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Correlations between Obesity, Polycystic Ovary Syndrome, and Sleep Apnea: A Meta-Analysis Jayanti, Saktryana Endang Ragil; Widyaningsih, Vitri; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.32 KB) | DOI: 10.26911/thejmch.2022.07.04.07

Abstract

Background: Obesity is one of the biggest public health problems in the world. Obesity is associated with various health problems, decreased quality of life and death. Obesity is known to have an impact on women's lives, namely Polycystic Ovary Syndrome (PCOS) which if not treated immediately can cause sleep apnea. This study aims to analyze the relationship between obesity and PCOS and sleep apnea. Subjects and Method: This research is a systematic review and meta-analysis. Population = women, Intervention = obesity, Comparison = not obese, Outcomes = PCOS and sleep apnea. Article searches through journal databases include: PubMed, Science Direct, Google Scholar, and Springerlink. The keywords used are obesity OR obese AND PCOS OR “Polycystic Ovary Syn- drome” AND “sleep apnea” OR “Poor Sleep” OR “obstructive sleep apnea”. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria include full-text articles with obser- vational studies, multivariate analysis results in the form of aOR values and published from 2012- 2021. Eligible articles were analyzed using the Revman 5.3 application. Results: Eighteen articles from the United States, Brazil, China, Turkey, Iraq, Pakistan, Sri Lanka, Korea, West Africa, East Africa, Nigeria and the United Kingdom were included in the meta- analysis. A meta-analysis of the results of the case-control study design subgroup (4 articles) and the cross-sectional study (4 articles) showed that obese women had a 1.14-fold increased risk of developing PCOS compared to non-obese women (aOR = 1.14; 95% CI = 1.03 to 1.26; p= 0.010). A meta-analysis of 10 cross-sectional studies showed that obese women increased the risk of developing sleep apnea 4.66 times than non-obese women (aOR = 4.66; 95% CI = 3.23 to 6.71; p = <0.001). Conclusion: Obesity is a risk factor for PCOS (Polycystic Ovary Syndrome) and sleep apnea in women. Keywords: obesity, PCOS, sleep apnea, meta-analysis. Correspondence: Saktryana Endang Ragil Jayanti. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Saktryana.agil@gmail.com. Mobile: 082242154117.
Meta-Analysis the Effect of Urinary Tract Infection in Pregnant Women on Prematurity and Low Birth Weight Wulandari, Rizqi Amalia; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.576 KB) | DOI: 10.26911/thejmch.2021.06.05.10

Abstract

Background: During pregnancy there are physiological changes associated with the pregnancy process that can cause urinary tract infections caused by the enlargement of the uterus, decreased urine flow through the ureters and decreased bladder tone during pregnancy. So that healthy pregnant women become vulnerable to serious complications in the urinary tract and will have an impact on the mother and baby who will be at great risk of causing premature birth and low birth weight. This study aims to estimate the magnitude of the effect of urinary tract infections in pregnant women on premature birth and low birth weight. Subjects and Method: This study is a systematic review and meta-analysis conducted with PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, MEDLINE/PubMed, Science Direct, Spinger Link and Directory of Open Access Journal (DOAJ) by selecting articles published in 2005-2021. The keywords used were “Urinary Tract Infection Pregnancy” AND “Preterm Labor”, “Urinary Tract Infection Pregnancy” AND “Low Birth Weight”, “Urinary Tract Infection Pregnancy” AND “Preterm Labor” AND “Low Birth Weight” AND “adjusted Odds Ratio". Inclusion criteria included full-text articles, case-control study designs. The analysis used logistic regression with adjusted odds ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: A total of 17 articles were reviewed in this study with a case control study design. A meta-analysis of 11 articles showed that urinary tract infections in pregnant women increased the risk of preterm delivery by 2.49 times compared with pregnant women without urinary tract infections (aOR = 2.49; 95% CI = 2.04 to 3.05; p<0.001), whereas 7 The article shows that urinary tract infections in pregnant women can increase the risk of increasing the risk of LBW by 1.54 times compared to pregnant women without urinary tract infections (aOR = 1.54; 95% CI = 1.24 to 1.91; p<0.001). Conclusion: Urinary tract infections increase the risk of preterm birth and low birth weight.
Meta-Analysis: The Effect of Early Breastfeeding Initiation on Hypothermia and Diarrhea in Infants Hidayah, Fristyaningrum; Retno, Yulia Lanti; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.635 KB) | DOI: 10.26911/thejmch.2021.06.06.02

