SUPREME COURT OF INDIA
S. A. Bobde, L. Nageswara Rao, JJ.
Mrs. X and Ors. - Petitioners
Versus
Union of India and Ors - Respondents
Writ Petition (Civil) No. 81 of 2017
Decided On : 07-02-2017
(b) Constitution of India – Article 32 – Affidavit sworn by petitioner no. 3 instead of petitioner No. 1 – Not permissible – Instantly petitioner no. 1 not under any pressure or influence and being co-operative and coherent – KEM hospital directed to take consent of petitioner no. 1 before terminating her pregnancy. (Para 11)
Facts of the case:
The Petitioner No. 1- Mrs. X is about 22 years' old. She has approached this Court under Artilce 32 of the Constitution of India seeking directions to the respondents to allow her to undergo medical termination of her pregnancy. According to her, fetus which is about 22 weeks old on the date of the petition has a condition knowns as bilateral renal agenesis and anhydramnios. She apprehends that the fetus has no chance of survival and the delievery may endanger her life.
Finding of the Court:
Even advanced pregnancy may be permitted to be permitted u/s 5 in exceptional circumstances.
Result: Petition allowed.
ORDER
Application for non-disclosure of names and detail of petitioner No. 1 and 2 is allowed.
2. The Petitioner No. 1- Mrs. X is about 22 years' old. She has approached this Court under Artilce 32 of the Constitution of India seeking directions to the respondents to allow her to undergo medical termination of her pregnancy. According to her, fetus which is about 22 weeks old on the date of the petition has a condition knowns as bilateral renal agenesis and anhydramnios. She apprehends that the fetus has no chance of survival and the delievery may endanger her life.
3. In order to verify the condition of petitioner No. 1, this Court by order dated 03.02.2017 while issuing notice to the respondents directed examination of the petitioner by a medical Board consisting of following seven Doctors :
1. Dr. Avinash N. Supe, Director (Medical Education & Major Hospitals) & Dean (G&K) - Chairman
2. Dr. Shubhangi Parkar, Professor and HOD, Psychiatry, KEM Hospital
3. Dr. Amar Pazare, professor and HOD, Medicine, KEM Hosptial
4. Dr. Indrani Hemantkumar Chincholi, Professor and HOD, Anaesthesia, KEM Hospital
5. Dr. Y.S. Nandanwar, Professor and HOD, Obstetrics, KEM Hospitals
6. Dr. Anahita Chauhan, Professor and Unit Head, Obstetrics & Gynecology, LTMMC and LTMG Hospitals
7. Dr. Hemangini Thakkar, Addl. Professor, Radiology, KEM Hospital.
4. By its report dated 04.02.2017, the Medical Board as constituted by this Court has given its expert opinion upon reviewing the complete history as narrated by the petitioner No. 1 and her brother alongwith all the papers. The petitioner No. 1 was examined by all the Board Members with specific recourse to the specialty.
5. The learned Solicitor General who appears on behalf of Union of India had the report evaluated by Doctor Veena Dhawan from the Ministry of Health. The said Doctor does not disagree with the findings by the Medical Board and is also in agreement with the proposed action by the Medical Board. The salient features of the report are :
".. Ultrasonography diagnosis is single live fetus with gestational age of 24 weeks 3 days with bilateral renal agenesis with double outlet right ventricle with ventricular septal defeat with two vessel cord with anhydramnios....
Opinion of Pediatric Surgeon in charge of Birth Defect Clinic : There is risk of intrauterine fetal death/ still birth and there is no chance of long term post natal survival, and no curative treatment is available at present for bilateral rengal agenesis.
6. There is thus a clear diagnosis of the condition of the single live fetus which is said to have bialateral renal agenesis wheich means the fetus has no kidneys and anhydramnios which means that there is an absence of amniotic fluid in the womb. Further, there is a clear observation that there is a risk of intrauterine fetal death, i.e. death within womb and there is no chance of a long term post natal survival. What is important is that there is no curative treatment available at present for bilateral renal agenesis.
7. The Medical Board has opined that the condition of the fetus is incompatible with extra-uterine life, i.e. outside the womb because prolonged absence of amniotic fluid results in pulmonary hypoplasia leading to severe respiratory insufficiency at birth. From the point of view of the petitioner the report has observed risk to the mother since continuation of pregnancy can endanger her physical and mental health.
8. We have already vide order dated 16.01.2017 upheld the right of a mother to preserve her life in view of foreseeable danger in case the pregnancy is allowed to run its full course. This Court in that case relied upon the case of Suchita Srivastava and Anr. v. Chandigarh Administration [(2009) 9 SCC 1], where a bench of three Judges held "a woman's right to make reproductive choices is also a dimension of `personal liberty' as understood under Article 21 of the Constitution". In these circumstances we find that the right of bodily integrity calls for a permission to a
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