Legal Aspects of Implementing Emergency Obstetric Procedures Without Informed Consent from the Perspective of Protecting Medical Personnel

Hartas Medebewind

Abstract


The issue of legal protection for medical personnel in performing emergency obstetric procedures without informed consent remains a critical concern in Indonesia's health law system. The lack of regulatory clarity in distinguishing between absolute and relative emergency conditions creates a legal gray zone that places medical personnel in a vulnerable position when acting to save the lives of mothers and fetuses. This study aims to analyze the legal framework governing emergency obstetric procedures without informed consent, identify the legal gaps between norms and practice, and formulate an ideal concept of legal protection for medical personnel. This study employs a normative legal research method using statutory, conceptual, and case approaches. The data used consists of secondary data in the form of primary, secondary, and tertiary legal materials. Data collection was conducted through library research, while data analysis employed descriptive-analytical and prescriptive methods to compare applicable legal provisions against emergency obstetric conditions. The findings indicate that the legal framework for emergency obstetric procedures in Indonesia has a normative foundation through Law Number 17 of 2023 on Health, particularly Articles 273 and 296, which recognize the legitimacy of emergency procedures without informed consent. However, these provisions lack measurable juridical criteria and concrete protection mechanisms. Five systematic dimensions of legal gaps were identifying, encompassing substantive, procedural, capacity, documentation, and enforcement gaps. The ideal concept of legal protection for medical personnel encompasses preventive protection through strengthened regulations based on the doctrine of necessity and presumed consent, as well as repressive protection through the reinforcement of MKDKI, promotion of mediation, and establishment of a legal aid institution for healthcare workers.


Keywords


Emergency; Legal; Medical; Obstetrics; Protection.

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References


Journals:

Abigail K. Stripling et al. (2023). Medicolegal Risks in Emergency Obstetric Care: A Global Review. International Journal of Gynecology and Obstetrics, 162(3), 941–950.

Adinda Kusumawardani & Bambang Irawan. (2023). Konstruksi Hukum Persetujuan Tindakan Medis dalam Kondisi Darurat Obstetri di Indonesia. Padjadjaran Journal of Law, 10(2), 187–205.

Agus Harianto & Moh. Saleh. (2024). Tanggung Jawab Hukum Dokter dalam Pelaksanaan Tindakan Medis Darurat Obstetri. Jurnal Ilmu Hukum Universitas Brawijaya, 14(1), 78–95.

Agus Santoso. (2023). Harmonisasi Regulasi Informed Consent Pasca Undang-Undang Kesehatan 2023. Jurnal Hukum dan Peradilan, 12(2), 312–335.

Ahmad Sofian et al. (2023). Reformasi Hukum Kesehatan Indonesia: Urgensi Regulasi Khusus Tindakan Medis Darurat Tanpa Informed Consent. Padjadjaran Jurnal Ilmu Hukum, 10(1), 1–24.

Alicia Ely Yamin et al. (2023). Maternal Health and Human Rights: Closing the Accountability Gap. Health and Human Rights Journal, 25(1), 175–190.

Ana Fauzia, Fathul Hamdani & Deva Gama Rizky Octavia. (2021). The Revitalization of the Indonesian Legal System in the Order of Realizing the Ideal State Law. Progressive Law Review, 3(1), 12–25. https://doi.org/10.36448/plr.v3i01.46

C. Feltner et al. (2023). Legal Frameworks for Emergency Obstetric Care and Maternal Mortality Outcomes in Developing Countries. The Lancet Global Health, 11(4), e520–e530.

Charles Foster et al. (2023). Medical Records as Legal Evidence in Obstetric Malpractice Litigation. Journal of Medical Law and Ethics, 11(1), 25–44.

Christine de Vries et al. (2023). The Necessity Doctrine in Medical Emergency Law: An International Perspective. European Journal of Health Law, 30(2), 150–170.

Dewi Nugrahani & Retno Setiyowati. (2023). Kelengkapan Rekam Medis sebagai Instrumen Perlindungan Hukum Tenaga Medis dalam Sengketa Medik. Jurnal Rekam Medis dan Informasi Kesehatan Indonesia, 6(2), 90–107.

Dian Adriawan et al. (2023). Analisis Kekosongan Hukum dalam Regulasi Tindakan Obstetri Darurat di Indonesia. Jurnal Hukum IUS QUIA IUSTUM, 30(2), 300–320.

Ida Hanifah et al. (2023). Kajian Komparatif Perlindungan Hukum Tenaga Medis dalam Penanganan Darurat di Negara-Negara ASEAN. Jurnal Ilmu Hukum, 14(1), 65–85.

Books:

Adami Chazawi. (2007). Malpraktek Kedokteran: Tinjauan Norma dan Doktrin Hukum. Bayumedia Publishing.

Bahder Johan Nasution. (2021). Hukum Kesehatan: Pertanggung jawaban Dokter. Rineka Cipta.

Bambang Sunggono. (2012). Metodologi Penelitian Hukum. PT RajaGrafindo Persada.

Benjamin White. (2023). Capacity and Consent in Medicine: Law, Ethics and Practice. Cambridge University Press.

C.S.T. Kansil. (1989). Pengantar Ilmu Hukum dan Tata Hukum Indonesia. Balai Pustaka.

Endang Kusuma Astuti. (2009). Transaksi Terapeutik dalam Upaya Pelayanan Medis di Rumah Sakit. Citra Aditya Bakti.

Endang Wahyati Yustina. (2022). Mengenal Hukum Rumah Sakit. Keni Media.

Geoffrey Chamberlain & Phillip Steer. (1999). Turnbull's Obstetrics (3rd ed.). Churchill Livingstone.

Gustav Radbruch. (2015). Filsafat Hukum (diterjemahkan oleh B. Arief Sidharta dari Einfuhrung in die Rechtswissenschaft). Pustaka Pelajar.

Ibn Qayyim al-Jawziyyah. (1977). I'lam al-Muwaqqi'in 'an Rabb al-'Alamin (Juz III). Dar al-Fikr.

Ikatan Dokter Indonesia. (2023). Standar Pelayanan Medis Obstetri dan Ginekologi. IDI.

Regulation:

Indonesia. Civil Code (KUHPerdata), Articles 1239 and 1365.

Indonesia. Criminal Code (KUHP), Article 48 (Force Majlis), Article 49 (Noodweer), and Article 351.

Indonesia. The 1945 Constitution of the Republic of Indonesia, Article 28A and Article 28H paragraph (1).

Indonesia. Law Number 7 of 1984 concerning Confirmation Convention about Elimination of All Forms Discrimination towards women.

Indonesia. Law Number 29 of 2004 concerning Practice Medicine. State Gazette of the Republic of Indonesia 2004 Number 116.

Decision Court:

Disciplinary Honorary Council Indonesian Medical Association (MKDKI). (2024). Report Annual Complaint Handling Discipline Medicine 2023. MKDKI.

Court of the Republic of Indonesia. (2021). Decision Number 2237 K/ Pdt /2021 concerning Lawsuit Malpractice Medical Service Obstetrics Emergency. Supreme Court of the Republic of Indonesia.

Court of the Republic of Indonesia. (2020). Decision Number 2245 K/ Rev /2020. MA RI.

Court of the Republic of Indonesia. (2023). Supreme Court Decision No. 1234 K/Pid/2023 concerning Malpractice Medical and Informed Consent. Supreme Court of the Republic of Indonesia.




DOI: http://dx.doi.org/10.30659/rlj.5.2.%25p

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