Abstract

Background: Early initiation of breastfeeding is the process of letting the baby instinctively breastfeed within the first hour after birth, along with skin-to-skin contact between the baby and the mother's skin which can prevent hypothermia in the baby. This study aims to analyze the relationship between early initiation of breastfeeding and the incidence of hypothermia in infants. Subjects and Method: This is a systematic review and meta-analysis study. Population= Infants aged 0-59 months, Intervention= early initiation of breastfeeding, Comparison= no early initiation of breastfeeding, Outcomes= incidence of hypothermia and diarrhea. Article searched through journal databases include: PubMed, Science Direct, Google Scholar, research gate, and Springerlink. The keywords used are breastfeeding" OR "early initiation of breastfeeding" OR "initiation breast­feeding" AND newborn OR neonatal OR neonate OR infant OR children OR child AND hypothermia OR “low body temperature” OR “low temperature” OR thermoregulation OR “body temperature regulation "AND diarrhea OR diarrhea. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria included full-text articles with cross-sectional studies, multivariate analysis results in the form of AOR values and published in English from 2011-2021. Eligible articles were analyzed using Revman 5.3 application. Results: Sixteen articles from Ethiopia, Vietnam, Bangladesh, Pakistan, Tanzania, and India were included in the meta-analysis. Meta-analysis in 7 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of hypothermia in infants (aOR= 0.32; 95% CI= 0.21 to 0.48; p<0.001). Meta-analysis in 9 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of diarrhea in infants (aOR = 0.81; 95% CI = 0.76 to 0.86; p<0.001). Conclusion: Early initiation of breastfeeding reduced the risk of hypothermia and diarrhea in infants. Researchers recommend implementing early initiation of breastfeeding in the first hour of birth to prevent the risk of hypothermia and diarrhea in infants.
Meta-Analysis The Effect of Maternal Obesity on the Risk of Premature Birth and Neonatal Death Wulandari, Fitria; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.681 KB) | DOI: 10.26911/thejmch.2021.06.06.10

Abstract

Background: The prevalence of obesity in women of reproductive age worldwide is increasing by an estimated 20-36%. Increased prevalence of obesity also occurs in pregnant women. Obesity increases the risk of poor pregnancy outcome. This study aims to investigate the effect of maternal obesity on preterm birth and neonatal mortality. Subjects and Method: This was a systematic review and meta-analysis. The articles used were obtained from several databases, including: Google Scholar, Science Direct, Springer Link, Proquest, and Scopus published from 2010 to 2021. The population in this study was pregnant women with an intervention in the form of obesity, comparison in the form of normal BMI, and outcome such as premature birth and neonatal death. The keywords used to search for articles were: (“maternal obesity” OR “maternal BMI”) AND (“premature birth” OR “preterm birth” OR “preterm delivery” OR “preterm labor”) AND (“neonatal mortality” OR “ neonatal death”) AND “adjusted Odds Ratio”, and “maternal obesity” AND (“premature birth” OR “preterm birth” OR “preterm delivery”) AND (“neonatal mortality” OR “neonatal death”) AND “adjusted Odds Ratio ". The article is a full text article with a cross-sectional and cohort study design. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 . application. Results:  There were 19 articles reviewed in the study. A meta-analysis of 13 cohort studies showed that obese pregnant women were 1.02 times more likely to have a premature birth when compared to normal BMI pregnant women, but this result was not statistically significant (aOR=1.02; 95% CI=0.93 to 1.13; p=0.630). A meta-analysis of 4 cohort studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.52; 95% CI=1.17 to 1.99; p=0.002). A meta-analysis of 4 cross-sectional studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.44; 95% CI=1.26 to 1.64; p<0.001). Conclusion:  Maternal obesity increases the risk of neonatal death which is statistically significant and the risk of preterm birth which is not statistically significant.
Meta-Analysis the Effect of Hormonal Contraception on Sexual Disfunction in Injection and Oral Contraceptive Acceptors Sumiyati, Sumiyati; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.844 KB) | DOI: 10.26911/thejmch.2022.07.06.11

