High Court of Karnataka Allows Medical Termination of Pregnancy Beyond 21 Weeks Due to Risk of Suicide and Fetal Abnormality. Mental Health Exception Under Medical Termination of Pregnancy Act, 1971 Invoked to Protect Petitioner's Life and Well-being.

High Court: Karnataka High Court Bench: BENGALURU In Favour of Prosecution
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Case Note & Summary

The petitioner, Anjali Chugh, aged 29 years and married to Ankit Chugh on 17.1.2017, was 21 weeks pregnant and sought permission from the High Court of Karnataka to medically terminate her pregnancy under the Medical Termination of Pregnancy Act, 1971. She alleged that an ultrasound scan conducted on 4.12.2018 revealed a fetal abnormality, and that she was at risk of suicide due to the mental trauma. The court referred the matter to a Medical Board at Vani Vilas Hospital, which examined the petitioner and submitted a report stating that the fetus had no major abnormality but that the petitioner was at risk of suicide if the pregnancy continued. The court considered the provisions of the Medical Termination of Pregnancy Act, 1971, particularly Section 5 read with Section 3, and Explanation 1 to Section 3, which allows termination if there is a risk of grave injury to the mental health of the pregnant woman. The court held that the risk of suicide constitutes a grave injury to mental health and that the petitioner's right to life under Article 21 of the Constitution includes the right to reproductive choice. The court allowed the petition and directed the respondents to permit the termination at Cloud 9 (Kids Clinic India Pvt. Ltd.) under the supervision of Dr. Shefali Tyagi, with the condition that the termination be performed within one week and that the hospital submit a report to the court.

Headnote

A) Medical Termination of Pregnancy - Permission for Termination Beyond 20 Weeks - Sections 3 and 5, Medical Termination of Pregnancy Act, 1971 - The petitioner, 29 years old and 21 weeks pregnant, sought permission to terminate pregnancy due to risk of suicide and fetal abnormality detected in ultrasound scan. The court, after considering the report of the Medical Board and the risk to the petitioner's mental health, allowed the termination under Section 5 read with Section 3 of the Act, holding that the danger to the petitioner's life and grave injury to her mental health justified the termination beyond the statutory limit. (Paras 1-10)

B) Medical Termination of Pregnancy - Mental Health Exception - Explanation 1 to Section 3, Medical Termination of Pregnancy Act, 1971 - The court interpreted that the risk of suicide constitutes a grave injury to the mental health of the pregnant woman, and thus the pregnancy can be terminated under the mental health exception. The court relied on the Medical Board's report and the petitioner's statement to conclude that continuing the pregnancy would pose a risk to her life. (Paras 5-9)

C) Constitutional Law - Right to Reproductive Choice - Article 21 of the Constitution of India - The court recognized that the right to reproductive choice is part of the right to life under Article 21, and that the state cannot compel a woman to continue a pregnancy that poses a risk to her mental health. The court balanced the rights of the foetus against the mother's right to life and health, and held that the mother's right prevails in the circumstances. (Paras 8-10)

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Issue of Consideration

Whether the petitioner, who is 21 weeks pregnant, should be permitted to medically terminate her pregnancy under the Medical Termination of Pregnancy Act, 1971, considering the risk to her mental health and the alleged fetal abnormality.

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Final Decision

The court allowed the writ petition and directed the respondents to permit the petitioner to medically terminate her pregnancy at Cloud 9 (Kids Clinic India Pvt. Ltd.) under the supervision of Dr. Shefali Tyagi, within one week from the date of the order. The hospital was directed to submit a report to the court after the termination.

Law Points

  • Medical Termination of Pregnancy Act
  • 1971
  • Section 3
  • Section 5
  • Explanation 1 to Section 3
  • Mental Health Exception
  • Risk of Suicide
  • Ultra Sound Scan Report
  • Fetal Abnormality
  • Right to Reproductive Choice
  • Article 21 of Constitution of India
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Case Details

2018 LawText (KAR) (12) 16

Writ Petition No.55411/2018 (GM-RES)

2018-12-17

B. Veerappa

G. Vikram (for petitioner), Vijayakumar A Patil (for R1 & R3), Nagashree M.C. (for R2)

Anjali Chugh

State of Karnataka, Union of India, Vani Vilas Hospital

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Nature of Litigation

Writ petition seeking permission for medical termination of pregnancy beyond 21 weeks under the Medical Termination of Pregnancy Act, 1971.

Remedy Sought

The petitioner sought a direction/permission to medically terminate her pregnancy, which had exceeded 21 weeks, under the medical care and supervision of Dr. Shefali Tyagi at Cloud 9 (Kids Clinic India Pvt. Ltd.).

Filing Reason

The petitioner alleged that an ultrasound scan revealed a fetal abnormality and that she was at risk of suicide due to mental trauma, necessitating termination of pregnancy beyond the statutory limit of 20 weeks.

Previous Decisions

The court referred the matter to a Medical Board at Vani Vilas Hospital, which examined the petitioner and submitted a report. No prior court decisions were mentioned.

Issues

Whether the petitioner should be permitted to terminate her pregnancy beyond 21 weeks under the Medical Termination of Pregnancy Act, 1971, given the alleged fetal abnormality and risk to her mental health. Whether the risk of suicide constitutes a grave injury to the mental health of the pregnant woman under Explanation 1 to Section 3 of the Act.

Submissions/Arguments

The petitioner argued that the ultrasound scan revealed a fetal abnormality and that she was at risk of suicide, warranting termination under the mental health exception. The respondents did not oppose the petition after the Medical Board's report indicated a risk of suicide.

Ratio Decidendi

The court held that under Section 5 read with Section 3 of the Medical Termination of Pregnancy Act, 1971, and Explanation 1 to Section 3, a pregnancy may be terminated beyond 20 weeks if there is a risk of grave injury to the mental health of the pregnant woman. The risk of suicide constitutes such a grave injury, and the court must balance the rights of the foetus against the mother's right to life and health under Article 21 of the Constitution. In this case, the Medical Board's report confirmed the risk, and the court allowed the termination to protect the petitioner's life.

Judgment Excerpts

The petitioner, who is 29 years old and 21 weeks pregnant is before this Court for permission to medically terminate her pregnancy under the medical care and supervision of Dr. Shefali Tyagi at Cloud 9 (Kids Clinic India Pvt. Ltd.) situated at Bellanduru Village, Varthur Hobli, Bangalore. The ultra sound scan dated 4.12.2018 depicts as under: ... The Medical Board has opined that there is no major abnormality in the foetus, but the petitioner is at risk of suicide if the pregnancy is continued. In view of the above, the writ petition is allowed. The respondents are directed to permit the petitioner to medically terminate her pregnancy at Cloud 9 (Kids Clinic India Pvt. Ltd.) under the supervision of Dr. Shefali Tyagi, within one week from today.

Procedural History

The petitioner filed a writ petition under Articles 226 and 227 of the Constitution of India on an unspecified date. The court heard the matter on 17.12.2018 and referred the petitioner to a Medical Board at Vani Vilas Hospital for examination. The Medical Board submitted a report on the same day, and the court passed the final order allowing the petition.

Acts & Sections

  • Medical Termination of Pregnancy Act, 1971: Section 3, Section 5, Explanation 1 to Section 3
  • Constitution of India: Article 21, Article 226, Article 227
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