MTP ACT

1. Medical termination of
preganancy act, 1971 and
rules.
Presented By Miss Sudipta Roy
Associate Professor
East Point College of Pharmacy

2. • Medical Termination of Pregnancy Act was passed
by the parliament in 1971 with the objective to
provide for the termination of pregnancy by
Registered Medical Practitioner (R.M.P.) for
bonafide reasons. Termination of pregnancy during
certain period is harmful to the health of pregnant
woman or it may have serious effects on the child
of such woman. Pregnancy should be terminated
under hygienic conditions along with the required
facilities in specified premises under the
supervision of Registered Medical Practitioner.

3. Objecticve.
• The objective of this Act is to provide for the
termination of pregnancy by Registered Medial
Practitioner (R.M.P.) and to provide for matters
connected there with.

4. Definitions.
• 1. Gurdians :
• It means a person who have to take care of a minor or
lunatic.
• 2. Minor :
• Minor means a person who under the provisions of the
Indian Majority Act, 1875 is to be bedeemed not to have
attained in his majority.
• 3. Registered Medical Practitioner :
• Registered Medical Practitioner means a person holding
qualification granted by an authority specified or notified
under sec.3 of the Indian Medical Degrees Act, 1916 as may
be specified in the schedule to the Indian Medical Council
Act, 1956 and who has such experiences or training in
gynecology and obstetrics as may be prescribed by the rules
made under this act.

5. Circumstances Under Which
Pregnancy May be Terminated By
Registered Medical Practitioner.
• The pregnancy may be terminated by Registered
Medical Practitioner (R.M.P.) where the length of
pregnancy does not exceed 12 weeks and if such
Medical Practitioner of Option (formed in good faith)
that the continuance of pregnancy would involve a
grave danger to life of woman or to her physical and
mental health or the child to be born would be
seriously hanicapped due to physical and mental
health or the child to be born would be seriously
handicapped due to physical and mental
abnormalities.

6. • A pregnancy may be terminated by Registered Medical
Practitioner (R.M.P.) where the length of pregnancy exceeds 12
weeks but does not exceed 20 weeks , two Registered Medical
Practitioners ae of such opinion. The pregnancy which is alleged
to have been caused due to rape or due to failure of
contraceptive device used by a woman or her husband for
purpose of family planning which may be presumed to constitute
a grave risk to mental health of the woman.
• In determining health hazard , the pregnant woman's actual
condition in the foreseeable future may be taken into account.
• The Registered Medical Practitioner may terminate a pregnancy
of a woman who have attained 18 years of age with her consent
and the woman who have not attained 18 years of age the
consent of her gurdian in writing is necessary.

7. Places for the Termination of
Pregnancy.
• Pregnancy may be terminated by Registered
Medical Practitioner at-
• A. Hospital eastablished by the Government or
• B. Any other place approved by the state
Government for this purpose.
• Those places should provide -
• a. Operation table and surgical instruments for
performing abdominal and gynecological sugery.
• b. Aneasthetic equipment , resuscitation euipment
and sterilised equipment.
• Drugs and Parenteral fluids for emergency use.'

8. Inspection of A place for
Termination of Pregnancy.
• A place aproved for termination of pregnancy may
be inspected by the Chief Medical Officer of the
District, with a view to verify whether termination
of pregnancy is being done under safe and hygenic
conditions. If Chief Medical Officer is not satisfied
due to safety and hygienic condition of the place ,
he may call for any information or may sieze any
article , medicine , ampule , admission register or
other document maintained kept or found at the
place. The provisions of code of criminal
Procedures may also apply in case of seizures.

9. • Cancellation or Suspension of Certification of
Approval.
• If Chief Medical Officer of the District is not satisfied
with the facilities provided under the rules , he shall
report to the Government with the details of
deficiencies or defects found at the place. On receipt
of such report , the Government may either cancel
the certificate of approval or suspend the same for
such period as it may think fit . However , the owner
of the place shall be given a reasonable opportunity
of being heard.

10. Maintenance of Admission
Register.
• Medical Termination of pregnancy rules 1975 , provides
for the maintenance of admission register. Such register
should be maintained by the head of hospital or owner of
the approved place in prescribed form of the admissions
of women for terminaton of their pregnancies.
• Serial number should be given to each entry in the
Admission Register. A fresh serial should be given to each
calender year . The serial number of particular year
should be distinguished from the serial numbers of the
years, e.g. serial number 7 of 1987 and serial number 7 of
1988 should be as 7/1987 and 7/1988. The admission
Register is a secrete document . The details regarding the
name and other particulars of the pregnant woman
should not be disclosed to any person.

