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2025 Supreme(Ori) 822

IN THE HIGH COURT OF ORISSA AT CUTTACK 
B.P. ROUTRAY, J.
State of Odisha - Appellant
Versus 
Kamala Behera and another - Respondents
RFA No.248 of 2007
Decided On : 09-09-2025

Advocates Appeared:
For the Appellant : Mr.G.Tripathy, AGA Mr.T.K.Dash, AGA
For the Respondent:Mr.P.K.Jena, Advocate

Failure of sterilization does not automatically constitute negligence; liability exists only with proof of malpractice, not merely based on resultant pregnancy.

Headnote:(A) Medical negligence - Claim for damages and maintenance due to failed sterilization operation - The plaintiff underwent Tubectomy but conceived afterward; the trial court found for the plaintiff based on presumed medical negligence - Court of appeal abstains, finding no established fault by the surgeon as failure can occur due to natural causes. (Paras 2-17)

(B) Tortious Liability - Liability for medical negligence requires clear proof of negligence; statutory declaration signed by the plaintiff indicated awareness of effectiveness limitations - The appeal upheld, with emphasis on necessity for negligence proof to sustain a tort claim. (Paras 25-30)

(C) Public Policy Considerations - Court references public policy in relation to socio-economic factors, noting courts cannot compensate for failed sterilization absent proven malpractice. (Paras 12, 16, 27)

Facts of the case:
The plaintiff, despite undergoing Tubectomy, conceived and sought compensation for maintenance of her child, alleging surgical negligence. No attention was drawn to her representation for help by health authorities.

Findings of Court:
Trial court favored the plaintiff, holding defendants accountable for negligence; appellate court found no fault and clarified legal principles on surgical negligence.

Issues: Key issues included the existence of a cause of action based on failure of sterilization and whether defendants were liable for negligence leading to an unwanted pregnancy.

Ratio Decidendi: The court concluded that the mere occurrence of pregnancy post-surgery does not implicate fault unless negligence is proven.

Result: Appeal allowed; the judgment and order of the lower courts set aside.

Table of Content
1. facts of sterilization and subsequent pregnancy (Para 3 , 4)
2. arguments regarding negligence and financial burden (Para 5 , 8 , 9)
3. court's view on medical negligence and ext.a (Para 7 , 10 , 11)
4. legal precedence in sterilization negligence (Para 12 , 13 , 14)
5. conclusion set aside trial court decision (Para 17)

Judgment :

B.P. Routray, J.

1. Heard Mr.Tripathy and Mr.Dash, learned Additional Government Advocates for the State-Appellant and Mr. Jena, learned Advocate for the Respondents.

2. Present appeal is directed against the judgment dated 21st November 2006 of learned Additional District Judge (F.T.), Sambalpur, wherein the State-defendants were directed to pay a sum of Rs.1,08,000/- to the plaintiff towards maintenance of her 5th child.

3. The facts of the case are that the plaintiff filed Title Suit No.43/13 of 2002-04 stating that she approached defendant no.2, the Medical Officer then working at Nakatideul P.H.C. to undergo sterilization operation to prevent pregnancy. After necessary checkup the sterilization operation was conducted by defendant no.2 on 21st November 1997 with the assurance that said operation was successful and plaintiff would not conceive any child in future. To that effect a certificate dated 2nd December 1997 (Ext.1) was issued to the plaintiff stating that she has undergone Tubectomy operation vide Sl.No.77 of 1997-98. But despite such operation undertaken by the plaintiff, the plaintiff was conceived again after two years and when she approached defendant no.2, he advised her to go for abortion by stating that such Tubectomy operation conducted became unsuccessful. The plaintiff could not prefer for abortion due to various reasons and on 4th August 2000 she gave birth to a male child.

4. It is stated by the plaintiff that she belongs to a poor family below the poverty line and her husband is a daily labourer. They are unable to maintain their children, who already have two daughters and two sons previously and now maintaining the 5th child would be difficult on their part due to their poor financial condition. So she made a representation to the Chief District Medical Officer, Sambalpur for financial help towards maintenance of 5th child. But, no one pay any heed to the same.

5. The State-defendants have contested the case by filing their written statement denying the claim of the plaintiff for compensation. Defendant no.2 denied any negligence or fault on his part for the operation conducted on the plaintiff. It is submitted that the said operation was successful without any complications in the medical term and the pregnancy subsequent to the operation may be due to spontaneous canalization of the fallopian tube of the plaintiff.

6. One witness each from both sides were examined as P.W.1 and D.W.1 respectively, who are the plaintiff and defendant no.2. The learned trial court framed six issues for adjudication, which are as follows:

“1. Has the plaintiff any cause of action for the suit?

2. Is the suit maintainable in present form?

3. Has defendant no.2 neglected in conducting sterilization operation of plaintiff?

4. Are defendants liable to pay the damages and maintenance as claimed for by the plaintiff?

5. Whether getting conceived after successful sterilization operation makes the same liable to defendants to pay damages?

6. What other relief the plaintiff is entitled to?”

7. While answering Issue No.3, 4 & 5, which are the vital issues for consideration, the learned trial court has given findings in favour of the plaintiff’s contention regarding Ext.A, the consent application given by the plaintiff before conducting her operation. There is a declaration made in Ext.A to the effect that the operation, which is to be conducted on the plaintiff, may invite danger for her and there is possibility of failure in the operation. The learned trial court while dealing with such declarations made under Ext.A by the plaintiff before going for operation, has answered that since she is an illit

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