Medical termination of pregnancy

Medical Termination Of Pregnancy

1. Medical Termination of Pregnancy-1971

2. The Medical Termination of Pregnancy Act, 1971 Under this Act, pregnancy can be terminated under the following conditions. Therapeutic :- When the continuation of pregnancy endangers the life of women or may cause serious injury to the physical or mental health. Eugenic :- When there is risk of the child being born with serious physical or mental abnormalities. Humanitarian :- When pregnancy has been caused by rape. Failure of contraception :- When pregnancy has resulted from the failure of contraceptive methods in case of a married women, which is likely to cause serious injury to her mental health. Socio-economic :- When social or economic environment, actual or reasonably expected can injury the mother’s health.

3. Who? <12 weeks  Only registered medical officer with experience in OG 12-20 weeks  Opinion of two registered medical officers is needed Where? Hospital established/maintained by govt. Place established for the purpose of this act by govt.

4. MTP Rule (1975 Oct) To eliminate the time consuming procedures To make services more readily available Approval by Certification Board is no longer needed

5. Who? If he has assisted a RMP in 25 cases of MTP in a approved institution If he has 6 months housemanship in OG PG in OG If he has 3 years of practice in OG (before 1971 MTP Act) If he has 1 year of practice in OG (after 1971 MTP Act)

6. Where? No need for a Board license Non-governmental institutions that have obtained a license from the Chief Medical Officer of the district

7. What else is needed Written consent of woman/guardian Professional secrecy What is not needed Husbands’ consent Proof of age Police complaint of rape

8. Impact of liberalisation?

9. Strategy at community level: Strategy of awareness Enhance access to confidential counselling for safe pregnancy Post abortion care via ANMs,AWWs,ASHA Strategy at facility: Provide manual vaccum aspiration facility for all CHCs and 50% of PHCs Comprehensive and high quality MTP service at all FRUs Encourage private and NGO sectors to establish quality MTP services

10. Repeated abortion is not advisable for health. MTPs’should not replace traditional methods of birth control

11. Thank you