Axxxx v. State Of Haryana And Others
!"#! " $ % & !"#! " $ AXXXX
STATE OF HARYANA AND OTHERS
' ()'
! *+ *! , -----
!"
#$ % &&&&& + *! ,.! ' (
)
* ! ( +
,
( ,
- ! . !
/ 01213
4 56)%
7 8
%'
, !
, $ $ 9
)
.+
!
% 7! $ ( . % ). . %
.% . +
94. 9 ( . '
. +
)%
! ( ( (
% . . .%
121 4
. %..)
( :;7 <
-2- 121
502363 6<<12 ;,
5363(63 6 , '
)3
6
=>=3 . . 1<6( ! ?
.
$ '
( (
..
)% . @
%()%
(*
1101
%
(<(* 1 % '
7 5, !
A, / , $ $
*
% )%
(* )
%
.()%
$
(
5
1101 ,
)
, !
, $ $
)
1>101
."
A 8 (
! ;
.
1>101
)% (% "
#( , !
A, / , $ $
!(
4 )
)
7
101( (*
' 4
.
4
5. Available reports and investigations:
Sr.
No.
Report Opinion on the findings
-31.
USG REPORT DATED 25.06.2024 AT SDH, CIVIL HOSPITAL, HANSI SINGLE LIVE INTRAUTRINE FETUS OF GESTATION AGE 24 WEEKS 5 DAYS+2 WEEKS WITH NO FETAL ANOMALY DETECTED 2.
USG REPORT DATED 06.07.2024 AT MAHARAJA AGRASEN DISTRICT CIVIL HOSPITAL, HISAR SINGLE LIVE INTRAUTRINE FETUS OF GESTATON AGE 26 WEEKS 2 DAYS+2 WEEKS, NO GROSS CONGENITAL MALFORMATION NOTED.
6. Additional Investigations (if done):
Sr. No.
Investigations done Key findings HB 9.8 g/dL BT/CT 2'/20", 4'/30"
HIV NON-REACTIVE HBV/HCV NEG.
WBC 9000.
BLOOD GROUP B+ BLOOD SUGAR 62 mg/dL PLATELETS 217000.
URINE COMPLETE ALB AND SUG. NIL, ME PUSCELL 1-2, EPI CELL 0-1.
ECG NORMAL
7. Opinion by Medical board for termination of pregnancy: Ms. Axxxx D/o Sh. Umesh is physically and mentally fit to undergo Medical Termination of Pregnancy
-4subject to permission by the Hon'ble Court. (Physical fitness to be reviewed by Anaesthetist before proceeding to MTP if Hon'ble High Court permits for the same). Justification for the decision: MTP act allows termination of pregnancy up to 24 weeks for (a) survivors of sexual assault or rape or incest, (b) minors, (c) change of marital status during the ongoing pregnancy (widowhood and divorce), (d) women with physical disabilities major disability as per criteria laid down under the rights of persons with disabilities act, 2016 (49 of 2016)]:, (e) mentally ill women including mental retardation, (f) the foetal malformation that has substantial risk of being incompatible with life or if the child is born it may suffer from such physical or mental abnormalities to be seriously handicapped, and (g) women with pregnancy in humanitarian settings or disaster or emergency situations as may be declared by the government.] (see MTP Rules 2003; rule 3B).
BEYOUND 24 WEEKS OF GESTATION PERIOD:
Termination of pregnancy beyond twenty-four weeks of gestation period under sub-section (2B) of the said section only after due consideration and ensuring that the procedure would be safe for the woman at that gestation age and whether the foetal malformation has substantial risk of it being incompatible with life or if the child is born it may suffer from such physical or mental abnormalities to be seriously handicapped. [see MTP Rules 2003; Rule 3A(a)(i)].
OPINION BY PAEDIATRICIAN: - There are chances of survival of baby but well- equipped neonatal ICU (nursery) is required.
OPINION BY PHYSICIAN: - General physical examination is normal. Chest, CVS, CNS-NAD. Mild anaemia (HB 9.8
-5g/dl.) Blood availability be kept in case of need during procedure. ECG is showing sinus tachycardia which is within normal limits.
OPINION OF PSYCHIATRIST FOR MENTAL HEALTH: - Client is currently mentally fit (current mental status examination normal).
OPINION BY GYNAECOLOGIST: Patient is short statured (less than 5 feet) hence comes under high-risk pregnancy criteria. Possibility of live birth of the foetus is there and even chances of failure of medical termination of pregnancy and may require hysterotomy (surgical procedure) and risks of complications related to delivery / surgical procedure also there.
[Emphasis supplied] < 9
,
)
).
*
! ! .
%
. . . . !)
. .%
))
* )
2
! )
,
)
).
A.
8 ) % )
.
%$
.
.% - %
.% 3 !
6 *
.
%A !
-60 ! . ) > ;
36
)
!
!
. ( )
= '
(
)!
.
* !
.
%
.
)
1 :
% 4
%
'
%
=0 ' 115 3
=0 115 3 .
116'. 4 *&/ 0 1 2 '/&34 /3/ 1 3&5 &. 6#
!"
"
"
!
!
#
$% & '"!( #
"!)
!
!
))
* +
"
!
* + !"
* )"
+
"
-7-
! ! ! "
"
$
)) "
" ## +
# ("
, "!