Abstract

Background: One of the factors that cause sexual dysfunction is the use of hormonal con­tra­ception. The hormone progesterone in contraceptives functions to thicken cervical mucus. In addi­tion, the hormone progesterone also facilitates the conversion of carbohydrates into fat so that one of the side effects is causing body weight to increase and reducing sexual arousal which causes an effect on sexual desire. This study aimed to analyze the effect of the use of injectable hor­monal contraception and pills on the incidence of sexual dysfunction using a meta-analysis study. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flowchart diagram. The process of searching for articles was carried out with a range of 2011-2022 in the Google Scholar, PubMed, Science Direct, Researchgate and Springerlink databases. The key­words used in the article search are “hormonal contraceptive” AND “oral contraception” OR “pills contraceptive” AND “injectable contraceptive” AND “sexual dysfunction” AND “cross-section­al”. The inclusion criteria are full text articles with cross-sectional study design, articles using English, multivariate analysis with Adjusted Odds Ratio. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a cross-sectional study design originating from Iran, Indonesia, Malaysia, Ethiopia, Egypt, Washington, Sweden and Polan were meta-analyzed in this study. A meta-analysis of 7 articles showed that there was an effect of using injectable hormonal con­tra­cep­tion on the incidence of sexual dysfunction 1.66 times compared to those not using injectable contraception, but this was not statistically significant (aOR= 1.66; 95% CI= 0.65 to 4.26; p= 0.290). Meanwhile, 7 articles showed that women using oral contraceptives had a 1.42 times risk of experiencing sexual dysfunction compared to not using oral contraceptives and this was sta­tis­tically significant (95% CI= 1.04 to 1.92; aOR= 1.42; p= 0.030). Conclusion: Injectable hormonal contraceptives show that there is an effect on the incidence of sexual dysfunction, but statistically this relationship is not significant. Hormonal contraceptive pills showed an effect on the incidence of sexual dysfunction and was statistically significant.  Keywords: sexual dysfunction, injectable contraceptives, oral contraceptives, meta-analysis. Correspondence:Sumiyati. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mia.azizi.ma@gmail.com. Mobile: +6282282246211.
Meta-Analysis: Effect of Endometriosis and Intrauterine Device Contraceptive on Ectopic Pregnancy Habibatullah, Afifa Intifadha; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.793 KB) | DOI: 10.26911/thejmch.2022.07.04.03

Abstract

Background: Ectopic pregnancy is an early complication of pregnancy with high morbidity and mortality. Several studies have examined a history of endometriosis and Intrauterine Device Contraceptive (IUD) use as risk factors for ectopic pregnancy, but have shown mixed results. This study aims to analyze the influence of a history of endometriosis and IUD use on the incidence of ectopic pregnancy based on previous primary studies. Subjects and Method: This was a systematic review and meta-analysis conducted with the PRISMA flow diagram guidelines. The article search process was carried out on the PubMed, Google Scholar, Science Direct, SAGE, JSTOR, and Scopus databases, for articles published from 2005 to 2022. The keywords used were: “Endometriosis” AND “Intrauterine Contraceptive Device” OR “Intrauterine Device” OR “IUD” OR “IUCD” AND “Ectopic Pregnancy” OR “Extrauterine Preg­nancy” OR “Tubal Pregnancy” OR “Pregnancy Outcomes” OR “Pregnancy Complications” AND “Multivariate” OR “Multivariable” OR “Adjusted Odds Ratio” OR “aOR ". Analysis was performed with RevMan 5.3 software. Population: pregnant women of reproductive age. Intervention: endo­metriosis, using the IUD. Comparison: no endometriosis, no IUD use. Outcome: ectopic preg­nancy. Inclusion criteria were full-text observational study articles in English and Indonesian, with ectopic pregnancy as the outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. The analysis was carried out using Review Manager 5.3 software. Results: A total of 11 articles from Asia, Europe, Africa, Australia, and North America were found to meet the criteria and were included in the meta-analysis. The results of the overall analysis of 4 articles consisting of 2 cohort studies and 2 case-control studies were that endometriosis increased the risk of ectopic pregnancy 1.39 times higher than without endometriosis (aOR = 1.39, 95% CI = 1.16-1.68; p < 0.001). The results of the analysis of 7 case-control study articles showed that the use of IUDs increased the risk of ectopic pregnancy 1.35 times compared to not using the IUD and was not statistically significant (aOR = 1.35, 95% CI = 0.45-4.03; p = 0.590). Conclusion: Endometriosis is a risk factor for ectopic pregnancy. IUD use increased the risk of ectopic pregnancy but was not statistically significant. Keywords: endometriosis, intrauterine device contraceptive, ectopic pregnancy, meta-analysis. Correspondence: Afifa Intifadha Habibatullah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: alfimakrifatulazizahh@gmail.com. Mobile: +6285375335480.  
The success rate of intrauterine insemination in sperm preparation swim-up method at room temperature compared to the incubator temperature Eriana Melinawati; Uki Retno Budihastuti; Mulyoto Pangestu; Teguh Prakosa; Affi Angelia Ratnasari; Abdurahman Laqif; Darto; Cahyono Hadi; Lunardhi Susanto; Metanolia Sukmawati; Rakano Kautsar Dwiyana; Alfi Marita Tristiarti; Abida Zuhra Jatiningtyas
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.11-16

