Indian High Courts are currently witnessing a substantial increase in abortion in India, finds Pratigya Campaign’s new legal report.

Assessing the Judiciary’s Role in Access to Safe Abortion- II report has analysed cases seeking permission of termination of pregnancy from the High Courts in India from May 2019 to August 2020.

There were a total of 243 cases filed across 14 high courts and one appeal before the Supreme Court.

In 84 per cent of the cases, permissions were given to terminate the pregnancy.

74 per cent of the total cases, were filed post the 20-week gestation period, 23 per cent of the total cases were filed within the 20-week gestation period and should not have gone to the courts at all.

Out of 74 per cent cases (filed after 20 weeks cut off), 29 per cent cases were related to rape/sexual abuse, 42 per cent related to foetal anomalies; and out of 23 per cent cases (filed even before 20 weeks), 18 per cent cases were related to sexual abuse/rape and 6 per cent of foetal anomaly.

Commenting on the legal aspect regarding abortion in India and the study findings, Pratigya Campaign Advisory Group Member and author of the report Anubha Rastogi said, “The increasing number of cases of abortion in India only indicate to the fact that access to safe and legal abortion services in this country still leaves a lot to be desired."

"It is imperative that any change in law takes note of these increasing trends and moves towards a rights-based, inclusive and accessible legislation on abortion," Rastogi added.

"Any new law/amendment cannot be based on third party authorisation like the medical boards and has to be respectful of a decision that involves the registered service provider and the pregnant person," Rastogi further said.

Speaking at the launch of the report, VS Chandrashekar, Campaign Advisory Group member, Pratigya Campaign said, "The fact that even women/girls with gestation below 20 weeks have had to go to courts is distressing."

" The MTP Act allows termination of a pregnancy up to 20 weeks," he added.

"A large number of the below 20 weeks cases are of survivors of sexual abuse and this only increases their trauma," he further said.

During the lockdown, access to abortion became even more difficult although there was some respite once the Ministry of Health and Family Welfare declared access to abortion as an essential service.

During the lockdown 112 cases were heard at various high courts, and 62 were from Bombay High Court.

The report emphasises on how crucial it is for the law to adapt in accordance with the changing times.

The MTP Amendment Bill 2020, is awaiting a nod from the Rajya Sabha and a few changes have been recommended by civil society organisations, which if accepted would make the Act progressive and rights based.

It is imperative that access to abortion in Inida becomes a legal right for women at least in the first trimester.

It is also necessary that the opinion of the doctor, that the pregnant person is consulting, should be considered as primary and the only one required.

The setting up of medical boards which has been done by the Courts while dealing with cases of this nature has only created further obstacles for pregnant persons in accessing safe and legal abortion.

“Even if the MTP Amendment Bill 2020 is passed in the current form, the number of cases approaching the courts is not likely to reduce," Chandrashekar further said.

"Therefore, to avoid this, the proposed amendment to ‘increase the gestation limit from 20-24 weeks’ should be extended to all pregnant persons who need to terminate a pregnancy, instead of being restricted to only to certain categories of women as defined in the MTP Rules," he added.

"Similarly, the ‘no upper gestational limit proposed for fetal anomalies 'should be extended to survivors of sexual abuse/rape," he added.

"Forcing a person to carry a pregnancy out of rape to term is a violation of her right to life and dignity,” Chandrashekar added.

Adding to this, Rastogi said, “Currently abortion is a conditional right and is available only based on the opinion of the doctor."

He further informed that 66 countries around the world including Canada, Nepal, the Netherlands, Sweden, South Africa and Vietnam allow abortion at the will of the pregnant person for up to 12 or more weeks of gestation.

"Therefore, I strongly believe that first-trimester abortions should be allowed as per request/decision of the pregnant person and it should become a legal right," he further said.

"I would also like to add that medical boards should not be constituted and the decision to terminate a pregnancy should be solely between a pregnant person and the provider," he added.

"The number of specialist doctors to constitute such boards is limited in many districts and smaller towns," Rastogi added.

"Constituting Medical boards at all levels would be an operational nightmare," he further said.

"Medical boards will further add to delays and complicate access to abortion, apart from putting an unnecessary burden on an already weak health system," he added.