Main Article Content

Abstract

Abortion is considered illegal under the provisions of the 1981 Criminal Code; however, exceptions in the 2009 Health Law allow for abortions in instances where the fetus is deemed "unlikely to survive outside the womb”. Despite this allowance, ethical concerns, ambiguities in legal interpretation, and the practical implementation of abortion procedures in healthcare settings persist. The research problem of this study is how harmonious is the alignment between legislation and medical ethics in navigating abortion of fetuses with major congenital malformation? The methodology used is normative juridical analysis, supplemented by descriptive analysis. The aim is to assess the adequacy of existing regulations concerning abortion in ensuring ethical practices. Results demonstrate the necessity for comprehensive guidance to ensure the legality and ethicality of abortion decisions and procedures. This entails delineating clear criteria for defining, classifying, and assessing the severity of congenital malformations, as well as establishing regulations or practical guidelines governing the diagnostic methods, healthcare facilities, and requisite expertise of medical professionals authorized to perform abortions. Additionally, attention must be directed towards fostering an ethical decision-making process surrounding abortion, alongside implementing robust supervision, monitoring, and evaluation mechanisms to uphold standards of care and ethical conduct within the realm of abortion services.

Keywords

abortion congenital malformation ethicomedicolegal health law penal code

Article Details

How to Cite
Syukriani, Y., Handono, B., Bekti, R. I. S., Dahlan, S., & Fakhriah, E. L. (2024). Ethicomedicolegal Perspective of Abortion of Fetuses with Major Congenital Malformations. Jurnal Bina Mulia Hukum, 9(1), 1-21. https://doi.org/10.24198/jbmh.v9i1.1212

