati Riya Tanzilatun Amillah Riyantama, Muhammad Yogi Rosyidah Alfitri Rozela, Irma Aprilia Ruri Lufitasari Rutiana Rutiana Safitri, Rika Ayu Sanjaya Saputra, Andri Dwi Saputra, Eko Murti Saranianingsi, Ullin Setiana, Iffa Sherly Ignasia Siti Indrayani Siti Maimuna Bin Gani Siti Salma Karim Sitti Hermawati S. Napu Solly Aryza Soni Redha, Pratiwi Sri Marliani Dondo Sudarti Sudarti Sulastri Sulastri Suratni Abdurrahim Suriyanti Laba Susanti, Elsi Susilawati Jainahu Syahril Tut Rayani Aksohini Wijayanti Tutrayani Wijayanti Ulfatul Amalia Usma Aulia Valiananastiti, Dita Wahyuningsih, Ina Widia Shofa Ilmiah Widia Shofa Ilmiah Wijayanti, Tut Rayani Akksohini Wulandari, Lusia Yanti Yanto, Meidi Yayun Gunibala Yena Novia Puspita Herawati Yenni . Yessi Fitriani Zainal Alim