The document discusses the Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PCPNDT Act) in India. It provides an introduction to prenatal diagnostic techniques and the legal initiatives taken in India to prohibit sex selection. It describes the key aspects of the PCPNDT Act such as the establishment of the Central Supervisory Board, requirements for registration and regulation of clinics, prohibition of determining or communicating the sex of the fetus, and penalties for violations. It also discusses implementation challenges and the declining child sex ratio in India.
The PCPNDT Act prohibits sex selection techniques before and after conception to protect the girl child. It restricts clinics, medical personnel, and machines that can be used for prenatal sex determination. Only registered genetic clinics using qualified practitioners can perform prenatal diagnostic techniques. The act aims to maintain sex ratio and promote the birth of the girl child by banning practices that determine the sex of the fetus. Violations of the act are considered cognizable offenses with non-bailable imprisonment. The Central Supervisory Board provides oversight and the code of conduct outlines proper procedures for clinics.
The Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition Of Sex Selection) Act was enacted in 1994 and amended in 2003 to prohibit sex selection and regulate prenatal diagnostic techniques. The Act bans sex determination and aims to prevent female feticide. It mandates registration of all clinics conducting prenatal diagnostic procedures and maintains strict record keeping requirements. Violations of the Act are punishable by imprisonment, fines, and suspension or cancellation of licenses.
This document summarizes surrogacy laws in India. It begins by defining surrogacy and explaining the different types, including traditional vs gestational and altruistic vs commercial. It then discusses the history and origins of surrogacy and assisted reproductive technology. The document analyzes India's Assisted Reproductive Technology Regulation Bill of 2010 and 2016, highlighting relevant sections that regulate surrogacy clinics, create oversight boards, ban commercial surrogacy, and penalize violations. Both the pros and cons of the bills are discussed. While banning commercial surrogacy aims to reduce exploitation, it also limits an industry that boosts India's economy. The conclusion acknowledges this is a start but flaws need addressing before the bill becomes law.
In this presentation we will discuss role of Doppler US in Infertility, fertilization and assisted fertilization.
we will discuss the favorable and unfavorable RI and PI.
We will discuss role of doppler us in various gynecological malignancies.
Surrogacy Regulation Act 2021 has been notified in the Gazette on 25th December 2021 and there are important implications for all who practice surrogacy in India both for patients and clinics and ART Banks.
Presentation1.pptx, ultrasound examination of the 1st trimester pregnancy.Abdellah Nazeer
Ultrasound is used in the first trimester to assess gestational age, viability, and maternal well-being. It can identify issues like bleeding, pain, uncertain dates, or risk of ectopic pregnancy. The ultrasound examines fetal structures like the gestational sac, yolk sac, fetal pole, heart, and crown-rump length. It can determine viability, number of fetuses, and detect anomalies or complications like thickened nuchal translucency, hemorrhage, molar pregnancy, or ectopic pregnancy. Precise technique and measurements are needed for an accurate assessment and dating of early pregnancies.
This document summarizes an orientation workshop on the Prenatal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 held in Moradabad, India on December 11, 2013. It outlines the inspection process for diagnostic centers, record keeping requirements including specific forms, offenses and punishments under the act, the powers of the Appropriate Authority, composition of the Advisory Committee, and strategies for effective implementation including regular inspections, monitoring reports and advertisements.
The document discusses the Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PCPNDT Act) in India. It provides an introduction to prenatal diagnostic techniques and the legal initiatives taken in India to prohibit sex selection. It describes the key aspects of the PCPNDT Act such as the establishment of the Central Supervisory Board, requirements for registration and regulation of clinics, prohibition of determining or communicating the sex of the fetus, and penalties for violations. It also discusses implementation challenges and the declining child sex ratio in India.
The PCPNDT Act prohibits sex selection techniques before and after conception to protect the girl child. It restricts clinics, medical personnel, and machines that can be used for prenatal sex determination. Only registered genetic clinics using qualified practitioners can perform prenatal diagnostic techniques. The act aims to maintain sex ratio and promote the birth of the girl child by banning practices that determine the sex of the fetus. Violations of the act are considered cognizable offenses with non-bailable imprisonment. The Central Supervisory Board provides oversight and the code of conduct outlines proper procedures for clinics.
The Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition Of Sex Selection) Act was enacted in 1994 and amended in 2003 to prohibit sex selection and regulate prenatal diagnostic techniques. The Act bans sex determination and aims to prevent female feticide. It mandates registration of all clinics conducting prenatal diagnostic procedures and maintains strict record keeping requirements. Violations of the Act are punishable by imprisonment, fines, and suspension or cancellation of licenses.
This document summarizes surrogacy laws in India. It begins by defining surrogacy and explaining the different types, including traditional vs gestational and altruistic vs commercial. It then discusses the history and origins of surrogacy and assisted reproductive technology. The document analyzes India's Assisted Reproductive Technology Regulation Bill of 2010 and 2016, highlighting relevant sections that regulate surrogacy clinics, create oversight boards, ban commercial surrogacy, and penalize violations. Both the pros and cons of the bills are discussed. While banning commercial surrogacy aims to reduce exploitation, it also limits an industry that boosts India's economy. The conclusion acknowledges this is a start but flaws need addressing before the bill becomes law.
In this presentation we will discuss role of Doppler US in Infertility, fertilization and assisted fertilization.
we will discuss the favorable and unfavorable RI and PI.
We will discuss role of doppler us in various gynecological malignancies.
Surrogacy Regulation Act 2021 has been notified in the Gazette on 25th December 2021 and there are important implications for all who practice surrogacy in India both for patients and clinics and ART Banks.
Presentation1.pptx, ultrasound examination of the 1st trimester pregnancy.Abdellah Nazeer
Ultrasound is used in the first trimester to assess gestational age, viability, and maternal well-being. It can identify issues like bleeding, pain, uncertain dates, or risk of ectopic pregnancy. The ultrasound examines fetal structures like the gestational sac, yolk sac, fetal pole, heart, and crown-rump length. It can determine viability, number of fetuses, and detect anomalies or complications like thickened nuchal translucency, hemorrhage, molar pregnancy, or ectopic pregnancy. Precise technique and measurements are needed for an accurate assessment and dating of early pregnancies.
This document summarizes an orientation workshop on the Prenatal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 held in Moradabad, India on December 11, 2013. It outlines the inspection process for diagnostic centers, record keeping requirements including specific forms, offenses and punishments under the act, the powers of the Appropriate Authority, composition of the Advisory Committee, and strategies for effective implementation including regular inspections, monitoring reports and advertisements.
this presentation highlights the principles of uterine and ovarian transplantation. It explores the past and examines the current status for uterine and ovarian factor infertility.
THE ASSISTED REPRODUCTION TECHNOLOGY REGULATION RULES, 2010
Members of drafting committee11 members
1- Sr Advocate Supreme Court of India
2 – Public Interest Legal Support and Research
3 – Dept of Family Welfare, M of Fam Wel and Research
5 – experts from the field of Reproductive Medicine
Standard Protocol and Medico Legal Proforma of Health Service Providers to be Considered as Documentary Evidence of Medico Legal Examination of POCSO Victims...
