The Medical Termination of Pregnancy Amendment Act 2021 in India extended gestational age limits. Which of the following correctly states the upper gestational limit for termination for specific categories?

• A Up to 20 weeks for all women; up to 24 weeks for rape survivors, minors, and fetal anomalies on single physician opinion
• B Up to 12 weeks on single physician opinion; 12–20 weeks on two physicians' opinion; 20–24 weeks on Medical Board
• C Up to 24 weeks for all women on a single physician opinion; beyond 24 weeks for fetal anomalies by Medical Board
• D Up to 20 weeks on single physician opinion; up to 24 weeks for special categories (rape, minors, fetal anomaly) on two physicians' opinion; no upper limit for substantial fetal anomalies per Medical Board ✓

Explanation

MTP Amendment Act 2021 India: (1) Up to 20 weeks — single RMP opinion; (2) 20–24 weeks — opinion of two RMPs required for specific categories: rape survivors, minors, change of marital status (widowhood/divorce during pregnancy), women with disabilities (physical/mental), humanitarian settings; (3) Beyond 24 weeks — only for substantial fetal abnormalities diagnosed by State-level Medical Board, no upper gestational limit. The previous Act (1971) allowed only up to 20 weeks with two opinions.

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

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