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Non-consensual abortion · foetal injury · medical liability

Obstetric criminal liability: families and professionals

Criminal defence throughout Spain · offices in Madrid and Alicante

The Criminal Code protects prenatal life against third parties: abortion caused without the woman’s consent, abortion caused by gross negligence (the obstetric malpractice that ends a pregnancy) and injuries to the foetus leaving sequelae in the child who is born. Lawful termination within Organic Law 2/2010 lies, obviously, outside any criminal reproach.

In brief. These are cases of very high medical expert load and emotional weight, which we handle both for families who claim and in the defence of professionals. They are decided in the clinical record (cardiotocographic traces, time entries, nursing sheets) and in the obstetric and neuropaediatric expert evidence. The pregnant woman herself is never punishable for her own negligent abortion.

Why it is different

4-8 yrs
Abortion without consent: imprisonment plus health-profession disqualification (Art. 144).
3-5 months
Abortion by gross negligence: imprisonment or a fine; for professionals, with disqualification (Art. 146).
1-4 yrs
Injuries to the foetus with sequelae: imprisonment and disqualification (Art. 157).

Cases decided in the clinical record and the expert report

The Criminal Code protects prenatal life against third parties: the abortion caused without the woman’s consent (Article 144), the abortion caused by gross negligence, which is the obstetric malpractice that ends a pregnancy (Article 146), and the injuries to the foetus that leave sequelae in the child who is born (Articles 157 and 158). Voluntary termination within the framework of Organic Law 2/2010 lies outside any criminal reproach, and since the 2023 reform the woman herself is not punishable in the Article 145 situations: the reproach is directed at third parties and professionals.

These proceedings are decided in the clinical record and in the expert evidence: cardiotocographic registers, hourly entries, nursing sheets, the chain of custody of the record, its eventual alterations and the real times of action are the battlefield. We litigate it with our own experts in both directions: for the families who claim and for the professionals who defend themselves.

The framework

Articles 144 to 158, piece by piece

Art. 144 CP

Abortion without consent

Causing an abortion without the woman’s consent: four to eight years and health-profession disqualification of three to ten; the same penalties where consent was obtained by violence, threat or deceit. It covers from the assault causing the loss to the surreptitious administration of abortifacients.
Arts. 145 and 145 bis CP

Consented abortion outside the law

The consented abortion outside legally permitted cases punishes the third party who performs it (one to three years and disqualification), with attenuated offences for formal breaches of LO 2/2010 (information requirements, waiting periods, non-accredited centres). Since 2023 the woman is decriminalised in these situations.
Art. 146 CP

Negligent abortion

Abortion caused by gross negligence: three to five months or a fine; where the negligence is professional, disqualification of one to three years. The obstetric-malpractice offence: unattended foetal distress, late caesareans, medication errors. The pregnant woman is expressly excluded from punishment.
Art. 157 CP

Injuries to the foetus

Causing the foetus an injury or disease gravely harming its normal development or provoking a grave physical or psychological impairment: one to four years and health disqualification of two to eight. It protects the child who will be born with the sequelae of intrauterine or birth injury: brachial palsies, hypoxic encephalopathies.
Art. 158 CP

Negligent injuries to the foetus

The gross-negligence version: three to five months or a fine, with disqualification for professionals. As in Article 146, the pregnant woman is excluded. Together with 146, the habitual criminal vehicle of claims over badly assisted births.
The evidence

Clinical record and experts

These processes are decided in the clinical record and in the obstetric and neuropaediatric expert evidence. The record’s chain of custody, its eventual alterations and the real times of action are the battlefield.
Lex artis

The professional’s defence

Protocols followed, means available, collegiate decisions and alternative causal courses (prior pathologies, unavoidable causes). Minor negligence is not an offence: that frontier, with solid expert evidence, acquits.
Classification

The moment of the harm

Where the child was born with sequelae and died later, the classification depends on the moment of the harm and of the birth: Articles 146, 158 or the homicide and injury offences. A technical determination with enormous consequences.
Civil route

Compensation does not wait

Health-liability claims against the service or the insurer run alongside: the criminal and civil coordination ensures the compensation does not depend solely on the criminal outcome.
Penalties at a glance

Penalty framework by conduct

ConductArticlePenalty frameworkKey factor
Abortion without consent1444 – 8 years + disqualification 3 – 10Violence, threat or deceit equated
Consented outside the law (third party)1451 – 3 years + disqualificationThe woman is not punishable since 2023
Formal breaches145 bisAttenuated penaltiesInformation, periods, accreditation
Negligent abortion1463 – 5 months or fineProfessional: disqualification 1 – 3 years
Injuries to the foetus1571 – 4 years + disqualification 2 – 8Grave impairment of development
Negligent foetal injuries1583 – 5 months or fineThe malpractice vehicle with 146
The pregnant woman146 and 158 in fineNever punishable for negligenceThe law excludes her expressly
Civil liability109 ss.Compensation within or alongsideCriminal-civil coordination from the start

Penalty ranges are indicative and set out the ordinary framework; the sentence actually imposed depends on the circumstances of each case.