The document summarizes key changes made by the Medical Termination of Pregnancy (Amendment) Act, 2021 in India. The Act extends the gestation limit for legal abortion from 20 to 24 weeks and allows abortion after 24 weeks if approved by a state-level medical board. It also expands eligibility to all pregnant women, not just married women, and recognizes partners instead of just husbands. The amendments aim to make abortion laws more inclusive and aligned with societal changes while ensuring proper facilities, counseling and oversight are provided for medical termination of pregnancy procedures.
Sonosalpingography. Dr. Sharda Jain, Dr. Jyoti Agarwal Lifecare Centre
Evaluation of fallopian tubes forms an essential part of evaluation
Tubal pathology is a cause of infertility in 30- 35% of infertile patients
Tubal Assessment
Fallopian tubes can be assessed by:
Hysterosalpingography
Hysterosalpingo-contrast-sonography (HycoSy)
Sonosalpingography
Laparoscopy & CHROMOTUBATION
Imaging in obstetrics & gynaecology (part 1- Gynaecological scans in benign c...drmcbansal
Ultrasonography is a type of medical imaging that uses high-frequency sound waves to visualize structures within the body. It is a non-invasive technique that provides real-time images and does not use radiation. Common applications of ultrasound in gynecology include evaluating the uterus, ovaries, and fallopian tubes. A transvaginal probe is often used to obtain detailed images of the pelvic organs. Normal ultrasound appearances of the ovaries include scattered antral follicles that develop during the menstrual cycle. Ovulation is identified by a decrease in size of the dominant follicle. The corpus luteum that forms after ovulation can be seen as a cyst or echogenic area on ultrasound.
This document discusses techniques for fetal age estimation using obstetric ultrasound. It begins with an introduction to obstetric ultrasound, describing its history and uses. It then covers ultrasound technology and transducer principles. The main uses of obstetric ultrasound are established as determining fetal number, position, growth and detecting abnormalities. Examination types like transabdominal and transvaginal ultrasound are described. The document outlines fetal assessment and measurements used in each trimester to estimate gestational age, including crown-rump length in the first trimester and biometric parameters like biparietal diameter in later stages. Fetal age estimation is emphasized as fundamental to obstetric care, with ultrasound providing a reliable method.
Smart sonography is an ultrasound Diagnostic Centre in Accra. We provide ultrasound services and basic ultrasound training for health practitioners. If you wish to train with us visit our website at www.smartsonography-gh.com.
3D and 4D ultrasound techniques allow doctors to better examine fetal development and detect any abnormalities. 3D ultrasound creates a volume rendering of ultrasound data, while 4D ultrasound shows a 3D picture in real time by incorporating the dimension of time. Some advantages of 3D and 4D ultrasounds are that they can more accurately determine gestational age and fetal size, monitor amniotic fluid levels, and evaluate fetal movement and blood flow through the placenta. The procedures are painless and pose no health risks with moderate use.
The document discusses the Pre-Conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PCPNDT Act). It provides an overview of key aspects of the act including definitions, registration requirements, prohibitions, and penalties. The act aims to regulate prenatal diagnostic techniques and prevent their misuse for sex determination and female feticide. Clinics must register and follow guidelines on maintaining records and obtaining consent. Sex determination is prohibited except for certain medical reasons. Violations can lead to imprisonment, fines, and suspension of medical licenses.
This document discusses first trimester bleeding, which occurs in 20-40% of pregnancies. The main causes are miscarriage (95%), ectopic pregnancy (2%), hydatidiform mole (<1%), and vanishing twin. Diagnosis involves history, examination, ultrasound to determine if the pregnancy is intrauterine, extrauterine, viable, or nonviable. Common ultrasound findings for miscarriage include no fetal heartbeat, subchorionic bleeding, or an empty gestational sac over 20mm. Ectopic pregnancies may appear as an adnexal mass. Rare causes are molar pregnancies, appearing on ultrasound as a "snowstorm" pattern of cysts in the placenta. First trimester bleeding
Ultrasound has become an essential tool in obstetrics, allowing visualization of the fetus and assessment of growth and well-being. Doppler ultrasound can evaluate blood flow in fetal and maternal vessels. While ultrasound is generally safe, concerns have been raised about potential neurological effects with prolonged or frequent use. Estimation of fetal weight and biophysical profiling helps monitor high-risk pregnancies. Overall, ultrasound has dramatically improved prenatal care and outcomes over the past decades.
This document discusses color Doppler ultrasound techniques for fetal surveillance. It describes the anatomy of fetal and placental circulation and examines the uterine, umbilical and middle cerebral arteries. Waveform analysis using indices like S/D ratio, resistance index and pulsatility index is discussed. Normal and abnormal Doppler findings are presented along with their clinical significance and management. Precise techniques for imaging and interpreting various fetal blood vessels are provided.
Cervical biopsy is a procedure to remove a small sample of cervical tissue for examination under a microscope to diagnose cervical cancer or precancerous conditions. There are several types of cervical biopsies: punch biopsy uses small forceps, wedge biopsy cuts out a wedge-shaped sample, ring biopsy removes the entire squamocolumnar junction, and cone biopsy removes a cone-shaped sample of cervical tissue for both diagnostic and therapeutic purposes. Complications can include bleeding, cervical stenosis, infertility, and cervical incompetence.
The Role of Ultrasound in Obstetric and GynaecologyMohammad Amir
The document discusses the potential uses of ultrasound in obstetrics and gynecology. In obstetrics, ultrasound can be used to locate the pregnancy, determine gestation dates, screen for fetal abnormalities, monitor fetal growth and welfare, assess placental function, and assist with procedures. Proven uses include dating pregnancies and identifying multiple pregnancies. Unproven uses include widespread screening for anomalies or growth issues. The document also outlines uses of ultrasound in gynecology such as evaluating pelvic masses, fibroids, and endometrial thickness.
This document discusses the role of color Doppler ultrasound in antepartum fetal surveillance. It begins by outlining the purposes of fetal surveillance, which include reducing fetal death and optimizing delivery timing. It then discusses various maternal and fetal conditions that require increased surveillance due to risks of chronic hypoxia. The document covers different methods of antepartum surveillance and provides detailed explanations of Doppler ultrasound principles, techniques like uterine and umbilical artery Doppler, and how abnormal Doppler readings can predict complications like fetal growth restriction.
Contrast media, or contrast, is a liquid used in imaging tests to highlight parts of the body. It contains iodine, which interacts with x-rays and allows differentiation of tissues. Contrast is used in various CT protocols, with timing of administration dependent on the area and structures being imaged, such as 18-22 seconds for CT angiograms of the carotid arteries. Risk factors for receiving contrast include allergies, kidney problems, medications like metformin, and certain medical conditions. Proper screening and potentially pre-medication can help reduce risks.
Uterus Transplantation Utx (obstetric and gynecology) D.A.B.M
Is the surgical procedure whereby a healthy uterus is transplanted into an organism of which the uterus is absent or diseased.
