The Medical Termination of Pregnancy Act of 1971 aims to legalize abortion in India under certain conditions by registered medical practitioners. It allows termination by a doctor up to 12 weeks if the pregnancy risks the woman's life or physical/mental health, up to 20 weeks if it involves rape or contraceptive failure, or any gestation if the fetus could be handicapped. Only certain qualified doctors can perform abortions at approved facilities with proper equipment and consent. Violations are punishable by 2-7 years imprisonment. Complications can include cervical injuries, hemorrhage, infections and future ectopic pregnancies or preterm births.

1. Presented By
Ashish R. Chaudhari
Asst. Professor
P R Patil Institute of Pharmacy Talegaon SP
Wardha
P R Patil Institute of Pharmacy Talegaon SPWardha
Medical Termination of Pregnancy Act 1971

2. Objective of MTPAct
 To provide for the termination of certain pregnancies by
Registered Medical Practitioners and matters connected
therewith

3. Definitions
Guardian:Aperson having the care of minor or lunatic
Minor: As per Indian Majority act, 1875 it to be deemed not to have attend his
majority.
Lunatic: Mentally ill (having mental disorder)
Registered Medial Practitioner (RMP): A medical practitioner who passes
any recognized medical qualification in clause (h) of section 2 of Indian
Medical Council Act, 1956, whose name has been entered in State medical
register

4. Circumstances under which pregnancy may be Terminated by RMP
 Continuation of pregnancy is a risk to the life of pregnant woman or it
can cause grave injury to her physical and mental health
(Up to 12 weeks of gestation with opinion of one RMP)
 Substantial risk that the child, if born, would be seriously handicapped
due to physical or mental abnormalities;
(Up to 12 weeks of gestation with opinion of one RMP)
 Pregnancy caused by rape;
(Up to 20 weeks of gestation with opinion of not less than 2 RMP)

5. Circumstances under which pregnancy may be Terminated by RMP
 Failure of contraceptive in married woman.
(Up to 20 weeks of gestation with opinion of not less than 2 RMP)
 A woman who is less than of 18 years of age or is lunatic , with
written consent of her guardian

6. Who can Terminate Pregnancy
A) Medical practitioner, registered in State Medical register
immediately before commencement of act, should have not
less than 3 years experience in practice of gynaecology or
obstetrics.
B) A Medical practitioner, registered in State Medical register
on or after commencement can terminate pregnancy if;
1. He has completed six months of house surgery in
gynaecology.

7. 2. He has experience at any hospital for not less than 1 year in the
practice of obstetrics and gynaecology.
3. He has assisted Registered medical practitioner in 25 cases of
medical termination of pregnancy in government approved
hospital
4. In case Registered medical practitioner who holds a post
graduate degree or diploma in Gynaecology.
Who can Terminate Pregnancy

8. Places where Pregnancy may be terminated
 AGovernment hospital
 Aplace approved government for the purpose this act.
Place should have:
• Safe and Hygienic conditions
• Operation table and instruments for surgery
• Anaesthetic equipment, sterilization equipment.
• Drugs and parenteral fluids for emergency use.

9. Requirement of Consent
 Consent of woman is required
 If she is less than 18 years or lunatic, consent of guardian is
required

11. Offences and Penalties

12. Maintenance of Admission Register
Head of hospital or owner should maintenance and admission
register.
Serial number to each admission should be given such as
11/2021
Information related to women should not be disclose to any
person

13. Reference
1. AText book of Pharmaceutical Jurisprudence by Dr. B. S.
Kuchekar

16. MTP ACT
SUDESHNA BANERJEE DUTTA
LECTURER S.R.S.V.M CON

17. DEFINITION
 Deliberate termination of pregnancy either by the
medical & surgical method before the viability of
the fetus is called induction of abortion

18. MEDICAL TERMINATION OF PREGNANCY
ACT 1971
 The Indian abortion laws falls under the Medical
Termination of Pregnancy (MTP) Act, which was enacted
by the Indian Parliament in the year 1971 with the intention
of reducing the incidence of illegal abortion and
consequent maternal mortality and morbidity. The MTP
Act came into effect from 1 April 1972 and was amended
in the years 1975 and 2002.
 Recently, the Supreme Court permitted a rape survivor to
terminate her pregnancy at 24 weeks, which is beyond the
permissible 20 weeks limit prescribed under the Medical
Termination of Pregnancy Act, 1971

19. LEGAL ABORTION
 Termination is performed by the medical
practitioners(assisted in at least 25 MTP &degree in OBG)
by the act.
 Termination is done at the place approved under the act.
 Termination done for condition & within the gestation
week prescribed by the act.
 The abortion has to be reported to the director of health
service of the state.

20. INDICATION
 Women whose physical and/or mental health were
endangered by the pregnancy
 Women facing the birth of a potentially handicapped or
malformed child
 Rape
 Pregnancies in unmarried girls under the age of eighteen
with the consent of a guardian
 Pregnancies that are a result of failure in sterilization

21. Who can terminate the pregnancy
 Experience minimum 3yr who is registered in state
medical register
 6months of house surgeon-ship in gynaecology Or
experience of working in department of gynaecology –1yr
 A Practitioner who has assisted RMP in 25 cases of
Medical termination of pregnancies, at least 5 of which
have been performed independently in a hospital
established or maintained by government or a training
institute approved for this purpose by the Government.

22. Experience and Training Required by a
RMP
 Up to 20 wks PG Degree or Diploma in OBG
 Completed 6 months as House Surgeon in OBG
 At least one yr experience in dept of OBG at any hospital
that has all facilities.

23. Where pregnancy can be terminated - PLACE
 Hospitals established or maintained by the Government
 A Place approved by the Government or DLC constituted
by the Government.

24. Consent
 Only the consent of a women is required
 If Age <18 yrs or a mentally ill patient, consent of
guardian is required.

26. Violation of The ACT
 Any person doing MTP and not a RMP can be
punished with rigorous imprisonment for 2-7 yrs.
 If terminating at a place which is not approved can be
punished 2-7 yrs rigorous imprisonment.
 The owner of unapproved place , performing
termination can also be punished with rigorous
imprisonment 2-7 yrs

27. COMPLICATION OF MTP
IMMEDIATE:
 Injury to the cervix (cervical lacerations)
 Uterine perforation during D and C
 Hemorrhage and shock due to trauma, incomplete
abortion, atonic uterus or rarely coagulation failure
 Thrombosis or embolism

28. COMPLICATION OF MTP
REMOTE: The complications are grouped into:
Gynecological complications include
 Menstrual disturbances
 Chronic pelvic inflammation
 Scar endometriosis (1%)
Obstetrical complications include
 Ectopic pregnancy (three -fold increase )
 Preterm labour
 Dysmaturity
 Rupture uterus