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High Court of Gujarat

XYZ MINOR THROUGH SAVITABEN W/O MITHARAM RENGARversusSTATE OF GUJARAT

Disposal
58-RULE ISSUED & RULE ABSOLUTE/ALLOWED @FH

Holding

The Court allowed the medical termination of the pregnancy of the minor rape victim, directing the appropriate medical board to carry out the procedure and related investigations.

Summary

The Court entertained a petition filed under Article 226 of the Constitution, Section 528 of the Bharatiya Nagarik Suraksha Sanhita, 2023 and the Medical Termination of Pregnancy Act, 1971, on behalf of a 17‑year‑old rape victim who was pregnant at about 16‑26 weeks. After a medical examination, a panel of doctors opined that termination could be performed under the MTP Amendment Act, 2021 despite the advanced gestation, citing grave mental injury and the best‑interest of the minor. The Court referred to Supreme Court pronouncements in X v Union of India and other precedents that recognize the presumption of mental injury in pregnancies resulting from sexual assault and the permissibility of termination up to 24 weeks (or beyond with a medical board). It held that the victim’s right to bodily integrity and mental health outweighed any procedural bar and directed the Civil Hospital, Gandhidham to effect the termination, obtain DNA samples for investigation, and ensure care for any live birth. The petition was consequently disposed.

Issues considered

  • Whether a court may direct medical termination of pregnancy of a minor rape victim beyond the standard gestational limits under the MTP Act.
  • Whether the mental health injury presumed in cases of pregnancy due to sexual assault satisfies the criteria of Section 3 of the MTP Act.
  • Whether DNA sampling of the foetus is permissible as part of the investigation.
  • Whether the provisions of the Juvenile Justice Act apply to the care of a live-born child in such circumstances.

Legislation cited

Subjects

medical termination of pregnancyrape victimminorMTP ActArticle 226best interest of childDNA samplingmental healthBharatiya Nagarik Suraksha SanhitaPOCSO

Judgment

      R/SCR.A/9743/2026                                  ORDER DATED: 13/07/2026




             IN THE HIGH COURT OF GUJARAT AT AHMEDABAD

     R/SPECIAL CRIMINAL APPLICATION (DIRECTION) NO. 9743 of 2026

==========================================================
        XYZ MINOR THROUGH SAVITABEN W/O MITHARAM RENGAR
                              Versus
                     STATE OF GUJARAT & ORS.
==========================================================
Appearance:
ZALAK B. SUTHAR ON BEHALF OF MR SALIM M SAIYED(5172) for the
Applicant(s) No. 1
MR. UTKARSH SHARMA, APP for the Respondent(s) No. 1
==========================================================

 CORAM:HONOURABLE MR. JUSTICE M. R. MENGDEY

                               Date : 13/07/2026

                                   ORDER


1.      The      present   application     has    been    preferred       by       the
applicant-victim under Article 226 of the Constitution of India
along with Section 528 of the Bharatiya Nagarik Suraksha
Sanhita, 2023 as well as under the provisions of the Medical
Termination of the Pregnancy Act, 1971, in connection with the
FIR being No.11993006260373 of 2026 dated 04.04.2026
registered with the ‘A’ Division Gandhidham Police Station,
Kachchh East Gandhidham for the offences punishable under
the provisions of BNS, 2023, for a direction to the respondent
authority to terminate the pregnancy of the applicant-victim who
is aged about 17 years, at the earliest, which is in the best
interest of the victim considering her physical health and
incident of rape causing grave injury to her mental health.

2.      On 10.07.2026, this Court passed the following order :-

        “1. Learned advocate appearing for the petitioner submits
        that the petitioner, who is aged 17 years, is the victim of the


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     R/SCR.A/9743/2026                                    ORDER DATED: 13/07/2026




       offence of POCSO Act and because of the same she has
       attained pregnancy and presently she is 13 weeks and 1
       day pregnant. The petitioner wants to discontinue the same
       and wants to terminate the pregnancy.

