Core Legislations in Obs & Gynae (India)
Reproductive Rights & Abortion
Medical Termination of Pregnancy Act, 1971 (Amended 2021)
- Governs legal abortion in India
- Allows abortion up to:
- 20 weeks (general)
- 24 weeks (special categories like rape survivors)
- Requires:
- 1 doctor opinion (<20 weeks)
- 2 doctors (20–24 weeks)
- Ensures confidentiality of patient identity
Prevention of Sex Selection
Pre-Conception and Pre-Natal Diagnostic Techniques Act, 1994
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- Prohibits sex determination & sex selection
- Regulates ultrasound and genetic testing centers
- Mandatory registration of clinics
- Strong penalties for violations
Assisted Reproductive Technology (ART)
Assisted Reproductive Technology (Regulation) Act, 2021
- Regulates IVF clinics, sperm banks
- Defines eligibility for ART (couples, single women)
- Ensures ethical practices in infertility treatment
Surrogacy Regulation
Surrogacy (Regulation) Act, 2021
- Allows only altruistic surrogacy
- Bans commercial surrogacy
- Protects surrogate mothers and child rights
Clinical Practice Regulation
Clinical Establishments (Registration and Regulation) Act, 2010
- Mandatory registration of hospitals/clinics
- Standard treatment guidelines
- Applies to both public & private facilities
Women Protection Laws (Indirectly relevant to Obs-Gyn)
Protection of Women from Domestic Violence Act, 2005
- Covers physical, emotional, sexual abuse
- Important in:
- Pregnancy abuse
- Marital rape-related care
- Maternity Benefit Act, 1961 (Amended 2017)
- 26 weeks maternity leave
- Workplace protections
🧠 Practical Clinical Areas Covered by These Laws
These laws directly affect day-to-day Obs-Gyn practice:
🔹 Antenatal care
- PCPNDT compliance (ultrasound documentation)
🔹 Labour & delivery
- Institutional delivery schemes (JSY, NHM)
🔹 Abortion services
- MTP Act + Supreme Court rulings
🔹 Infertility treatment
- ART Act + Surrogacy Act
🔹 Gynecological practice
- Clinical Establishment Act + consent laws
🔹 Medico-legal cases
- Domestic violence, sexual assault laws
🧾 Ethical & Professional Guidelines
- Medical Council of India (now NMC)
- Code of ethics for gynecologists
- Federation of Obstetric and Gynaecological Societies of India (FOGSI)
- Clinical guidelines & protocols
