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Table of contents
Definition ..................................................................................................... 03
Classification ............................................................................................... 03
International Instruments Relating Right To Abortion ............................... 04
Under Indian law (IPC and MTP act) ........................................................ 07
Loopholes .....................................................................................................11
Conflict ........................................................................................................ 18
Recent developments .....................................................................................21
Conclusion ........................................................................................................23
Bibliography ......................................................................................................24
Definition
The
Wikipedia
Dictionary
defines
an
abortion
as:
An abortion is the removal or expulsion of an embryo or fetus from the uterus, resulting
in, or caused by, its death.
This can occur spontaneously as a miscarriage, or be artificially induced through chemical,
surgical or other means. Commonly, "abortion" refers to an induced procedure at any point in
the pregnancy; medically, it is defined as a miscarriage or induced termination before
twenty weeks gestation, which is considered nonviable.
Classification
Abortion may be classified into various categories depending upon the nature and
circumstances under which it occurs. For instance, it may be either,
(i)
Abortions falling under the first three categories are not punishable, while induced abortion
is criminal unless exempted under the law. Natural abortions is a very common phenomena
and may occur due to many reasons, such as bad health, defect in generative organs of the
mother, shocks, fear, joy, etc. Accidental abortion very often takes place because of
pathological reasons where pregnancy cannot be completed and the uterus empties before the
maturity of fetus. Induced abortions is denied in law as an untimely delivery voluntarily
procured with intent to destroy the foetus. It may be procured at any time before the natural
birth of the child.
1 Wikipedia.org
3
Article 1 of the American Declaration of Rights and Duties of Man and the Inter
American Commission of Human Rights say that abortion is legalized until the end
of First trimester.
Right to life is protected from the moment of its conception by Articles 6(1) of the
ICCPR, Article 2 of the European Convention of Human Rights and Article 4 of
the African Charter of Human Human and People's right .
But they are silent on the issue of when does life begin. But the interpretations have forced us
to believe that the child is not to be protected from the time of its inception. The right to life
of the fetus has to be balanced with the rights of the mother.
International courts and tribunals have not addressed the difficult philosophical issue of when
life begins, but have focused on the meaning of the language used in the relevant treaties.
They have generally held that the references to every human being or everyone or every
person do not include an unborn foetus.
The right of a woman to her private life has been the basis on
which a number of international bodies have upheld the right of a woman to have an abortion.
The right to freedom of expression and access to information has been used to argue for the
right of women to receive information about abortion options. The right to access abortion
may also be based on the right of a woman to decide freely and responsibly on the number
and spacing of her children.
Roe v. Wade became one of the most politically significant Supreme Court decisions in
history, reshaping national politics, dividing the nation into "pro-choice" and "pro-life"
camps, and inspiring grassroots activism. This is a landmark United States Supreme Court
decision establishing that most laws against abortion violate a constitutional right to privacy,
thus overturning all state laws outlawing or restricting abortion that were inconsistent with
the decision. Jone Roe, the plaintiff wanted to terminate her pregnancy because she
contended that it was a result of rape. Relying on the current state of medical knowledge, the
decision established a system of trimesters that attempted to balance the state's legitimate
interests with the individual's constitutional rights. The Court ruled that the state cannot
restrict a woman's right to an abortion during the first trimester, the state can regulate the
abortion procedure during the second trimester "in ways that are reasonably related to
maternal health," and in the third trimester, demarcating the viability of the fetus, a state can
choose
to
restrict
or
even
to
proscribe
abortion
as
it
sees
fit.
In response to Roe v. Wade, several states enacted laws limiting abortion, including laws
requiring parental consent for minors to obtain abortions, parental notification laws, spousal
consent laws, spousal notification laws, laws requiring abortions to be performed in hospitals
but not clinics, laws barring state funding for abortions, laws banning most very late term
abortions. The Supreme Court struck down several state restrictions on abortions in a long
series of cases stretching from the mid-1970s to the late 1980s.
In the Supreme Court of Canada, interpreting Article 7 of the Canadian Charter which
guarantees an individual's right to life, liberty and freedom and security of a person. In the
leading case of Morgentalor Smoling and Scott vs. R3, the Court focused on the bodily
security of the pregnant women. The Criminal Code of the country required a pregnant
woman who wanted an abortion to submit an application to a therapeutic committee, which
resulted in delays. The Supreme Court found that this procedure infringed the guarantee of
security of a person. This subjected the pregnant woman to psychological stress.
Also the Abortion Act, 1967 of the UK in its Article 2 does not confer an absolute right to life
to the unborn. It was held in Paton Vs. United Kingdom4. Abortion is permitted if the
continuance of the pregnancy involves risk. The right to life of fetus is subject to an implied
limitation allowing pregnancy to be terminated in order to protect the life of a mother.