       2. Let the petitioner victim be examined by the respondent
       no.4 i.e. Chief Medical Officer / Medical Superintendent,
       Government Hospital, Gandhidham, Kachchh as regards the
       possibilities of medical termination of pregnancy and risk
       factors involved in the same.


       3. The examination shall be taken place on 11.07.2026 and
       the report to the said effect be submitted to this Court on
       13.07.2026. Direct service is permitted TODAY.”



3.     Pursuant to the order passed by this Court dated
10.07.2026, the learned APP received a report from the Chief
District Medical Officer and Civil Surgeon, General Hospital,
Gandhidham - Kachchh                 dated 12.07.2026. On perusing the
report, it appears that after examining the applicant-victim, the
doctors      from        different   branches/       departments      found         the
applicant-victim is having pregnancy of Sixteen (16) weeks can
be done after a court order with risk inherent to termination at
this age. The risk include possibility of blood loss/Blood
transfusion required as patient has severe anaemia/possibility of
surgical intervention because ultrasound report suggestive of low
lying placenta. Therefore, they have opined that since the
applicant-victim is carrying a live fetus of 16 weeks, medical
termination of pregnancy can be performed as per the guidelines
of the MTP Amendment Act, 2021.


4.     Heard learned advocates for the respective parties and



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considered the opinion/report submitted by the Chief District
Medical       Officer         and    Civil    Surgeon,    General        Hospital,
Gandhidham - Kachchh                   dated 12.07.2026, as well as the
written submission by the respondent no.1 - State.



5.     On hearing both the sides, this Court has noticed that the
applicant-victim is alleged to have been raped by the accused
named in the FIR being No. 11993006260373 of 2026 dated
04.04.2026 registered with the ‘A’ Division Gandhidham Police
Station, Kachchh East Gandhidham for the offences punishable
under the provisions of BNS, 2023.



6.     A panel of doctors have opined that the applicant-victim is
already carrying about 16 weeks of pregnancy with a specific
report/opinion           of    the    empaneled       doctors    that      medical
termination of pregnancy can be performed as per the guidelines
of the MTP Amendment Act, 2021.


7.     Learned APP has urged before this Court that the Court
may, in a given set of circumstances, issue a direction for
termination of pregnancy. However, the tissues from the fetus
may be directed to be handed over for the purpose of DNA
sampling in a scientific manner to the Investigating Officer.



8.     In the case of X vs. Union of India and Another
(Miscellaneous Application No.2157 of 2023 in Writ Petition
(Civil) No.1137 of 2023), the Hon’ble Supreme Court has
summarised the law regarding the medical termination of


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   R/SCR.A/9743/2026                         ORDER DATED: 13/07/2026




pregnancies. In paragraph-13, the Hon’ble Supreme Court has
observed thus :


     “Medical termination of pregnancies

     13. The termination of pregnancies is governed by the MTP
     Act and the rules framed under it. The MTP Act is a
     progressive legislation which regulates the manner in which
     pregnancies may be terminated. Section 3 spells out certain
     conditions which must be satisfied before a pregnancy can
     be terminated. The conditions depend upon the length of the
     pregnancy. Where the length of the pregnancy does not
     exceed twenty weeks, one Registered Medical Practitioner
     must be of the opinion, formed in good faith, that:

     a.    The continuance of the pregnancy would involve a risk
     to the life of the pregnant woman or of grave injury to her
     physical or mental health. The anguish caused by a
     pregnancy which occurs due to the failure of a contraceptive
     method is presumed to constitute a grave injury to the
     mental health of the woman; or

     b.   There is a substantial risk that if the child were born,
     it would suffer from any serious physical or mental
     abnormality.

