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Abortion Law In India

Why In The News: A married woman has asked the Supreme Court to allow her to terminate her 26-week pregnancy. The case has moved between two SC benches. It brings up important issues including a woman’s right to choose an abortion and the laws surrounding it.

On October 16, 2023, the Supreme Court dismissed a request to terminate a foetus beyond 26 weeks of gestation. The court cited a medical report indicating the absence of any abnormalities and highlighted the potential risk of lifelong physical and mental disabilities associated with a premature delivery.

Giving reasons for declining the request for MTP, said that the foetus, “having crossed the statutory limit of 24 weeks, the requirements either in section 3(2)(b) or section 5 must be met”.

According to these provisions, termination of pregnancy (MTP) can only be allowed if the foetus is over 24 weeks and either necessary to save the life of the mother or if the foetus has severe physical or mental abnormalities.

The court also mentioned that neither of the two reports “indicates an immediate need for termination to save the petitioner’s life as stated in section 5.”

The latest case brought up important issues including a woman’s right to choose an abortion and the laws surrounding it.

What Is The Case About?

  • A woman, who is 27 years old and already a mother of two, is at the centre of the case. According to her, the current pregnancy was unintended.
  • The woman argues that her family income is insufficient to support another child, and she is undergoing treatment for postpartum depression after her second child’s birth.
  • On October 9, a two-judge panel of the Supreme Court approved the pregnancy termination. Their rationale was that an unwanted pregnancy resulting from contraceptive failure equates to a forced pregnancy. The law allows termination of such pregnancies up to 24 weeks.
  • However, the All India Institutes of Medical Sciences (AIIMS), Delhi, sought clarity from the court about the legality of foeticide prior to termination, considering the foetus is currently viable.
  • On October 11, in response to AIIMS’ report, the original two-judge panel disagreed on allowing abortion. Consequently, the case was moved to a three-judge bench headed by the Chief Justice of India, D.Y. Chandrachud.
  • On October 13, the larger bench asked for a new medical report to determine the health of both the foetus and the woman.
  • This case has sparked a national conversation about pro-life versus pro-choice, as the larger panel of the Supreme Court has noted that the rights of an unborn child cannot be overlooked.

Is A Foetus A Living Being?

  • The legal status of a foetus in India is unclear.
  • Some experts believe that the “pro-choice” argument is not suitable for Indian society.
  • Even if the Supreme Court supports a pro-choice stance, it may not establish a future precedent.
  • This is because India’s public health system is not prepared to handle it.
  • Additionally, private healthcare is considerably expensive in India.
  • As a result, obtaining a safe abortion in India has become difficult.

Rights Of Unborn Child

  • The concept of “foetal viability” is new in India and is used as a measure to permit abortions.
  • The Roe v Wade verdict in 1973 in the US considered abortion a constitutional right up to the point of foetal viability—when a foetus can survive outside the womb.
  • Foetal viability in 1973 was at 28 weeks (7 months), but with scientific advancements, it’s now at 23-24 weeks.
  • In 2005, the Rajasthan High Court dismissed a challenge to the MTP Act’s constitutional validity on the grounds that it violates an unborn child’s right to life. However, the rights of an unborn child form the basis of laws dealing with succession and those banning foetal sex-determination.
  • Section 416 of CrPC also allows for a pregnant woman’s death sentence to be postponed.

Legislative Gaps

  • Indian law has been criticised as the decision to terminate after 20 weeks is left to doctors, not the woman.
  • Cases of women seeking court permission for late-term abortions highlight a legislative gap.
  • The Indian law on reproductive rights leans more towards a woman’s autonomy than the rights of the unborn child.

Pro-Life Vs Pro-Choice Debate

Pro-Choice Perspective

Proponents of the pro-choice movement assert that the fundamental right of a woman to govern her own body and determine her reproductive health is of utmost importance. They firmly advocate for a woman’s autonomy in deciding whether to proceed with a pregnancy, especially in cases where her physical or mental well-being is at risk.

