Mother and Child Health – Immunization Program, BPBB, PMJSY, PMMSY, etc.

Abortion Rights in India: Legal Complexities and Ethical Dilemmas

Note4Students

From UPSC perspective, the following things are important :

Prelims level: MRTP Act

Mains level: Abortion vs. Mothers Bodily Rights

abortion

Central Idea

  • CJI DY Chandrachud said that India’s abortion law was liberal, pro-choice and far ahead of other countries.
  • SC is hearing the case of a married woman who wants to medically terminate her 26-week pregnancy.
  • This raises critical questions about a woman’s autonomy in deciding to abort and the existing legislative framework.

Woman’s Perspective

  • Unplanned Pregnancy: A 27-year-old married woman, already a mother of two, contends that her pregnancy was unplanned.
  • Financial Strain: She argues that her family’s income is inadequate to support another child, and she is undergoing treatment for postpartum depression after her second child’s birth.

Court Decisions and AIIMS Report

  • Initial Approval: A two-judge Bench initially allowed the termination, reasoning that an unplanned pregnancy due to contraceptive failure is akin to a forced pregnancy, permitting abortion up to 24 weeks.
  • AIIMS Concern: AIIMS, Delhi, raised questions about whether foeticide (stopping the foetal heart) could be performed before termination since the foetus is currently viable.
  • Three-Judge Bench: The case was transferred to a three-judge Bench, led by Chief Justice of India (CJI) D Y Chandrachud, which called for a fresh medical report to assess the foetus’s health and the woman’s medical condition.

Understanding the Abortion Law

  • Medical Termination of Pregnancy Act (MTP Act): The MTP Act allows termination of pregnancy in three stages.
    1. Termination up to 20 weeks with the advice of one doctor.
    2. Pregnancy at 20-24 weeks requires the opinion of two registered medical practitioners, under specific conditions.
    3. After 24 weeks, a medical board in approved facilities assesses the termination based on substantial foetal abnormalities.

Court’s History of Allowing Late-Term Abortion

  • Several Precedents: The court has previously permitted terminations beyond 26 weeks in various cases, often in cases of rape or consensual relationships.
  • Marital Status Factor: The current case distinguishes itself by the woman’s marital status, implying that the conception is consensual and not a forced pregnancy.

Balancing Rights: Woman vs. Unborn Child

  • Ongoing Debate: The CJI-led Bench oscillates between prioritizing a woman’s rights over abortion and the need to balance the rights of the unborn child.
  • Liberal Approach: India’s law on abortion is considered liberal and pro-choice, with courts often favouring the woman’s autonomy.

Comparisons with International Standards

  • Foetal Viability: The concept of “foetal viability” as a benchmark for abortion approval is relatively new in India. It aligns with international standards.
  • US Roe v Wade: The landmark 1973 US Supreme Court case, Roe v Wade, allowed abortion until foetal viability. In 1973, viability was at 28 weeks, now lower due to scientific advancements.
  • Criticism of Indian Law: Some critics argue that India’s law lacks clarity as the decision to terminate after 20 weeks falls on doctors rather than the women, leading to frequent court interventions.

Autonomy vs. Unborn Child’s Rights

  • Legislative Gap: While the Indian legal framework supports a woman’s autonomy in reproductive decisions, gaps persist, especially concerning last-minute interventions.
  • Ethical Debate: The Indian law leans toward women’s autonomy, but ethical dilemmas arise regarding the rights of the unborn child.
  • Legal Precedents: Cases like Nand Kishore Sharma versus Union of India have debated the constitutionality of the MTP Act concerning the right to life of an unborn child.

Conclusion

  • The ongoing Supreme Court case highlights the intricate legal and ethical considerations surrounding abortion in India.
  • While the law supports a woman’s right to choose, the challenge lies in finding a delicate balance between individual autonomy and the rights of the unborn child.
  • As the court grapples with this complex case, it underscores the need for continued legal discourse and potential legislative amendments to address evolving reproductive rights issues.

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