The Limits of Medical Authority of Midwives in the Delegation of Authority by Obstetricians
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Abstract
The delegation of duties from specialist obstetricians to midwives has become a prevalent practice in areas with limited access to specialist medical personnel. However, this practice gives rise to numerous legal issues concerning the scope of authority, legal accountability, and patient safety. This study aims to examine the forms of legal liability associated with such delegation and to evaluate the effectiveness of existing regulations. Employing a normative juridical approach, data are analyzed with reference to pertinent legal instruments such as Law No. 17 of 2023 and Minister of Health Regulation No. 1464/MENKES/PER/X/2010. The findings indicate that delegations that do not adhere to legal standards can result in civil, criminal, and administrative consequences. In the civil context, delegations that cause harm may be subject to litigation as unlawful acts. From a criminal perspective, midwives who act beyond their authority and cause serious patient harm may incur criminal sanctions. Administratively, violations of practice license regulations may result in the revocation of professional licenses. Based on these findings, this study recommends stricter regulatory oversight, enhanced training for midwives, and improved referral systems to ensure that delegation practices are conducted legally and safely.
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