Abstract

HIGHLIGHTS There were no significant differences in TMSC, sperm motility, sperm morphology, and DFI in sperm preparation using the swim-up method at 27°C and 37°C. However, this study provided an overview of the average improvement of DFI at 27°C compared to 37°C. There was no significant difference in the pregnancy rate of IUI in sperm preparation using the swim-up method at 27°C and 37°C.   ABSTRACT Objective: This study aimed to determine the effect of temperature during sperm preparation on total sperm motile count (TMSC), sperm motility, sperm morphology, DNA fragmentation index (DFI), and pregnancy rate. Materials and Methods: A quasi-experimental laboratory study with pre- and post-test control group was conducted at Sekar Fertility Clinic, Dr. Moewardi General Hospital, Surakarta, Indonesia. A total of 20 sperm samples from infertile patients were prepared using the swim-up method at 27°C (group 1) and 37°C (group 2). TMSC, motility, morphology, and DFI examinations were performed. In addition, IUI was performed to confirm pregnancy rate. Sperm DNA fragmentation was determined using Sperm Chromatin Dispersion/SpermFunc DNAf test. Sperm DNA fragmentation was characterized by a halo <30% of the volume of the sperm head. Results: Group 1 had mean TMSC of 13.77 ± 9.30, while group 2 had 14.82 ± 8.82; p=0.218. Group 1 had a motility value 82.25+12.77 and group 2 had 82.55 ± 11.69; p=0.968. The morphological value for group 1 was 11.25 ± 5.15 and group 2 was 11.6 ± 5.34; p=0.626. The mean DFI for group 1 was 17.79 ± 10.88 and group 2 was 18.18 ± 12.95; p=0.765. Pregnancy rate in group 1 was 10% and group 2 was 20%; p=1.000. Conclusion: There were no significant differences in TMSC, sperm motility, sperm morphology, DFI, and pregnancy rate in sperm preparation using the swim-up method at 27°C and 37°C.
Meta-Analysis: The Effect of Lifestyle Interventions on Decreased Postpartum Weight Retention Fazrina, Gina; Hastuti, Uki Retno Budi; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.02

Abstract

Background: Postpartum weight retention is the increase in postnatal weight compared to pre-pregnancy weight. This weight gain may persist and increase the long-term prevalence of obesity in women. The application of lifestyle interventions consisting of diet, physical activity, and behavior change interventions is believed to be able to reduce postpartum weight retention. This study aims to determine the effectiveness of lifestyle interventions carried out during pregnancy for reducing postpartum weight retention based on various types of interventions derived from studies that have been conducted. Subjects and Method: The writing of this meta-analysis was based on the PRISMA 2020 flow diagram with population: pregnant women, intervention: lifestyle intervention, comparison: without lifestyle intervention, and outcome: postpartum weight retention. The selected articles are full articles, randomized controlled trials (RCT) issued in 2013 – 2022, and are in English. Selected studies were assessed based on the JBI Critical Appraisal Checklist for RCT and then analyzed using RevMan 5.3. Results: 778 articles were identified from December 2022 to January 2023 and 14 RCT articles were obtained for meta-analysis. The diet subgroup accompanied by a behavior change intervention had the largest effect size (SMD = -0.60, 95% CI -0.86 to -0.33, p<0.001), followed by the diet subgroup accompanied by physical activity and behavior change intervention (SMD = -0.10, CI 95 % -0.14 to -0.06, p < 0.001). Physical activity was found to reduce postpartum weight retention, but not statistically significant. The results of the type of intervention subgroup difference test showed a statistically significant effect (p = 0.001). Conclusion: Diets coupled with behavioral interventions show superior results. Variations in the types of lifestyle interventions carried out during pregnancy can influence the success of interventions for postpartum weight loss. Keywords: Postpartum weight retention, lifestyle intervention, diet, physical activity, meta-analysis. Correspondence:Gina Fazrina. Master’s Program in Public Health, Universitas Sebelas Maret Surakarta, Jl. Ir. Sutami 36A, Central Java 57126, Indonesia. Email: ginafazrina@gmail.com. Mobile: +6281212533833.
Efforts to Increase Understanding of COVID-19 Screening in Assisted Reproductive Technology Services Uki Retno Budihastuti; Abdurahman Laqif; Eriana Melinawati; Teguh Prakosa; Hermawan Udiyanto; Heru Priyanto; Darto .; Affi Angelia Ratnasari; Asih Anggraeni
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 2 (2023): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i2.74618

