Supreme Court allows 15-year-old girl to medically terminate over 28-week pregnancy | Current Affairs | Vision IAS

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In Summary

  • Supreme Court affirmed reproductive choice as a constitutional guarantee under Article 21, integral to personal liberty and privacy.
  • The MTP Act 1971 (amended 2021) permits termination up to 24 weeks for minors, and beyond 24 weeks for substantial fetal abnormalities.
  • Issues include balancing bodily autonomy with fetal rights, ensuring safe access, and addressing patriarchal control limiting women's decision-making power (NFHS-5: 10% women decide independently on health).

In Summary

Court emphasized that no judicial body can compel a woman—particularly a minor—to carry an unwanted pregnancy against her express will.

  • Supreme Court’s ruling articulated reproductive choice as a core constitutional guarantee
    • Court held that the right to make decisions concerning one’s body particularly in matters of reproduction is an integral facet of personal liberty and privacy under Article 21 of the Constitution. 
  • Legally, Medical Termination of Pregnancy (MTP) Act 1971 (amended in 2021) allows termination of pregnancy up to 20 weeks (on opinion of one doctor) or 24 weeks for special categories like minors (on opinion of two doctors).
    • Pregnancy beyond 24 weeks can be terminated in case of substantial foetal abnormalities diagnosed by Medical Board

Core Issues with Reproductive Autonomy

  • Legal & Ethical Balance: The ruling highlights the friction between bodily autonomy and the state's interest in foetal rights.
  • Safety & Access: Denying legal abortions risks pushing vulnerable women toward unsafe, illegal procedures and associated psychological and physical burden. 
  • Patriarchal Control: Women are treated as reproductive instruments rather than autonomous individuals with reproductive choice.
  • Lack of Decision-Making Power: As per NFHS-5, only 10% of women in India are able to independently make decisions about their own health.  
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NFHS-5

The fifth National Family Health Survey, a large-scale, multi-round survey conducted in a representative sample of households across India. It provides critical data on population, health, and nutrition for policymakers and researchers.

Bodily Autonomy

The right of individuals to make decisions about their own bodies and health without coercion or external interference. This includes control over one's reproductive health and bodily functions like menstruation.

Medical Termination of Pregnancy (MTP) Act 1971 (amended in 2021)

The primary legislation in India governing the termination of pregnancies. The amendment in 2021 expanded the gestation period for termination under certain conditions and introduced provisions for medical boards to assess cases of substantial fetal abnormalities.

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