Supreme Court Allows Minor Rape Victim to Terminate Pregnancy Beyond 24 Weeks — Best Interests of the Child and Medical Board Opinion Paramount. The court held that the welfare of a 14-year-old minor rape victim is paramount, and termination of pregnancy at 29.6 weeks was permitted based on medical board opinion that continuation would negatively impact her physical and mental well-being, despite the statutory limit under the Medical Termination of Pregnancy Act, 1971.

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Case Note & Summary

This appeal arose from a Division Bench judgment of the Bombay High Court dated 4 April 2024, which denied a 14-year-old minor rape victim ('X') permission to terminate her pregnancy. The minor had been sexually assaulted in September 2023, but the incident came to light only on 20 March 2024, when she was about 25 weeks pregnant. An FIR was registered under Section 376 IPC and Sections 4, 8, 12 of the POCSO Act. The medical board of Grant Government Medical College & Sir JJ Group of Hospitals initially opined that she was fit for termination subject to High Court permission, but later issued a clarificatory opinion denying termination because the gestational age was 27-28 weeks and there were no fetal abnormalities. The High Court dismissed the writ petition solely on the ground that the pregnancy exceeded 24 weeks. The appellant mother moved the Supreme Court under Article 136. The Supreme Court noted that the earlier medical report did not evaluate the physical and mental impact on the minor. It directed a fresh medical board at Sion Hospital, which examined the minor and reported a gestational age of 29.6 weeks, opining that continuation would negatively impact her physical and mental well-being and that termination could be carried out with risk not higher than delivery at full term. On 22 April 2024, the Supreme Court set aside the High Court order and allowed immediate termination, emphasizing the minor's welfare. Subsequently, the Dean of Sion Hospital sought guidance due to the mother's changing statements about adoption. The Supreme Court, in this reasoned judgment, upheld its earlier order, holding that the best interests of the minor and the medical board's opinion must prevail over the statutory gestational limit.

Headnote

A) Medical Termination of Pregnancy - Gestational Age Limit - Section 3(2)(b) and Section 5 of the Medical Termination of Pregnancy Act, 1971 - The court considered whether a minor rape victim could terminate her pregnancy beyond 24 weeks. The medical board opined that continuation would negatively impact her physical and mental well-being. The court held that the welfare of the minor is paramount and allowed termination despite the advanced gestational age, relying on the medical board's opinion and the fact that the pregnancy resulted from sexual assault. (Paras 1-11)

B) Minor's Consent - Best Interests of the Child - Article 226 and Article 136 of the Constitution of India - The High Court had denied permission based solely on gestational age. The Supreme Court set aside the High Court order, emphasizing that the minor's physical and mental health, as assessed by a fresh medical board, must be considered. The court directed immediate termination, noting that the risk of termination was not higher than delivery at full term. (Paras 3-11)

C) Sexual Assault - Victim's Rights - Protection of Children from Sexual Offences Act, 2012, Sections 4, 8, 12 - The pregnancy resulted from alleged sexual assault of a 14-year-old minor. The court considered the traumatic background and the minor's unawareness of pregnancy until late stage. The court held that the victim's welfare and right to bodily autonomy must be protected, and termination was necessary to prevent further psychological trauma. (Paras 1-11)

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Issue of Consideration

Whether a minor rape victim, who is 14 years old and 29.6 weeks pregnant, can be permitted to terminate her pregnancy beyond the statutory limit of 24 weeks under the Medical Termination of Pregnancy Act, 1971, considering the impact on her physical and mental well-being.

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Final Decision

The Supreme Court set aside the judgment of the Bombay High Court dated 4 April 2024 and allowed the minor to terminate her pregnancy forthwith. The court directed the Dean of Sion Hospital to constitute a team for the procedure, with the State bearing all expenses. The court held that the welfare of the minor is paramount and that the medical board's opinion must be given due weight, overriding the statutory gestational limit.

Law Points

  • Medical Termination of Pregnancy Act 1971
  • Section 3(2)(b)
  • Section 5
  • gestational age limit
  • minor's consent
  • sexual assault
  • physical and mental well-being
  • best interests of the child
  • Article 226
  • Article 136
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Case Details

2024 LawText (SC) (05) 274

Civil Appeal No. 5194 of 2024

2024-05-09

Dr Dhananjaya Y Chandrachud, CJI

2024 INSC 371

A (Mother of X)

State of Maharashtra & Anr.

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Nature of Litigation

Civil appeal against High Court order denying permission for medical termination of pregnancy of a minor rape victim.

Remedy Sought

The appellant (mother of the minor) sought permission from the court to allow her minor daughter to terminate her pregnancy.

Filing Reason

The minor daughter was allegedly sexually assaulted in September 2023, resulting in pregnancy. The pregnancy was discovered late (25 weeks), and the High Court denied termination because the gestational age exceeded 24 weeks.

Previous Decisions

The Bombay High Court dismissed the writ petition on 4 April 2024, holding that the pregnancy exceeded the statutory period of 24 weeks under the MTP Act.

Issues

Whether a minor rape victim can be permitted to terminate her pregnancy beyond the 24-week statutory limit under the Medical Termination of Pregnancy Act, 1971? Whether the High Court erred in denying termination solely on the ground of gestational age without considering the impact on the minor's physical and mental well-being?

Submissions/Arguments

The appellant argued that the minor was unaware of her pregnancy due to irregular periods, and the pregnancy resulted from sexual assault. The medical board at Sion Hospital opined that continuation would negatively impact her physical and mental well-being. The State of Maharashtra did not oppose the termination and agreed to bear all expenses.

Ratio Decidendi

The welfare of a minor rape victim is of paramount importance. Under the Medical Termination of Pregnancy Act, 1971, the court can permit termination beyond 24 weeks if the medical board opines that continuation would negatively impact the physical and mental well-being of the minor. The statutory gestational limit is not absolute and must yield to the best interests of the child, especially in cases of sexual assault.

Judgment Excerpts

The Medical Board at Sion Hospital has clearly opined that the continuation of the pregnancy against the will of the minor 'may impact negatively on physical and mental well being of the minor who is barely 14 years old'. The threat to life of the patient if termination of pregnancy is carried out at this stage is not higher than the risk of delivery at full term of pregnancy. The welfare of the minor, which is of paramount importance and her safety, we pass the following order...

Procedural History

The appellant mother filed a writ petition under Article 226 before the Bombay High Court seeking termination of her minor daughter's pregnancy. The High Court dismissed the petition on 4 April 2024. The appellant then filed a Special Leave Petition under Article 136 before the Supreme Court. On 19 April 2024, the Supreme Court issued notice and directed a fresh medical board at Sion Hospital. On 22 April 2024, after receiving the medical board report, the Supreme Court set aside the High Court order and allowed termination. The present judgment provides the detailed reasons.

Acts & Sections

  • Medical Termination of Pregnancy Act, 1971: Section 3(2)(b), Section 5
  • Protection of Children from Sexual Offences Act, 2012: Sections 4, 8, 12
  • Indian Penal Code, 1860: Section 376
  • Constitution of India, 1950: Article 226, Article 136
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