The
same
was
upheld
in
v.
Norway5.
Also, it is was also held in 1992 by the Supreme Court that a women has the same exclusive
right to abortion as to any to any other medical treatment. The prospective fathers have no
right to be consulted for the same.
(1992) 73 DR 155)
women is considered to be in the former stage as soon as gestation begins and in the later
stage when the motion is felt by the mother. In other words quickening is the perception by
the mother that movement of the foetus has started. It obviously refers to an advanced stage
of pregnancy. Sec 312 of the Code permits termination of pregnancy of therapeutic (medical)
grounds in order to protect the life of the mother. The unborn child in the womb must not be
destroyed unless the destruction of the child is for the purpose of preserving the yet more
precious life of the mother. The provision by implication recognizes that the foetus has the
right to life. When the termination of pregnancy is caused without the consent of the women,
punishment may extend to imprisonment for life or imprisonment of either description for a
term, which may extend to 10 years or fine.
If the death of the woman is caused by an act done with intent to cause miscarriage with her
consent punishment may extend to 10 years of imprisonment and fine, and if it is done
without her consent, imprisonment for life or ten years and fine. An act done with the intent
to prevent a child from being born alive or to cause it to die after death is punishable upto 10
years of imprisonment or fine or both. And the causing of death of a quick unborn child by an
act amounting to culpable homicide is punishable upto 10 years of imprisonment and fine.
The
Medical
Termination
Of
Pregnancy
Act,
1971:7
for the time being in force, if any pregnancy is terminated by him in accordance with the
provisions of this Act"
This makes it clear that the provisions of the MTP Act, so far as abortion is concerned
suppresses the provisions of the Indian Penal Code.
Sub-sec. (2) of Sec.3: "Subject to the provisions of sub-sec (4), a pregnancy, may be
terminated by a registered medical practitioner.
(a) Where the length of the pregnancy does not exceed 12 weeks if such medical practitioner
is of opinion, or
(b) Where the length of the pregnancy exceeds 12 weeks but does not exceed 20 weeks, if not
less than 2 registered medical practitioners are of opinion, formed in good faith that
1. The continuance of the pregnancy would involve a risk to the life of the pregnant
women
;or
10
11
Sub-Sec.3 (3) In determining that whether the continuance of a pregnancy would involve
such risk of injury to the health as is mentioned in sub-sec (2), account may be taken of the
pregnant woman's actual or reasonable foreseeable environment. Therefore in determining
whether the continuation of pregnancy would constitute a risk to the physical or mental health
of the pregnant woman the Indian Law permits the consideration of the woman actual or
reasonably foreseeable environment. The terms reasonably or foreseeable being left to the
interpretation of the medical practitioner.
Environmental clauses could include, by interpretation, drunkard husband, low-income
group, large family etc. By and large, these explanations provide for two instances where
continued pregnancy is assumed to constitute a grave injury to the mental health of the
pregnant woman, namely where the pregnancy is alleged by a woman to have being caused
by rape and second where the pregnancy occurs as a result of failure of any device by a
married woman or her husband for purpose of limiting the number of children. The provision
provides the doctors with a yardstick for a broad interpretation of the basic concept of the
potential injury to the mental health of the pregnant woman.
The rest of the matters come in the case of mental indication where abortion is allowed and
continuation of pregnancy would involve grave injury to her mental health. This is a
subjective indication and commonly restored one.
In one of the case, where a girl detained in a Women's Welfare institution applied to the High
Court during the pendency of her writ petition that the Court be pleased to order termination
of her pregnancy and the Court found that the Pregnancy was against her will and that unless
it was terminated the girl would suffer traumatic and psychological shock, the High Court
directed termination in a govt. Maternity hospital if the doctors there on examination found
that the termination would not affect her life and safety.
12
Qualification of Doctors:
According to the Act, 'a medical practitioner who possess any recognized medical
qualification as defined in cl. (h) of Sec.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 or obstetrics as may be prescribed by rules made under this Act is permitted
to conduct the termination of pregnancy'. Allopathic doctors who are duly registered with
the State Medical Council are authorized to do abortion. Other like homeopathic, ayurvedic,
unani doctors and unqualified doctors like RMP, Quacks, etc are not entitled to perform
abortion. Even among allopathic doctors, only those who satisfy one or the other of the
following qualifications are eligible to do MTP. Once a doctor satisfies the require
qualifications, he automatically becomes eligible to do abortions. He need not apply for
eligibility to any authority. A doctor cannot refuse to do abortions on religious grounds. If he
does so, his name is liable to be erased from the Medical Council. If he is a Govt. doctor, he
is liable for departmental action.
termination of her pregnancy. The husband's consent is irrelevant. Therefore, if the woman
wants an abortion but her husband's objects to it, the abortion can still be done. However,
if the woman does not wants an abortion but her husband wants, it cannot be done. However,
the consent of the guardians is needed in the case of minors or lunatics.
