High Court of KeralaSingle JudgeDisposed of in terms of directions (i)-(iii) is...

W.P.(C). No. 7503 of 2022

Case / Petition Number:W.P.(C). No. 7503 of 2022

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • P. V. Kunhikrishnan
Judgment Date
2022-03-10
Court Decision / Holding
The 5th respondent is permitted to perform medical termination under the Medical Termination of Pregnancy Act within one week from the date of receipt of this judgment. If required, expert assistance from other specialists may be sought via the Director of Health Services. If the baby is born alive, the hospital must provide the best possible medical treatment to the child. If the parents are unable or unwilling to assume responsibility, the State and its agencies will assume full responsibility for such child, providing medical support and facilities in line with the Juvenile Justice Act and best interests of the child. A copy of the judgment is to be issued forthwith.
Final Disposition
Disposed of in terms of directions (i)-(iii) issued on 10.03.2022; interim mechanisms and responsibilities laid down for termination and post-birth welfare.

Parties to the Case

Appellants / Petitioners

  • Petitioner (Mother of minor girl)

Respondents

  • Union of India represented by Secretary, Ministry of Women and Child Development
  • State of Kerala represented by Secretary to Government, Department of Women and Child Development
  • Director of Medical Education, Kerala
  • Station House Officer, Kannanel(l)ure Police Station, Kollam District
  • SAT Hospital represented by its Superintendent, Government Medical College, Thiruvananthapuram
  • Child Welfare Committee, Kollam represented by its Chairperson

Legal Representation & Advocates

Counsels for Petitioners

  • • M. Kabani Dinesh
  • • C. Anchala

Counsels for Respondents

  • • Advocate General, Government of Kerala

Case Synopsis & Summary

This writ petition, filed by the mother of a ten-year-old girl who was sexually assaulted by her father, seeks permission to terminate the pregnancy of the minor under the Medical Termination of Pregnancy Act, 1971. At the time of filing, the child was around 31 weeks pregnant with breech presentation, exposing both mother and fetus to serious health risks. A Medical Board, directed by an interim order of this court, examined the pregnancy and reported that operative delivery would be required, with substantial anesthesia and surgical risks; the baby’s estimated weight at 30 weeks 6 days was 1.557 kg, with an 80% chance of survival if born alive, yet accompanied by neonatal morbidities and potential adverse neurodevelopmental outcomes. The Board noted ethical and medicolegal obligations to resuscitate and care for a viable newborn. The petition invoked social and legal concerns surrounding child sexuality and maternal health. The court referred to a Bombay High Court decision in XYZ v. Union of India (2019) to emphasize welfare of the newborn and state responsibility when a child survives, under Article 226 powers. Ultimately the court disposed of the petition by directing the 5th respondent to proceed with termination within one week under the MTP Act, with directions for hospital and state agencies to assume responsibility if the child is born alive and to ensure best medical care.

Provisions of Law Cited

Medical Termination of Pregnancy Act, 1971Juvenile Justice (Care and Protection of Children) Act, 2015Protection of Children from Sexual Offences Act, 2012Indian Penal Code: sections 376AB, 376(2)(F), 376(2)(N), 354-B, 354A(1)(I)Section 75 of the Juvenile Justice (Care and Protection of Children) Act, 2015POCSO Act, 2012 - Sections 4(2), 3(A), 6(1), 5J(II), 5M, 5N, 51

Legal Doctrines & Maxims

  • Best interests of the child

Submissions & Arguments

Contentions of Appellants / Petitioners

The petition seeks permission to terminate the pregnancy of a ten-year-old rape victim under the Medical Termination of Pregnancy Act, 1971, highlighting urgency and medical risks to the minor and mother, and seeking a directive to the hospital (5th respondent) to carry out the termination in accordance with law; the plea also emphasizes the welfare and health considerations surrounding the victim and the unborn child.

Contentions of Respondents

The respondents advocate adherence to legal safeguards for the unborn child and welfare under statutory schemes, underscoring the need for due process, medical evaluation, and state involvement to ensure welfare of a child in case of survival, consistent with best interests and applicable statutes.

Cited Precedents (1)

Case NameCitationTreatmentExplanation
XYZ v. Union of India and OthersMANU/MH/0565/2019PositiveCited to support welfare-oriented directives for surviving newborns and state responsibility under Article 226 powers, in line with ensuring care and best interests of the child.

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Extracted Judgment Text

Exact text extracted from official judgment records.

