SRIWIJAYA JOURNAL OF OBSTETRICS & GYNECOLOGY · e-ISSN 2986-9838
Research Involving Human Subjects & Vulnerable Populations
Enhanced protection in obstetric & gynecologic research
Declaration of Helsinki · CIOMS · ICMJE

This policy sets out the additional ethical requirements that apply to all research and clinical material involving human participants published in SJOG. It complements, and should be read with, the journal’s Publication Ethics and Malpractice Statement.

Vulnerable populations in women’s health. Obstetric and gynecologic research routinely engages participants who require enhanced protection — pregnant women, fetuses, and neonates; adolescents and minors; women lacking decision-making capacity; and women with stigmatising or sensitive conditions (pregnancy loss, infertility, sexually transmitted infection including HIV, and gynecologic malignancy). SJOG treats these groups as vulnerable populations, consistent with the Declaration of Helsinki and the CIOMS international ethical guidelines.

Requirements at a Glance

Requirement What authors must do
1. Ethical approval Approval by an appropriate IRB/research-ethics committee, compliance with the Declaration of Helsinki, and the approval number stated in the Methods.
2. Justification Justify involving a vulnerable population, showing the question could not be equally addressed otherwise and that risks, pain, and distress were minimised.
3. Informed consent Written consent from every participant; for minors, assent plus parental/guardian consent; where capacity is lacking, consent from a legally authorised representative.
4. Research in pregnancy For studies involving the maternal–fetal dyad or any fetal/neonatal intervention, describe the specific safeguards for both the woman and the fetus/neonate, and the committee’s basis for approval.
5. Clinical-trial registration Prospective registration in a recognised public registry before first enrolment; registration number in the abstract (ICMJE).
6. Consent for identifiable material Written consent for publication of any identifiable images or details — including ultrasound, operative, histopathologic, neonatal, or perineal images; identifiers omitted unless essential and consented; features masked.
7. Privacy for sensitive conditions Strict confidentiality, with particular care for pregnancy loss, infertility, HIV/STI, and gynecologic malignancy; data sharing complies with privacy law.

Consent for Publication of Identifiable Material

For any manuscript containing identifiable information or images of a patient — including photographs of the face or other distinctive features, or identifiable obstetric/gynecologic clinical details — authors must obtain explicit written consent for publication from the patient (or a legally authorised representative) and must state that such consent was obtained. Identifying details (names, initials, record numbers, dates) must be omitted unless essential and covered by consent; identifying features in images should be masked unless specifically consented otherwise.

Consent for publication may not be inferred from consent to treatment, and a patient may decline without any prejudice to her care.

Research During Pregnancy

Because an intervention studied in a pregnant woman may affect the fetus, protocols must address the interests of both. Authors should describe how the ethics committee weighed potential benefit and risk to the woman and to the fetus/neonate, the monitoring arrangements, and the consent process. Emergency research conducted without prior consent must describe the committee-approved safeguards (e.g. deferred consent where permitted).

Editorial Office
Sriwijaya Journal of Obstetrics & Gynecology (SJOG)
Phlox Institute: Indonesian Medical Research Organization
Jl. Sirnaraga, 8 Ilir, Ilir Timur III, Palembang, South Sumatra, Indonesia
E-mail: sjog.editor@gmail.com · Phone: +62 877-8809-0173 · e-ISSN 2986-9838
Licensed under CC BY-NC-SA 4.0.