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  • Article 32 of the Constitution of India
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citation codes
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  • Article 32 of the Constitution of India
Smart Summary

Factual and Procedural Background

Petitioner No. 1, Ms. Sheetal Shankar Salvi, filed a writ petition under Article 32 of the Constitution of India seeking permission to medically terminate her pregnancy. On 22 March 2017, the Supreme Court issued notice to the respondents and directed that the petitioner be examined by a seven-member Medical Board comprising senior specialists from KEM Hospital and associated institutions. A report dated 25 March 2017 confirmed that the petitioner was 27 weeks pregnant and that the foetus suffered from multiple severe congenital abnormalities, including polyhydramnios, Arnold Chiari malformation Type 2, severe hydrocephalus, lumbosacral meningomyelocele, spina bifida, and a tethered cord. The Medical Board concluded that the petitioner’s physical condition was normal, posed no risk to her life from continuing or terminating the pregnancy, and that termination was not advised on medical grounds. The petition therefore came before the Court for final determination.

Legal Issues Presented

  1. Whether, in light of the Medical Board’s findings and the gestational age of 27 weeks, the Court should direct the respondents to permit medical termination of the petitioner’s pregnancy.

Arguments of the Parties

The opinion does not contain a detailed account of the parties' legal arguments.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The Court carefully considered the Medical Board’s report. Key elements of the report were:

  • The petitioner’s health was normal with no physical risk to her whether the pregnancy continued or was terminated.
  • The foetus had severe congenital anomalies that would severely compromise its post-natal quality of life, yet the Board could not determine how long the baby might survive if born.
  • Despite the abnormalities, the Board explicitly did not advise medical termination on medical grounds.

The Court noted that the only non-medical factor advanced was the petitioner’s anxiety about the outcome of the pregnancy, which it found insufficient to justify termination. Given (a) the absence of risk to the petitioner’s life, (b) the possibility that the child could be born alive and survive for an uncertain period, and (c) the Board’s recommendation against termination, the Court concluded that it would not be “appropriate in the interests of justice” to grant the requested relief.

Holding and Implications

HOLDING: The writ petition is dismissed; permission for medical termination of pregnancy is denied.

Implications: The immediate effect is that the petitioner must carry the pregnancy to term unless new circumstances arise. The decision is confined to the facts of this case and does not articulate any broader legal rule or precedent regarding medical termination of pregnancy beyond the statutory framework.

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    Sheetal Shankar Salvi And Anr. Petitioner(S) v. Union Of India And Ors. (S)

    1. Petitioner No. 1 - Sheetal Shankar Salvi, has approached this Court under Article 32 of the Constitution of India seeking directions to the respondents to allow her to undergo medical termination of her pregnancy.

    2. By order dated 22.3.2017, while issuing notice to the respondents, this Court gave a direction for examination of petitioner no. 1 by a Medical Board consisting of the 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.

    3. Petitioner No. 1 is into her 27 weeks of pregnancy. This is also borne by the medical report dated 25.3.2017, received from the Dean & Director (ME & MH)'s Office, Seth G.S Medical College & KEM Hospital, Parel, Mumbai - 400 012.

    4. It is not in dispute that the fetus of petitioner no. 1 has been diagnosed with polyhydramnios with Arnold Chairi malformation Type 2 severe hydrocephalus with lumbosacral meningo myelocele and spina bifida with tethered cord.

    5. The Medical Board has submitted its report dated 25.3.2017 On perusal of the said report, we find that the said report contains the following significant features for the purposes of passing this order :

    (1) The diagnosis of Arnold Chairi malformation Type 2 with meningo myelocele with tethered cord has been made on the basis of ultrasonography.

    (2) The mother's physical condition is normal and there is no physical risk to the mother, due to continuation or termination of pregnancy. But she is anxious about outcome of pregnancy.

    (3) The fetus has severe physical anomalies which will compromise post natal quality of life and the child will have severe physical and mental morbidity on survival.

    (4) If the pregnancy is terminated at 27 weeks, the baby may be born alive and may survive for variable period of time.

    6. Apparently, it has not been possible for the aforesaid Medical Board to determine the period of time for which the baby is likely to survive. It also appears from the said report that the baby is not likely to survive like a normal baby.

    7. However, having regard to the fact that there is no danger to the mother's life and the likelihood that ‘the baby may be born alive and may survive for variable period of time, we do not consider it appropriate in the interests of justice to direct the respondents to allow petitioner no. 1 to undergo medical termination of her pregnancy. In fact, the aforesaid Medical Board has itself stated that it does not advise medical termination of pregnancy for petitioner no. 1 on medical grounds.

    8. The only other ground that appears from the observations made in the aforesaid medical report apart from the medical grounds, is that petitioner no. 1 is anxious about the outcome of the pregnancy. We find that the termination of pregnancy cannot be permitted due to this reason.

    9. In the facts and circumstances of the case, it is not possible for us to grant permission to petitioner no. 1 to terminate the life of the fetus.

    10. In view of the above, as at presently advised, we decline the prayer of the petitioners for directing the respondents to allow Petitioner No. 1 to undergo medical termination of the pregnancy.

    11. Hence, the writ petition is dismissed.

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    Comments

    Sheetal Shankar Salvi And Anr. Petitioner(S) v. Union Of India And Ors. (S)
    (Mar 27, 2017)