Pro-life Perspective

On the opposite end of the spectrum, proponents of the pro-life movement assert that the rights of the unborn child are paramount and should be safeguarded. They maintain that life commences at conception and terminating a viable foetus is tantamount to extinguishing a human life. They also cite moral and religious grounds for advocating against abortion.

Ethical Considerations

The debate between pro-life and pro-choice advocates often revolves around the ethical implications of abortion. Pro-life proponents argue that all human life is sacred and should be protected at all costs, while pro-choice advocates emphasise the rights of a woman to make choices about her own body.

One major ethical consideration is the concept of personhood, or at what point a foetus becomes a fully developed human being with rights. Pro-life advocates argue that personhood begins at conception, while pro-choice advocates often believe it begins when the foetus is viable outside of the womb.

The Evolution Of Abortion Laws In India

Abortion Law In India Before 1960

  • Before the 1960s, the law in India prohibited abortion.
  • This law was enforced under Section 312 of the Indian Penal Code, 1860.
  • The only exception to this rule was if the abortion procedure was deemed necessary to save the life of the mother.
  • If a woman violated this law by attempting to abort her foetus, she could face serious consequences.
  • The penalties included up to three years in prison, a fine, or both.

Medical Termination of Pregnancy (MTP) Act, 1971

  • In the mid-1960s, the Indian government established the Shantilal Shah Committee to investigate the necessity of a law to regulate abortions. Following the Committee’s report, Parliament passed a medical termination bill in August 1971.
  • The Medical Termination of Pregnancy (MTP) Act, 1971 was named so to minimise ethical or religious objections, reinforcing the medical necessity for such procedures.
  • The goal of the act was to legalise abortion, increase safe abortion access, and reduce unsafe practices by untrained individuals.
  • It aimed to protect women’s health and life for medical and compassionate reasons, and to decrease maternal mortality and morbidity.
  • The law was also part of a government strategy to manage the growing population.
  • Medical practitioners were protected from prosecution under Section 315-316 IPC with the legalisation of institutional abortion.
  • Initially, the act allowed abortion up to 20 weeks.
  • In 2002, the law was changed to permit medical abortion pills, mifepristone and misoprostol.
  • In 2021, the limit for abortions was extended to 24 weeks for specific groups of women, such as victims of rape or incest, given the consent of two registered doctors.
  • There was no upper limit for abortion in cases of foetal disability, as long as it was approved by a medical board of specialist doctors established by the state and union territory governments.
Also Read | Role Of Self-Help Groups In Women’s Empowerment

The 1971 Act Did Not Recognise Women’s Constitutional Right To Make Reproductive Choices

  • The Medical Termination of Pregnancy Act was passed in 1971. It was a response to advances in safer abortion practices in medical science.
  • The law helped women safely terminate unplanned or accidental pregnancies.
  • Despite the benefits, the final decision power remained with the doctor, not the woman.
  • In the 2017 court case, Justice K.S. Puttaswamy (Retd.) v. the Union Of India And Others, the court acknowledged a woman’s constitutional right to make reproductive choices.
  • This right was considered part of personal liberty under Article 21 of the Indian Constitution.
  • Despite these legal protections, the woman seeking an abortion still doesn’t have the ultimate decision-making power. The power remains with the doctor.

Medical Termination Of Pregnancy (Amendment) Act 2021

  • The Medical Termination of Pregnancy (Amendment) Act 2021 broadens legal access to abortion.
  • It allows safe procedures based on therapeutic, eugenic, humanitarian, and social reasons.
  • Its aim is to provide universal comprehensive care.
  • The act allows both married and unmarried women to end their pregnancy up to 20 weeks.
  • This can be done if a contraceptive method or device fails.
  • Only the pregnant woman, if she is above 18, needs to give her consent for the procedure.
  • In case the pregnant person is a minor or mentally ill, the written consent of a legal guardian is required.
  • Only a registered medical practitioner, as per section 2(d) of the Act, can perform terminations.
  • Terminations can be either medical or surgical procedures.
  • Terminations, in line with this Act, should not take place anywhere other than a government-established or maintained hospital.
  • Alternatively, the termination can occur at a location approved by the Government for this purpose.
  • Confidentiality of the woman’s information in abortion cases is a must.
  • Doctors and hospitals can’t share this information, except to someone legally authorised.
  • Breaking these privacy rules could lead to up to one year in jail, a fine, or both (S. 5A).
  • The rules about the place of the procedure, how far along the pregnancy is, or needing two doctors’ opinions don’t apply if a registered doctor believes an immediate abortion is needed to save the woman’s life.
Also Read | Women’s Reservation Bill

How Is The MTP Act 2021 Different From MTP Act 1971?