## **`IN THE HIGH COURT OF KERALA AT ERNAKULAM`** ## **`PRESENT`** ## **`THE HONOURABLE MR. JUSTICE P.V.KUNHIKRISHNAN THURSDAY, THE 10[TH] DAY OF MARCH 2022 / 19TH PHALGUNA, 1943`** ## **`WP(C) NO. 7503 OF 2022`** ## **`PETITIONER/S:`** ``` YYYY X BY ADVS. M.KABANI DINESH C.ANCHALA ``` ## **`RESPONDENT/S:`** - `1 UNION OF INDIA, REPRESENTED BY SECRETARY, MINISTRY OF WOMEN AND CHILD DEVELOPMENT, SASTHRI BHAVAN, NEW DELHI - 110 001.` - `2 STATE OF KERALA, REPRESENTED BY SECRETARY TO GOVERNMENT, DEPARTMENT OF WOMEN AND CHILD DEVELOPMENT, SECRETARIAT, THIRUVANANTHAPURAM - 695 001.` - `3 DIRECTOR OF MEDICAL EDUCATION DIRECTORATE OF MEDICAL EDUCATION, MEDICAL COLLEGE P. O., MEDICAL COLLEGE, KUMARAPURAM ROAD, CHALAKKUZHI, THIRUVANANTHAPURAM - 695 011.` - `4 STATION HOUSE OFFICER OF INSPECTOR OF POLICE KANNANELLURE POLICE STATION, KOLLAM DISTRICT.` - `5 SAT HOSPITAL, REPRESENTED BY ITS SUPERINTENDENT, GOVERNMENT MEDICAL COLLEGE, KUMARAPURAM P. O., THIRUVANANTHAPURAM DISTRICT, PIN - 695 011.` - `6 CHILD WELFARE COMMITTEE, KOLLAM REPRESENTED BY ITS CHAIRPERSON, BEACH ROAD, PALLITHOTTAM, THAMARAKULAM, KOLLAM - 691001.` ``` BY ADV ADVOCATE GENERAL OFFICE KERALA ``` ## **`OTHER PRESENT:`** ``` SMT.VIDYA KURIAKOSE, GP, SRI.S.MANU, ASGI ``` ``` THIS WRIT PETITION (CIVIL) HAVING COME UP FOR ADMISSION ON 10.03.2022, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING: ``` -2- W.P.(C). No. 7503 of 2022 ## **P.V.KUNHIKRISHNAN, J.** ====================================================== W.P.(C) No.7503 of 2022 ============================================================= Dated this the 10[th ] day of March, 2022 ## **JUDGMENT** The petitioner is the mother of a ten year old minor girl, who suffered sexual abuse from her own father. The child is now pregnant. The writ petition is filed with following prayers: - _“I. Issue a Writ of Mandamus or any other writ, order or direction permitting the Petitioner's minor daughter to undergo Medical termination of her pregnancy under the provision of the Medical Termination of Pregnancy Act 1971 and to issue consequential direction to the 5th respondent to conduct such termination procedure in accordance with the law forthwith._ - _II. To grant such other further reliefs as this Hon’ble Court may deem fit and proper in the facts and circumstances of this case.” (Sic)_ 2. When this writ petition came up for consideration, this Court passed an order on 07.03.2022, which is extracted hereunder: W.P.(C). No. 7503 of 2022 -3- _“Admit._ _ASGI takes notice for R1. Government Pleader takes notice for R2 to R6._ _There will be an interim order directing the 5[th] respondent to constitute a Medical Board and examine the stage of pregnancy of the petitioner’s minor daughter on 08.03.2022 or 09.03.2022 and file a report forthwith._ _Post on 10.03.2022”_ 3. Based on the above direction, the Medical Board is constituted and the Medical Board submitted a report, which is extracted hereunder: _“Since the pregnancy is around 31 weeks and breech presentation, operative delivery is needed with the associated anaesthesia and surgical risks._ _At 30 weeks 6 days, expected weight of 1.557 Kg – there is 80% chance of the baby surviving. There is risk of Neonatal morbidities and need for NICU care and also adverse neurodevelopmental outcome for the newborn baby. At 30 weeks 6 days we are ethically and medicolegally liable to resuscitate and give care to the newborn baby._ -4- W.P.(C). No. 7503 of 2022 _Psychiatric consultation and opinion of this case is pending.”_ 4. From the medical report, it is clear that the pregnancy is around 31 weeks and breech presentation, operative delivery is needed with the associated anaesthesia and surgical risks. At 30 weeks 6 days, with expected weight of 1.557 Kg – there is 80% chance of the baby surviving. It is also stated in the report that, there is risk of Neonatal morbidities and need for NICU care and also adverse neurodevelopmental outcome for the newborn baby. Medical Board report that, at 30 weeks 6 days they are ethically and medicolegally liable to resuscitate and give care to the newborn baby. 5. It is an unfortunate case in which a ten year old rape victim is pregnant and the medical board says that 80% chance of the newborn baby surviving. The alleged culprit is her own father. If the allegation is correct, I am ashamed of and of -5- W.P.