Kochi: The Kerala High Court has permitted the termination of a foetus over 31 weeks old after medical reports confirmed serious congenital abnormalities, observing that forcing the continuation of such a pregnancy would cause undue physical and mental trauma to the woman.
The court issued the order after considering expert medical opinions which stated that the foetus was suffering from severe abnormalities incompatible with a normal life. The judges noted that the woman’s right to dignity, bodily autonomy, and mental health must be given due weight while deciding such sensitive cases.
Referring to the Medical Termination of Pregnancy (MTP) Act and previous Supreme Court judgments, the High Court observed that statutory limits cannot be applied mechanically when exceptional medical circumstances are involved. The court emphasized that the law must be interpreted in a manner that is humane and responsive to medical realities.
The termination has been allowed to be carried out at a government medical college under strict medical supervision, ensuring the safety of the woman. The court also directed that a multidisciplinary medical team be present during the procedure and that all necessary post-procedure care be provided.
Legal experts say the ruling reinforces the judiciary’s evolving approach toward reproductive rights, particularly in cases involving severe foetal abnormalities detected at an advanced stage of pregnancy. The verdict is being seen as a significant step in prioritising women’s health, choice, and dignity within the framework of existing law.



