Legal Protection Challenges for Village Midwives in Maternal and Neonatal Emergency Referrals: A Qualitative Study.
Background: In providing midwifery services, midwives are responsible and accountable professionals who work as women's partners to provide support, care, and advice during pregnancy, childbirth, and the postpartum period. Therefore, it is expected that midwives deserve legal protection. Objectives:...
| Published in: | Journal of Nursing & Midwifery Sciences Vol. 13; no. 2; pp. 1 - 11 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Brieflands
Jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194527381&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194527381 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23455756 HC3X jtl: Journal of Nursing & Midwifery Sciences issn: 23455756 maglogo: N pubinfo: dt: Jun2026 vid: 13 iid: 2 pid: 69510 pub: Brieflands place: , <Blank> artinfo: ui: 194527381 194527381 194527381 10.5812/jnms-162554 194527381 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Legal Protection Challenges for Village Midwives in Maternal and Neonatal Emergency Referrals: A Qualitative Study. aug: au: Damayanti, Fitriani Nur Umabaihi, Suaina Istiana, Siti Kusumawati, Erna Poddar, Sandeep affil: Departement of Midwifery, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia sug: subj: Midwifery Legislation and Jurisprudence Midwives Psychosocial Factors Maternal Health Services Intensive Care, Neonatal Emergency Medical Services Referral and Consultation Rural Health Services Liability, Legal Midwife Attitudes Evaluation Indonesia Human Qualitative Studies Thematic Analysis Health Services Accessibility Socioeconomic Factors Cultural Diversity Decision Making Transportation Descriptive Statistics Interviews Purposive Sample ab: Background: In providing midwifery services, midwives are responsible and accountable professionals who work as women's partners to provide support, care, and advice during pregnancy, childbirth, and the postpartum period. Therefore, it is expected that midwives deserve legal protection. Objectives: The purpose of this study is to describe the implementation, legal protection, and inhibiting factors faced by village midwives regarding referrals for maternal and neonatal emergency cases. Methods: This qualitative research, using a case study method and a sociological juridical approach, was conducted in the Sula Islands, Indonesia, in 2024. The research sample was obtained through technical data collection using interviews with respondents consisting of 8 village midwives, 1 Indonesian Midwives Association administrator, and 1 district health office employee. The sample was taken using a non-probability purposive sampling method until data saturation was reached. The analysis method is a descriptive qualitative approach using thematic analysis (coding, development of categories, and theme extraction). Results: Three main themes and sub-themes were identified: (1) Implementation of referrals (compliance with standard operating procedures (SOP), documentation issues, expired registration certificate, and legal risk concerns); (2) legal protection (perception of protection under the Health Law, challenges when acting beyond authority); (3) inhibiting factors (delayed family decision-making, socio-cultural barriers, financial limitations, distance, infrastructure, and weather conditions). Conclusions: Referrals were partially in accordance with SOPs but were hindered by limited facilities. Midwives feel legally protected when practicing according to competence and SOP, but challenges remain in emergencies. Major obstacles include family decision-making, socio-cultural factors, costs, distance, and infrastructure. The use of the results is to recommend policy improvements, training, and provision of adequate facilities for maternal and neonatal emergency referrals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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