14
Thus, the oft-argued following justifications in favour of the permissive abortions are found
in the Indian law.
(1) Therapeutics: The old restrictive Indian abortion law has permitted abortion to save the
life of the mother. In addition, the reformed law, as seen above allows abortions when the
mother's life is not threatened, but when continued pregnancy will cause damage to her
mental and physical health.
(2) Eugenics: the basic of eugenic abortion is that there is a justification for abortion when it
is known before birth that the child will be born mentally or physically deformed. The unborn
child should be relieved of a life of misery.
(3) Pregnancy caused by rape: the problem of a pregnancy caused by rape may effect the
mental health of the mother. It is assumed that the victim mother does not want the child and
does not want to bear the continuing result of a crime for which she was not culpable.
(4) Social and economic considerations: A popular argument in favour of abortion is based
on the absolute right of the woman to control the use of her body. She has a right to an
abortion on demand to terminate any pregnancy, which she decides she does not want.
Admittedly, the right to control the use of one's body is founded on ideas of liberty, and
restrictions thereon may amount to an invasion of privacy.
In countries where abortion is legal, death rates are usually below 1 per 100,000 procedures.
Abortion is a very safe operation if the operation is performed by skilled medical
practitioners, having proper facilities and equipments. In developing countries like India with
15
scarce medical resources treatment of complications of abortion often posses a heavy burden
on the health care system. According to recent estimates made by the World Health
Organization, about one-quarter to one-third of maternal deaths are due to complications of
(illegally) induced abortion. This can be prevented through offering easily accessible safe
abortion services and through family planning services and education. Reliable statistics
show that in many countries where abortion is legally available, the abortion rate is much
lower than in countries where it is completely illegal.
pregnancy of the child of three months made her to become mentally ill and the continuance
of pregnancy has caused great anguish in her mind, which would result in a grave injury to
her mental health, since the pregnancy was caused by rape. The Court granted the permission
to terminate the pregnancy.
The petitioner who was a registered medical practitioner had to establish that his action was
done in good faith ( includes omission as well ) so that he can get exemption from any
criminal liability under section 3 of the MTP Act, 1971.
Shri Bhagwan Katariya And Others vs State of M.P: Abortion without mothers consent 2000.
The woman was married to Navneet. Applicants are younger brothers of said Navneet while
Bhagwan Katariya was the father of said Navneet. After the complainant conceived
17
pregnancy, the husband and the other family members took an exception to it, took her for
abortion and without her consent got the abortion done.
The Court opined that if we refer Section 3 of the Medical Termination of Pregnancy Act,
1971, a doctor is entitled to terminate the pregnancy under particular circumstances and if the
pregnancy was terminated in accordance with the provisions of law, it must be presumed that
without the consent of the woman it could not be done. Present is a case where a permanent
scar has been carved on the heart and soul of the woman by depriving her of her child. And
the Doctor will be liable.
Thus, the case laws show that a woman has an absolute right to abortion and no one can take
away this right from her. The Judiciary has been playing a vital role in securing these rights to
women. Right to abortion is a fundamental right of privacy.
How section 312 of IPC read with the Medical termination of Pregnancy Act, 1971
infringe the right to life of the mother?
Section 312 of the Indian Penal Code read with the Medical termination of Pregnancy act,
1971 where all the restrictions imposed therein, including the time limit of 20 weeks, other
than the ones to ensure good medical conditions, infringe the right to abortion and the right to
health, which emanate from right to life as guaranteed by Article 21 of the Constitution. Any
law forbidding an abortion under good medical conditions is immoral and in addition
unconstitutional, for it violates her right to control her property - her body as wells her life,
liberty and happiness.
18
19
Hence it is perspicuous that the object of the act is to ban the use of both sex selective
abortions and to regulate such techniques with a view to ensure their scientific use for which
they are intended, and not to ban the very detection of such disabilities and abnormalities of
the foetus, as this would defeat the very purpose of this act.
1. Moreover section 4(2) of the said act states that no pre-natal diagnostic techniques can be
conducted except for the purposes of detection of any of the
1) chromosomal abnormalities
2) genetic metabolic diseases
3) heamoglobinopathies
4) sex-linked genetic diseases
5) congenital anomalies
6) any other abnormalities or diseases as may be specified by the central supervisory board.
