A (Mother of X) vs. State of Maharashtra
Background
A fourteen-year-old girl ("X"), allegedly a victim of sexual assault, discovered she was about 25 weeks pregnant only in March 2024 because she had irregular periods and no earlier signs. A Mumbai government hospital's medical board first found her fit for termination but later issued a contradictory "clarificatory" opinion denying it purely because the pregnancy exceeded 24 weeks. The Bombay High Court refused permission on that same ground, and the mother approached the Supreme Court.
Decision Breakdown
The Supreme Court initially (22 April 2024) set aside the High Court's order and permitted termination after a fresh, more thorough medical board (Sion Hospital) found continuing the pregnancy would harm the minor's physical and mental well-being and that termination carried no greater risk than delivery at term. However, before the procedure was carried out, the minor and her parents changed their minds and, after detailed discussion with the medical team about the risks of intracardiac injection at this advanced stage, chose to continue the pregnancy to term. The Court accepted this choice, recalling its own earlier termination order, holding that a pregnant person's own consent is paramount and cannot be overridden even by a prior court order once the person no longer consents. The Court also laid down guidance that medical boards examining pregnancies beyond 24 weeks must assess the physical and mental health impact on the pregnant person, not simply reject termination on the ground of gestational age.
Lesson Learnt
In termination-of-pregnancy cases, the pregnant person's informed and current consent is paramount and can override even the family's or the court's own earlier decision; and medical boards evaluating late-term abortion requests must properly assess the woman's physical and mental health, not just count weeks.