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Lawyers, doctors say MTP law prioritises medical assent over women's autonomy; call for change

Legal and medical professionals in India argue that the MTP Act still prioritises medical approval over a woman's autonomy, despite a 2021 gestational extension. The piece cites court interventions, a Satara FIR, and a Supreme Court warning to AIIMS doctors, alongside calls for decriminalising abortion and shifting to a woman-centric model.

Why It Matters

The timeline shows ongoing tension between legal text, medical practice, and women's autonomy in India's abortion regime, highlighting calls for reform.

Timeline

6 Events

Critique of the law as 'service provider-centric' and gatekeeping by doctors

May 2026

Anubha Rastogi and other lawyers describe the MTP framework as 'service provider-centric', with medical boards and court involvement potentially outvoting individual doctors and turning clinicians into gatekeepers.

Calls to decriminalise abortion and grant full autonomy to women

May 2026

Demands from medical and legal voices, including Dipika Jain, to treat abortion as healthcare governed by the pregnant woman’s informed choice, and to decriminalise abortion to prioritise autonomy over doctors’ gatekeeping.

Supreme Court warning AIIMS doctors of contempt over a 30-week pregnancy case

May 2026

The Supreme Court warned AIIMS doctors of contempt proceedings if they did not terminate a 30-week pregnancy of a 15-year-old rape survivor, highlighting tensions between judicial intervention and medical decision-making.

FIR against Satara Civil Hospital gynaecologist in a case involving a 16-year-old rape survivor

May 2026

An FIR was filed against a gynaecologist at Satara Civil Hospital following a 'failed' MTP involving a 16-year-old rape survivor, which ended with the birth of a live baby who later died without medical attention.

2021: Upper gestational limit extended to 24 weeks

2021

The upper limit for termination was extended from 20 to 24 weeks in 2021, but commentators say the law still prioritises medical approval over a woman's autonomy.

1971: MTP Act introduced as an exception to protect doctors

1971

The article notes that the MTP Act emerged in 1971 mainly as an exception to protect doctors, framing abortion as a medical model rather than one centred on the woman's autonomy.