Thus the enactment permits such tests if they are necessary to avoid abnormal child from
coming into existence. The MTPA as well as the PNDTA are central acts and if by one statute
certain rights are conferred upon a prospective mother, the same cannot be denied to a
prospective mother by another statute emanating from the same source and the same was
observed by the Honble Supreme court in State of Tamil Nadu and ors. V. Ananthi Ammal &
ors.
20
Recent developments
Consistent efforts of the National Commission of Women (NCW) and the doctor fraternity to
make
changes
in
have
finally
borne
fruit.
The
ministry
of health and family welfare's maternal health division has proposed to amend the existing
Medical Termination of Pregnancy Act, 1971, to allow abortion until the 24th week of
pregnancy.
The proposed Act, which will be called the Medical Termination of Pregnancy (Amendment)
Bill, 2014, has been put up on the website of the health ministry for people to review till
November 10, after which the draft will be finalised.
As reported by dna in February 2013, the NCW, after reviewing the Medical Termination of
Pregnancy (MTP) Act, 1971, recommended to the union health ministry that abortions till the
24 week of pregnancy may be allowed.
What
does
the
amendment
say?8
Dr Nikhil Datar, a gynaecologist and health rights activist who has been actively fighting for
the cause said, "The proposed amendment is a welcome move as the new Act's section 4, 2
(b)(ii) talks about MTP after twenty weeks and not exceeding 24 weeks of pregnancy in case
the pregnancy is risking the woman's life physically or mentally, or poses a substantial risk to
the unborn child."
Further, the amended Act talks about the 24-week MTP on the grounds that a pregnancy
which is the result of rape or due to the failure of contraceptive methods will be considered a
grave injury to the mental health of the pregnant woman. It states that diagnosis of any
substantial foetal abnormalities after 20 weeks till 24 weeks will be considered for MTP.
The case that triggered debate on abortion law
According to gynaecologists, the move has come late, but is a beacon of hope for several
women like Niketa Mehta. In August 2008, Bhayander resident Niketa and her husband
Haresh had approached the Bombay high court in the 24th week of her pregnancy seeking
permission to abort her foetus, which had developed a congenital heart defect. The plea was
refused, but she later suffered a miscarriage. The case triggered a national debate on the
abortion law.
"Most cardiac anomalies can only be detected after 22 weeks of pregnancy. Thereafter, the
parents need time to talk it out with family and friends. This will ensure quality life to the
unborn child," said Dr Datar, who was Mehta's doctor and had supported her decision to
move court for abortion after the cardiac defect was detected.
Boon for women, say doctors
The old Act allows MTP till the 20th week of pregnancy. Medical experts in India have been
demanding that a few abnormalities should be included as a valid reason for MTP after 20
weeks and therefore empower the woman to take the decision.
Dr Rishma Dhillon-Pai, consultant gynaecologist at Jaslok Hospital, says the period between
20 weeks and 22 weeks offers good opportunities to check for anomalies in foetuses through
a sonography
With the amended law, doctors also feel that it should be used judicially and ethically. Dr
Ashwini Bhalerao, gynaecologist at PD Hinduja Hospital said, "It is true that some anomalies
are picked only at later stage of pregnancy. MTP should be allowed in certain conditions. Our
22
law is very liberal and in good faith. MTP has been a disputed issue worldwide. Doctors and
patients should use the law ethically and judicially."
Conclusion
A mother has got a natural duty to provide the maximum best possible to her offspring.
However, situations may arise where she indulges in activities, which injuriously affect the
foetus. It may be due to ignorance, carelessness or acts done willfully. Abortion is an issue to
be left to the decision of the mother. However, taking viability of a legal standard, necessary
protection should be provided to the unborn. It is also beneficial to the mother, where the
state or voluntary organizations are ready to take care of the unborn. There is no meaning in
conferring a right to the mother to destroy the foetus. Her right is limited to have a
termination of pregnancy. It is also said that delivering 20 million babies annually would be a
greater strain on the nations medical services and economic resources than, say, performing
one to five million abortions a year.
The law has to take care of the liberty of the mother as well as the unborn. As a hospitable
community we should seek ways of providing support for lonely and frightened mothers, and
for lonely and abandoned babies. We need to offer women with unplanned pregnancies as
much love and support as they require and to assist them in finding compassionate
alternatives to abortion.
23
BIBLIOGRAPHY
1. Reddy G.B, "Role of Judiciary in protection of Human Rights Of Women", AIR 1999
Journal 148
2.
3. 'Mukherjee GG, Das H.S., 'Ethical issues in MTP", Manual on Medical Termination
of Pregnancy "An Update", 3rd edition, Pg: 29, FOGSI Publications.
4. www.indiatogether.org/women/violence/infanticide
5. Singh, Subash Chandra , "Right to Abortion : A New Agenda", All India Reporter
6. india.angloinfo.com
7. indiatogether.org/manushi/issue126/abortion
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