Question:

Why are restrictions imposed on MTP in India? Up to how many weeks or trimesters, is MTP considered relatively safe for a female, if necessary to perform, by a medical practitioner?

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Solution and Explanation

Restrictions are imposed on Medical Termination of Pregnancy (MTP) in India to balance a woman’s reproductive rights with concerns for the life of the fetus and maternal health. The Medical Termination of Pregnancy Act of 1971 (amended in 2021) outlines the conditions under which a pregnancy can be legally terminated. These restrictions are in place to: Prevent misuse: To avoid MTP for unwanted pregnancies without valid reasons, ensuring it is sought for genuine health or socio-economic considerations. Ensure safety of the woman: To regulate the procedure and ensure it is performed by trained medical practitioners in safe and hygienic conditions, minimizing risks to the woman’s health. Consider the viability of the fetus: As the pregnancy progresses, the fetus becomes more developed, and there are increasing ethical considerations regarding its termination. According to the Medical Termination of Pregnancy (Amendment) Act, 2021, the gestational limits for MTP are as follows: Up to 20 weeks: Termination is allowed on the opinion of one registered medical practitioner. Between 20 and 24 weeks: Termination is allowed on the opinion of two registered medical practitioners under specific conditions. MTP is generally considered relatively safe during the first trimester (up to 12 weeks). As the pregnancy advances intothe second trimester (13-24 weeks), the risks associated with the procedure increase. Correct Answer : Restrictions on MTP in India are for preventing misuse, ensuring safety, and considering fetal viability. MTP is relatively safe up to the first trimester (around 12 weeks).
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