     Where any pregnancy is alleged by the pregnant woman to
     have been caused by rape, the anguish caused by the
     pregnancy is presumed to constitute a grave injury to the
     mental health of the woman. The presumption adverted to in
     (a) above makes it evident that the MTP Act recognizes the
     autonomy of the pregnant woman and respects her right to
     choose the course of her life.

     14. Where the length of the pregnancy exceeds twenty
     weeks but does not exceed twenty-four weeks, two RMPs
     must be of the opinion discussed in the preceding
     paragraph. The categories of women where a pregnancy
     beyond 20 weeks and up to 24 weeks may be terminated
     are permitted to be prescribed by rules made by the delegate
     of the legislature. Rule 3B of the MTP Rules (as amended in


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R/SCR.A/9743/2026                             ORDER DATED: 13/07/2026




  2021) provides grounds for the termination of a pregnancy
  up to twenty-four weeks. The termination may be allowed in
  the following cases or for the following persons:

  a.       Survivors of sexual assault or rape or incest;
  b.       Minors;

  c.       Change of marital status during the ongoing
           pregnancy (widowhood and divorce);
  d.       Women with physical disabilities with a major
           disability in terms of the criteria laid down under the
           Rights of Persons with Disabilities Act 2016;
  e.       Mentally ill women including mental retardation;
  f.       Foetal malformation that has a substantial risk of
           being incompatible with life or where in the event of
           birth, the child may suffer from physical or mental
           abnormalities and be seriously handicapped; and
  g.       Women with pregnancy in humanitarian settings or
           disaster or emergency situations as may be declared
           by the Government.


  In X v. Principal Secretary, Department of Health and Family
  Welfare, GNCTD, this Court held that the benefits of Rule
  3B(c) extend equally to both single and married women and
  that the benefits of Rule 3B extend to all women who
  undergo a change in their material circumstances.

  15. Significantly, if in the opinion of an RMP, the
  termination of a pregnancy is immediately necessary to save
  the life of a pregnant woman, the provisions of Section 3
  which relate to the length of the pregnancy and the opinion
  of two RMPs shall not apply. Section 4 (which concerns the
  place at which a pregnancy may be terminated) shall not
  apply to such cases as well. The design of the statute makes
  it evident that saving the life of the pregnant woman is of
  paramount importance, notwithstanding the length of the
  pregnancy.

  16. Further, the provisions of Section 3(2) relating to the
  length of the pregnancy shall not apply to the termination of
  a pregnancy by an RMP, where such termination is
  necessitated by the diagnosis of any of the substantial


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     R/SCR.A/9743/2026                         ORDER DATED: 13/07/2026




       foetal abnormalities diagnosed by a Medical Board. The
       Medical Board has the power to allow or deny the
       termination of a pregnancy the length of which is beyond
       twenty-four weeks. It may do so only after ensuring that the
       procedure would be safe for the woman at that gestation
       age and after considering whether the foetal malformation
       leads to a substantial risk of the foetus being incompatible
       with life, or where the child (if it is born) may suffer from
       such physical or mental abnormalities as to be seriously
       handicapped. Therefore, the outer temporal limit within
       which a pregnancy may be terminated is lifted in some
       cases.”


9.     The learned advocate appearing for the applicant-victim,
relying upon the decision of the Hon’ble Supreme Court in the
case of XYZ vs. The State of Gujarat & Ors (SLP (Cri) Dy.
No.33790 of 2023, decided on 21.08.2023), has submitted that
the Supreme Court, in paragraphs-10, 12 & 14, held as under :


       “10. We find that in the absence of even noticing the
       aforesaid portion of the report, the High Court was not right
       in simply holding that “the age of the foetus is almost 27
       weeks as on 17.08.2023 and considering the statements
       made by the learned advocate for the petitioner-victim and
       the averments made in the application the petition for
       medical termination of pregnancy stands rejected”, which, in
       our view is ex facie contradictory. Being aggrieved by the
       said order the appellant has knocked the doors of this Court
       seeking expeditious relief.