(C). No. 7503 of 2022 course, the entire society should bow their head for the same reason. I am sure that long arm of our legal system will punish him in a manner known to law. Since the victim child is only aged ten years, there is a chance for medical complication to her health. Considering the entire facts and circumstances of the case, according to me, this is a case in which this Court should invoke the jurisdiction keeping in mind the Almighty. 6. In a similar situation, the Bombay High Court considered W.P.(C) No.10835 & 9748 of 2018 on 03.04.2019 in **XYZ v. Union of India and Others [MANU/MH/0565/2019]** In that case, certain directions are issued regarding the welfare of the newborn child, if the newborn is surviving. It will be better to extract clause (h) & (i) in Paragraph 138 of the judgment. _“(h) we hold that where, this Court, in exercise of its powers under Article 226 of the Constitution of_ -6- W.P.(C). No. 7503 of 2022 _India has permitted medical termination of pregnancy and the child is born alive, then, the registered medical practitioner and the hospital/clinic concerned will have to assume full responsibility to ensure that such child is offered best medical treatment available in the circumstances, in order that it develops into healthy child;_ _(i) We further hold that where, this Court, in exercise of its powers under Article 226 of the Constitution of India has permitted medical termination of pregnancy and the child is born alive, if the parents of such child are not willing to or are not in a position to assume the responsibility for such child, then, the State and its agencies will have to assume full responsibility for such child and offer such child medical support and facilities, as may be reasonably feasible, adhering always to the principle of best interests of such child as well as the Statutory provisions in the Juvenile Justice Act.”_ 7. I think a similar order can be passed in this case also. Therefore, this writ petition is disposed of in the following manner: -7- W.P.(C). No. 7503 of 2022 - (i) The 5[th] respondent is permitted to do the needful in accordance to the Medical Termination of Pregnancy Act. It should be done within one week from the date of receipt of a copy of this judgment. If the 5[th] respondent needs any expert medical assistance from any other specialists, the 5[th] respondent can request the Director of Health Services, and the Director of Health Services will do the needful forthwith. - (ii) If the baby born alive, the 5[th] respondent will do the needful in accordance to law. It is declared that if the newborn is alive, then the 5[th] respondent and the hospital concerned will have to assume full responsibility to ensure that such child is offered best medical treatment available in the circumstances in order that it develops into a healthy child. - (iii) It is also declared that if the parents of the child are not willing to or not in a position to assume the responsibility of the child, then the State and its agency will have to assume full responsibility of -8- W.P.(C). No. 7503 of 2022 such child and offer such child medical support and facilities as may be reasonably feasible, adhering always to the principle of best interests of such child as well as the statutory provisions in the Juvenile Justice Act. Issue a copy of this judgment today itself. sd/- **P.V.KUNHIKRISHNAN JUDGE** das -9- W.P.(C). No. 7503 of 2022 ## **`APPENDIX OF WP(C) 7503/2022`** ``` PETITIONER EXHIBITS ``` ``` Exhibit P1FIR IN CRIME NO.0712/2022 DATED 20.02.2022 OF KANNANELLURE POLICE STATION UNDER SECTION 376 AB, 376 (2) (F), 376 (2) (N), 354-B, 354 A(1)(I) OF IPC R/W SECTION 75 OF THE JUVENILE JUSTICE (CARE AND PROTECTION OF CHILDREN) ACT, 2015 AND SECTIONS 4 (2), 3 (A), 6(1), 5 J (II), 5M, 5N, 51 OF THE PROTECTION OF THE CHILDREN FROM SEXUAL OFFENCES ACT 2012. ``` ``` Exhibit P2A TRUE COPY OF THE SCAN REPORT DATED 20.02.2022. ```