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Abortion in India: Laws, Procedures, and Rights
In the wake of France's groundbreaking move to establish abortion as a constitutional right, the global conversation surrounding reproductive rights has gained momentum. However, while nations worldwide grapple with debates over abortion, it's imperative to understand the landscape of abortion laws and procedures in India. As the Medical Termination of Pregnancy Act, 1971, governs abortion in India, let's delve into the details to grasp the Who, When, Where, and How of abortion procedures in the country.
Who Can Get Abortion Done:
Abortion in India is accessible to individuals meeting certain criteria. Notably, any woman aged 18 years or above holds the autonomy to undergo abortion without requiring consent from family or spouse. Dr. Gupta, a prominent Obstetrics and Gynaecology consultant, emphasizes that the decision to proceed with abortion lies within the discretion of the attending doctor, ensuring individual agency and medical guidance.
When Does Family Consent And Authoritative Approval Come in the Picture:
The requirement for family consent and authoritative approval varies based on the gestational period. For abortions conducted within the initial 12 weeks of conception, the approval of a single doctor suffices. However, should the gestational period extend between 12 to 20 weeks, two doctors' authorization becomes mandatory. Additionally, for women aged below 18 years, family consent is indispensable, highlighting the nuanced legal framework surrounding abortion in India.
Duration of Pregnancy and Abortion:
Recent amendments to Indian abortion laws extend the permissible gestational period for abortion from 20 to 24 weeks. Dr. Gupta underscores that this timeframe accommodates special categories of women, including survivors of sexual abuse, minors, victims of rape, incest, or disabled women. However, it's crucial to note that abortion becomes unlawful post the 24-week duration, necessitating court authorization for late-stage terminations. Dr. Gupta further clarifies that in cases posing severe risks to the mother's life, abortion may be denied, reaffirming the prioritization of maternal health and safety.
The Doctor's Role and Final Say:
In the realm of abortion procedures, the attending doctor retains significant authority in determining the feasibility of the procedure. Dr. Gupta underscores that while patients hold agency over their reproductive choices, doctors possess the ultimate discretion to conduct or refuse abortion based on medical assessments and ethical considerations. This underscores the delicate balance between patient autonomy and medical responsibility within the Indian healthcare system.
As France sets a precedent by enshrining abortion as a constitutional right, India's legal framework for abortion remains grounded in the Medical Termination of Pregnancy Act, 1971. Through navigating the nuances of who can access abortion, when consent is required, and the permissible gestational period, it's evident that India upholds a nuanced approach to reproductive rights. Dr. Gupta's insights shed light on the intricacies of abortion procedures, reaffirming the importance of patient autonomy while acknowledging medical expertise and ethical considerations. As debates surrounding abortion continue to evolve globally, understanding the landscape of abortion in India is paramount in ensuring informed discourse and advocacy for reproductive justice.
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By Dr. Apurva Gupta, Consultant - Obstetrics and Gynaecology, Artemis Hospitals, Gurugram