How we work

Expert medicine in both directions

For families, the birth is reconstructed minute by minute with the complete clinical record: traces, times of decision, calls and staffing. For professionals, the defence is built on the lex artis: the centre’s protocols, the means available, collegiate decisions and alternative causal courses such as prior pathologies and unavoidable causes. Minor negligence is not a crime: that frontier, litigated with solid expert evidence, acquits.

The criminal and civil planes are coordinated from the first day, because the compensation does not wait for the conviction: the health-liability claim against the service or its insurer advances in parallel, and what is proven in one forum serves the other.

01

Obstetric expert evidence

02

Clinical-record analysis

03

Case-law analytics

04

Criminal-civil coordination

How we intervene

A strategy sustained through every phase

Phase 01

Complete clinical record secured

Phase 02

Obstetric and neuropaediatric expertise

Phase 03

Classification and causation

Phase 04

Trial and civil recovery

Who we represent

Each profile demands a distinct defence

F

Families

Parents who lost a pregnancy or whose child was born with sequelae: minute-by-minute reconstruction and full recovery.

M

Physicians and midwives

Obstetricians, midwives and residents under investigation: lex artis, protocols and alternative causal courses.

H

Hospitals and insurers

Centres and insurers in high-stakes obstetric claims: independent expertise and coordinated defence.

V

Women attacked

Victims of violence causing the loss of pregnancy: Article 144 and full protection and reparation.

FAQ

What to know before the first consultation

We lost our baby during birth and believe action came too late. What routes do we have?
Criminally, negligent abortion under Article 146, or the injuries of Article 158 if the child was born with sequelae and died afterwards: the classification depends on the moment of the harm and of the birth. Civilly, health liability with compensation that does not wait for the criminal outcome. Everything begins with the complete clinical record and its minute-by-minute reconstruction.
I am a midwife under investigation over a birth with sequelae. What is at stake?
Article 158 (negligent injuries to the foetus): a fine or short imprisonment, and disqualification where grave professional negligence is found. The defence is built on the lex artis: the centre’s protocols, the means available, collegiate decisions and alternative causal courses (prior pathologies, unavoidable causes). Minor negligence is not an offence: that frontier, with solid expert evidence, acquits.
Can the mother be accused over conduct during pregnancy?
No: the law expressly excludes the pregnant woman from negligent abortion and negligent foetal injuries, and since 2023 she is not punishable in the Article 145 situations either. The criminal reproach is directed at third parties and professionals. A pregnant woman’s risk conduct is addressed, where appropriate, through protection and health services, not the Criminal Code.
Is a termination within the legal framework ever prosecutable?
No. Voluntary termination within Organic Law 2/2010 lies outside the criminal sphere. What Articles 145 and 145 bis punish is the third party who performs terminations outside the permitted cases or in breach of the formal requirements: information, waiting periods, accredited centres.
What evidence decides these cases?
The clinical record and the experts. Cardiotocographic traces, time entries, nursing sheets, the chain of custody of the record and its eventual alterations, and the obstetric and neuropaediatric expert reports on causation. We litigate that terrain with our own experts, in both directions.
Someone attacked me and I lost the pregnancy. What offence is that?
Article 144: abortion without consent, punished with four to eight years, the same penalties where consent was obtained by violence, threat or deceit. It covers from the assault causing the loss to the surreptitious administration of abortifacients, and it concurs with the injuries caused to you. Private prosecution secures both the conviction and full reparation.

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Société de Conseil Juridique et Expert es un despacho de abogados con sedes en Madrid, Alicante, Londres y París, especializado en defensa y acusación penal, delitos económicos y corporativos y derecho tecnológico. Trabajamos con orientación estratégica en procedimientos penales complejos, propiedad intelectual y análisis forense avanzado, y prestamos consultoría jurídica, compliance y escudos de protección a particulares y empresas. Atendemos desde Alicante y Madrid, con consulta online en toda España y asistencia al detenido 24 horas. Resuelva sus dudas en las preguntas frecuentes o solicite una primera consulta.

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