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

Factual and Procedural Background

Petitioner 1, Savita Sachin Patil, aged 37, filed a writ petition under Article 32 of the Constitution of India seeking permission to medically terminate her pregnancy. At the time of filing she was 26 weeks pregnant and the foetus had been diagnosed with Trisomy 21 (Down Syndrome).

On 23-2-2017 the Supreme Court issued notice to the respondents and directed that the petitioner be examined by a seven-member Medical Board drawn from Seth G.S. Medical College & KEM Hospital, Mumbai. The Board submitted its report on 25-2-2017. This order records the Court’s consideration of that report and the petitioner’s prayer for termination.

Legal Issues Presented

  1. Whether the Supreme Court should permit medical termination of a 26-week pregnancy on the ground that the foetus is diagnosed with Trisomy 21.
  2. Whether continuation of the pregnancy poses such danger to the life of the mother or the foetus as to justify overriding the statutory time-limit for termination.

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 began by acknowledging that termination at 26 weeks would be an irreversible step and therefore required careful scrutiny. It relied primarily on the findings of the Medical Board, highlighting two key observations:

  • No physical risk to the mother: The Board stated that “there is no physical risk to the mother of continuation or termination of pregnancy.”
  • Uncertain severity for the foetus: While the foetus was diagnosed with Down Syndrome, the Board’s prognosis was that the child “is likely to have mental and physical challenges”; it did not assert that every child with this condition would necessarily face severe impairment.

The Court noted that the statutory considerations focus on (i) danger to the life of the mother and (ii) danger to the life of the foetus. Given the Board’s conclusion that there was no discernible danger to the petitioner’s life and only a potential—not definitive—severity of impairment for the foetus, the Court found no adequate basis to permit termination beyond the statutory limit. It therefore declined to grant the relief sought.

Holding and Implications

Prayer for medical termination of pregnancy is declined.

The immediate effect is that Petitioner 1 must continue with the pregnancy. The matter is directed to be listed along with Civil Appeal No. 7702 of 2014 for further consideration. The order does not create a new precedent but underscores the Court’s reliance on medical evidence and statutory thresholds when considering termination requests beyond the prescribed gestational limit.

    Savita Sachin Patil And Another v. Union Of India And Others

    Order

    1. Petitioner 1 Savita Sachin Patil, 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. We are constrained to pass this order being conscious of the fact that any permission at this stage would be irreversible.

    3. By order dated 23-2-2017 WP No. 121 of 2017, while issuing notice to the respondents, this Court gave a direction for examination of Petitioner 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 Hospital
    6. Dr Anahita Chauhan, Professor and Unit Head, Obstetrics & Gynaecology, Ltmmc and LTMG Hospitals
    7. Dr Hemangini Thakkar, Additional Professor, Radiology, KEM Hospital.

    4. Petitioner 1 is 37 years old and she is into her 26 weeks of pregnancy as on 25-2-2017. This is also borne by the medical report dated 25-2-2017, received from the Dean & Director's (ME & MH) Office, Seth G.S Medical College & KEM Hospital, Parel, Mumbai 400 012.

    5. It is not in dispute that the foetus of Petitioner 1 has been diagnosed with Trisomy 21, more commonly known as Down Syndrome, a condition that causes severe physical and mental retardation to the foetus. As in all such cases, two important considerations are involved — (i) danger to the life of the mother, and (ii) danger to the life of the foetus.

    6. The Medical Board has submitted its report dated 25-2-2017. On perusal of the said report, we find that the said report contains the following two significant features for the purposes of passing this order:

    (1) As far as the mother is concerned, the report states that “there is no physical risk to the mother of continuation or termination of pregnancy”;
    (2) As far as the foetus is concerned, the report states that “if the baby is born with Trisomy 21, it is likely to have mental and physical challenges”.

    As regards the prognosis, the said medical report clearly does not and possibly cannot, observe that this particular foetus will have severe mental and physical challenges. It states that the “baby is likely to have mental and physical challenges”.

    7. In the earlier part of the said medical report, there is no observation made by the aforestated Medical Board that every baby with Down Syndrome has low intelligence, but it was observed that “intelligence among people with Down Syndrome is variable and a large proportion may have an Intelligence Quotient of less than 50 (severe mental retardation)”.

    8. In any case, it is not possible to discern the danger to the life of Petitioner 1 in case she is not allowed to terminate her pregnancy. In the facts and circumstances of the case, it is not possible for us to grant permission to Petitioner 1 to terminate the life of the foetus.

    9. In view of the above, as is presently advised, we decline Prayer (a) of the petitioners for directing the respondents to allow Petitioner 1 to undergo medical termination of the pregnancy.

    10. List the matter along with Civil Appeal No. 7702 of 2014, for further considerations.

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    Comments

    Savita Sachin Patil And Another v. Union Of India And Others
    (Feb 28, 2017)