MEDICAL-TERMINATION-OF-PREGNANCY-ACT-1971.pptx

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1. MEDICAL TERMINATION OF PREGNANCY ACT, 1971 Dr. Prakash Chandra Gupta Assistant Professor University Institute of Pharmacy, CSJM University Kanpur

2. . INTRODUCTION An Act to provide for the Termination of certain pregnancies by registered medical practioners and related matters. Legislated by the parliament on 10 th August, 1971 and the Act was enforced Nationwide from 1 st April, 1972 . The amendment of this Act was done in 2021. OBJECTIVE To regulate and ensure access to safe abortion care and defines ‘when’ ‘where’ and under ‘what’ conditions abortion is permissible.

3. DEFINITIONS “ Guardian ": Means a person having the care of the person of a minor or a lunatic. “ Registered medical practitioner ": Means a medical practitioner who possesses any recognized medical qualification as defined in Sec. 2 of the Indian Medical Council Act, and whose name has been entered in a State Medical Register and who has such experience or training in gynecology and obstetrics. “ Approve place ”: Means a place approved under rule 4 of the MTP Rules 1975.

4. TERMINATION OF PREGNANCIES A pregnancy may be terminated by a registered medical practitioner, Where the length of the pregnancy does not exceed twenty weeks. OR Where the length of the pregnancy exceeds twenty weeks but does not exceed twenty four weeks, if not less than two registered medical practitioners are of opinion that:. The continuance of the pregnancy would involve a risk to the life of the pregnant woman or of grave injury physical or mental health. OR

5. . There is a substantial risk that if the child were born, it would suffer from such physical or mental abnormalities as to be seriously handicapped. Pregnancy caused by rape (presumed grave injury to mental health) Contraceptive failure in married couple (presumed grave injury to mental health)   No pregnancy shall be terminated without the consent of pregnant women except when: a) the pregnant woman is less than 18 years in age b) pregnant women is a lunatic although she has attained the age of 18 years. Such consent shall be given in Form C.

6. PLACE WHERE PREGNANCY MAY BE TERMINATED No termination of pregnancy shall be made in accordance with this Act at any place other than- A hospital established or maintained by Government, or A place for the time being approved for the purpose of this Act by Government.

7. WHO CAN TERMINATE THE PREGNANCY? A Registered Medical practitioner (RMP ) who has a recognized Medical qualification as defined in clause ( b) of Sec 2 of indian Medical Counsel Act, 1956. Whose name is registered in a state Medical register. Who has training experience as per MTP rules

8. EXPERIENCE OF RMP Who is registered in state medical register immediately before the commencement of act, experience in the practice of gynecology and obstetrics for not less than 3 years A practitioner who has assisted a registered medical practitioner in performing 25 cases of MTP of which at least 5 cases were performed independently in a hospital or a training institute approved for this purpose by the Government

9. . A practitioner who holds a post-graduate degree or diploma in Obstetrics and Gynecology A practitioner who has at least one-year experience in practice of Obstetrics and Gynecology at a hospital which has all facilities. A practitioner who has completed six months house job in Obstetrics and Gynecology

10. REQUIREMENT FOR APPROVAL OF PLACE Medical termination of pregnancy can be done only at any approve place. The application for the approval of place should be addressed to the Chief Medical Officer of the district who shall verify or inspect such place with a view to ascertain himself that the following conditions are satisfied : Gynecology examination / labor table Resuscitation and sterilization equipment. Back up facilities for treatment of shock

11. . An Operation table and instruments for performing abdominal or gynecological surgery & anesthetic equipment Chief Medical Officer recommends approval to the committee and committee consider an application & recommendation and approve and issue certificate of approval. Chief Medical Officer of the district may inspect an approved place as often as necessary.

12. MAINTENANCE OF ADMISSION REGISTER Maintain records As per Form III Record the detail Keep in secret custody for 5 years from the end of calendar year it relates to; It is not disclosed to anyone except under authority of law

13. THANK YOU