       12. Pursuant to the order of this Court dated 19.08.2023
       as extracted hereinabove, the report of the Medical
       Superintendent, Dr.Kiran C.Patel Medical College &
       Research Institute, Bharuch and Chief District Medical
       officer-cum-Civil surgeon General Hospital, Bharuch, Gujarat
       has been placed on record, which states that the petitioner’s
       pregnancy is of 27 weeks 2 days +/- 2 weeks duration and
       the live intrauterine foetus weights around 1088 grams as



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      R/SCR.A/9743/2026                             ORDER DATED: 13/07/2026




        per the ultra sonography done on 19.08.2023. Paragraphs 3
        to 6 of the report reads as under :-


                 “3. There is no indication for termination of
                 pregnancy as per Maternal Physical Health but as per
                 history given by survivor this pregnancy is due to
                 sexual assault with her, continuation of this pregnancy
                 can affect her mental health and in addition survivor
                 want to terminate pregnancy; Medical Termination of
                 Pregnancy (MTP) at this stage of pregnancy can be
                 done in this hospital if Honourable Court Permits.


                 4.    In that case the Medical Termination of
                 Pregnancy would be done first by induction of Labour
                 and if indicated then by Hysterotomy procedure after
                 taking consent of survivor & explaining due risks to
                 maternal health and fetal outcome.


                 5.   At present the survivor is clinically fit for above
                 mentioned procedure.


                 6.   The Medical Termination of Pregnancy would not
                 adversely affect child bearing capacity and General
                 Health of the survivor in future.”


        14. In Suchita Srivastava vs. State (UT of Chandigarh)
        (2009) 9 SCC 1, this Court expressed that the right of a
        woman to have reproductive choice is an insegregable part
        of her personal liberty, as envisaged under Article 21 of the
        Constitution. She has a sacrosanct right to her bodily
        integrity.



10.     In the case of Minor R through Mother H vs. State of
NCT of Delhi and Another (W.P. (Cri) No.221 of 2023,


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   R/SCR.A/9743/2026                            ORDER DATED: 13/07/2026




decided on 25.01.2023), the Delhi High Court held as under :


     “12. In the case of sexual assault, denying a women right
     to say no to medical termination of pregnancy and fasten
     her with responsibility of motherhood would amount to
     denying her human right to live with dignity as she has a
     right in relation to her body which includes saying Yes or No
     to being a mother. Section 3(2) of the MTP Act reiterates that
     right of a woman. To force the victim to give birth to child of
     a man who sexually assaulted would result in
     unexplainable miseries.

     One will shudder to think what a victim who is carrying
     such fetus in her womb must be going through each day,
     being reminded constantly of the sexual assault that she
     has undergone. Cases where sexual assault results into
     pregnancy of the victim are even more traumatic as the
     shadow of such tragic moment lingers on each day with the
     victim. It is this mental agony which has been taken into
     account by the MTP Act which lays emphasis on not only
     grave physical injury but also mental health of a pregnant
     woman. It therefore provides under Section 3(2)(i) that if the
     continuance of pregnancy would involve grave injury to the
     mental health of a pregnant woman, she can legitimately
     seek to terminate the same. In furtherance of the same
     intent, Section 3(2) Explanation 2 of the MTP Act provides
     that -
              “Explanation 2.- Where any pregnancy occurs as a
              result of failure of any device or method used by any
              married woman or her husband for the purpose of
              limiting the number of children, the anguish caused by
              such unwanted pregnancy may be presumed to
              constitute a grave injury to the mental health of the
              pregnant woman.”

     The present case stands covered under this explanation.