  • The MTP Act of 2021 differs notably from the 1971 Act.
  • Under the new Act, the gestation limit is raised from 20 to 24 weeks for certain women.
  • This includes rape survivors, incest victims, and other vulnerable groups like the differently abled and minors.
  • The 2021 Act implemented a confidentiality clause, protecting the anonymity of women who have undergone a pregnancy termination.
  • The clause states that a woman’s details cannot be disclosed unless legally required.
  • The Act also broadened the scope of MTP services to include unmarried women in case of contraceptive failure.
  • This ensures access to safe abortion for all women, irrespective of their marital status.

Abortion Law Trends Across the Globe

  • There is a worldwide trend towards more liberal abortion laws and better access to abortion services.
  • Since the early 1990s, around 60 countries globally have relaxed their abortion laws.
  • These countries have expanded the conditions under which abortion is permitted.
  • However, four countries – the US, El Salvador, Nicaragua, and Poland – have reduced legal grounds for abortion during this period.
  • A significant development occurred in the US when the Supreme Court ruled out the Constitutional right to abortion in 2022.
  • This decision has severely restricted access to abortion in the US.
  • This was after the Supreme Court overruled the landmark decision of Roe v. Wade in June 2022.
  • In a 6-3 verdict, the court ruled in Dobbs v. Jackson Women’s Health Organization that abortion is not a constitutional right, allowing states to regulate it.
  • This has sparked a wave of restrictive abortion laws being passed in several states across the US.

Reinforcing Women’s Reproductive Autonomy And Rights

  • India is now more progressive in abortion laws, with recent rulings emphasising a woman’s right to her body and autonomy.
  • A significant judgment in February 2022 involved a 16-year-old rape victim’s abortion plea.
  • The Uttarakhand High Court decided that forcing the girl to continue the unwanted pregnancy would harm her mental and emotional wellbeing.
  • The court recognised a right to terminate a pregnancy in the case of rape.
  • They noted that the right to life encompasses more than just existence – it includes living with human dignity.
  • In July 2022, the Supreme Court ruled that a woman’s reproductive choice is a part of her personal liberty. This is under Article 21 of the Constitution.
  • The ruling was given during an appeal by a woman against the Delhi high court judgement in the case ‘X’ v. Principal Secretary.
  • The Bench, led by Justice D.Y. Chandrachud, noted that the lower court had restricted the woman’s plea for safe abortion.
  • The restriction was based on the fact that the pregnancy was the result of a consensual relationship outside of marriage, which did not fall under the Medical Termination of Pregnancy Act.
  • The Bench criticised the lower court, stating that live-in relationships have been recognized by the Supreme Court.
  • It highlighted that many people in society do not view premarital sex as wrong.
  • The Bench emphasised that the law should not be used to enforce “social morality” or interfere with individuals’ personal autonomy and bodily integrity.
  • The court highlighted the need for finer adjustments in the MTP rules.
  • An additional category would be added to the seven existing groups, eligible for abortion till 24 weeks of pregnancy. This new category includes deserted women, irrespective of marital status.
  • Rule 3B(c) can be interpreted broadly to include not just married but also abandoned unmarried women.
  • Justice Chandrachud stated that limiting the rule to only married women risks reinforcing the stereotype that only married women are sexually active. This idea is not constitutionally supportable.
  • The apex court reinforced that both married and unmarried women should have equal rights to reproductive autonomy.

The evolving legal principles regarding the right to abortion recognize and uphold a woman’s fundamental right to bodily autonomy. This encompasses her reproductive choices as an integral component of her personal freedom. Consequently, this progress ensures that women have access to safer abortion procedures while safeguarding their dignity and privacy.