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ASPEK MEDIKOLEGAL

PADA ABORTUS
Dokter Pembimbing:
dr. Suryo Wijoyo, MH(Kes)

Disusun oleh

Latar Belakang
Aborsi KBBI
Pembagian aborsi
Statistik : 1. Abortus AKI 11
30%
(Dunia), 50% (Ind)
2. SDKI: 12%
Kehamilan
Aborsi
UU Kes. Pasal 15, KUHP 299,
346, 347, 348, 349, 353

definition
Oxford : The deliberate termination of a
human pregnancy, most often performed
during the first 28 weeks
KBBI :pengguguran kandungan
Legal : aborsi yg dilaksanakan dng
sepengetahuan pihak yg berwenang
Criminal : aborsi yang dilakukan dengan sengaja
karena suatu alasan dan bertentangan dengan
undang-undang yang berlaku

Definition
Medical
Termination of pregnancy before the fetus is viable.
Law
Termination of pregnancy or the fetus before birth,
regardless of the age of pregnancy.

Types of Abortion
Spontaneous abortion :
a. Imminent abortion
b. Incipient abortion
c. Incomplete abortion
d. Complete abortion
Induced abortion :
a. Medical
b. Criminal

Metode Aborsi

a. Trimester I
Suction Curettage
Dilatation and curettage
RU 486 Pill (Mifepristone)
MTX (Methotrexate) injection
b. Trimester II dan III
Dilation and evacuation
Instillation (Saline, urea, prostaglandin)
Partial birth abortion
Hysterectomy

Complications
Immediate complication
Vagal reflex
Air embolism

Moderate complication
Fluid embolism
Hemorrhage

Late complication
Septic shock

Post Mortem Examination


1. Is the woman pregnant or not?
2. Signs of abortion attempt
3. Cause of death

Aborsi Dipandang Dari Segi Hukum


Aborsi Menurut Undang-Undang Nomor 23 Tahun 1992 Pasal 15
Ayat 1
Dalam keadaan darurat sebagai upaya untuk menyelamatkan jiwa ibu hamil dan atau
janinnya, dapat dilakukan tindakan medis tertentu.
Ayat 2
Tindakan medis tertentu sebagaimana dimaksud dalam ayat (1) hanya dapat dilakukan:
Berdasarkan indikasi medis yang mengharuskan diambilnya tindakan tersebut;
Oleh tenaga kesehatan yang mempunyai keahlian dan kewenangan untuk itu dan
dilakukan sesuai dengan tanggung jawab profesi serta berdasarkan pertimbangan
tim ahli;
Dengan persetujuan ibu hamil yang bersangkutan atau suami atau keluarganya;
Pada sarana kesehatan tertentu.
Ayat 3
Ketentuan lebih lanjut mengenai tindakan medis
tertentu sebagaimana dimaksud dalam ayat (1)
dan ayat (2) ditetapkan dengan Peraturan
Pemerintah

Differentiating Legal and Illegal Induced


Abortion
1.
2.
3.
4.
5.
6.
7.

To qualify as a legal induced abortion :


Medical indication
Done by medical practitioner
Considered by a team of experts
Consent from the mother, the husband, and family
Procedure is done at a health facility
The procedure is transparent
Complete medical records

Abortion in Indonesian Penal Code


Article 299:
(1) Any person who with deliberate intent gives treatment to a woman or
causes her to undergo a treatment, giving her to understand or raising the
expectation that thereby pregnancy may be curbed, shall be punished by a
maximum imprisonment of four years or a maximum fine of three thousand
rupiahs.
(2) If the offender has acted in pursuit of gain, an occupation or a habit of
the commission of the crime, or is a physician, midwife or pharmacist, the
punishment may be enhanced with one third.
(3) If the person found guilty commits the crime in his profession, he may
be released from the exercise of said profession.

Article 346
Any woman who with deliberate intent causes or lets another cause the
drifting off or the death of the fruit of her womb, shall be punished by a
maximum imprisonment of four years.
Article 347
(1) Any person who with deliberate intent causes the drifting off or the
death of the fruit of the womb of a woman without her consent shall be
punished with a maximum imprisonment of twelve years.
(2) If the fact results in the death of the woman, he shall be punished by a
maximum imprisonment of fifteen years.

Article 348:
(1) Any person who with deliberate intent causes the drifting off or
the death of the fruit of the womb of a woman with her consent,
shall be punished by a maximum imprisonment of five years and six
months.
(2) If the fact results in the death of the woman, he shall be punished
by a maximum imprisonment of seven years.
Article 349:
If a physician, midwife or pharmacist is an accomplice to the crime
in article 846, or is guilty of or is an accomplice to one of the crimes
described in articles 847 and 848, the sentences laid down in said
articles may be enhanced with one third, and be may be deprived of
the exercise of the profession in which he commits the crime.

Aborsi Menurut Kode Etik Kedokteran


From the biomedical ethics
aspects, Association of
Indonesian Doctor (IDI) has
formulate it inside the Code
of Medical Ethics Indonesia
(KODEKI), in article 7d,
regarding general duties:
Each physician should
keep in mind their
obligation to protect the
lives of human beings

Kesimpulan
Indonesian law is ambivalent in regulation of abortion.
Abortion is regulated in two different laws: Kitab Undangundang: Hukum Pidana (KUHP) dan Undang-undang Nomor
23 Tahun 1992 pasal 15 tentang Kesehatan.
KUHP (Penal code) ancaman hukuman melakukan Abortus
Buatan (Ilegal)
UU Nomor 23 Tahun 1992 Abortus Buatan Legal.
Appreciation and pledge to the Code of Medical Ethics
Indonesia can indirectly reduce the occurrence of illegal
induced abortion

Suggestion
Doctors and other medical personnel should:
Avoid illegal abortion
Uphold the standards of the medical profession
Maintain professionalism and the code of
ethics