As part of normal mammalian sexual reproduction, a diseased or absent uterus does not allow normal embryonic implantation, effectively rendering the female infertile.
This phenomenon is known as Absolute Uterine Factor Infertility (AUFI).
Uterine transplant is a potential treatment for this form of infertility.
Uterus is a dynamic, complex organ. It is hugely blood-flow dependent.
More than 116,000 Number of men, women and children on the national transplant waiting list as of August 2017.
33,611 transplants were performed in 2016.
20 people die each day waiting for a transplant.
every 10 minutes another person is added to the waiting list.
This document discusses placenta accreta syndrome, including risk factors, diagnostic methods, and management strategies. It begins with an overview of placenta accreta classifications. Ultrasound and MRI are important diagnostic tools, with ultrasound being the primary method. Risk factors include prior c-sections, placenta previa, and uterine surgeries. Early diagnosis allows for elective c-section and interventions like arterial embolization to reduce bleeding. Hysterectomy is often needed to control hemorrhage but conservative approaches aim to preserve the uterus. Proper multidisciplinary care and prevention of delays in management can improve outcomes for this serious condition.
The document discusses the legal requirements for registration of clinics, laboratories, and counseling centers that provide pre-natal diagnostic techniques and sex selection services in India. It outlines the registration procedures, minimum requirements for facilities and staff qualifications, and prohibitions under the law. Key points include mandatory registration at least 3 months in advance for any facility using ultrasound machines, minimum staffing requirements like employment of a gynaecologist, and prohibitions against sex selection or disclosing the sex of the fetus except for certain medical reasons.
Implementation of pre conception and pre natal diagnostics By DR.R.MohanDr.Ravindra Mohan
The document discusses female foeticide and the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act (PCPNDT Act) in India. It notes that women face subordinate social status and vulnerability to violence. New technologies allow determining fetal sex, leading to elimination of female fetuses through methods like abortion. This has decreased the child sex ratio in India. The PCPNDT Act aims to ban sex-selective abortions by regulating clinics, labs, and technologies used for pre-natal sex determination. It discusses registration requirements, qualifications of personnel, record-keeping rules, and penalties for non-compliance to curb the practice of female foeticide in the country.
this presentation highlights the principles of uterine and ovarian transplantation. It explores the past and examines the current status for uterine and ovarian factor infertility.
THE ASSISTED REPRODUCTION TECHNOLOGY REGULATION RULES, 2010
Members of drafting committee11 members
1- Sr Advocate Supreme Court of India
2 – Public Interest Legal Support and Research
3 – Dept of Family Welfare, M of Fam Wel and Research
5 – experts from the field of Reproductive Medicine
Standard Protocol and Medico Legal Proforma of Health Service Providers to be Considered as Documentary Evidence of Medico Legal Examination of POCSO Victims...
The document summarizes key changes made by the Medical Termination of Pregnancy (Amendment) Act, 2021 in India. The Act extends the gestation limit for legal abortion from 20 to 24 weeks and allows abortion after 24 weeks if approved by a state-level medical board. It also expands eligibility to all pregnant women, not just married women, and recognizes partners instead of just husbands. The amendments aim to make abortion laws more inclusive and aligned with societal changes while ensuring proper facilities, counseling and oversight are provided for medical termination of pregnancy procedures.
Sonosalpingography. Dr. Sharda Jain, Dr. Jyoti Agarwal Lifecare Centre
Evaluation of fallopian tubes forms an essential part of evaluation
Tubal pathology is a cause of infertility in 30- 35% of infertile patients
Tubal Assessment
Fallopian tubes can be assessed by:
Hysterosalpingography
Hysterosalpingo-contrast-sonography (HycoSy)
Sonosalpingography
Laparoscopy & CHROMOTUBATION
Imaging in obstetrics & gynaecology (part 1- Gynaecological scans in benign c...drmcbansal
Ultrasonography is a type of medical imaging that uses high-frequency sound waves to visualize structures within the body. It is a non-invasive technique that provides real-time images and does not use radiation. Common applications of ultrasound in gynecology include evaluating the uterus, ovaries, and fallopian tubes. A transvaginal probe is often used to obtain detailed images of the pelvic organs. Normal ultrasound appearances of the ovaries include scattered antral follicles that develop during the menstrual cycle. Ovulation is identified by a decrease in size of the dominant follicle. The corpus luteum that forms after ovulation can be seen as a cyst or echogenic area on ultrasound.
This document discusses techniques for fetal age estimation using obstetric ultrasound. It begins with an introduction to obstetric ultrasound, describing its history and uses. It then covers ultrasound technology and transducer principles. The main uses of obstetric ultrasound are established as determining fetal number, position, growth and detecting abnormalities. Examination types like transabdominal and transvaginal ultrasound are described. The document outlines fetal assessment and measurements used in each trimester to estimate gestational age, including crown-rump length in the first trimester and biometric parameters like biparietal diameter in later stages. Fetal age estimation is emphasized as fundamental to obstetric care, with ultrasound providing a reliable method.
Smart sonography is an ultrasound Diagnostic Centre in Accra. We provide ultrasound services and basic ultrasound training for health practitioners. If you wish to train with us visit our website at www.smartsonography-gh.com.
3D and 4D ultrasound techniques allow doctors to better examine fetal development and detect any abnormalities. 3D ultrasound creates a volume rendering of ultrasound data, while 4D ultrasound shows a 3D picture in real time by incorporating the dimension of time. Some advantages of 3D and 4D ultrasounds are that they can more accurately determine gestational age and fetal size, monitor amniotic fluid levels, and evaluate fetal movement and blood flow through the placenta. The procedures are painless and pose no health risks with moderate use.
The document discusses the Pre-Conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PCPNDT Act). It provides an overview of key aspects of the act including definitions, registration requirements, prohibitions, and penalties. The act aims to regulate prenatal diagnostic techniques and prevent their misuse for sex determination and female feticide. Clinics must register and follow guidelines on maintaining records and obtaining consent. Sex determination is prohibited except for certain medical reasons. Violations can lead to imprisonment, fines, and suspension of medical licenses.
This document discusses first trimester bleeding, which occurs in 20-40% of pregnancies. The main causes are miscarriage (95%), ectopic pregnancy (2%), hydatidiform mole (<1%), and vanishing twin. Diagnosis involves history, examination, ultrasound to determine if the pregnancy is intrauterine, extrauterine, viable, or nonviable. Common ultrasound findings for miscarriage include no fetal heartbeat, subchorionic bleeding, or an empty gestational sac over 20mm. Ectopic pregnancies may appear as an adnexal mass. Rare causes are molar pregnancies, appearing on ultrasound as a "snowstorm" pattern of cysts in the placenta. First trimester bleeding
Ultrasound has become an essential tool in obstetrics, allowing visualization of the fetus and assessment of growth and well-being. Doppler ultrasound can evaluate blood flow in fetal and maternal vessels. While ultrasound is generally safe, concerns have been raised about potential neurological effects with prolonged or frequent use. Estimation of fetal weight and biophysical profiling helps monitor high-risk pregnancies. Overall, ultrasound has dramatically improved prenatal care and outcomes over the past decades.