+ !
" "
"
!
% -*
%)). "
"
"
" "
# "
!
"
" !
#
" "
! "
! "
"
# ("
% -*
&%)). "
"
!
!
#! "
!
" "
!
!
"
"
# ("
% &$/
0"
! "
! ! ! "
"
$% &1/ #
"!) &
!
"
!
"!
!
! 2 1
% &-# ' 3#
4
!
! 5 3 6
"
1
! 2 1
"
$* "
"
! !
-8- ! "
"
$% &7/ 2 1
8 3
, !
, 9
' ,
" " ! !
! 5 3 6! ' 3#
4
!%: ; "
" ## " + ("
"!) & "
! +
< "
! ! # %
#
&=
:
!
*
"
% ! '
#
# "
!
*
%> *** *** *** ' 4 1 ""0! ?;% %) 5 ! #
! 3
@'"
@$
!
)#
9 (
" # !
!
% & / "
!
"
)#
!
!
%
%).
-9- "
' ;
)
2 1
!
)
!
) "
+ "
"!) &)1
"
"
"
" !
"!
+ ! ! !
" " !
! "
, ) 1
+
#
0"
, ! "
2 1
!
A *
"
"!) &)1 ' ;, # 2 1
. 7
( 0"
# 0"
"
"!) &)1 ' ;,
"
"
# ! 2 1
"
"
"
#
0"
"
"!) &)1' ;%
-10- !%/
!
!
"
"
! "!) &' ; $ " )"
+
) "
##
*"
"
, !
,
"
"
# ,
! = (
!
"
9
7
! $ & B& :, "
,
"!
+ ! ! !
"
" !
! "
,
"
"
!
! 3#
%>
. (
% .% ) )% ! .
)+
. )
..
A. )
536
%(
* ( .
!
+ % %
.
. ) * %
. )
. %;
!
@ ! ( . 4
(
%
.
-11-
(
%
.
%
.
)
58 115 . ' '
%
=0( 4
!)
( . ;(
.
( % ( ) ( .
)
B ( .
(% ( .
!
!)
)% ! ( .
)
)%
!. '
).
.
4
4
.%
( .
!'
. .
.( . .*
( (
!
.%'(
!
@
.%
( (
%
5 ' ! .
)%,
)
.
.%
) % ) ( (
(
% ;( . % !
%
. ( . ( ( .
( . % % '
%) (
.
-12- ( )
.
!
% .
.
. @ !. ' ! . !
.
* (
. )
( -
(
% ) (
.
'
- )* .
. ( *
% .
) ) %
' ! C
.
C % !
. (
< ;
) *!
.
.
(
)
.
). )% 8 !
.
? )
.
%
))%'.
)%#%
! ( !! ) % ) .
%
%.% - !
*
.
' %
!! % .
). % 2 ' ,
!
@
,
.
1101':;) !
!
121 ( . % 4.
0121 ( 8
( )%(* 1<%D
-13- (*'
(
(* ',
!
. 4.
8 $ 3
6( (!
) $
.
2(* ( D(* $ (
,
(
% < (*D<%D(*
) !
)
0 '
%)%
<(*
.
% % !
( .)(
.
.
* )% ,
<101E '
!)
.
!!
. +
F !
G
F .
G
) )
.
) !)
> ;
.
( ) % )
) ! )( <101E ,
( - )( %
!
(
.%
' * )
. .. .%
! . % !
(
)
= ? ,
(
! %
.. !
%*
. *
-14- )
! 4 )%
1 ' .
!
% 8
( ( .%
))
!'
#%
!
3 < 6
. ! *
%
) % )
.
%4 .
% .% - %
.% 3 !
6
*
.
%A !
.
.
HI
;
J
15;7,== K !8
$
G) .,
.
%
( ! H&%$ !#
)"
+ %
* ) *+
#
%$
!
8
% C #
" )"
+
0" ' ;&1 ' "
! , !% /
D "!
!
D
!
2 1
' ;&1%/ "
$2'
"
-15-
"
!
!
,
% "! ! 2 1
#
' %> ' ,
.
.
%
!
% ) %
) !)
. "#$ % & J )
!,?7 >><1 + !. 151(
(
%
!
5 ;.
.
!
.
(
%. ) ' 8 %
! ( ! . %
! ,
% !!
! '
. )
( ,
) ( ,
.% (
4 )% .
-
( ,
*
( ( ! $ (
,
)
.
%
' ,
.
)
8 !
;
-16-
3#;6 , ! ( (
. 4.
)
)%"
A8 "
- '
%
=0 < ;
!)
! ) *
.
)%
,
%
-
! .
%
) * / 8 #;
.
% -
% .% )
( ( 2 ' (
(
;
%
!
(.
)
6 ' 8 Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh
, $ $
.% % . . )
( %. !
4 % %*
.
-17- 6 '
%
). ! %
)
!
@
. 6 '
) .%)
, ? , .. "
$
*
%
.
. .%) - (
% , ? , ..
6 ' , ? , .. $ *
6 '
(
.
%
)+
)!
)% !
% ( !
( ( .
!
!
!
( !
( (
6 ' )
( + %
! .
) A!
A )
'
!% 7+ *! ,8 ) . " $ E
'
? * !A
LA7 ?
) LA7