Saturday, August 14, 2021

Medical Termination of Pregnancy (Amendment) Bill, 2021

 This bill was passed in March 2021 by the Rajya Sabha. The lower house passed the bill in 2020. This is an important bill to improve women's reproductive rights in India.

The Medical Termination of Pregnancy Amendment Bill, 2021

The bill amends the MTP Act of 1971. This law regulates abortion in India. Amended in 1975 and 2002. Abortion was previously illegal in India under Section 312 of the Indian Penal Code.

A registered medical practitioner may, under the MTP Act, 1971, medically terminate a pregnancy:

  • Pregnancy of fewer than twelve weeks (for this, the opinion of one doctor was required).
  • Where the pregnancy is over 12 weeks but not over 20 weeks. In this case, two doctors must agree that continuing the pregnancy would endanger the mother's mental and/or physical health, and/or that the child would be born with serious physical or mental disabilities.
  • Minors who wanted abortions had to get written consent from their guardians.

Proposed New Bill Features:

  • The Bill allows abortion up to 20 weeks based on one doctor's opinion.
  • Two doctors must agree to terminate a pregnancy between 20 and 24 weeks. Exceptions include rape/incest victims, disabled women, and minors.
  • Abortions beyond 24 weeks are only permitted if there are significant foetal abnormalities.
  • Only gynecologists/obstetricians can perform abortions.
  • A woman's name and other details about her pregnancy termination will not be revealed, except to a person authorized by law.
  • Abortion to terminate pregnancies arising from rape must be obtained through a writ petition if the gestation period exceeds 24 weeks.

Bill to amend MTP

In the older act, there were some concerns that have now been addressed.

  • The MTP Act needed to be amended because it was out of date and did not reflect recent medical advances. Modern medicine permits late-term abortions.
  • The requirement that minors seeking abortions obtain written parental consent was also regressive. The new bill does not require it.
  • Older laws allowed quacks and unqualified people to run illegal abortion clinics, endangering many women's lives. The new amendments are expected to help address these issues and bring more abortions under the supervision of qualified medical practitioners.

The MTP Act, 1971 and MTP Amendment Bill, 2021

Time since conception

Requirement for Abortion

MTP Act, 1971

MTP (Amendment) Bill, 2021

Up to 12 weeks

Advice of one doctor

Advice of one doctor

12 – 20 weeks

Advice of two doctors

Advice of one doctor

20 – 24 weeks

Not allowed

Advice of two doctors for some categories of pregnant women

Exceeds 24 weeks

Not allowed

Medical Board in case of substantial foetal abnormality

Any time during pregnancy

One doctor if abortion is immediately necessary to save the pregnant woman’s life

Bill 2021 – Benefits of Medical Termination of Pregnancy (Amendment)

Below are the intended benefits of passing the amendments.

  • Many foetal anomalies are discovered after the twentieth week. The new rules would help in such cases.
  • The new law allows rape victims, disabled women, and minors to safely terminate unwanted pregnancies.
  • By removing a regressive clause from the 1971 Act, unmarried women can now request abortions citing contraceptive failure as a reason.
  • Giving unmarried women the right to legally end an unwanted pregnancy while protecting their identities gives women reproductive rights.

MTP Amend Bill Issues

Some concerns have been expressed about the new amendments. • Society still prefers the male child, and there are a number of illegal clinics that provide sex determination services. A more liberal abortion law could exacerbate the problem of female foeticide.

  • Terminating a pregnancy too late may affect the fetus's viability. During viability, the foetus can live outside the mother's womb. Modern medical technology improves viability.
  • Despite the new law, women may still have difficulty accessing safe abortions due to a doctor shortage.
  • The Bill's 20-week abortion cap is also arbitrary. Many foetal anomalies are discovered between 18 and 22 weeks when the foetus is considered fully developed. Abortion has an ethical dimension as well. Some belief the state must protect all life, including the unborn foetus.

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Nivethi Natarajan

 

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