This document discusses color Doppler ultrasound techniques for fetal surveillance. It describes the anatomy of fetal and placental circulation and examines the uterine, umbilical and middle cerebral arteries. Waveform analysis using indices like S/D ratio, resistance index and pulsatility index is discussed. Normal and abnormal Doppler findings are presented along with their clinical significance and management. Precise techniques for imaging and interpreting various fetal blood vessels are provided.
Cervical biopsy is a procedure to remove a small sample of cervical tissue for examination under a microscope to diagnose cervical cancer or precancerous conditions. There are several types of cervical biopsies: punch biopsy uses small forceps, wedge biopsy cuts out a wedge-shaped sample, ring biopsy removes the entire squamocolumnar junction, and cone biopsy removes a cone-shaped sample of cervical tissue for both diagnostic and therapeutic purposes. Complications can include bleeding, cervical stenosis, infertility, and cervical incompetence.
The Role of Ultrasound in Obstetric and GynaecologyMohammad Amir
The document discusses the potential uses of ultrasound in obstetrics and gynecology. In obstetrics, ultrasound can be used to locate the pregnancy, determine gestation dates, screen for fetal abnormalities, monitor fetal growth and welfare, assess placental function, and assist with procedures. Proven uses include dating pregnancies and identifying multiple pregnancies. Unproven uses include widespread screening for anomalies or growth issues. The document also outlines uses of ultrasound in gynecology such as evaluating pelvic masses, fibroids, and endometrial thickness.
This document discusses the role of color Doppler ultrasound in antepartum fetal surveillance. It begins by outlining the purposes of fetal surveillance, which include reducing fetal death and optimizing delivery timing. It then discusses various maternal and fetal conditions that require increased surveillance due to risks of chronic hypoxia. The document covers different methods of antepartum surveillance and provides detailed explanations of Doppler ultrasound principles, techniques like uterine and umbilical artery Doppler, and how abnormal Doppler readings can predict complications like fetal growth restriction.
Contrast media, or contrast, is a liquid used in imaging tests to highlight parts of the body. It contains iodine, which interacts with x-rays and allows differentiation of tissues. Contrast is used in various CT protocols, with timing of administration dependent on the area and structures being imaged, such as 18-22 seconds for CT angiograms of the carotid arteries. Risk factors for receiving contrast include allergies, kidney problems, medications like metformin, and certain medical conditions. Proper screening and potentially pre-medication can help reduce risks.
Uterus Transplantation Utx (obstetric and gynecology) D.A.B.M
Is the surgical procedure whereby a healthy uterus is transplanted into an organism of which the uterus is absent or diseased.
As part of normal mammalian sexual reproduction, a diseased or absent uterus does not allow normal embryonic implantation, effectively rendering the female infertile.
This phenomenon is known as Absolute Uterine Factor Infertility (AUFI).
Uterine transplant is a potential treatment for this form of infertility.
Uterus is a dynamic, complex organ. It is hugely blood-flow dependent.
More than 116,000 Number of men, women and children on the national transplant waiting list as of August 2017.
33,611 transplants were performed in 2016.
20 people die each day waiting for a transplant.
every 10 minutes another person is added to the waiting list.
This document discusses placenta accreta syndrome, including risk factors, diagnostic methods, and management strategies. It begins with an overview of placenta accreta classifications. Ultrasound and MRI are important diagnostic tools, with ultrasound being the primary method. Risk factors include prior c-sections, placenta previa, and uterine surgeries. Early diagnosis allows for elective c-section and interventions like arterial embolization to reduce bleeding. Hysterectomy is often needed to control hemorrhage but conservative approaches aim to preserve the uterus. Proper multidisciplinary care and prevention of delays in management can improve outcomes for this serious condition.
The document discusses the legal requirements for registration of clinics, laboratories, and counseling centers that provide pre-natal diagnostic techniques and sex selection services in India. It outlines the registration procedures, minimum requirements for facilities and staff qualifications, and prohibitions under the law. Key points include mandatory registration at least 3 months in advance for any facility using ultrasound machines, minimum staffing requirements like employment of a gynaecologist, and prohibitions against sex selection or disclosing the sex of the fetus except for certain medical reasons.
Implementation of pre conception and pre natal diagnostics By DR.R.MohanDr.Ravindra Mohan
The document discusses female foeticide and the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act (PCPNDT Act) in India. It notes that women face subordinate social status and vulnerability to violence. New technologies allow determining fetal sex, leading to elimination of female fetuses through methods like abortion. This has decreased the child sex ratio in India. The PCPNDT Act aims to ban sex-selective abortions by regulating clinics, labs, and technologies used for pre-natal sex determination. It discusses registration requirements, qualifications of personnel, record-keeping rules, and penalties for non-compliance to curb the practice of female foeticide in the country.
This document outlines the Pre-Conception and Pre-Natal Diagnostic Techniques Act (PNDT Act) of India. It has 7 chapters and aims to prohibit sex selection and regulate pre-natal diagnostic techniques. Key points include that all genetic counseling centers, clinics, and laboratories must register under the Act; sex determination and disclosure of the sex of the fetus is prohibited; and failure to comply with the Act can result in fines and imprisonment. The Act also establishes Advisory Committees and Appropriate Authorities to implement and oversee compliance with its provisions.
Although female feoticide is a topic beginning to gain more public awareness, the laws surrounding sex selective abortions remain unclear due to political and judicial jargon. The Pre-Conception and Prenatal Diagnostic Techniques Act was passed in 1994 banning prenatal sex determination as a means to prevent sex selective abortions.
According to the act, a prenatal diagnostic procedure includes any medical procedure such as ultrasonography, foetoscopy, or sampling of amniotic fluid, chorionic villi, blood, any tissue or fluid, which is sent to a genetic laboratory or clinic for pre-natal analysis or diagnostic tests for sex selection. Pre-natal analysis could include any tests conducted on pregnant women to detect genetic disorders, metabolic disorders, chromosomal abnormalities, congenital anomalies, haemoglobinopathies, and sex-linked diseases.
The Pre-Conception and Prenatal Diagnostic Techniques .pptxDr Sayan Das
The document summarizes the key aspects of the Pre-Conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Acts, Rules and Regulations in India. It defines key terms like genetic counseling center, genetic clinic, genetic laboratory and pre-natal diagnostic procedures. It outlines the objectives of prohibiting sex selection and regulating pre-natal tests. It describes regulations around registration of clinics and laboratories and prohibitions on revealing the sex of the fetus or determining sex selection.
The document summarizes key aspects of medico-legal issues in obstetrics. It discusses the history of legal cases in obstetrics, reasons for increased litigation, important laws like the MTP Act, PNDT Act, and COPRA Act. It covers areas that are prone to litigation like antenatal care, labor monitoring, analgesia, and maternal mortality. It provides guidance on minimizing litigation risks through proper training, record keeping, communication and consultation.