References

  1. Abdulrahman Al-Matary and Jaffar Ali, “Controversies and considerations regarding the termination of pregnancy for Foetal Malformations in Islam”, BMC Medical Ethics, No. 10, Vol. 15, pp. 2-10, 2014, , [accessed: 3rd December, 2022]
  2. Albert Jonsen (et al.), Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, 7th edition, LANGE Clinical Science, 2010, ISBN 9780071634144
  3. American Medical Association, “AMA announces new adopted policies related to reproductive health care”, November 16, 2022, Press release. , [accessed: 16th January 2023]
  4. Anibal Faúndes A & Laura Miranda (Stella R. Quah ed.), Unsafe Abortion, in International Encyclopedia of Public Health, 2nd edn, , Academic Press, 2017, pp. 301-310 ISBN 9780128037089 , [accessed: 3rd December 2022]
  5. Arnold Christianson (et al.), “March of Dimes global report on birth defects. The hidden toll of dying and disabled children : Executive summary”, March of Dimes Birth, New York, 2006, p.2
  6. Asim Kurjak (et.al.), “Facts and doubts on the beginning of human life – scientific, legal, philosophical and religious controversies”, Journal of Perinatal Medicine, No. 1, Vol. 51, 2023, pp. 39-50, , [accessed: 2nd January 2023]
  7. BBC News, “Woman with Down's syndrome loses abortion law appeal”, November 29, 2022, News, , [accessed: 20th January 2023]
  8. Catechism of the Catholic Church, Libreria Editrice Vaticana, 2003, , [accessed: 14th January 2023]
  9. Centers for Disease Control and Prevention (CDC), “Selected major congenital malformations”, Last reviewed November 19, 2020, , [accessed: 20th January 2023]
  10. David Crary & Iris Samuels, “Down syndrom abortion bans gain traction after court ruling”, PBS News Hour, 19th May 2021, , [accessed: 14th Januari 2023]
  11. Department for International Development of OHCHR, “How to Reduce Maternal Deaths: Rights and Responsibilities”, The United Nations Office of the High Commissioner for Human Rights, 2005,
  12. , [accessed: 2nd January 2023]
  13. Ferry Sandi, “[After 104 years the Republic of Indonesia used the Netherland’s Law, when will the Criminal Code be enacted?]”, December 8 2022, CNBC Indonesia News, , [accessed: 16th January 2023]
  14. Government Regulation Number 61 Year 2014 on Reproductive Health.
  15. Holly Dickman (et.al.), “Prolonged unassisted survival in an infant with anencephaly”, BMJ Case Report, 2016, 2016:bcr2016215986, , [accessed: 25th December 2022]
  16. Jaime L Natoli (et al.), “Prenatal diagnosis of Down syndrome: a systematic review of termination rates (1995–2011)”, Prenatal Diagnosis, No. 2, Vol. 32, 2012, pp. 142-153 , [accessed: 25th December 2022]
  17. Jonathan Bearak (et.al.), “Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019”, Lancet Glob Health, No. 9, Vol. 8, 2020. pp. e1152-e1161, , [accessed
  18. Holly Margolis, “France Expands Abortion Access in Two Key Moves, Positive Steps Advance Reproductive Rights, 1st March 2022, Human Rights Watch, , [accessed: 20/01/2023]
  19. Law Number 1 Year 2023 on Criminal Code.
  20. Law Number 7 Year 1984 on Ratification of Committee on the Elimination of Discrimination against Women (CEDAW) Convention 1979
  21. Law Number 8 Year 1981 on Penal code
  22. Law Number 23 year 2014 jo Law Number 9 year 2015 on Regional Government
  23. Law Number 36 Year 2009 on Health.
  24. Law Number 39 Year 1999 on Human Rights.
  25. Leena Schmitter L (Kristina Schulz, ed.), Female Bodies – Fetal Subjects? (in The Women’s Liberation Movement: Impacts and Outcomes. Berghahn Books. New York-Oxford. 2017. pp. 51-66
  26. Leila Hessini, “Abortion and Islam: Policies and practice in the Middle East and North Africa”, Reproduction Health Matters, No. 29, Vol. 15, pp. 75-84, 2007,
  27. Lesley A. Tarasoff (et al.), “Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis”, American Journal of Obstetrics and Gynecology, No. 1, Vol. 222, 2020, pp. 7.e1-27.e32, , [accessed: 14th January 2023].
  28. Lynn M. Morgan, “Global Reproductive Governance after Dobbs”, Current History, No. 840, Vol. 122, pp. 22–28, , [accessed: 25th December 2022]
  29. Ministry of Health of the Republic of Indonesia, “Basic Health Survey, Main Results 2018”, Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan, Jakarta, 2019.
  30. Pippa M. Kyle (et al.), “Accuracy of prenatal diagnosis in a tertiary fetal medicine unit”, New Zealand Medical Journal, No. 1288, Vol. 122, 2009, pp. 50–61, , [accessed: 2nd January, 2023]
  31. Presidential Decree Number 72 Year 2012 on the National Health System, State Gazette No. 193 Year 2012.
  32. Rachel Jewkes (et al.), “The impact of age on the epidemiology of incomplete abortions in South Africa after legislative change”, British Journal of Obstetrics and Gynaecology, No. 3, Vol. 112, 2005, pp. 355–359, , [accessed 16th January, 2023]
  33. Setia Pranata & FX Sri Sadewo. “[Miscarriage, unplanned pregnancies and abortions in Indonesia]”, Buletin Penelitian Sistem Kesehatan, No. 2, Vol. 15, pp. 180-192, , [accessed: 25th December, 2023]
  34. Soroush Dabbagh, “Fetus as Human Being: Where is the Cut-off Point?”, Journal of Medical Ethics and History of Medicine, No. 2, Vol. 2, 2009, p. 2, , [accessed: 2nd January, 2023]
  35. Terry-Lee Marttinen, “Eugenics, Admixture, and Multiculturalism in Twentieth-Century Northern Sweden: Contesting Disability and Sámi Genocide”, Journal of Critical Mixed Race Studies, No. 2, Vol. 1, 2022, pp. 233-261, , [accessed: 25th December, 2022]
  36. The 1945 Indonesian Constitution.
  37. US Supreme Court, The Syllabus of Dobbs v. Jackson Women’s Health Organization, Legal Information Institute, Cornell Law Institute, 2022, , [accessed: 2nd January 2023]
  38. World Health Organization, Safe and unsafe induced abortion: global and regional levels in 2008, and trends during 1995-2008, World Health Organization, Geneva, 2012, , [accessed: 22nd December, 2023]
  39. World Medical Association (WMA), “WMA Statement on Medically-Indicated Termination of Pregnancy”, 6th September 2022, , [accessed: 21/01/2023]