     14. This Court takes note of the fact that Article 21 of the
     Constitution of India dealing with right to life invariably
     includes a life lived with dignity. The child herein is a victim
     of rape. Termination of pregnancy in cases, like present one,


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      R/SCR.A/9743/2026                                     ORDER DATED: 13/07/2026




        cannot be reduced merely to be defined as right of a woman
        sexually assaulted, but also to be recognized as a human
        right, as it affects dignified existence of a victim if the same
        is not permitted. It is not the privacy of the rape victim which
        is invaded by sexual assault, but her body is wounded and
        her soul is scared. It would not be appropriate to expect the
        minor victim who is a rape victim to take the burden of giving
        birth and raising a child, especially in a situation where she
        herself is passing through the age of adolescent. Doing so,
        will amount to asking a child to give birth and raise another
        child. Given the social, financial, and other factors that are
        immediately associated with the pregnancy, an unwanted
        pregnancy would surely have an impact on victim's mental
        health.”



11.     At this stage, it would be profitable to refer to the decision
of the Hon’ble Supreme Court, wherein ‘the best interest’ theory
for the victim is settled. Moreover, considering the medical
opinion given by the Medical Board as well as considering the
trauma, mental agony and possible social ostracism which the
applicant-victim has to undergo, this Court is inclined to allow
the prayer for medical termination of the pregnancy.

12.     Since the pregnancy of the applicant-victim exceeds 26
weeks       as    of      now,   the   Court      directs   three    senior      most
Gynecologists of the Chief District Medical Officer and Civil
Surgeon, General Hospital, Gandhidham - Kachchh (Medical
Board for Pregnancy Termination), to examine the applicant-
victim and also by a Psychologist attached to the Civil Hospital,
Gandhidham - Kachchh. The said team of doctors shall examine
the applicant-victim, and after having interaction with her,
undertake the procedure of surgery on urgent basis along with
other required expert doctors like Physician, Anesthetic etc., if



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      R/SCR.A/9743/2026                                           ORDER DATED: 13/07/2026




otherwise, there is unanimity amongst the doctors to the effect
that such termination would be carried out safely.



13.     Considering the fact that each day’s delay will add to the
victim’s agony, the following directions are issued :


        (i)      The      victim   is   permitted        to   get         the   pregnancy
        terminated at the Civil Hospital, Gandhidham - Kachchh.
        The termination of pregnancy be carried out with all the
        necessary medical facilities available at the disposal of the
        Hospital and on ensuring proper care in pre-termination
        and post termination periods.


        (ii)     On production of this order, the Superintendent of
        the Civil Hospital, Gandhidham - Kachchh, shall take
        immediate measures for constituting a medical team for
        conducting the procedure.


        (iii)    the victim shall file an appropriate undertaking,
        authorizing to conduct the surgery at her risk.


        (iv)     If the baby is alive at birth, the hospital shall ensure
        that the baby is offered the best medical treatment
        available, so that it develops into a healthy child.


        (v)      If    the   victim      is    not      willing      to     assume          the
        responsibility of the baby, the State and its agencies shall
        assume full responsibility and offer medical support and



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         R/SCR.A/9743/2026                                                               ORDER DATED: 13/07/2026




             facilities to the child, keeping in mind the best interests of
             the child and the statutory provisions in the Juvenile
             Justice (Care and Protection of Children) Act, 2005.


             (vi)       The doctors shall take the necessary tissue samples
             from the DNA identification by following the scientific
             practice for DNA identification and such samples shall be
             handed over to the Investigating Officer concerned.


  14.        The learned APP shall communicate about this order to the
  Civil Hospital, Gandhidham - Kachchh, forthwith. A copy of this
  order shall also be sent by the Registry to the Chief District
  Medical               Officer-cum-Civil                      Surgeon,                 General               Hospital,
  Gandhidham - Kachchh.


  15.        With above directions, the present petition stands disposed
  of. Direct service today is permitted.



                                                                                              (M. R. MENGDEY,J)
  AHS

Original copy of this order has been signed by the Hon'ble Judge.
Digitally signed by: AMIT SONAGARA(HCD0079), ENGLISH STENOGRAPHER GRADE TWO CLASS TWO, at High Court of Gujarat on 13/07/2026 14:55:28




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