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Supreme Court of India
S. Saghir Ahmad & D.P. Wadhwa, JJ.
STATE OF HARYANA & ORS.—Appellants
versus
SMT. SANTRA—Respondent
Civil Appeal No. 2897 of 2000—Decided on 24.4.2000

Counsel for the Parties :
For the Appellants :Mr. S.R. Sharma & Mr. Mahabir Singh, Advocates.
For the Respondent: None.

The main legal point established in the judgment is that the doctor's negligence in performing the unsuccessful sterilisation operation binds the State, and the State is liable for damages. The Court also recognized the entitlement of the respondent to claim full damages from the State to bring up the child at least till she attains puberty.

Headnote:

Medical Negligence - Failed Sterilisation Operation - Family Planning - Negligence Per Se - Damages for Rearing Up the Unwanted Child - Statutory and Moral Obligations of Parents - Vicarious Liability of the State - [FAILED STERILISATION OPERATION] - [MEDICAL NEGLIGENCE] - [Sterilisation Scheme, Family Planning] - [Bolam v. Friern Hospital Management Committee, (1957) 2 All ER 118; Whitehouse v. Jordon, (1981) 1 All ER 267 (HL); Maynard v. West Midlands Regional Health Authority, (1985) 1 All ER 635 (HL); Sidway v. Bathlem Royal Hospital, (1985) 1 All ER 643 (HL); Dr. Laxman Balkrishna Joshi v. Dr. Trimbark Babu Godbole & Anr., AIR 1969 SC 128; A.S. Mittal v. State of U.P., AIR 1989 SC 1570; Poonam Verma v. Ashwin Patel & Ors., II (1996) CPJ 1 (SC)=(1996) 4 SCC 322=AIR 1996 SC 2111; M/s. Spring Meadows Hospital & Anr. v. Harjol Ahluwalia through K.S. Ahluwalia & Anr., I (1998) CPJ 1 (SC)= III JT 1998 (2) SC 620; Udale v. Bloomsbury Area Health Authority, [1983] 2 All ER 522; Emeh v. Kensington and Chelsea and Westminster Area Health Authority, [1984] 3 All ER 1044=[1985] QB 1012; Thake v. Maurice, [1984] 2 All ER 513=[1986] QB 644; Benarr v. Kettering Health Authority, (1988) 138 NLJ 179; Allen v. Bloomsbury Health Authority, [1993] 1 All ER 651; Lovelace Medical Center v. Mendez, (1991) 805 P 2d 603; Allan v. Greater Glasgow Health Board, 1990 (3) SA 581; L v. M, [1979] 2 NZLR 519; CES v. Superclinics (Australia) Pty. Ltd., (1995) 38 NSWLR 47; Szekeres v. Robinson, (1986) 715 P 2d 1076; Johnson v. University Hospitals of Cleveland, (1989) 540 NE 2d 1370 (Ohio); Public Health Trust v. Brown, (1980) 388 So 2d 1084; Administrator, Natal v. Edouard, 1990 (3) SA 581; State of M.P. & Ors. v. Asharam, 1997 Accident Claim Journal 1224=II (1996) ACC 347; N. Nagendra Rao & Co. v. State of A.P., AIR 1994 SC 2663 = (1994) 6 SCC 205; Common Cause, A Regd. Society v. Union of India & Ors., AIR 1999 SC 2979=(1999) 6 SCC 667; Achutrao Haribhau Khodwa & Ors. v. State of Maharashtra & Ors., 1996 ACJ 505

Fact of the Case:

The respondent, a poor labourer woman, underwent a sterilisation operation under a government scheme but conceived and gave birth to a child. She filed a suit for recovery of damages for medical negligence, which was decreed. The State contested the suit, denying negligence and claiming estoppel.

Finding of the Court:

The Courts found that the sterilisation operation was not 'complete' and exhibited negligence on the part of the Medical Officer. The plea of estoppel was rejected. The lower courts decreed damages for the expenses involved in rearing up the child.

