The MTP Act is an Act of Parliament that provides a general overview of the methodology for safe abortion practice and defines and delegates the power of the central and state governments to enact rules and regulations. The importance of this distinction lies in the possibility of introducing or amending rules and regulations within the framework of the law, without the need for amendments to be adopted by Parliament. The new rules according to the changes were announced by the government on October 12. Below are the revised rules in accordance with the amending law: The possibility of corresponding regulatory changes in medical methods is of particular importance, as this new development is not sufficiently taken into account in the current regulations. Consent must be informed and documented in Form C, which is recommended in Rule 8 of the LMP Rules. This is also necessary whenever a medical method is used for early abortion. An adult woman does not need anyone`s consent other than her own. All public hospitals are licensed to offer CAC services as standard. However, private sector entities must obtain government approval. Approval is obtained from a district-level committee called the District Level Committee (DLC), which has three to five members.

According to the 2003 MTP Rules, the following forms are required for the approval of a private place to provide MTP services: Manual vacuum aspiration (MVA) is a “safe and effective method of abortion that involves the evacuation of uterine contents through the use of a portable plastic pacifier,”[26] which is “associated with less blood loss, shorter hospital stays, and less need for anesthetics.” This method of abortion is recommended by WHO for premature abortion. Duration of pregnancy In accordance with article 3, paragraph 2, pregnancies not exceeding 12 weeks may be terminated on the basis of a single opinion formed in good faith. Since the use of medical methods regulated by clear instructions from the Controller of Medicinal Products is currently 49 days, the only clinical opinion is necessary and sufficient. The centre`s new fact sheet provides details and analysis on key changes to the amendment, including: Comprehensive abortion care (CAC) is defined as “rooted in the belief that women should be able to access high-quality, affordable abortion care in the communities where they live and work,” was first introduced by IPAS in India in 2000. The concept of CAC includes care over the entire period from conception to post-abortion follow-up and includes pain management. According to Article 4 of the MTP Act, pregnancies can only be terminated in the following contexts. The CAC service is an integral part of the NHM`s maternal health programme. However, awareness of the legality and availability of abortion services is very low. In addition, the IDF conducted studies to understand awareness of the legality of abortion among both men and women and found that awareness and legality were low. [17] [18] Although some people are aware of their legal abortion rights, they do not know where to access abortion services. This inaccessibility of abortion services is mainly due to moral and political reasons.

In addition, women are not easily informed about abortion services or the possibility of abortion, except in emergency situations or cases where the baby is in poor health. [19] FOGSI recommends that the distribution and use of these drugs be closely monitored and that the medical profession and pharmaceutical industry exercise due diligence in their promotion and use. Until 2017, there was a dichotomous classification of abortion as safe and unsafe. Unsafe abortion[4] has been defined by WHO as “an abortion procedure performed by a person who does not have the necessary training or in an environment that does not meet minimum medical standards”. However, as abortion technology becomes safer, it has been replaced by a three-step classification: safe, less safe, and less secure, allowing for a more nuanced description of the range of different situations that make up unsafe abortion, and the increasingly widespread substitution of unsafe and invasive methods by the use of misoprostol outside the formal health system. MMA is a method of abortion using a combination of drugs. These drugs have been approved by the Comptroller General of Medicines of India for use in India. MMA is recognized worldwide as the method of choice for women seeking CAC services. All over the world, women prefer MMA when seeking safe abortion services because it ensures confidentiality and security. However, the unavailability of drugs has hindered access to safe abortions across India.

The Foundation for Reproductive Health Services India (FRHS India) has published a research report on the availability of medical abortion drugs in the markets of six Indian states, 2020. This report showed that approximately 56% of pharmacists reported regulatory barriers to the storage and sale of these drugs. [16] The MTP Act states: (i) who can terminate a pregnancy; (ii) until a pregnancy can be terminated; and (iii) where a pregnancy can be terminated. The 2003 LMP rules and regulations set out training and certification requirements for a supplier and an institution. and provide reporting and documentation requirements for safe and legal abortion. Many of these cases have been actively reported in the media. Here are some of the important cases with late dismissal requests that have been submitted to the court for approval. In addition, the merger into the MTP Act and the approval of the DCGI for the use of AM drugs only exacerbate the problem. The MTP rules allow an authorized provider to prescribe MA drugs in their clinic (explanation of section 5 of the MTP 2003 rules). The labeling guidelines of the Central Drugs Standards Control Organisation (CDSCO, DTAB-DCC Division) of 9 August 2019 state: “Warning: the product may only be used under the supervision of a service provider and in a medical facility in accordance with the MTP Act 2002 and the MTP 2003 Rules”. The 2003 MTP rules do not stipulate that the product should only be used in a medical facility. The Comprehensive Abortion Care: Training and Service Delivery Guidelines 2018, Ministry of Health and Family Welfare, Government of India, states that MA drugs may be used by a client at the discretion of the provider.

However, these labelling guidelines are interpreted to mean that MA drugs cannot be sold in retail stores. The CDSCO guidelines violate MTP rules that allow the prescription of MA drugs. The MTP Act (Act No. 34 of 1971) has been defined in its chapeau as “A law regulating the termination of certain pregnancies by licensed medical officers and for related or related matters”. This central law, passed by Parliament on 10 August 1971, covers all of India with the exception of the state of Jammu and Kashmir, which passed it in 1980. “50 years after the passage of the landmark MTP Act of 1971, the MTP Amendment Bill 2020 is an evolutionary step that addresses some of the challenges posed by the 15.6 million abortions we perform each year in India. As a next step, we must work towards a more rights-based approach by empowering and empowering women and giving women more choice, and operationalizing access at the local level by broadening the provider base,” said Dr Nozer Sheriar, member of the WHO Technical Advisory Group for South-East Asia and former Secretary-General and Chair of the MTP of the Federation of Obstetrics and Gynaecology Societies of India. 1. A hospital established or maintained by the government. 2.

A place approved by the government for the application of the law. Complications resulting from spontaneous and unsafe induced abortions are recognized worldwide as a major public health problem and one of the most important characteristics for influencing maternal morbidity and mortality (ACOG 2009). [1] In 1964, the Ministry of Health and Family Care established the Shanti Lal Shah Committee to investigate the causes of the increasing number of abortion cases. Then, in 1970, this committee recommended the LMP Act, which was passed in August 1971 as the Medical Termination of Pregnancy Act. [2] Tags: MTP Amendment Act, India Abortion Act, India, MTP Act The Maternity Benefits Act 1961 states that in the event of miscarriage, a woman is entitled to six weeks` paid leave immediately after the day of her miscarriage.