After learning that she had stage four pancreatic cancer, a 24-year-old lady was recently granted permission by the Bombay High Court to end her 24-week pregnancy. The ruling by the court highlights the intricate relationship that exists between individual rights, legal principles, and medical ethics when dealing with situations that involve advanced pregnancy and serious health issues.
The 24-year-old petitioner, who was accompanied by attorney Manisha Devkar, went to the Bombay High Court to ask for permission to end her pregnancy. Her main defense rested on the medical advice she had been given, which said that she was pregnant when palliative chemotherapy (a treatment intended to relieve symptoms and enhance quality of life for cancer patients) was provided.While palliative chemotherapy does not treat life-threatening illnesses like stage four pancreatic cancer, it does aim to lessen pain and other unpleasant symptoms. For patients with terminal illnesses, this type of treatment is essential since it can greatly improve their quality of life in the remaining time.
Initially, a medical board was appointed by the court to assess the petitioner’s health. The board’s decision created a difficult situation: although it found that the lady could physically carry on with the pregnancy, it also emphasized the serious constraints and impending dangers that her advanced disease posed. The woman’s health was critically ill, and the board indicated that she only had a few months to live.
Considering how far along her pregnancy was, the legal procedure called for a judge’s approval before she could get an abortion. Up until 20 weeks of gestation, abortion is normally permitted in India under the Medical Termination of Pregnancy (MTP) Act, 1971. Beyond this time, however, pregnancies necessitate court involvement, especially in cases of extraordinary circumstances such severe fetal deformities or risks to the mother’s life.
Following a thorough examination of the medical board’s report and Devkar’s arguments, the bench of Justices Ajay Gadkari and Neela Gokhale granted the petitioner’s plea for termination. The woman’s declining health, the excruciating agony she was in, her immobility, and the general prognosis that suggested a very short life expectancy all played a significant role in the decision.The court acknowledged that she was in urgent need of medical attention to stop her suffering. This choice demonstrates a caring and practical attitude, striking a balance between the requirements of the law and the moral need to put the woman’s immediate health and quality of life first.
This case serves as a reminder of the difficulties that arise when medical ethics and the law collide, especially when advanced pregnancy and terminal disease are involved. It emphasizes how important it is for legal institutions to be adaptable and sensitive to unusual medical situations. The verdict from the Bombay High Court establishes a standard for instances of a similar nature in the future and highlights the significance of tailored judicial consideration predicated on thorough medical evaluations.
It is anticipated that the comprehensive justification for the court’s order, which has not yet been made public, will shed more light on the legal standards and judicial reasoning used in this case. The delicate balancing act between protecting the legal framework surrounding abortion and attending to the urgent, humanitarian needs of individuals who are terminally ill is expected to be covered in detail.
The petitioner’s 24-week pregnancy was terminated by the Bombay High Court, demonstrating the crucial role that the court plays in resolving intricate medical-legal issues. It reinforces the dedication to making sure that, in extraordinary circumstances, judicial decisions do not worsen the suffering of those who are dealing with life-threatening medical problems, maintaining the fundamental principles of justice and compassion.
SOURCE:
TIMES OF INDIA