Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

Under the Medical Termination of Pregnancy (Amendment) Act 2021 (India), a woman with a pregnancy resulting from rape can seek termination up to which gestational limit, and who gives the opinion?

  • A Up to 24 weeks with the opinion of two registered medical practitioners
  • B Up to 20 weeks with the opinion of one registered medical practitioner
  • C Up to 28 weeks with one RMP opinion
  • D No upper gestational limit for survivors of sexual assault
Correct answer: A. Up to 24 weeks with the opinion of two registered medical practitioners

Explanation

The MTP Amendment Act 2021 extended the upper gestational limit for termination in special categories (survivors of rape or sexual assault, minors, differently-abled women, change in marital status during pregnancy) from 20 to 24 weeks, requiring the opinion of two registered medical practitioners. For all women up to 20 weeks, one RMP's opinion suffices; from 20 to 24 weeks, two RMPs are needed. Beyond 24 weeks, termination is only permitted when substantial fetal anomalies are detected (no upper limit in such cases) with a State-level Medical Board approval per the 2021 amendment.

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

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