Medical Termination of Pregnancy (MTP) Act DR Seema Mehrotra Associate Professor Dept of OB&GYN
Medical Termination of Pregnancy (MTP) Act DR Seema Mehrotra Associate Professor Dept of OB&GYN
Medical Termination of Pregnancy (MTP) Act DR Seema Mehrotra Associate Professor Dept of OB&GYN
(MTP) Act
Dr Seema Mehrotra
Associate Professor
Dept Of OB&GYN
Induction of abortion
• Deliberate termination of pregnancy before the
viability of fetus is called induction of abortion.
• MTP Act
– lays down when & where pregnancies can be
terminated
– Grants the central govt. power to make rules and
the state govt. power to frame regulations
• MTP Rules
– lays down who can terminate the pregnancy,
training requirements, approval process for place,
etc.
• MTP Regulations
– lays down forms for opinion, maintenance of records
– custody of forms and reporting of cases
Legal abortions
• Up to 20 weeks gestation
• With the consent of the women. If the women is
below 18 years or is mentally ill, then with consent
of a guardian
• With the opinion of a registered medical practitioner,
formed in good faith, under certain circumstances
• Opinion of single RMP for termination upto 12
weeks
• Opinion of two RMPs required for termination of
pregnancy between 12 and 20 weeks
MTP Act: Indications
THERAPEUTIC OR MEDICAL
To save life of mother but limited and scarcely
justifiable except in :
1)Cardiac disease (NYHA gr III/ IV) with history of
decompensation I previous pregnancies or in
between pregnancies
2)Chronic glomerulonephritis
3)Malignant hypertension
4)Intractable hyperemesis gravidarum
5)Cervical and breast malignancies
6)DM with retinopathy
7)Epilepsy or psychiatric illness
Social indications
• This is almost sole indications to prevent grave
injury to physical and mental health of pregnant
woman
1)Pregnancy is caused by rape both in case of
major and minor girl and in mentally imbalanced
women
2)As a result of failure of contraception
3)In 80% cases it is limited to parous women having
unplanned pregnancy with low SE status
Eugenic indications
• Provision of substantial risk of child being born
with serious mental and physical abnormalties so
as to be handicapped In life
• 1) structural (anencephaly), chromosomal
( Downs syn) genetic ( haemophilia) abnormalties
in fetus
• 2) fetus likely to be deformed due to action of
teratogenic drugs or radiation exposure in early
pregnancy
• 3) rubella and viral infections in 1st trimester
MTP Act: Place for conducting MTP
or
A place approved for the purpose of this Act by a
District-level Committee constituted by the
government with the CMHO as Chairperson
MTP Act amendment 2002
• Anencephalic baby
• Radiation exposure (>10 rads)
• Rubella infection in first trimester of
pregnancy
• SLE in mother
Q4 ) MTP can be performed by all except
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