Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

Under the Medical Termination of Pregnancy (Amendment) Act 2021 (India), up to which gestational age can termination be performed by a single registered medical practitioner?

  • A Up to 12 weeks
  • B Up to 20 weeks
  • C Up to 24 weeks for all women
  • D Up to 20 weeks with mandatory two-doctor approval
Correct answer: B. Up to 20 weeks

Explanation

Under the MTP Amendment Act 2021, a single RMP can terminate pregnancy up to 20 weeks. Between 20–24 weeks, opinion of two RMPs is required, but only for specific categories of women including survivors of rape/sexual assault, minors, women with physical/mental disability, and women in emergency situations. Beyond 24 weeks, termination requires a Medical Board constituted by the State government. The 2021 amendment extended the upper limit from 20 to 24 weeks for select categories, but single-doctor authority remains up to 20 weeks.

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

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