Legal Protection Policy for Obstetricians-Gynecologists in Cases of Maternal, Perinatal, and Neonatal Mortality
DOI:
https://doi.org/10.26555/novelty.v14i1.a25637Keywords:
OB-GYN, Maternal Mortality, Neonatal Mortality, Perinatal Mortality, Legal ProtectionAbstract
Introduction to The Problem: Obstetrician-gynecologists (OB-GYNs) must be observant in diagnosing diseases suffered by patients. OB-GYNs who act based on their knowledge can certainly not be blamed if their actions are already according to the procedures. Legal policies protect OB-GYNs in the case of a patient’s death.
Purpose/Objective Study: This article aims to analyze the legal protection for OB-GYNs in cases of maternal, perinatal, and neonatal mortalities.
Design/Methodology/Approach: This research was a field research with juridical-sociological method conducted in 2021. The researchers conducted interviews with four informants who experienced maternal, perinatal, or neonatal emergencies.
Findings: Conditions with a high risk of maternal, perinatal, and neonatal deaths are handled by OB-GYNs. OB-GYNs must be proficient in the standards for obstetric and neonatal emergencies. OB-GYNs who have correctly followed the processes but experienced an accident also have the right to legal protection. In providing health services, OB-GYNs do not only examine the patients, but they also make efforts to recover the patient through treatments. In health law, such efforts of recovery are known as the Therapeutic Agreement. The relationship between obstetricians and patients is bound to a therapeutic transaction. OB-GYNs have the legal obligation to make improvements in their efforts and expertise in healing patients. Legal regulations stipulated in the Indonesian Civil Law are still too general. There was one case involving dr DASP SpOG and dr HS SpOG, who were sentenced with 10 months in prison because they violated article 39 of the Indonesian Criminal Code because their patient died during the treatment. This case caused unrest among the OB-GYNs. Therefore, there needs to be a law that regulates the relationship between OB-GYNs and their patients. In terms of human rights in Indonesia, this particular healthcare issue is regulated in Law Number 36 of 2009 regarding Health (Indonesian Health Act). Chapter III Article 1 clause (1) and (4) specifially regulate the patients' rights. The legal and ethical responsibilities in health services observe how far the obstetricians' actions have legal implications in cases of errors or negligence in providing health treatments.
Paper Type: Research Article
References
Andromeda, R. D., Santoso, S., & Hernayanti, M. R. (2019). Faktor Resiko Persalinan Ekstraksi Vakum pada Primipara Terhadap Asfiksia Neonatorum (Risk Factors of Vacuum Extraction Births at Primipara on Neonatal Asphyxia). Jurnal Kesehatan Ibu Dan Anak, 5 (1), 50. https://doi.org/10.29238/kia.v5i1.174
Azza, A. (2011). Pendekatan Evidence Based Practice: “Metode Sayeba” pada Penanganan Postpartum Hemorrhage dengan Indikasi Atonia Uteri (idence Based Practice Approach: The Sayeba Method in Handling ostpartum Hemorrhage with an Indication of Atonia Uteri). The Indonesian Journal of Health Science, 1(2), 19.
Budiman, B., & Mayasari, D. (2017). Perdarahan Post-Partum Dini E.C Retensio Plasenta (Early Post-Partum E.C Retensio Plasenta Bleeding). Medula, 7 (3), 7.
Dewi, R. W. L. (2003). Aspek Hukum Rekam Medis. Jurnal Perspektif, 9(3), 227–235.
Domingues, A. P. R., Belo, A., Moura, P., & Vieira, D. N. (2015). Medico-Legal Litigation in Obstetrics: A Characterization Analysis of a Decade in Portugal. Rev. Bras. Genecology and Obstetric, 37(5), 243. https://doi.org/10.1590/SO100-720320150005304
Dranove, D., & Watanabe, Y. (2010). Influence and deterrence: How obstetricians respond to litigation against themselves and their colleagues. American Law and Economics Review, 12 (1), 69–94. Retrieved from https://www.jstor.org/stable/42705567
Elmeida, I. F., & Mirah, I. G. A. (2014). Analisis Determinan Perdarahan Post-Partum di Rumah Sakit (Analysis of Post-Partum Determinant in Hospitals).
Jurnal Ilmiah Keperawatan Sai Betik, 10 (2), 242. https://doi.org/http://dx.doi.org/10.26630/jkep.v10i2.283
Fahmi, M. A. (2017). Evaluasi Program Audit Maternal Perinatal (Amp) Di Kabupaten Temanggung Jawa Tengah. Jurnal Penelitian Kesehatan SUARA FORIKES, 8 (3), 109–115.
FIGO Committee. (2012). Ethical Issues in Obstetrics and Gynecology. London: The FIGO Committee for the Study of Ethical Aspects of Human Reproduction and Women’s Health. https://doi.org/www.figo.org
Geraghty, A. A., Alberdi, G., & O’Sullivan, E. J. (2017). Maternal and fetal blood lipid concentrations during pregnancy differ by maternal body mass index: Findings from the ROLO study. BMC Pregnancy Childbirth, 17, 360.
