Bombay High Court Allows Medical Termination of Pregnancy for Domestic Violence Victim Despite Medical Board's Opinion of No Mental Illness. Court holds that continuing pregnancy due to marital discord and domestic violence constitutes grave injury to mental health under Section 3(2)(i) of the Medical Termination of Pregnancy Act, 1971.

High Court: Bombay High Court Bench: BOMBAY In Favour of Accused
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Case Note & Summary

The petitioner, Sidra Mehboob Shaikh alias Sunita Raja Pramanik, filed a writ petition under Article 226 of the Constitution of India before the Bombay High Court seeking permission for medical termination of her pregnancy. She alleged that she was subjected to domestic violence by her husband, which caused her mental distress and adversely affected her mental health. The pregnancy was beyond 20 weeks, and she relied on medical reports from H.B.T. Medical College and Dr. R. N. Cooper General Hospital, Mumbai, which recorded assault on her face and abdomen and her willingness to terminate the pregnancy. She had also filed a complaint under the Protection of Women from Domestic Violence Act, 2005, and was in the process of filing a divorce petition. The court directed the Dean of Sir J. J. Group of Hospitals to constitute a medical board to examine the petitioner. The medical board submitted a report on 27.07.2021 stating that the petitioner did not suffer from mental illness, was of sound mind, and had no mental incapacity to raise the child, but noted mental distress due to marital discord and recommended marital counselling. The petitioner's counsel argued that the medical board's opinion was not unanimous, as Dr. Bela Verma had a different individual opinion. The court considered the submissions and the medical report, and held that the continuing pregnancy due to domestic violence and marital discord constituted a grave injury to the mental health of the petitioner under Section 3(2)(i) of the Medical Termination of Pregnancy Act, 1971. The court allowed the petition and granted permission for medical termination of pregnancy at Sir J. J. Group of Hospitals, with the condition that the petitioner's consent be obtained and that the procedure be conducted safely. The court also directed that the foetus be preserved for DNA testing if required, and that the petitioner be provided with appropriate counselling.

Headnote

A) Medical Termination of Pregnancy - Grave Injury to Mental Health - Section 3(2)(i) Medical Termination of Pregnancy Act, 1971 - Domestic Violence - The petitioner sought termination of pregnancy alleging adverse impact on mental health due to domestic violence. Medical board opined no mental illness but noted mental distress. Court held that continuing pregnancy in such circumstances constitutes grave injury to mental health, and the woman's choice must be respected. (Paras 2-10)

B) Medical Termination of Pregnancy - Medical Board Opinion - Weight of Opinion - Section 3(2)(i) Medical Termination of Pregnancy Act, 1971 - The medical board's report indicated mental distress and recommended marital counselling. Court found that the board's opinion was not unanimous and that the distress itself amounted to grave injury. The court emphasized that the woman's decision to terminate pregnancy due to domestic violence is a valid ground. (Paras 4-10)

C) Constitutional Law - Right to Reproductive Autonomy - Article 21 Constitution of India - The court recognized that a woman's right to make reproductive choices is part of her personal liberty under Article 21. Forcing a woman to continue a pregnancy resulting from a violent relationship would violate her dignity and mental health. (Para 10)

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Issue of Consideration

Whether a pregnant woman who has suffered domestic violence and marital discord is entitled to medical termination of pregnancy beyond 20 weeks on the ground of grave injury to her mental health under Section 3(2)(i) of the Medical Termination of Pregnancy Act, 1971, even when a medical board opines that she does not suffer from mental illness and is of sound mind.

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Final Decision

The petition is allowed. The Dean of Sir J. J. Group of Hospitals, Mumbai is directed to carry out medical termination of pregnancy of the petitioner at the earliest, subject to the petitioner's consent. The procedure shall be conducted safely, and the foetus shall be preserved for DNA testing if required. The petitioner shall be provided with appropriate counselling.

Law Points

  • Medical Termination of Pregnancy Act
  • 1971
  • Section 3(2)(i)
  • grave injury to mental health
  • domestic violence
  • marital discord
  • mental distress
  • medical board opinion
  • woman's choice
  • reproductive autonomy
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Case Details

2021 LawText (BOM) (08) 21

Writ Petition (L) No.15599 of 2021

2021-08-03

Ujjal Bhuyan, Madhav J. Jamdar

Ms Aditi Saxena, Ms Rachita Padwal for Petitioner; Ms Uma Palsuledesai, AGP for Respondent No.1-State; Ms Purnima Awasthi for Respondent No.2

Sidra Mehboob Shaikh alias Sunita Raja Pramanik

State of Maharashtra and another

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Nature of Litigation

Writ petition seeking permission for medical termination of pregnancy beyond 20 weeks on grounds of adverse impact on mental health due to domestic violence.

Remedy Sought

Direction/permission for medical termination of pregnancy.

Filing Reason

Petitioner alleged domestic violence by husband causing mental distress and sought termination of pregnancy.

Previous Decisions

Court had directed constitution of medical board on 22.07.2021; medical board submitted report on 27.07.2021; matter was deferred on 29.07.2021 for submissions.

Issues

Whether the petitioner is entitled to medical termination of pregnancy on the ground of grave injury to her mental health under Section 3(2)(i) of the Medical Termination of Pregnancy Act, 1971, given the medical board's opinion that she does not suffer from mental illness. Whether the court should accept the medical board's opinion or the petitioner's claim of mental distress due to domestic violence.

Submissions/Arguments

Petitioner's counsel argued that the petitioner was subjected to domestic violence, as evidenced by medical reports, and that continuing the pregnancy would adversely affect her mental health. She also pointed out that the medical board's opinion was not unanimous. Respondents' submissions are not detailed in the judgment.

Ratio Decidendi

Continuing a pregnancy resulting from domestic violence and marital discord constitutes a grave injury to the mental health of the woman within the meaning of Section 3(2)(i) of the Medical Termination of Pregnancy Act, 1971. The woman's choice to terminate such pregnancy must be respected, and the medical board's opinion that she is not mentally ill does not negate the mental distress caused by the circumstances.

Judgment Excerpts

petitioner seeks a direction and / or permission for medical termination of her pregnancy on the ground that the pregnancy is having adverse impact on her mental health on account of continuing domestic violence. Medical board has opined that petitioner does not suffer from mental illness at present; she is of sound mind; that there is no evidence of mental incapacity to raise the child. Distress due to ongoing marital discord can be overcome through marital counselling which has been recommended. even if we carefully analyze the medical report dated 27.07.2021, it would be evident that opinion of the medical board was not a unanimous one as Dr. Bela Verma, Professor & Head of Department of Pediatrics in her individual opinion...

Procedural History

The petitioner filed a writ petition on an unspecified date. On 22.07.2021, the court directed constitution of a medical board. The medical board submitted its report on 27.07.2021. On 29.07.2021, the court recorded the report and deferred the matter. On 03.08.2021, after hearing submissions, the court allowed the petition.

Acts & Sections

  • Medical Termination of Pregnancy Act, 1971: Section 3(2)(i)
  • Protection of Women from Domestic Violence Act, 2005:
  • Constitution of India: Article 226, Article 21
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