Implementing the International Academy of Perinatal Medicine New Delhi 2025 Professional Responsibility Principles in Perinatal Care: Insights from a Systematic Review of Indonesian Health System Evidence
Systematic review shows structured care pathways enhance maternal and neonatal safety, indicating ethical standards require health system infrastructure.
Key Points
To evaluate how international professional responsibility principles translate into real-world perinatal health system delivery using empirical evidence from Indonesia.
Conducted a systematic review following PRISMA 2020 guidelines by searching PubMed/MEDLINE through December 20, 2025, supplemented by manual screening.
Screened 450 initial records to include 25 empirical Indonesian health studies, alongside five conceptual publications evaluated across ethical, clinical, and system domains.
Evaluated study quality independently using AMSTAR 2, the Newcastle–Ottawa Scale, and adapted ROBINS-I tools.
Timely referral pathways, continuity of antenatal care, equitable access, and structured diagnostic counseling were consistently linked to improved maternal and neonatal outcomes.
Fragmented clinical care pathways, geographic disparities, and inadequate escalation mechanisms severely restricted the practical execution of ethical care standards.
Perinatal safety relies on integrating ethical duties into referral architecture, diagnostic governance, and population-level surveillance rather than relying on individual provider commitments alone.