11. • Salient Features.
• The Medical Termination of Pregnancy
(Amendment) Bill 2020 seeks to include the rape
and assualt victims , incestuous victims, minor girls
, differently-abled girls , and women with fetal
deformities . The Medical Termination of Pregnancy
(Amendment) Bill 2020 seeks to widen the ambit of
the Medical Termination of Pregnancy Act 1971.
There are several salient features of the Bill which
have been mentioned below.

12. • It seeks to amend the Medical Termination of
Pregnancy Act 1971.
• The Bill seeks to propose the need of one
registered medical practitioner instead of two in
case of termination of pregnancy with a gestation
period of more than 20 weeks . This is given in
Section 3(2)(b) of the Medical Termination of
Pregnancy Act 1971.
• It introduces a new provision of seeking the advice
of two or more registered medical practitioners in
case of the termination of pregnancy of the
gestation period between 20-24 weeks.

13. • The Bill seeks to widen the ambit of the MTP Act
1971 and it seeks to include a special category of
woman that include differently-abled women , rape
survivors, miron girls and victims of incest.
• This bill also seeks to increase the maximum
gestation period of termination of pregnancy from
20 weeks to 24 weeks so that many women can
take advantage of it and can successfully terminate
their pregnancies which are endangered to their
lives.

14. • Th bill seeks to maintain the secrecy and
confidentiality of the women who want to
terminate their pregnancies . The rather a new
concept which will protect the identity of women.
• No medical practitioner will reveal the identity of
any woman who wants to terminate her pregnancy
according to law in force at that time.

15. • Conditions in which a women can medically
terminate her pregnancy includes where there is
the apprehension of grave endanger to her physical
and mental health , in case of fetal deformities ,
where a woman got pregnant in case of failure of
any contraception device , where the woman got
pregnant as a result of rape , this can cause serious
mental anguish on her mind.
• So these are some of the salient features of the
Medical Termination of the pregnancy
(Amendment ) Bill 2020.

16. Offecnces and Penalties.
• Any person who is not Registered Medical
Practitioner but engaged in termination of
pregnancy , such person shall be punishable with
an imprisonment or with a fine or with both.
• Any contravention of the provisions of this Act shall
be punishable with an imprisonment or with a fine
up to Rs.1000 or with both.

17. MTP Act 1971 The MTP Amendment
Act 2021
Indications
(Contraceptive
Failure)
Only applies to
married women.
Unmarried women
are also covered.
Gestational Age Limit. 20 weeks for all
indications
24 weeks for rape
survivors Beyond 24
weeks for substantial
fetal abnormalities.
Medical Practitioner
Opinions Required
Before Termination
One RMP till 12 weeks
.
Two RMPs till 20
weeks.
One RMP till 20 weeks
Two RMPs 20-24
weeks
Medical Board
Approval after 24
weelks

18. Multiple Choice Questions.
• 1. MTP is an acronym-----
• a) Menstrual Termination of Pregnancy
• b) Medical Test for Pregnancy
• c) Menstrual Test for Pregnancy
• d) Medical Termination of Pregnancy
• Ans.: d
• 2. Which of the following is not a reason for the
debate of legalizing MTP in many countries?
• a. Emotional issues b. Ethical issues c.Religious
Issues d.Economic issues

19. • 3. What restriction has been posed by Government
of India on the use of MTP?
• a. Illegal Female Foeticide b.Illegal male foeticide
c.Illegal drug smugling d. Illegal use of narcotics
• Ans.a
• 4. What period of pregnancy are the MTPs safest?
• a. First trimester b.Second trimester c.Third
trimester d.Fourth trimester

20. • 5. Recent amendment of MTPs is :
• a.2021 b.2010 c.2018 d.2014
• Ans.2021
• Short Answet questions :
• 1. Write a short note on termination of pregnancy as per MTP
Act.
• 2. Describe the places where pregnancy may be terminated as
per MTP Act.
• 3. Write a short note on role of Chief Medical Officer (CMO).
• 4. Mention the objectives of MTP act.
• 5. Mention the circumstances under which pregnancy can be
terminated.
• 6. Mention the offences and penalties of MTP.

21. Long Answer Questions.
• 1. Define the following terms as per MTP Act, 1971.
• a. Gurdian
• b. Minor
• c. Restricted Preparation
• d. Unrestricted Preparation
• 2. Give Bonafide reasons for termination of pregnancy under medical
termination of pregnancy Act, 1971.
• 3. Give the bonafide reasons for termination of pregnancy under medical
termination of pregnancy Act, 1971.
• 4. Give the procedure to be followed for the movement of goods from one
warehouse to another under MTP Act, 1955.
• 5. Give three offences and penalties for the same under MTP Act, 1971.
• 6. What are approved places for MTP under MTP Act, 1971 ? Give the conditions
for approval of places for termination of pregnancies .
• 7. Mention whether termination of pregnancies at residence of RMP will be
legal or illegal . State the places where it will be legal with facilities as per M.T.P.
Act, 1971?