MEDICAL TERMINATION
OF PREGNANCY ACT,
1971
Deepalakshmi
Samuel Thomas
What is MTP?
Medical termination of pregnancy (MTP) refers to a
medical procedure used to terminate a pregnancy
with the help of medications
Introduction to MTP Act
● Definition: The MTP Act is an Indian law that governs the
conditions under which a woman can legally terminate a
pregnancy.
● Objective: To provide safe and legal abortion services while
ensuring the health and safety of women.
● Enacted: 1971, then amended In 2021
Purpose of MTP Act
● To protect the rights of women in making
decisions regarding their reproductive health.
● To reduce the incidence of unsafe abortions.
● To regulate and formalize the process of
medical termination of pregnancy.
● To ensure safe abortion procedures are
accessible in India
Key Provisions of the MTP
Act
Pregnancy Duration:
● Up to 12 weeks: A woman can terminate pregnancy
with the opinion of one registered medical practitioner
(RMP).
● 13 to 20 weeks: A woman can terminate pregnancy
with the opinion of two RMPs, if they agree pregnancy
poses a threat to mother’s life and health
Recent Amendments to
the MTP Act (2021)
● Increase in gestation limit:
○ 12-20 weeks: Termination allowed with the consent of two
medical professionals.
○ 20-24 weeks: For special categories of women (e.g.,
survivors of sexual assault, minors, women with fetal
abnormalities), abortion can be performed with approval
from a medical board.
○ 24 weeks or more: Allowed only under exceptional
circumstances, with the approval of a medical board
Categories of Permissible Abortions:
● Risk to woman's life: If continuation of pregnancy
poses a risk to the woman’s life or mental/physical
health.
● Risk to fetus: In cases where there is a substantial
risk of the child being born with serious physical or
mental abnormalities.
● Pregnancy due to rape or incest: Termination is
allowed to protect the mental health of the woman.
Impact of the MTP Act
● Reduction in Unsafe Abortions: The Act has
significantly reduced the incidence of unsafe, illegal
abortions, thus preventing maternal deaths.
● Improvement in Women's Health: Legal access to
safe abortion services has improved the physical and
mental health outcomes for women.
● Empowerment: It has contributed to women’s
empowerment by giving them control over their
reproductive choices
Criticism of the MTP Act
● Restrictive gestational limits: The upper limit on
abortion is considered too low, particularly for situations
like fetal abnormalities or cases of rape.
● Social stigma & access barriers: Social stigma around
abortion can still hinder a woman’s ability yo access safe
abortion services, especially in rural areas.
● Doctor centric approach: The act heavily relies on
medical practitioner’s opinion, which can lead to
inconsistencies.
Registered Medical
Practitioner (RMP):
● Responsible for performing the abortion and ensuring that
the woman’s health is safeguarded.
● In case of pregnancy beyond 12 weeks, two RMPs must
give their opinion.
● For pregnancies beyond 24 weeks (under certain
conditions), the medical board assesses and approves the
termination.
Reference:
● [Link]
/bitstream/123456789/1593/1/[Link]
● [Link]
analysis/medical-termination-of-pregnancy-mtp-
amendment-act-2021