The document summarizes the Preconception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 of India. It was amended in 2003 to address emerging technologies and issues with the previous act. The aim of the amended act is to prohibit sex selection before and after conception and regulate prenatal diagnostic techniques only for detecting genetic abnormalities. It regulates the techniques, persons, and places that can provide these diagnostic services. Strict penalties are outlined for violations like sex disclosure or determination and unauthorized practice.
Regulatory and Timeline Advantages for Early Clinical Research in The Netherl...QPS Holdings, LLC
Traditionally, the Netherlands has a major role in the conduct of early stage clinical drug trials. The Netherlands perform well on approval time, quality and expertise; all key drivers for early clinical trial location choice. QPS Netherlands has its own state-of-the-art clinical pharmacology unit (CPU) with 58 beds, an advanced bioanalytical laboratory, radiochemistry laboratory, GMP pharmacy, and a medical recruitment and examination center. The company is strategically located at the University Medical Center Groningen (UMCG). The clinical pharmacology beds and bioanalytical laboratories are highly integrated, resulting in a very efficient operational environment. QPS Netherlands has several strategic partners that further support its operations. Cooperation with these strategic partners gives QPS Netherlands a clear competitive advantage in specific therapeutic fields such as Female Health Care, CNS, Pain and Pulmonary Medicine. Key customers include several global Top 10 pharmaceutical companies and all of the global Top 5 biotechnology companies. Numerous small and medium-sized pharmaceutical and biotechnology companies complete QPS Netherlands’ customer base. Projects at QPS Netherlands range from full-service Phase I/IIa drug development, including strategic consultancy, to dedicated single task projects with high value added.
The Diagnostic Techniques Act of 1994, also known as the PCPNDT Act, aims to ban sex selection techniques and prevent misuse of prenatal diagnostic techniques for sex-selective abortions. The Act regulates genetic counseling centers, genetic laboratories, and genetic clinics. It prohibits determining the sex of a fetus or communicating the sex to the pregnant woman. Violations are punishable by imprisonment and fines. The Central Supervisory Board advises the government on implementing the Act and creating awareness against female feticide. The Act also establishes provisions for registration, cancellation of registration, and appeals for affected centers and clinics. Offenses under the Act are cognizable and non-bailable. The Act was upheld as constitutional in a
Dr Shivani S Gaur's Presentation for ghaziabad conference (oct, 2015)DrArchana Tandon
This document discusses key aspects of the proposed Assisted Reproductive Technology (ART) Bill in India, including:
- It establishes various regulatory authorities like the National Board for ART, State Boards, and a National Registry of ART clinics and banks.
- It outlines registration requirements and minimum standards that ART clinics and banks must comply with. Harsh penalties including imprisonment are proposed for non-compliance.
- It discusses various duties and procedures ART clinics and banks must follow regarding sourcing and handling of gametes and embryos, counseling patients, and reporting treatment outcomes.
- Concerns are raised that some provisions may be too restrictive or ambiguous and could hamper the effective functioning of ART services in India.
The document proposes developing an optical coherence tomography (OCT) probe integrated with optical coherence elastography (OCE) to non-invasively detect aberrant crypt foci (ACF), putative precursors to colorectal cancer. The probe would aim to image tissue and measure elasticity without biopsy. Key components include a piezoelectric transducer for scanning, single-mode fiber optimized for the laser wavelength, and lenses. Engineering standards for medical devices from the FDA would need to be considered for device performance, labeling, and testing. A budget outlines preliminary costs for constructing the prototype probe for research purposes.
Cristina Ceccarini: Spanish regulation on biomedical research.Cristina Ceccarini
The document summarizes the key aspects of Spanish regulation regarding biomedical research on embryos and pre-embryos as dictated by the Human Assisted Reproduction Act of 2006 and the Biomedical Research Act of 2007. It outlines the main pillars of the legal framework, including defining pre-embryos and allowing their use in research. It also describes the conditions for donation of embryos, gametes, and pre-embryos for research purposes and the oversight authorities. Sanctions are in place for non-compliance with the obligations in the laws.
Apollo Hospitals Group opens a new 400-bed multi-specialty hospital in Ahmedabad, Gujarat, strengthening healthcare infrastructure in the state. The hospital offers a wide range of diagnostic services and specialties, including cardiology, neurology, orthopedics, oncology and more. It aims to provide quality healthcare and raise standards in Gujarat through specialized treatment and state-of-the-art technology.
Understanding the Screening Options from the new USPSTF Colorectal Cancer Scr...Ryan Kerr
The Colorectal Cancer Task Force is a subcommittee within the Colorado Cancer Coalition.
Our goal is to improve colorectal cancer outcomes in the state of Colorado.
This presentation gives a high-level overview of each of the colorectal cancer screening options mentioned in the new United States Preventive Services Task Force (USPSTF) screening guidelines (released June 2016).
Drugs Controller General (India) Directorate General of Health Services FDA ...pooja pandit
This Document contains the brief description about Classification of medical devices and in vitro diagnostic medical devices under the provisions of the Medical Devices Rules, 2017 -Reg.
This document provides guidance for obtaining informed consent from women undergoing diagnostic laparoscopy. It discusses the risks and benefits of the procedure, including both serious but rare risks like damage to internal organs, as well as more common but mild risks like bruising or shoulder pain. It recommends discussing any additional procedures that may become necessary during surgery. The goal of diagnostic laparoscopy is to identify the cause of a woman's symptoms, though it may not always provide a clear diagnosis.
Telepathology and artificial inteligence in India and beyondMadhvi Garg
Dr. Madhvi Sanwalka proposes a telepathology and artificial intelligence network in India and beyond. Telepathology was born out of the need for quick remote consultation between pathologists. It allows digital pathology images and slides to be transferred over the internet for consultation. While telepathology has been used in India, there remains a need to expand its use to help address India's growing healthcare demands and challenges of accrediting the many diagnostic laboratories across the country.
The document discusses laparoscopic surgery and laparoscopic cholecystectomy. It provides advantages of laparoscopic surgery such as less pain, smaller scars, shorter hospital stays, and quicker return to normal activities compared to open surgery. It also lists common laparoscopic devices and instruments. The document discusses indications for laparoscopic cholecystectomy including symptomatic and asymptomatic gallbladder diseases. It provides details on contraindications and complex cases such as gallstone pancreatitis.
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Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
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2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
3. Latested Amended PC PNDT
By
DR R N GOEL
Gynecologist & Sonologist
Vice President-Indian Fed. of Ultrasound in med. & Biology
Vice President – U P Nursing Home Association
Secretary - Agra N H Association
Secretary – IMS Agra Chapter
Executive Member - ISPAT
FOGSI - DOSST - Agra Obs Gyn Society
Secretary Agra Obs / gyn Society 2009 & 2010
5. In 1996, It was called as
THE PRE-CONCEPTION & PRE-
NATAL DIAGNOSTIC TECHNIQUES
(PROHIBITION OF SEX SELECTION)
RULES, 1996
6. Registration of Centre started from
October 2001
After order of Supreme Court in the
WRIT PETITION [CIVIL] NO. 301 OF 2000
Centre for Enquiry into Health And Allied themes
[CHEHAT] & Ors ……….Petitioners
VERSUS
Union of India & Ors. ………….Respondents
order on May 4, 2001 & September 19, 2001
7. On 14th
February 2003
THE PRE-CONCEPTION & PRENATAL
DIAGNOSTIC TECHNIQUES
(PROHIBITION OF SEX SELECTION)
RULES, 1996
&
Amendment Rules, 2003.
