medical termination of pregnancy.pptx

MTP ACT

1. MEDICAL TERMINATION OF PREGNANCY ACT, 1971 AND RULES 1975

2. OBJECTIVE This act was passed with the object to provide fopr the termination of certain pregnancies by registered medical practitioners and for the matters connected therewith. DEFINITIONS Guardian: A person having the care of a minor or a lunatic. Minor: A person who, under the provisions of the Indian Majority Act, 1875 is to be deemed not to have attained his majority.

3. Registered Medical Practitioner: A medical practitioner who possesses any recognized medical qualification as deemed in clause (h) of section 2 of the Indian Medical Council Act,1956, whose name has been entered in a state Medical register and who has such experience or training in gynecology and obstetrics as may be prescribed by rules made under this act. Owner: owner in relation to the place, means ant person who is the administrative head or otherwise-responsible for the working or maintenance of such hospital or clinic.

4. CIRCUMSTANCES UNDER WHICH THE PREGNANCIES MAY BE TERMINATED BY REGISTERED MEDICAL PRACTITIONERS. the registered medical practitioner may terminate a pregnency whrn it is not more than 12 weeks old and the medical practitioner is of the opinion formed in good faith, that Its continuance would result into serious injury to th ephysical or mental health of the pregnant women or The child to be born would be seriously handicapped due to the physical or mental abnormalities.

5. 2. The registered medical practitioner may terminate a pregnancy if it more than 12 weeks but not more than 20 weeks, if not less than 2 registered medical practitioner are of the opinion mentioned in 1. To determine, whether the continuance of a pregnancy would result into grave injury to the physical and mental health, the pregnant women's actual or reasonable foreseeable environment my be taken into consideration.

6. 3. The registered medical practitioner may terminate a pregnancy of a women of 18 years of age or more with her written consent. 4. Practitioner may terminate a pregnancy of a women less than 18 years of age or who attained the age of 18 years is lunatic, with written consent of her guardian.

7. EXPERIENCE OR TRAINING A medical practitioner, registered in state medical register immediately before the commencement of the Act, should have not less than 3 years experience in the practice of gynecology and obstetrics. A medical practitioner, registered in state medical register on or after the date of the commencement, ca terminate the pregnancy If he has completed six months of house surgency in gynaecology and obstetrics;

8. ii. If he has the experience at any hospital for a period of not less than one year in the practice of obstetrics and gynaecology . (c) In case of registered medical practitioner who holds the a post graduate degree or diploma in gynaecolcogy and obstetrics, the experience or training gained during the course of such degree or diploma.

9. PLACES WHERE PREGNENCY MAY BE TERMINATED A government hospital or A place approved for the purpose of this act of government.

10. PLACE APPROVED FOR TERMINATION OF PREGNANCIES The place for the termination of pregnancies shall be approved only if, The government is satisfied that the termination of pregnancies, may be done therein under safe and hygienic conditions and The following facilities are approved An operation table and instruments for performing abdominal or gynaecological surgery. Anaesthetic equipment, resuscitation and Sterilization Equipment. Drugs and parenteral fluids for emergency use.

11. INSPECTION OF A PLACE FOR TERMINATION OF PREGNANCY a place approved under medical termination of pregnancy rules may be inspected by the chief medical officer of the district, with a view to verify whether termination of pregnancies is being done under safe and hygienic condition. If the CMO is not satisfied as far as safety and hygiene condition of the place are concerned he may call for any information or may seize any article, medicine, ampoule, admission register or other document, maintained, kept or found at the place.

12. CANCELLATION OR SUSPENSION OF CERTIFICATE OF APPROVAL If the chief medical officer of the district is not satisfied with the facilities provided under the rules, he shall make a report of the facts with the detail of deficiencies or defects found at the place to the government. On receipt of such report, the government may eitheer cancel the certificate of approval or suspend the same for such period as it may think fit. However the owner of the place shall be given a reasonable opportunity of being heard.

13. MAINTAINANCE OF ADMISSION REGISTER Medical termination of pregnancy Regulations, 1975, provides for the maintenance and admission register. The head of the hospital or owner of the approved place should maintain a register in prescribed form of the admissions of women for the termination of their pregnancies. Serial numbers should be given to each entry in the admission register. a fresh serial should be given to each calendar year.

14. The serial number of the particular year should be distinguished from the serial number of the years. Serial number 7 of 1987 and serial number 7 of 1988 should be as 7/1987 and 7/1988. The admission register is a secret document. The details regarding the name and other particulars of the pregnant woman should not be disclosed to any person.

15. OFFENCES AND PENALTIES The termination of a pregnancy by a person who is not a registered medical practitioner shall be an offence punishable under Indian Penal Code. Any person who wilfully contravenes or wilfully fails to comply with the requirements of any regulations made by state Government is punishable with fine up to one thousand rupees. .

16. No suit or other legal proceedings shall lie against any registered Medical practitioner for any damage caused or likely to be caused by anything which is in good faith done or intended to be done under this act.

17. CASE STUDY Unsafe abortion is one of the four main causes of maternal mortality and morbidity. One of the reasons for unsafe abortion is because safe abortion services are frequently not available, even when they are legal for a variety of indications in almost all countries including India. A case of alleged illicit sexual relations of an unmarried woman of 27 years and consequently pregnancy and criminal abortion by an unqualified and inexperienced doctor came before the SC in appeal.

18. Accused doctor had been convicted and sentenced by the trial court for seven years along with fine, concurred by the MP High Court. Case came before the SC in Appeal by the co-accused in this case. Various issues related to provisions of Indian Penal Code (IPC), Medical Termination of Pregnancy Act and Rules, qualification and experience of the doctor for MTP, Approval of the place for MTP, and issue of conviction and sentence of alleged accused, etc. has been discussed to create awareness among stakeholders to avoid further cases of criminal abortions in India. This may help in decreasing maternal morbidity and mortality in India due to criminal abortions.