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MTP ACT
DEFINITION
Deliberate termination of pregnancy either by the
medical & surgical method before the viability of the fetus is called induction of abortion MEDICAL TERMINATION O F PREGNANCY ACT 1971
The Indian abortion laws falls under the Medical
Termination of Pregnancy (MTP) Act, which was enacted by the Indian Parliament in the year 1971 with the intention of reducing the incidence of illegal abortion and consequent maternal mortality and morbidity. The MTP Act came into effect from 1 April 1972 and was amended in the years 1975 and 2002.
Recently, the Supreme Court permitted a rape survivor to
terminate her pregnancy at 24 weeks, which is beyond the permissible 20 weeks limit prescribed under the Medical Termination of Pregnancy Act, 1971 LEGAL ABORTION
Termination is performed by the medical
practitioners(assisted in at least 25 MTP °ree in OBG) by the act.
Termination is done at the place approved under the act.
Termination done for condition & within the gestation
week prescribed by the act.
The abortion has to be reported to the director of health
service of the state. INDICATION Women whose physical and/or mental health were endangered by the pregnancy
Women facing the birth of a potentially handicapped or
malformed child
Rape
Pregnancies in unmarried girls under the age of eighteen
with the consent of a guardian
Pregnancies that are a result of failure in sterilization
Who can terminate the pregnancy
Experience minimum 3yr who is registered in state
medical register
6months of house surgeon-ship in gynaecology Or
experience of working in department of gynaecology –1yr
A Practitioner who has assisted RMP in 25 cases of
Medical termination of pregnancies, at least 5 of which have been performed independently in a hospital established or maintained by government or a training institute approved for this purpose by the Government. Experience and Training Required by a RMP
Up to 20 wks PG Degree or Diploma in OBG
Completed 6 months as House Surgeon in OBG
At least one yr experience in dept of OBG at any hospital
that has all facilities. Where pregnancy can be terminated - PLACE
Hospitals established or maintained by the Government
A Place approved by the Government or DLC constituted
by the Government. Consent
Only the consent of a women is required
If Age <18 yrs or a mentally ill patient, consent of
guardian is required. Violation of The ACT
Any person doing MTP and not a RMP can be
punished with rigorous imprisonment for 2-7 yrs.
If terminating at a place which is not approved can be
punished 2-7 yrs rigorous imprisonment.
The owner of unapproved place , performing
termination can also be punished with rigorous imprisonment 2-7 yrs COMPLICATION O F MTP
IMMEDIATE: Injury to the cervix (cervical lacerations)
Uterine perforation during D and C
Hemorrhage and shock due to trauma, incomplete
abortion, atonic uterus or rarely coagulation failure
Thrombosis or embolism COMPLICATION O F MTP REMOTE : The complications are grouped into: