Abortion is the termination of pregnancy through which a foetus or an embryo is
no longer a part of the anatomy of a woman when if the continuation of the
pregnancy might affect the woman in mentally or physically. With respect to
medical terminology, abortion means the expulsion of the foetus within the first
three months of pregnancy.
Abortion during ancient times
Since ancient times, abortion was practiced as it was carried out to weed away
the curse for the infidelity. Abortion was recorded in 1550 BCE in Egypt and
around 500 BCE in ancient China. [1]During the medieval times, early in the
11th century, several herbal mixtures were commonly used to end pregnancy. The
famous Greek philosopher Plato supported the right of women to seek early
termination of pregnancy in his treatise called Theaetetus.[2]
Overall View of the World Health Organisation (WHO)
According to the WHO, every woman has the right of access to legal and safe
abortion. The WHO has also found that the barriers to access safe abortion
include[3]
- Restrictive Laws
- Poor availability of services,
- High cost,
- Social stigma,
- The conscientious objection of health care providers, and
- Unnecessary requirement such as requirement of authorization and that delay
care.
Comparative Survey of Legislation on Abortion in the World
Interruption of pregnancy is either permitted or barred on various factors. The
migrants either take advantage of the laws in the country that permit abortion
or are disadvantaged due to bar of right of terminating the pregnancy. In the
United States of America, the Model Penal Code brought abortion laws into force.
These provisions permit termination of pregnancy to be carried only in the
following circumstances by a physician.
- Where, there is a threat to the physical or mental health of the women
- The pregnancy was caused by rape or incest, and
- There is a probability that child-to-be will be mentally retarded or
physically deformed.
But, the countries, which came up with liberal abortion laws, had to become
thriving abortion hubs and the migrants and foreign women started taking
advantage of the liberalization of abortion. Hence, such countries had to impose
minimum residence requirement or domicile certificates from the physician
authorized under law.
Abortion Laws in India and Human Rights
In India, abortion is governed by the Medical Termination of Pregnancy Act,
1971.
As per Section 3 (2) of the above said Act, a carrying woman can end her
pregnancy with the help of a registered medical practitioner under the following
four conditions:
- if continuation of the pregnancy cause any risks to the life of the
mother or to her physical or mental health
- the fetus, if born may cause medical ramifications to itself or the
mother,
- if pregnancy occurred as a result of failure of contraception (but this
is only applicable to married women), and
- if the pregnancy is a result of sexual harassment or rape.[4]
Article 21 of the Constitution of India starts with the command of admonition
that no person within the territory of India shall be deprived of his life or
personal liberty except according to the procedure established by Law.
The Right of a woman to make her choice for reproduction is also her personal
liberty as envisaged under Article 21 of the COI. Thus, it could be concluded
that the
right to procreate and right to abstain from procreating is the choice and
personal liberty of a
woman in terms of Section (3) of the Medical Termination of Pregnancy Act, 1971.
Hence, the women’s right to her bodily integrity and dignity is one of the
sphere of the
fundamental under Art 21 of the Constitution of India.
This principle has been reiterated in the Judgment passed by this Hon’ble Court
in Paragraph 22 in
Suchita Srinivatsa Vs. Chandigarh Admn reported in (2009)
9SCC1.[5]
A foetus could be called as an
“Not Yet Life Status” of the unborn child. Yet,
again the distinction arises as to difference between a
“not yet life status” of
an unborn child and a child capable to be born alive. It is pertinent to note
that the MTP Act makes it clear that an unborn child is not entitled to the same
kind of [6]protection as a person who is born into this world independently in
his existence. From a conspectus reading it is crystal clear, that the foetus is
not ‘a distinct person is separate from its mother’.
Hence, the continuation of the life of the unborn child is in the autonomy
enjoyed by its mother to decide the fate of the life within her. The foetus is a
part of homo sapiens but at the same time they fail to qualify the test as a
human entity. Thus, the foetus is not a natural person.
[7]The Hon’ble Supreme Court in its decision rendered in
Suchita Srivatsa Vs.
Chandhigarh Admn reported in (2009) 9 S.C.C 1 , has observed that the mother has
a sacrosanct right to have her bodily integrity and[8] subsequently the Hon’ble
Supreme Court in Meera Santosh Pal case observed that the crucial consideration
was whether the right to bodily integrity calls for permission to allow the
termination of pregnancy and the Hon’ble Supreme Court decided in favour of the
mother to terminate the pregnancy thought the foetus was advanced to 24th week.
It is therefore crystal clear that in the absence of the designation as a person
with life, the foetus though has the right to life under Art. 21 of the
Constitution of India, the right of the mother of the foetus stands on a higher
degree of protection and enforcement vis-à-vis the right of the foetus for the
reasons stated supra.[9]
The Hon’ble High Court of Bombay in Suo Moto PIL No. 1
of 2016 in its Judgment dated 19.09.2016 has observed that the pregnancy is a
natural phenomenon for which both man and woman both are responsible. Pregnancy
would either be by choice or an accident which was unwanted pregnancy, the
burden falls heavily on the woman with respect to her health and her social
status.
Abortion in case of Minors and mentally retarded persons, The Hon’ble Supreme
Court in the
Suchita Srivatsa case, held that the doctrine of Parens Patriae
has to be invoked by the state to protect the interests of those who are unable
to take care of themselves. Hence, the Supreme Court has explained the “the best
interest test” should be applied in such cases. This has been the followed and
relied on till date in subsequent decisions of the Hon’ble Supreme Court in
X vs
Union of India (2017) 3 SCC 458 ,
Z Vs. State of Bihar (2018) 11 SCC 572 ,
Eera
Vs State (NCT Delhi) 2015 15 SCC 133 and in
Sarmishtha Chakraborty Vs Union of
India (2018) 13 SCC 339.
The Landmark judgments aforesaid are based on the settled principles in Roe Vs.
Wade reported in 410 US 113.[10]
Abortion during Pandemic
The World Health Organization made a declaration that abortion is an essential
health service during the COVID-19 pandemic. It has laid down clinic
guidelines that women’s right to sexual and reproductive healthcare should be
respected without taking into account of the pandemic. The Organization also
advised
Governments to prioritize healthcare services which are believed to be essential
and crucial such as reproductive healthcare.[11]
Recently, in The United States of America, an emergency lawsuit was filed by the
Centre for Reproductive Rights to ban abortion during the Pandemic. On the March
25th 2020, shortly after the Hon’ble Prime Minister of India announced the
nationwide lockdown, the Ministry of Home Affairs came out with a list of
essential services that will continue to function in spite of the lockdown,
which included Hospitals and all related medical establishments, both in the
public and private sectors.
Despite the directives of the WHO, India has till
date not listed the reproductive health services during the Corona Virus
Pandemic. The Indian Council for Medical Research is also silent on the listing
of abortion as an essential healthcare service. The situation will create an
epidemic in India on abortion subsequently thereafter. The MTP Act allows to
abort a foetus of 20 weeks but in the given situation many foetus cross 20 weeks
which will result in denial of right to women and further result in unsafe
abortion.
Conclusion
From above the above reading it is crystal clear that, the right to abort in
India is within the framework of the MTP Act and Rules, there under is an
essential right bestowed upon a women that flows from the Article 21 of the
Constitution of India. A mother who renders love and care to her ward without
any expectations is believed to not terminate pregnancy without a valid cause.
The validity of abortion laws have been questioned on the grounds of
constitutionality of “Right to Life.”[12]
End-Notes:
- John M. Riddle (Chair of the History Department and Alumni Distinguished
Professor, North Carolina State University. Contraception and Abortion from
the Ancient World to the Renaissance. Harvard University Press (April 1994
- Konstaninos Kapparis, Assistant Professor of Classics, University of
Florida. Abortion in the Ancient World (Duckworth Classical Essays).
Duckworth Publishers (May 2003).
- Abortion Laws- A Survey of current World Legislation, WHO Geneva 1971
- Medical Termination of Pregnancy Act, 1971, Sec. 3.
- Suchita Srinivatsa Vs. Chandigarh Admn , (2009) 9 SCC 1
- K. Mathiharan & Amrit K. Patnaik (eds.), Modi’s Medical Jurisprudence &
Toxicology 1013 (Lexis Nexis Butterworth, New Delhi, 23rd ed., 2006
- Supra Note 5
- 2017 SCC OnLine SC 39
- Roe v. Wade, 41 USLW 4213 (1973): 410 US 113 (139).
- https://www.theguardian.com/global-development/2020/apr/10/declare-abortion-a-public-health-issue-during-pandemic-who-urged
- G.V. Ramiah, “Right to Conceive vis-a-vis Right to Birth” AIR Jour
139-140 (1996).
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