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2026 Supreme(SC) 488

SUPREME COURT OF INDIA
B.V. NAGARATHNA, UJJAL BHUYAN, JJ.
S – Appellant
Versus
The Union of India & Ors. – Respondents
Civil Appeal No. 6667 of 2026 (@ SLP(C) No. 14454 of 2026)
Decided On : 24-04-2026

Advocates appeared:
For the Petitioner(s): Dr. Amit Mishra, Adv. Mr. Rahul Sharma, AOR Ms. Uzma Ashraf, Adv. Dr. Lokendra Malik, Adv.
For the Respondent(s): Mr. Tushar Mehta, SGI Ms. Aishwarya Bhati, ASG Mr. K. Ravindra Kumar, ASG Mr. Devraj Bhattacharjee, Adv. Mr. Puskar Sharma, Adv. Mr. Vaibhav Dwivedi, Adv. Mr. Siddharth Gupta, Adv. Mr. Aditya Kumar, Adv. Ms. Shivika Mehra, Adv. Mr. Anirudh Singh, Adv. Mr. Purnima Singh, Adv. Ms. Madhulika Upadhyay, AOR Ms. Swati Ghildiyal, AOR Ms. Sonakshi Sinha, Adv. Dr. Vikrant Narayan Vasudeva, AOR

Constitutional courts must permit termination of unwanted late-term pregnancies in minors, prioritizing reproductive autonomy, bodily integrity and best interests under Article 21 over MTP Act statutory limits.

Headnote:(A) Medical Termination of Pregnancy Act, 1971 - Sections 3(2)(b)(i), 3(3), 5 - Medical Termination of Pregnancy Rules, 2003 - Rule 3B(c) - Guidelines dated 14.08.2017 - Constitution of India - Articles 21, 226, 32 - Termination of 28-weeks unwanted pregnancy of minor girl (15 years) arising from consensual relationship - High Court dismissed writ petition relying on medical board report noting no major psychiatric disorder, live birth viability and risks to reproductive health from termination - Held: Constitutional courts to prioritize best interests, reproductive autonomy and bodily integrity of pregnant minor under Article 21 over statutory limits of MTP Act; no compulsion to carry unwanted pregnancy to term as it breaches right to life with dignity; absence of statutory remedy does not bar constitutional relief; passage of time or foetal normalcy does not extinguish decisional autonomy; permitted medical termination with safeguards. (Paras 10-17)

(B) Right to reproductive choice is integral to personal liberty and privacy under Article 21; forcing minor to continue unwanted pregnancy inflicts mental, emotional trauma and long-term harm; medical board's silence on psychological distress from suicide attempts cannot negate severe emotional turmoil; pregnant woman's choice prevails over interests of unborn in such cases. (Paras 11-16)

(C) Constitutional courts in hard cases beyond statutory period must weigh welfare of pregnant woman willing to undertake medical risks rather than compel birth of unwanted child; prohibitory approach drives unsafe illegal terminations. (Paras 11.3-15)

Facts of the case:
Mother of minor girl discovered 27-weeks pregnancy, sought termination under MTP Act provisions, multiple doctors refused; writ petition filed, medical board examined, High Court dismissed finding no psychiatric disorder and termination risks; appeal contended breach of reproductive rights given suicide attempts and unwanted nature.

Findings of Court:
Minor permitted to undergo medical termination at earliest with all safeguards; mother to furnish undertaking.

Issues: Whether late-term termination permissible for minor's unwanted pregnancy despite medical board opinion and beyond MTP Act limits; interplay of statutory bars and constitutional rights to autonomy.

Ratio Decidendi: Reproductive autonomy under Article 21 mandates prioritizing minor's welfare, choice and mental health in unwanted pregnancies; statutory limits do not preclude constitutional jurisdiction to grant relief where continuation causes irreversible harm; foetal viability or delay irrelevant to woman's fundamental rights.

Result: Appeal allowed; High Court order set aside.

ORDER

Leave granted.

2. Learned Solicitor General as well as learned Additional Solicitor General have appeared and submitted on behalf of the first respondent-Union of India and learned standing counsel for second respondent-State has also submitted by adopting the contentions of learned Solicitor General and Additional Solicitor General.

3. We have heard learned counsel for the appellant.

4. This appeal has been filed by the appellant, who is the mother of her minor daughter aged about fifteen years, against the impugned order dated 21.04.2026 passed by the High Court of Delhi in Writ Petition (Civil) No. 4967/2026 by which the High Court has dismissed the prayer of the minor daughter of the appellant herein for medical termination of pregnancy of twenty-eight (28) weeks.

5. The brief facts of the case are that the appellant, in the first week of April 2026, noticed unusual heaviness in the abdomen of her minor daughter and upon enquiry regarding her last menstrual cycle, the minor was unable to recall the same. Hence, on 10.04.2026, the appellant took her daughter for medical consultation, where an ultrasound scan was conducted and a live pregnancy of about 27 weeks was diagnosed. On the same day i.e., 10.04.2026, the appellant approached several doctors and medical clinics seeking medical termination of pregnancy, however, all the medical practitioners refused to perform the procedure.

5.1 On 13.04.2026, the appellant filed Writ Petition (Civil) No. 4967/2026 before the High Court of Delhi seeking directions to permit termination of pregnancy under Section 3(2)(b)(i) read with Section 3(3) and Section 5 of the Medical Termination of Pregnancy Act, 1971 (for short, “MTP Act”), along with Rule 3B(c) of the Medical Termination of Pregnancy Rules, 2003 (for short, “MTP Rules”) and Guidelines dated 14.08.2017 issued by the Ministry of Health and Family Welfare, Government of India.

5.2 On 15.04.2026, the High Court directed All India Institute of Medical Science (AIIMS Hospital), New Delhi to constitute a Medical Board to examine the minor daughter of the appellant. On 18.04.2026, the Medical Board submitted its report.

6. On 21.04.2026, the High Court passed the impugned order dismissing W.P. (C) No. 4967/2026 by noting that the psychiatric and psychological assessment of minor did not reveal any “major psychiatric disorder in the past or at this point of time” and that in case of delivery at present, the baby would be born alive, although it would require active resuscitation at birth. The High Court then proceeded to hold that the termination of pregnancy may entail significant risk to the minor girl potentially causing adverse effect on her future reproductive health and accordingly, dismissed the Writ Petition. Being aggrieved by the order of the High Court dated 21.04.2026, the appellant has preferred the present appeal before this Court.

7. Learned counsel for the appellant submitted that the pregnancy of the minor daughter of the appellant is owing to a consensual relationship between the minor girl and her friend, who is also a minor of seventeen years. The pregnancy is an unwanted pregnancy. It was contended by learned counsel for the appellant that the High Court has failed to consider the Guidelines dated 14.08.2017 issued by the Union Government, which contemplate termination of late-term pregnancies in cases involving minors and other exceptional circumstances.

7.1 It was further stated that the minor girl has been subjected to enormous mental trauma and has attempted to commit suicide on two occasions. That compelling her to continue the pregnancy against her will and to give birth to the child is in breach of her right to life, reproductive autonomy and bodily integrity as envisaged under Article 21 of the Constitution of India. Learned counsel for the appellant therefore submitted that the impugned order may be set aside and the relief sought for by the appellant herein for the sake of her minor daughter may be granted.

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