The Medical Termination of Pregnancy Act was passed in India to address unsafe abortions and high maternal mortality and morbidity rates. It legalizes abortion services and aims to promote access to safe abortion procedures. Abortions can be conducted up to 20 weeks gestation with the woman's consent, or a guardian's if she is underage. For abortions between 12-20 weeks, the opinion of two registered medical practitioners is required. The Act also establishes District Level Committees to approve places for terminating pregnancies and inspect them to ensure safe and hygienic conditions. It aims to improve maternal health by preventing unsafe abortions while also protecting medical practitioners conducting legal abortions.

1. Medical Termination of Pregnancy
(MTP) Act
Noushad KP
RVS COLLEGE OF PHARMACEUTICAL
SCIENCE 2014-2018

2. Induction of abortion
• Deliberate termination of pregnancy before the
viability of fetus is called induction of abortion.
• Induced abortion can be legal or illegal ( criminal )
• Up until the MTP act was passed, proving
abortion remained punishable under Indian law
• In case of death due to abortion procedure there
was punishment of upto 10 yers imprisonment
and fine.

3. MTP Act: addressing a public
health priority
• Since legalization of abortion in India,
deliberate induction of abortion by RMP(
Registered Medical Practitoner) in interest
of mothers health and life is protected
under the MTP act

4. MTP Act:Aims
 Aims to improve the maternal health scenario by preventing large
number of unsafe abortions and consequent high incidence of
maternal mortality & morbidity
 Legalizes abortion services
 Promotes access to safe abortion services to women
 De-criminalizes the abortion seeker
 Offers protection to medical practitioners who otherwise would be
penalized under the Indian Penal Code (sections 315-316)

5. When can pregnancies be terminated?
• Up to 20 weeks gestation
• With the consent of the women. If the women is
below 18 years or is mentally ill, then with consent
of a guardian
• With the opinion of a registered medical practitioner,
formed in good faith, under certain circumstances
• Opinion of single RMP for termination upto 12
weeks
• Opinion of two RMPs required for termination of
pregnancy between 12 and 20 weeks

6. MTP Act: Indications
THERAPEUTIC OR MEDICAL
To save life of mother but limited and scarcely
justifiable except in :
1) Cardiac disease (NYHA gr III/ IV) with history of
decompensation I previous pregnancies or in
between pregnancies
2) Chronic glomerulonephritis
3) Malignant hypertension
4) Intractable hyperemesis gravidarum
5) Cervical and breast malignancies
6) DM with retinopathy
7) Epilepsy or psychiatric illness

7. Social indications
• This is almost sole indications to prevent grave
injury to physical and mental health of pregnant
woman
1) Pregnancy is caused by rape both in case of
major and minor girl and in mentally imbalanced
women
2) As a result of failure of contraception
3) In 80% cases it is limited to parous women
having unplanned pregnancy with low SE status

8. MTP rules: what do they cover?
• Experience & training required for providers
• Approval of a place for terminating pregnancy
under the Act
• Composition & tenure of District Level Committee
• Inspection, cancellation or suspension of
approval; review
• Consent form

9. Regulatory body: D L C
• District level MTP Committee
– Minimum of 3 & Maximum of 5 members
including chairperson (CM H O)
• Composition of the committee:
– One medical person (Gyne/Surgeon/Anestheist)
– One member from local medical profession; NGO
& Panchayati Raj Institution of the district.
– At least one member shall be a woman.
• Tenure 2 calendar years
– NGO members shall not have more than 2 terms

10. Approval Process
• Application in Form A to be addressed to CMHO
by place seeking approval
• CMHO verifies or inspects the place to satisfy
that termination can be done under safe &
hygienic conditions
• CMHO recommends approval to the committee
• Committee considers application &
recommendation and approve and issue
certificate of approval in Form B

11. Approval Process
• Place to be inspected within 2 months of
receiving application
• Certificate to be issued within 2 months of
inspection
• If deficiency found, within 2 months of deficiency
having been rectified

12. Inspection
• CMHOs to inspect to ensure safe & hygienic
conditions for conduction of MTPs.
• Call for information and seize in case found
otherwise

13. Cancellation/ Suspension
• CMHO to report the committee for unsafe and
unhygienic conditions.
• Committee can suspend or cancel approval after
giving the owner an opportunity for
representation
• Owner can reapply to the committee after
making additions and improvements.
• During suspension the place be deemed as non-
approved

14. THANK YOU