8. WHY this Act
"An Act to provide for the prohibition of sex
selection, before or after conception,
and
for regulation of pre-natal diagnostic techniques for the
purposes of detecting genetic abnormalities or metabolic
disorders or chromosomal abnormalities or certain
congenital malformations or sex-linked disorders
and
for the prevention of their misuse for sex
determination leading to female feticide.
10. (A) Pre-natal diagnostic procedures
(A) Pre-natal diagnostic procedures means
All gynecological or obstetrical or medical
procedures such as:
* Ultrasonography
* Foetoscopy
* Taking or removing samples of
-amniotic fluid, -chorionic villi
-blood, -any tissue, -fluid
of a man or a woman before or after conception
11. (B) Pre-natal diagnostic tests
(B) Pre-natal diagnostic tests means
* Ultrasonography
* Foetoscopy
* Test or analysis of
-amniotic fluid, -chorionic villi -blood,
-any tissue, -fluid of any pregnant woman or
conceptus conduced to detect:
-genetic disorder, -metabolic disorder,
-chromosomal abnormalities, -congenital anomalies,
-haemoglobinopathies, - sex- linked diseases
12. ( C) Sex selection
( C) Sex selection includes:
* Technique
* Procedure
* Test
* Administration
* Prescription
* Provision
of anything for the purpose of ensuring or
increasing the probability that an embryo will be
of a perticular sex.
14. Under this Act there is provision of
Registration in 3 category only
1. Genetic Counselling Centre GCC
2. Genetic Laboratory GL
3. Genetic Clinic / Ultrasound
Clinic / Imaging Centre
15. Genetic Counselling Centre
means
• An institute
• Hospital
• Nursing home
• Any place
by whatever name called which provides
genetic counseling to patients.
16. The qualifications for a Genetic Counseling Centre shall be
as under rule 3 (1):
Any person being or employing
(i) a gynaecologist or a paediatrician having
six months experience
or
four weeks training in genetic counseling
or
(ii) a medical geneticists,
may set up a genetic counselling center and get it
registered as a genetic counselling center.
17. Genetic Laboratory
means
• a laboratory; and
• includes a place
where facilities are provided for conducting
analysis or tests of samples received from
Genetic Clinic for pre-natal diagnostic test.
18. The qualifications for a Genetic Laboratory shall be
as under rule 3 (2):
a) Any person having adequate space and being or employing
(i) a Medical Geneticist and
(ii) a laboratory technician, having a B.Sc. degree in
Biological Sciences or a degree or diploma in medical
laboratory course with at least one year experience in
conducting appropriate prenatal diagnostic
techniques, tests or procedures
may set up a genetic laboratory.
19. for a Genetic Laboratory contd…
(b) Such laboratory should have or acquire
such of the following equipments as may be
necessary for carrying out
i) chromosomal studies,
ii) bio-chemical studies and
iii) molecular studies:-
20. (iii) Molecular studies:
(1) Inverted microscope.
(2) Incubator.
(3) Oven.
(4) Autoclave.
(5) Refrigerators (4 degree and minus 20 degree Centigrade).
(6) Water bath.
(7) Microcentrifuge.
(8) Electrophoresis apparatus and power supply.
(9) Vertex mixer.
(10) Magnetic stirrer.
(11) pH meter.
(12) A sensitive balance (preferably electronic) with sensitivity of 0.1 milligram.
(13) Double distillation apparatus (glass).
(14) P.C.R. machine.
(15) Refrigerated centrifuge.
(16) U.V. Illuminator with photographic attachment or other documentation system.
(17) Precision micropipettes.
(18) Such other equipments as may be necessary.
21. (ii) Biochemical studies:
(requirements according to tests to be carried out)
(1) Laminar flow hood with ultraviolet and fluorescent light or other suitable culture hood.
(2) Inverted microscope.
(3) Incubator and oven.
(4) Carbon dioxide incubator or closed system with 5% CO2 atmosphere.
(5) Autoclave.
(6) Refrigerator.
(7) Water bath.
(8) Centrifuge.
(9) Electrophoresis apparatus and power supply.
(10) Chromatography chamber.
(11) Spectro-photometer and Elisa reader or Radio-immunoassay system (with gamma beta-
counter) or fluorometer for Various biochemical tests.
(12) Vortex mixer.
(13) Magnetic stirrer.
(14) pH meter.
(15) A sensitive balance (preferably electronic) with sensitivity of 0.1 milligram.
(16) Double distillation apparatus (glass).
(17) Liquid nitrogen tank.
(18) Such other equipments as may be necessary.
22. Chromosomal studies:
(1) Laminar flow hood with ultraviolet and fluorescent light or other suitable
culture hood.
(2) Photo-microscope with fluorescent source of light.
(3) Inverted microscope.
(4) Incubator and oven.
(5) Carbon dioxide incubator or closed system with 5% CO2 atmosphere.
(6) Autoclave.
(7) Refrigerator.
(8) Water bath.
(9) Centrifuge.
(10) Vortex mixer.
(11) Magnetic stirrer.
(12) pH Meter.
(13) A sensitive balance (preferably electronic) with sensitivity of 0.1 milligram.
(14) Double distillation apparatus (glass).
(15) Such other equipments as may be necessary
23. Genetic Clinic
means
• A clinic
• Institute
• Hospital
• Nursing home
• Any place
by whatever name called which is used for
conducting pre-natal diagnostic procedures.
24. GENETIC CLINIC
PNDT Act 1996-----Schedule III
Amendment 2003
BOG Meeting on 26-12-2011
CSB Meeting on 14-1-2012
25. Before Amendment 2003
As per PC PNDT 1996 schedual III
REQUIREMENTS FOR REGISTRATION OF A GENETIC CLINIC
C.EMPLOYEES
(1) A gynaecologist with adequate experience in pre-natal diagnostic
procedures (should have performed at least 20 procedures under supervision of a
gynaecologist experienced in the procedure which is going to be carried out, for
example chorionic villi biopsy, amniocentesis, cordocentesis and others indicated
at B above).
(2) A Radiologist or Registered Medical Practitioner for carrying out
ultrasonography. The required experience shall be 100
cases under supervision of a similarly qualified person
experienced in these techniques.