Issues: The issues involved the negligence in the sterilisation operation, the liability of the State for damages, and the expenses for rearing up the unwanted child.

Ratio Decidendi: The Court held that the doctor's negligence in performing the unsuccessful sterilisation operation would bind the State, and the State would be liable for damages. The Court also found that the respondent was entitled to claim full damages from the State to bring up the child at least till she attains puberty.

Final Decision: The appeal was dismissed, and the respondent was entitled to full damages from the State to bring up the child at least till she attains puberty.

JUDGMENT

S. Saghir Ahmad, J.—Leave granted.

Medical negligence plays its game in strange ways. Sometimes it plays with life; sometimes it gifts an “unwanted child” as in the instant case where the respondent, a poor labourer woman, who already had many children and had opted for sterilisation, developed pregnancy and ultimately gave birth to a female child in spite of sterilisation operation which, obviously, had failed.

2. Smt. Santra, the victim of the medical negligence, filed a suit for recovery of Rs. 2 lakhs as damages for medical negligence, which was decreed for a sum of Rs. 54,000/- with interest at the rate of 12 percent per annum from the date of institution of the suit till the payment of the decretal amount. Two appeals were filed against this decree in the Court of District Judge, Gurgaon, which were disposed of by Additional District Judge, Gurgaon, by a common judgment dated 10.5.1999. Both the appeals — one filed by the State of Haryana and the other by Smt. Santra were dismissed. The second appeal filed by the State of Haryana was summarily dismissed by the Punjab & Haryana High Court on 3.8.1999. It is in these circumstances that the present Special Leave Petition has been filed in this Court.

3. “Sterilisation Scheme”, admittedly, was launched by the Haryana Government and taking advantage of that scheme, Smt. Santra approached the Chief Medical Officer, Gurgaon, for her sterilisation in 1988. The sterilisation operation was performed on her and a certificate to that effect was also issued to her on 4.2.1988 under the signatures of the Medical Officer, General Hospital, Gurgaon. Smt. Santra was assured that full, complete and successful sterilisation operation had been performed upon her and she would not conceive a child in future. But despite the operation, she conceived. When she contacted the Chief Medical Officer and other doctors of the General Hospital, Gurgaon, she was informed that she was not pregnant. Two months later when the pregnancy became apparent, she again approached those doctors who then told her that her sterilisation operation was not successful. Dr. Sushil Kumar Goyal, who was examined as DW 2, stated that the operation related only to the right Fallopian Tube and the left Fallopian Tube was not touched, which indicates that `complete sterilisation’ operation was not done. She requested for an abortion, but was advised not to go in for abortion as the same would be dangerous to her life. She ultimately gave birth to a female child. Smt. Santra already has seven children and the birth of a new child put her to unnecessary burden of rearing up the child as also all the expenses involved in the maintenance of that child, including the expenses towards her clothes and education.

4. It was in these circumstances that the suit was filed by Smt. Santra which was contested by the State, who besides taking up the technical pleas relating to non-maintainability of the suit on various grounds, denied in the written statement that there was any negligence on the part of the Medical Officer of the General Hospital, Gurgaon. It was contended by the defendants that the sterilisation operation performed upon Smt. Santra on 4.2.1988 was done carefully and successfully and there was no negligence on the part of the doctor who performed that operation. It was further pleaded that Smt. Santra had herself put her thumb impression on a paper containing a recital that in case the operation was not successful, she would not claim any damages. It was pleaded that she was estopped from raising the plea of negligence or from claiming damages for an unsuccessful sterilisation operation from the State which, it was further pleaded, was not liable even vicariously for any lapse on the part of the doctor who performed that operation.

5. The Trial Court as also the lower Appellate Court both recorded concurrent findings of fact that the sterilisation operation performed upon Smt. Santra was not ‘complete’ as in that opera

























































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