Abstract

Background: The assisted reproductive technology (ART) program for examining infertile couples requires face-to-face with a doctor. This face-to-face examination for the ART program has a risk for the transmission of COVID-19 to all medical personnel and infertile couples who want to undergo the ART program. This study aims to understand pre- and post-test education about COVID-19 screening on ART services.Methods: A total of 50 infertile couples in the ART program are given education online. The use of online methods using the Zoom application due to the COVID-19 pandemic. Evaluation of the level of understanding using pre and post-test providing education. Data analysis was carried out using the SPSS 23 application.Results: Analysis of the level of understanding of pre-test and post-test education using the Wilcoxon test. Pre-test results were 69.90±12.05, post-test 73.00±10.83 with significance values p<0.001. Chi-Square test analysis results obtained p<0.001 and OR = 15.68.Conclusion: There was a significant increase in understanding of COVID-19 screening in the post-test education ART service via the Zoom application compared to pre-test education.
Physical activity, intake of iron and folic acid with the risk of preeclampsia Dwi Apriyanti; Uki Retno Budihastuti; Kusnandar Kusnandar
AcTion: Aceh Nutrition Journal Vol 8, No 4 (2023): December
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i4.1214

Abstract

Preeclampsia (PE) is a health problem that often occurs during pregnancy. Pregnant women with preeclampsia are at risk for premature delivery, babies born with LBW, and increased maternal and infant mortality. This study aimed to measure the effect of physical activity and iron and folic acid intake on the risk of preeclampsia in pregnant women. A cross-sectional study was conducted in the Tangerang Regency in July 2022. 130 pregnant women aged ≥ 20 weeks were obtained using multistage sampling. Data were collected using the SQ-FFQ (the Semi-quantitative Food Frequency) Questionnaire (SQ-FFQ) and Physical Activity using a validated PAL (physical activity level) questionnaire. Data analysis was performed using Spearman’s rank and Multiple Linear Regression tests. Results: There was an association between iron and folic acid micronutrient intake and preeclampsia incidence in pregnant women (p<0,05). Furthermore, simultaneous physical activity and iron and folic acid intake increased the risk of preeclampsia in pregnant women (p<0,05) by 10,7%. In conclusion, lack of physical activity and consumption of nutritious foods, especially those containing iron and folic acid, can increase the risk of preeclampsia during pregnancy.
Co-Authors -, Kartika ., Darto Abdurahman Laqif Abdurahman Laqif Abdurahman Laqif Abida Zuhra Jatiningtyas Adhimukti, Fahmi Agung Sari Wijayanti Agustina, Devita Alfi Marita Tristiarti Alfi Marita Tristiarti Alfi Marita Tristiarti Ali Djamhuri Alifa, Rosita Ambar Mudigdo Amir, Nikmah Ayu Ramadhani Angelia Ratnasari, Affi Anggraeni, Asih Anik Lestari Anik Lestari Annang Giri Moelyo Argyo Demartoto, Argyo Arianty, Meike Arifiana, Ratna Arifin, Ayu Kusuma Puspasari Aris Sudiyanto Armadhani, Riska Asih Anggraeni Astuti, Susiana Yuni Bachnas, Muhammad Adrianes Bachtiar, Harrys Besar, Dwi Sakti Berlian Bhisma Murti Cahyono Hadi Chintya, Shally Ayu Cut Sheira Elnita Damalita, Annisa Fitriana Damayanti, Siti