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MEDICAL = Profession / medicine

LEGAL = Law

Health services meet the rules of law. (Compiled codes of


medical ethics)
PRINCIPLES OF ETHICS
1. AUTONOMY
Autonomy means self-regulate free from
control by others. Respect for patient
autonomy.

2. Beneficence and NONMALEFIENCE


beneficence = Good (profitable patient)
Nonmalefience = No harm (not causing injury)
3. JUSTICE
The most complex ethical principles, not only the obligation
to provide the best doctors, but also play a role in allocating
limited medical resources. The principle emphasis needs).
DECISION OF CONDUCT
- Identify the decision makers
- Collect data, specify the facts and the problem
- Identify all selection action
- Evaluation in accordance with the principles and values that exist
- Identify the ethical conflict and try to set priorities
- Selection of the best action selection
- Reevaluation after implementation
INFORMED CONSENT
>> authority to the doctor when fully understood,
received information about the benefits, risks of
action to be undertaken, including alternative
procedures and actions.

Note the following:


- Who makes the decisions
-Characteristics of patients
-emotion
ETHICAL ASPECTS OF THE PROBLEM
OBGYN
1. CONTROL OF FERTILITY
Programs in an effort to control fertility (KB program)
has been growing for the sake of mankind. As far as
control measures do this responsibly with
methodstested, including contraception steady
(kontap) ethically acceptable.
action on these women have to go through counseling
carefully, so as to obtain a mature decision and be
accountable.
2. Caesarean section
The tendency is offered and accepted by both
parties (doctors and patients) as a normal labor
/ fair.
Keep in mind that this is an action that has risks
Adverse patient (infection, bleeding)
Adverse fetal (respiratory distress, pain,
intensive care)
TERMINATION OF PREGNANCY

DEFINITION:
An action taken to terminate the pregnancy with fetal death
and spending either using drugs or tools at age <20 weeks
fetal weight <500 grams.
LAW:
BABYS DISCHARGE FROM THE MOTHER BODY BEFORE
THE TIME TO BE BORN (0-9 MONTHS)

TERMINATION OF PREGNANCY = ABORTION


CLASSIFICATION
TERMINATION OF PREGNANCY /
ABORTION:

1.SPONTANEOUS 10-12% of all cases of


termination of pregnancy
2.PROVOCATION 80% of the cases of
termination of pregnancy
PROVOCATION

provokatus medicinalis provokatus criminalist

Is based on the reason / medical Deliberate and in violation of


considerations applicable laws
RULES IN INDONESIA
Penal Code abortion laws in Article 346-349 of the Criminal
Code.

medicinalis CRIME !!!


criminalist

Medical legislation UU NO. 23 Article 15 of health:


- "health workers can perform medical procedures in an
emergency to save the mother or fetus for consideration a
team of medical experts and to the approval of pregnant
women and their families "
Kes Article 75 of Law No. 36/2009
1. Every person is prohibited from having an abortion.
2. Prohibition of paragraph (1) shall be exempted:
a. emergency medical indications detected early age pregnancy, life-
threatening both mother and / or fetus, suffering from severe
genetic disease and / or birth defects, or that can not be repaired
so difficult for the baby to live outside the womb; or
b. pregnancy due to rape cause psychological trauma for rape
victims.
3. The actions in paragraph (2) only can be done by going through
counseling and / or pre-action counseling and ending with post-
action counseling carried out by authorized and competent
counselor.
4. Further provisions on emergency medical indications and rape
Article 76
a. <pregnancy 6 weeks calculated from the first day of the last
menstrual period, except in cases of medical emergencies;
b. by skilled health personnel and certified authority specified
by the minister;
c. approval of pregnant women are concerned;
d. husband's permission, except for rape victims; and
e. health care providers who meet the conditions set by the
Minister.
THANK YOU