26. Amendment 2003 as under rule 3 (3):
(1) A. Any person having adequate space and
B. being or employing
(a) Gynaecologist having experience of performing at
least 20 procedures in chorionic villi aspirations per
vagina or per abdomen, chorionic villi biopsy,
amniocentesis, cordocentesis foetoscopy, foetal skin or
organ biopsy or foetal blood sampling etc. under
supervision of an experienced gynaecologist in these
fields,
or
27. Amendment 2003 as under rule 3 (3)
(b) aSonologist, Imaging Specialist
Radiologist
or
Registered Medical Practitioner having
Post Graduate degree or diploma
or six months training
or one year experience in sonography
or image scanning,
or
(c) A medical geneticist
28. Rule 3 (3) -2 The Genetic Clinic/ultrasound clinic/imaging centre should have
or acquire such of the following equipments, as may be necessary for
carrying out the tests or procedures -
(a) Equipment and accessories necessary for carrying out
clinical examination by an obstetrician or
gynaecologist.
(b) An ultra-sonography machine including mobile
ultrasound machine, imaging machine or any other
equipment capable of conducting foetal ultrasonography.
(c) Appropriate catheters and equipment for carrying out
chorionic villi aspirations per vagina or per abdomen.
(d) Appropriate sterile needles for amniocentesis or
cordocentesis.
(e) A suitable foetoscope with appropriate accessories for
foetoscopy, foetal skin or organ biopsy or foetal blood sampling
shall be optional.
(f) Equipment for dry and wet sterilization.
(g) Equipment for carrying out emergency procedures such as
evacuation of uterus or resuscitation in case of need.
(h) Genetic Works Station.".
30. A) The following qualified persons may be considered eligible
to perform USG for purposes and indications given under the
provisions of the PCPNDT Act/ Rules.
I. Radiologist having Post Graduate Qualification in
Radiology/ Imaging Sciences, as specified in the schedule
I/II/III of the IMC Act of 1956. (Modified because of different
PG degrees and their nomenclature in different states.)
II. Ob/ Gyn. having Post Graduate Qualification in Ob./ Gyn.,
as specified in the schedule I/II/III of the IMC Act of 1956.
III. DNB qualification in Radiology /Obs/Gyn, as equated and
as per provisions of the Medical Council of India for
equivalence.
IV. MBBS graduate from recognized University in India or any
other foreign medical graduate qualification recognized by
the Medical Council of India with Six (6) months of Obs/Gyn
ultrasound training at any Govt. recognized teaching institute
32. C S Board meeting of
14-1-2012 at Mumbai
• It was also decided that
Registered Medical practitioner s
with Diploma/PG in Radiology
and obs./Gynae would not be
required to undergo six month
training.
34. On 7th
February 2012 GSR 80(E)
Amendment 2012
(g)' “Mobile Medical Unit” means a mobile vehicle which
provides specialized facilities for the patients, requiring
basic specialist services and provides improved access to
healthcare facilities and equitable distribution of health
services at the doorsteps, across the country, especially in
the underserved areas.
'(h)' “Mobile Genetic clinic” means a mobile medical unit
where ultrasound machine or imaging machine or scanner
or other equipment capable of determining set of the
foetus or a portable equipment which has the potential for
detection of sex during pregnancy or selection of sex
before conception is used.
36. IVF Clinic OR IVF Centre gives
1. Genetic Counselling
2. Doing Prenatal Diagnostic Testing – LAB
3. & Doing Prenatal Diagnostic Procedure
meanig Genetic clinic
ALL THREE
They should be registered in all three
Category
37. Central Supervisory Board.-
*the Minister in charge MOH&FW ……..………………...........Chairman, ex officio;
*the Secretary to the GOI Dept. of FW-................................Vice Chairman, ex-officio;
*(two members to be appointed by the Central Government to represent the
Ministries of Central Government in charge of Woman and Child Development and of
Law and Justice, …………………………………………………………….ex-officio;
*the DGHS of the Central Government, ……...................................................ex officio;
*ten members to be appointed by the Central Government,
……………….two each from amongst
eminent medical geneticists;
eminent gynaecologists and obstetricians;
eminent paediatricians;
eminent social scientists; and
representatives of women welfare organisations;
*three women M P, of whom two from House of the People and one by the Council of
States;
*(four members to be appointed by the Central Government by rotation to represent
the States and the Union territories, two in the alphabetical order and two in the
reverse alphabetical order: Provided that no appointment under this clause shall be
made except on the recommendation of the State Government or, as the case may be,
the Union territory;
*an officer, not below the rank of a Jt Sec. or equivalent of the Central Government, in
charge of Family Welfare, who shall be the Member-Secretary, ………..ex officio.
38. State Advisory Board.-
1.the Minister in charge MOH&FW ……..………………...........Chairman, ex officio;
2.the Secretary to the GOI Dept. of FW-..............................Vice Chairman, ex-officio;
3.Secretaries or Commissioners in charge of Departments of Women and Child
Development, Social Welfare, Law and Indian System of Medicines and Homoeopathy,
………………………………………………………………………………..….ex-officio;
4.the DGHS of the Central Government, ……..................................................ex officio;
5.Three women members of Legislative Assembly or Legislative Council;
6.ten members to be appointed by the State Government,
……………….two each from amongst
i)eminent social scientists and legal experts;
ii)eminent women activists from non-governmental organizations or
otherwise;
iii)eminent gynaecologists and obstetricians or experts of stri-roga or prasutitantra;
iv)eminent paediatricians or medical geneticists;
v)eminent radiologists or sonologists;
7.an officer not below the rank of Joint Director in charge of Family Welfare, who shall be
the Member Secretary, .................................................................................... ex officio;
39. APPROPRIATE AUTHORITY AND ADVISORY
COMMITTEE
17. Appropriate Authority and Advisory Committee.-
(3) The officers appointed as Appropriate
Authorities under sub-section (1) or subsection (2)
shall be,--
(b) when appointed for any part of the State or
the Union territory,
District Advisory Committee.-
40. Appropriate Authority
The Appropriate Authority shall have the following
functions, namely:--
a) to grant, suspend or cancel registration of a Genetic
Counselling Centre, Genetic Laboratory or Genetic Clinic;
b) to enforce standards prescribed for the Genetic
Counselling Centre, Genetic Laboratory and Genetic Clinic;
c) to investigate complaints of breach of the provisions of this
Act or the rules made there under and take immediate action;
and
d) to seek and consider the advice of the Advisory Committee,
constituted under sub-section (5), on application for
registration and on complaints for suspension or cancellation
of registration
41. District Advisory Committee.-
1. three medical experts from amongst
gynaecologists, obstericians, paediatricians and
medical geneticists;
2. one legal expert;
3. one officer to represent the department
dealing with information and publicity of the
State Government or the Union territory, as the
case may be;
4. three eminent social workers of whom not less
than one shall be from amongst representatives
of women's organisations.
42. Application Fee -
• (1) Every application for registration under Rule 4 shall be
accompanied by an application fee of :-
(a) Rs.25,000.00 for Genetic Counselling
Centre, Genetic Laboratory, Genetic Clinic,
Ultrasound Clinic or Imaging Centre.
Amendment 2012 by Gazette on 4.6.2012
(b) Rs.35,000.00 for an institute, hospital,
nursing home, or any place providing jointly the
service of a Genetic Counselling Centre, Genetic
Laboratory and Genetic Clinic, Ultrasound Clinic or
Imaging Centre or any combination thereof.
