This document summarizes a workshop on issues related to consensual sex under 18 and teen pregnancies from a clinical perspective. It discusses the reality of pre-marital sex and teen pregnancies in India. It provides statistics showing that many children in India experience sexual abuse. It also summarizes the Protection of Children from Sexual Offences Act of 2012, including what is considered a child, types of sexual offenses, and punishments. The document discusses challenges with reporting consensual teen sex and pregnancies under this law from both private and public health sector perspectives. It outlines best practices for providers in handling teen pregnancy cases resulting from consensual sex.

1. Dr. Sharda Jain
Presented at PEDICON Workshop 2015 , Delhi on 21st
Jan 15
Issues Related to
CONSENSUAL SEX
UNDER 18,
Teen Age Pregnancies
presenting at health
facilities
& practical
issues in medical
management in 2015

2. PEDICON 2015
WORKSHOP
Management of Sexual
Abuse victims in Clinical
practice, Forensic issues and
the
POCSO Act 2012

3. INDIA… has changed & so are
the values of youngsters
Pre marital sex is a reality !!

4. Learning is the powerful weapon we can
use to change the medical practice & people’s thinking

5. Nothing is a waste of time if you use the
experience wisely … Dr. Sharda Jain
Rape Sexual Harassment at work place
POCSO act

6. LEADER - gives you the different options
after interaction with group members

7. THE
PROTECTION OF
CHILDREN
FROM SEXUAL
OFFENCES
ACT, 2012

8. Who is considered the
CHILD in India
18 years

9. Paradox
Western world
Age
16 yrs
13 -14 yrs
INDIA
Age
18 yrs
16 yrs

10. What we Consider – the right age ?
What is our personal opinion
16 years

11. Statistics

12. Statistics

13. INDIAN Statistics
According to Ministry of Child and Women
Development, Government of India survey 2007
53%of children in
India are victims of
sexual abuse in India
which means 1 out of
every two children has
been a victim of sexual
abuse at least once.

14. 21
%
32
%
SEVERE FORMS of
sexual abuse:-
Assault, rape and sadomy
Nude photography of
children
Touching or fonding a child
Forcing a child to exhibit his
her body parts
LESS SEVERE forms of
sexual abuse:-
Forcing kiss
Sexual advances
Exposure to pornographic
material
INDIAN Statistics

15. USA

16. Types of sexual offences
against children
• Penetrative sexual
assault
• Aggravated penetrative
sexual assault
• Sexual assault
• Aggravated sexual
assault
• Sexual harassment
• Using child for
pornographic purposes

17. Punishment for Penetrative
Sexual Assault
Whoever commits
penetrative sexual assault
shall be punished with
imprisonment of either
description for a term which
shall not be less than 7years
but which may extend to
imprisonment for life, and
shall also be liable to fine.

18. Procedure for Reporting a Case
Any person (including the child),
who has apprehension that an
offence under this Act is likely to
be committed or has knowledge
that such an offence has been
committed, he shall provide such
information to:-
(a)the Special Juvenile
Police Unit; or
(b)the local police.

19. 1 . Any person
shall be punished with imprisonment of either
description which may extend to six months or
with fine or with both.
2)Any person, being in-charge of any company
or an institution
shall be punished with imprisonment for a
term which may extend to
one year and with fine.
Punishment for failure to
report or record a case

20. Problems at Hand
or reporting
Of Consensual Sex under 18
why will be she come for
Reporting or
examination !!!

21. Teen age pregnancy
as a result of
Consensual Sex
& Practical issues of medical
management
at health facility (GOVT. / Private)
The girl doesn't want to continue pregnancy
barring few exception !!!
It is clear

22. • Adolescent pregnancies are
1 in 5
• Pregnancies due to Rape are
5 %
Indian Statistic after
MTP act 1972

23. Reporting to the police or
Juvenile Police Unit
by the doctors at health facility in
India after POCSO (2012)
No Doctor wants hassle
No Parents want hassle

24. I have personally enquired 25
doctors
20
Nursing
Home
Owners
5 HOD
*ESI Hospital
*Safdarjang Hospital ,
*Hegdewar Hosp.
*Swami Dayanand
Hospital
*Lala Bahadur Shastri
Hospital

25. Private Sector
PRACTICAL ACTIONS after
POCSO act & rules 2012
Change the age to above 18yrs so the hospital
records carry age above 18yrs
Not to take the case & refer to Govt. health
facility
Do quietly Without registration ???

26. Govt. Sector
PRACTICAL ACTIONS after
POCSO act & rules 2012
Change the age to above 18yrs so the hospital
records carry age above 18yrs – NO (5/5)
parental consent after information of
POCSO act 2012 - 5/5
Inform the police but carry out MTP without
waiting for the police & discharge 1/5

27. Method of termination
•Medical or Surgical is
issue divided from where
they have come & time
at their disposal

28. Pre Abortion Information
for Patient’s parents & GP
Simple tips

29. The parents must know
the POCSO act & rules
2012 & consent is must
Pre Abortion Information
for Patient’s parents & GP

30. • Medical termination usually leads to vaginal
bleeding for 10 – 14 days – more like
having a heavy prolonged period.
• there may be a risk of congenital
malformation in your baby in case of
continuation of pregnancy
• In case of heavy bleeding please report to
emergency immediately.
Pre Abortion Information
for Patient’s parents & GP

31. • Next period may be delayed by one or
two weeks but subsequent periods
should be regularized as earlier.
• Maintain a menstrual dairy.
Pre Abortion Information
for Patient’s parents & GP

32. • Please sign on the consent from after
being satisfied with information
provided and clarifying any doubts that
you may have
• Note that you have the full option of
choosing suction evacuation for
termination of pregnancy or Medical
abortion.
Pre Abortion Information
for Patient’s parents & GP

33. • Parents desiring to go back quickly
---surgical abortion is preferable
• Parents must know that any method of
termination of pregnancy may lead to
future INFERTILITY or pregnancy
mishaps!
Pre Abortion Information
for Patient’s parents & GP

34. Anti – D in Rh Negative patients
Take injection anti – D 50 mg
of Rh D on day one of
medical abortion or same day
of suction evacuation

35. “Absolute Contraindication to
medical abortion”
• Previous ALLERGIC reaction to
mifepristone / misoprostol inherited
porphyria
• Chronic adrenal failure
• Known or suspected ECTOPIC or
heterotopic pregnancy

36. Caution is required in a range of
circumstances including
• Long term use of corticosteroids
such as for bronchial asthma
• Coagulopathy
• Severe anamia (must be treated at
time of abortion),
• Pre- existing heart disease

37. No Contraindication to medical
abortion
• Adolescence age
• anemia ,
• insulin dependent diabetes mellitus,
• thyroid disorders,
• multiple pregnancies,
• obesity,
• smoking,
• uterine malformation – congenital and
acquired

38. Medical Abortion is Not Advised if
• No quick access to 24 hrs emergency service
• parents unable to take responsibility,
excessive anxiety, wanting quick abortion

39. Take Home messages
The POCSO rules
have to be modified !!

40. Flow with times - & Cherish
Life is gift. Never forget to enjoy and
bask in every moment you are in.

41. ADDRESS
11 Gagan Vihar, Near Karkari
Morh Flyover, Delhi - 51
CONTACT US
9650588339, 011-22414049,
WEBSITE :
www.lifecarecentre.in
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E-MAIL ID
Sharda.lifecare@gmail.com
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info@lifecareivf.com
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