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 without requirement for two registered medical practitioners' opinion is now permitted for which category of women?

  • A All women requesting termination up to 24 weeks
  • B Married women only
  • C Survivors of sexual assault or rape, differently-abled women, and minors
  • D Women carrying a pregnancy resulting from failure of sterilisation
Correct answer: C. Survivors of sexual assault or rape, differently-abled women, and minors

Explanation

The MTP Amendment Act 2021 extends the gestational limit for a single RMP opinion from 20 to 24 weeks for specific vulnerable categories: survivors of rape or sexual assault, minors, differently-abled women, mentally ill women, women with substantial fetal abnormality detected post-20 weeks, and change in marital status (widowhood or divorce). A Medical Board opinion is required for termination beyond 24 weeks for substantial fetal anomalies. All other women still require standard criteria.

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

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