Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

Under the Medical Termination of Pregnancy (Amendment) Act 2021 (India), which of the following correctly describes the expanded provisions compared to the original MTP Act 1971?

  • A Upper gestational limit extended to 24 weeks for special categories of women; two RMP opinions required between 20–24 weeks; Medical Board approval required beyond 24 weeks for fetal anomalies
  • B Upper gestational limit extended to 24 weeks for all women; single RMP opinion required up to 24 weeks
  • C Termination of pregnancy allowed at any gestational age with consent of two registered practitioners for rape victims
  • D Single RMP opinion sufficient up to 12 weeks; opinion of two RMPs required between 12–20 weeks only, no provision beyond 20 weeks
Correct answer: A. Upper gestational limit extended to 24 weeks for special categories of women; two RMP opinions required between 20–24 weeks; Medical Board approval required beyond 24 weeks for fetal anomalies

Explanation

The MTP (Amendment) Act 2021 expanded the original Act (1971) as follows: Up to 20 weeks: single RMP opinion sufficient (unchanged); 20–24 weeks: two RMP opinions required; applicable to special categories defined in rules — survivors of sexual assault/rape, minors, women with disability, change in marital status (widowhood/divorce), mentally ill women, fetal malformations. Beyond 24 weeks: no fixed upper limit but requires a Medical Board approval for substantial fetal abnormality. The woman's name and identity are to be kept confidential under the 2021 amendment. This amendment significantly expanded access for vulnerable groups.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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