Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

Under the MTP Amendment Act 2021 (India), medical termination of pregnancy can be performed up to 24 weeks in which category of women without requiring the opinion of two registered medical practitioners?

  • A All women up to 24 weeks — only one RMP opinion needed
  • B Only women with fetal anomalies — two RMPs needed regardless of gestation
  • C Survivors of sexual assault or rape up to 24 weeks — one RMP opinion needed
  • D Women with mental illness up to 20 weeks — one RMP opinion
Correct answer: C. Survivors of sexual assault or rape up to 24 weeks — one RMP opinion needed

Explanation

The MTP Amendment Act 2021 expands gestational limits: up to 20 weeks requires opinion of 1 RMP (previously 12 weeks for 1 RMP). Between 20–24 weeks, the opinion of 2 RMPs is required for most women; HOWEVER, survivors of sexual assault or rape, and certain special categories (minors, mentally ill, disabled women, women with change in marital status during pregnancy), require only 1 RMP opinion up to 24 weeks. Beyond 24 weeks requires Medical Board approval for substantial fetal abnormalities.

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

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