Amendment 2012 by Gazette on 4.6.2012
43. Application Fee -
(2) The application fee shall be paid by a
demand draft drawn in favour of the
Appropriate Authority, on any scheduled bank
payable at the headquarters of the
Appropriate Authority concerned.
44. Renewal Fee
Renewal fee is half of the Application Fee
payable after five years.
Amendment 2012 by Gazette on 4.6.2012
Rs. 12,500/ for Registration for one
category
Rs. 17,500/ for Registration for multiple
category
45. Registration of Genetic Counselling Centre,
Genetic Laboratory, Ultrasound clinic and
Genetic Clinic.-
(1) An application for
registration shall be made to
the Appropriate Authority i.e
DM, in duplicate, in Form A.
46. Registration of Genetic Counselling Centre, Genetic
Laboratory, Ultrasound clinic and Genetic Clinic.-
Continue……..
(2) The Appropriate Authority, or any person
in his office authorized in this behalf, shall
acknowledge receipt of the application for
registration, in the acknowledgement
slip provided at the bottom of Form A,
immediately if delivered at the office of the
Appropriate Authority, or not later than the
next working day if received by post.
47. REGISTRATION OR REJECTION
Grant of certificate of registration
or rejection of application for
registration shall be communicated to
the applicant as specified in Form B or
Form C, as the case may be, within a
period of ninety days from the date
of receipt of application for registration.
48. INDICATION for obstetric ultrasound
(i) Ultrasound is not
indicated/advised/performed to determine the
sex of foetus except for diagnosis of sex-linked
diseases such as Duchenne Muscular Dystrophy,
Haemophilia A & B etc.
(ii) During pregnancy Ultrasonography should
only be performed when indicated. The following
is the representative list of indications for
ultrasound during pregnancy.
49. INDICATION for obstetric ultrasound
continue…….
(1) To diagnose intra-uterine and/or ectopic pregnancy and confirm
viability.
(2) Estimation of gestational age (dating).
(3) Detection of number of foetuses and their chorionicity.
(4) Suspected pregnancy with IUCD in-situ or suspected pregnancy
following contraceptive failure/MTP failure.
(5) Vaginal bleeding / leaking.
(6) Follow-up of cases of abortion.
(7) Assessment of cervical canal and diameter of internal os.
(8) Discrepancy between uterine size and period of amenorrhoea.
(9) Any suspected adenexal or uterine pathology / abnormality.
(10) Detection of chromosomal abnormalities, foetal structural defects
and other abnormalities and their follow-up.
(11) To evaluate foetal presentation and position.
(12) Assessment of liquor amnii.
50. INDICATION for obstetric ultrasound
continue…….
(13) Preterm labour / preterm premature rupture of membranes.
(14) Evaluation of placental position, thickness, grading and
abnormalities (placenta praevia, retroplacental haemorrhage,
abnormal adherence etc.).
(15) Evaluation of umbilical cord - presentation, insertion, nuchal
encirclement, number of vessels and presence of true knot.
(16) Evaluation of previous Caesarean Section scars.
(17) Evaluation of foetal growth parameters, foetal weight and
foetal well being.
(18) Colour flow mapping and duplex Doppler studies.
(19) Ultrasound guided procedures such as medical termination of
pregnancy, external cephalic version etc. and their follow-up.
(20) Adjunct to diagnostic and therapeutic invasive interventions
such as chorionic villus sampling (CVS), amniocenteses, foetal blood
sampling, foetal skin biopsy, amnio-infusion, intrauterine infusion,
placement of shunts etc.
(21) Observation of intra-partum events.
(22) Medical/surgical conditions complicating pregnancy.
(23) Research/scientific studies in recognised institutions.
51. DUTIES OF REGISTERED CENTRE
Person conducting ultrasonography on a
pregnant women shall keep complete record
thereof in the clinic/centre in Form - F and any
deficiency or inaccuracy found therein shall
amount to contravention of provisions of
section 5 or section 6 of the Act, unless
contrary is proved by the person conducting
such ultrasonography.
52. DUTIES OF REGISTERED CENTRE
• GCC should fill Form D
• Genetic Lab should fill Form E
• Genetic Clinic / Ultrasound Clinic / Imaging
Centre should fill Form F
KEEP RECORDS FOR 2 YEAR
54. On 31st
May 2011 by GSR 426(E)
Amendment 2011
IN rule no. 11(2)
These machines of the organizations may be released if such
organization pays penalty equal to five times of the
registration fee to the Appropriate Authority concerned and
gives an undertaking that it shall not undertake detection of
sex of foetus or selection of sex before or after conception
Substituted by
These machines of the organizations shall be confiscated and
further action shall be taken as
per the provision of the section 23 of the act.
55. IN rule no. 11(2)
These machines of the organizations may be
released if such organization pays penalty equal
to five times of the registration fee to the
Appropriate Authority concerned and gives an
undertaking that it shall not undertake detection
of sex of foetus or selection of sex before or
after conception
Substituted by
These machines of the organizations shall be
confiscated and further action shall be taken as
per the provision of the section 23 of the act.
56. DUTIES OF REGISTERED CENTRE
1 Should not involve in fetal sex detection
2. Should keep copy of Bare act of PC-PNDT
3. Should display Board in local language also
4. Copy of Form D/E/F / Summary of these Forms
must be submitted by 5th
of every month in the
office of appropriate authority.
57. 13 Intimation of changes in employees,
place or equipment
Every Genetic Clinic shall intimate every change
(Addition/Removal) of employee, place,
address and equipment installed, to the
Appropriate Authority within a period of Seven
days of such change. As per Delhi HC order in
4009/2012 on 27.7.2012 in Amendment 2012
by Gazette on 4.6.2012
New Registration not required (Rule 13)
58. 17.Public Information.-
(1 ) Every Genetic Counselling Centre,
Genetic Laboratory and Genetic Clinic shall
prominently display on its premises a notice in
English and in the local language or languages
for the information of the public, to effect
that disclosure of the sex of the foetus is
prohibited under law.
59. 17.Public Information.-
(2) At least one copy each of the bare Act and
these rules shall be available on the premises
of every Genetic Counselling Centre, Genetic
Laboratory and Genetic Clinic, and shall be
made available to the clientele on demand for
perusal.
60. 17.Public Information.-
• (3) The Appropriate Authority, the Central
Government, the State Government, and the
Government/Administration of the Union
Territory may publish periodically lists of
registered Genetic Counselling Centres, Genetic
Laboratories and Genetic Clinics and findings
from the reports and other information in their
possession, for the information of the public
and for use by the experts in the field.
61. 18 Code of Conduct
*Wear NAME TAG yourself and every employee
working at the US Clinic. Write full name and
designation under signatures.
(Rule18-viii & ix)
*Should not indulge in SEX DETERMINATION &
FEMALE FETICIDE and do not commit any other
act of professional misconduct.
(Rule18-x & xi
62. 19 Appeal
Appeal against charge sheet can be filed to
DAC / SAC within 30 days and decision has
to be taken within 90 days
(Rule19-1-3).