Howard, P. K. (2003). Is the Medical Justice System Broken? Obstetric and Gynaecology, 102(3), 448. https://doi.org/10.1016/s0029-7844(03)00619-7
Imelda, A. D., & Putriana, Y. (2017). Penanganan Awal Kejadian Preeklamsia Berat dan Eklampsia Salah Satu Rumah Sakit di Provinsi Lampung (Initial Treatment for Severe Preeclampsia and Eclampsia in a Hospital in Lampung Province). Jurnal Ilmiah Keperawatan Sai Betik, 12 (2), 205. https://doi.org/http://dx.doi.org/10.26630/jkep.v13i2.930
Joehanto, A. T. (2021). Pengobatan Medis oleh Perawat dan Bidan dalam Manajemen Terpadu Balita Sakit. Jurnal Hukum Dan Etika Kesehatan, 1 (1), 24–44.
Laros, R. K. (2005). Presidential Address: Medical-Legal Issues in Obstetrics and Gynaecology. Am Journal Obstetrics and Gynaecology, 192(6), 1887.
Legu, K. L., Debiso, A. T., & Rodamo, K. M. (2021). The magnitude of perinatal mortality rate and associated risk factors among deliveries at Dilla University Referral Hospital, Southern Ethiopia: A case-control study. Healthcare in Low-Resource Settings, 9(1), 9960.
Medline Plus. (2022). Neonate. Retrieved November 30, 2022, from U.S.
Department of Health and Human Services website: https://medlineplus.gov/ency/article/002271.htm
Muliarini, P. (2019). The reconstruction of Maternal Audit with the electronic health information system. SOEPRA Jurnal Hukum Kesehatan, 5(2), 224–242.
Shojai, R., Bretelle, F., D’Ercole, C., Boubli, L., & Piercecchi, M. D. (2012). Litigation in obstetrics and gynaecology: experience of a university hospital in France. Journal Gynecology Obstetetric, Biology and Reproduction, 42(1), 73. https://doi.org/10.1016/j.jgyn.2012.05.009.
Pramudito, D., Wijaya, G. Legal Responsibility in Devotion of Authority of Different Health Profession. Cross Border, 5(1), 365-384
Subroto, Y. W., & Loehoeri, S. (2003). Profil Pasien yang Didiagnosis dengan Sepsis di Bangsal Penyakit dalam RS Dr. Sardjito Tahun 2002 (The Profiles of Patients Diagnosed with Sepsis in the Disease Ward in Dr. Sardjito Hospital in 2002). Berkala Ilmu Kedokteran, 35(4), 225.
Suci, Y. L., & Laga, F. H. J. (2022). Asuhan Kehamilan pada Masa Pandemi Covid-19 pada Ny. “A” di Pmb. Atlantika, Amd.Keb di Tangki Seribu Kota Batam (Pregnancy Treatment during the Covid-19 Pandemic of Mrs. “A” at Pmb. Atlantika, Amd.Keb in Tangki Seribu, Batam City). Jurnal Inovasi Penelitian, 2(11), 3797–3798. https://doi.org/10.47492/jip.v2i11
Sulaeman, E. S., Primaningtyas, W., Hastuti, H., Putri, A. A. A. K. E. N., Wijayanti, R., Ada, Y.R., Rahman, A. (2021). Relationship Between Cdcynergy's Social Marketing Model With Intention Of Hiv Counseling And Testing For Pregnant
Women In Surakarta Indonesia. Biomedika UMS, 13(2), 131-143. https://doi.org/10.23917/biomedika.v13i2.11950
Susila, M.E. (2021). Malpraktik Medik dan Pertanggungjawaban Hukumnya: Analisis dan Evaluasi Konseptual (Medical Malpractice and Legal Liability: Conceptual Analysis and Evaluation). Law and Justice UMS, 6(1), 46-61. https://doi.org/10.23917/laj.v6i1.10699
Suwanti, E., Wahyuni, S., & Rahayu, R. D. (2013). Pemahaman Bidan Tentang Audit Maternal, Perinatal Kaitannya dengan Kepatuhan Bidan dalam Pelaksanaan Managemen Aktif Kala III di Wilayah Kabupaten Klaten (Midwives’ Understanding on Maternal Audit, Perinatal, and Its Association with Midwife Compliance in. Jurnal Terpadu Ilmu Kesehatan, 2(2), 44–45.
Vincent, C., Bark, P., Jones, A., & Olivieri, L. (1994). The impact of litigation on obstetricians and gynaecologists. Journal Obstetric Gynaecology, 14(6), 381–387. https://doi.org/https://doi.org/10.3109/01443619409027617
Wardiono, K., & Dimyati, K. (2004). Metode Penelitian Hukum (Legal Research Methods). Surakarta: UMS Press
World Health Organization. (2022). Maternal deaths. Retrieved
November 30, 2022, from World Health Organization website: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/4622
