Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

Under the Medical Termination of Pregnancy (Amendment) Act 2021 (India), termination of pregnancy up to 24 weeks is permitted for which of the following categories NOT previously covered in the 1971 MTP Act?

  • A All unmarried women up to 20 weeks on their request alone
  • B Women who fail contraception, regardless of gestational age, without board approval
  • C Survivors of sexual assault/rape, minors, change of marital status (widowhood, divorce), and women with disabilities
  • D Any pregnancy up to 28 weeks with a single RMP's opinion
Correct answer: C. Survivors of sexual assault/rape, minors, change of marital status (widowhood, divorce), and women with disabilities

Explanation

The MTP Amendment Act 2021 extended the upper limit for termination from 20 to 24 weeks for specific vulnerable categories: survivors of sexual assault/rape, minors, women with change of marital status (widowhood, divorce), differently-abled women, and women with fetal anomalies incompatible with life (which now requires Medical Board opinion and has no upper gestational limit). The Act requires ONE RMP opinion up to 20 weeks and TWO RMP opinions from 20–24 weeks (previously the 20-week limit required one RMP). Pregnancies beyond 24 weeks for serious fetal anomalies require a State-level Medical Board.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

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