Darto Darto Darto Darto - Darto . Darto . Darto Darto Debree Septiawan Dewanto Suryoningrat Dewi, Rizqa Kartika Dewi, Yulia Lanti Ratna Dewi, Yulia Lanti Ratna Dian Asih Ning Utami Dian Kusumawardani Dian Kusumawardani Dian Rahmawati Diani Octaviyanti Handajani Didik Gunawan Tamtomo Didik Tamtomo, Didik Dwi Apriyanti Endang Sutisna Endang Sutisna Sulaeman Eriana Melinawati Eric Edwin Yuliantara Erin Rizkiana Ermawati, Dwi Hesti Ertiana, Dwi Eti Poncorini Pamungkasari Fahsan, Fatmiyanti Farras Wahdan, Arib Fatmawati, Zeny Fauzia, Raina Lola Fazrina, Gina Firdausia, Shalsabilla Tiara Fitria Wulandari Frafitasari, Dika Yanuar Habibatullah, Afifa Intifadha Hadi, Cahyono Hadianti, Ayunita Dwi Hafi Nurinasari Hafiizha, Attahira Amalia Hafiizha, Atthahira Amalia Handriani, Winei Haniah, Alfi Zamilul Hanifah, Rofi'atul Hanifah, Rofi’atul Harsono Salimo Harsono Salimo Hastuti, Tri Ari Hermawan Udiyanto Heru Priyanto Heru Priyanto Hidayah, Fristyaningrum Ida Nurwati Ilmiyah, Desy Eka Indradewa, Rhian Jannah, Ahadyah Miftahul Jannah, Ahadyah Miftahul Jatiningtyas, Abida Zuhra Jayanti, Saktryana Endang Ragil Juhrotun Nisa, Juhrotun Ksatriya, Yudhistya Ngudi Insan Kunaryanti, Kunaryanti Kunaryanti, Kunaryanti Kusnandar Kusnandar Laqif, Abdurahman Laqif, Abdurrahman Lunardhi Susanto Lutfiana Puspita Sari Maghfiroh, Ainul Mahendra Wijaya Mahendra Wijaya Marbun, Yohan Pamuji Marliana, Wiwit Martaningrum, Herlina Ika Metanolia Sukmawati Mufidah, Amatullah Muhammad Adrianes Bachnas Mulyoto Pangestu Murdikawati, Dayang Fitri Murdikawati, Dayang Fitri Mushthafa, Mufti Mutiara, Bunga Ngudi Insan Ksyatria, Yudhistira Ningrum, Sintia Ayu Ningsih, Hepti Widia Nugrahani, Rosi Rizqi Nurul Qomariah Nurul Wahidah Nutria Widya Purna Anggraini Nuur, Aliffudin Octavia, Dhamayanti Eka Ode, Diana Oktaviani, Anisa Sevi Pamungakasari, Eti Poncorini Pawito -, Pawito Pertiwi, Mumpuni Intan Poncorini, Eti Prasetya, Hanung Prastyoningsih, Aris Prisasanti, Dympna Prameilita Puspita, Ita Fijanah Putriarsih, Ryanawati Qadrijati, Isna Qomariah, Nur Laili Quinita M. J. Noronha Rahardjo, Setyo Sri Rahayu, Baiq Zulvita Rahayu, Putu Sri Rahmadani, Latifah Nur Rakano Kautsar Dwiyana Rantasari, Affi Angelia Ratih Sakti Prastiwi Ratih Sakti Prastiwi, Ratih Sakti Ratna Dewi Permatasari Ratnasari, Affi Angelia Regita, Immanuela Maria Reso, Mulya Cunda Ratu Reso, Mulya Cunda Ratu Retno, Yulia Lanti Ria, Matilda Bupu Riawati, Meida Siwi Risang Bhaskoro Rita Adriani Benya Adriani Rizkiani, Inne Rofi’atul Hanifah Saputra, Ricky Bernadi Sari, Arum Dessy Rahma Sari, Lutfiana Puspita Sari, Prafista Wulan Satria, Yohanes Aditya Adhi Selvia Febrianti Septiana, Yesika Cahya Simarmata, Imelda Dearni Simarmata, Imelda Dearni SITI KHOLIFAH Siti Munawaroh Siti Nur Hidayati Soetrisno Soetrisno Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Widarti, Sri Sringatin, Sringatin Suci Arsita Sari Sulistyoningrum, Indah SUMIYATI SUMIYATI Sunarta, Elfania Arumma Suparno, Amalia Ulfah Supriyadi Hari Respati Supriyadi Hari Respati Supriyadi Hari Respati Tanti Arianti Teguh Prakosa, Teguh Teha, Zadia Dara Cynintya Tri Nugraha Susilawati Verasita, Prissy Vitri Widyaningsih Wardana, Aisyah Puspa Wardhani, Anindyah Tri Lhaksmi Kusuma Wasyanto, Trisulo Wesliaprilius, Todung Antony Wijayanti, Agung Sari Wisnu Prabowo WISNU PRABOWO Wulandari, Rizqi Amalia Wulandari, Umianita Risca yulia lanti retno dewi Yulyanti, Yulyanti