The currently approved Medical Termination of Pregnancy (MTP) Act in India (2021 amendment) permits abortion up to 24 weeks gestation for which of the following?

• A Any woman without requiring approval of any medical practitioner
• B Survivors of sexual assault, rape, or incest with opinion of two RMPs
• C Only in cases of foetal abnormalities at any gestation with Medical Board approval
• D Women with specific conditions (rape survivors, disabled, minors) with opinion of two RMPs up to 20 weeks; above 20 weeks requires Medical Board ✓

Explanation

The MTP (Amendment) Act 2021 permits termination up to 20 weeks on opinion of one RMP; up to 24 weeks for special categories (rape/incest survivors, differently abled women, minors, change in marital status) requiring opinion of two RMPs. Above 24 weeks, only a State-level Medical Board can approve termination in cases of substantial foetal abnormalities. This represents a significant liberalisation from the original 1971 MTP Act's 20-week ceiling.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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