Our CorrespondentLudhiana, August 28
Under the new Medical Termination of Pregnancy (MTP) Act, those who conduct an abortion will have to either get a licence or get registered with the Health Department. But due to the callous attitude of the authorities concerned, MTPs continue to be conducted at more than 500 centres in the district by unregistered medical practitioners.
An official of the Health Department on condition of anonymity said the centres were being run by auxiliary nurses and midwives (ANMs), trained nurses, BAMS, DHMS and even MBBS doctors. The official pointed out: “Out of this there are just 50 centres that are being run by MBBS doctors and not more than 50 are being run by the BAMS and DHMS doctors. All others are being run by illiterates”.
In the absence of effective regulation of the Act, unqualified medical practitioners (quacks) in the district are reportedly conducting the abortions which result in complications among expectant mothers. The practice is reportedly continuing despite the Supreme Court’s instructions, directing the state governments to strictly implement the PNDT and MTP Acts.
Dr Gursharan Singh, President of the district unit of the Indian Medical Association said: “Under the guidelines, the main requisite for an MTP centre to be recognised is either a specialist of MD (gynaecology) or a DGO (diploma in gynaecology and obstetrics or an MBBS doctor with one house job in gynaecology or any other MBBS doctor with a minimum of 25 MTPs conducted under the supervision of a trained gynaecologist in a government-recognised centre. Right now the only recognised centre in the district is the Civil Hospital Ludhiana”.
Dr Iqbal Singh of Iqbal Nursing Home, when contacted, admitted that such a practice was prevalent in small nursing homes. “The MTPs are common in the nursing homes which are not even registered with any appropriate authority. For the strict enforcement of the PNDT and the MTP Acts, the state government should be very clear. The government has created panic among the doctors which is not the solution. The agencies should be tough with the patients, doctors and scanning centres. The guilty should be equally punished because a doctor alone cannot be blamed for any MTP and female foeticide”,said Dr Iqbal Singh. A city resident on condition of anonymity told Ludhiana Tribune that she had conceived recently. “Since I had three children, I decided to go in for an abortion. For that I took a homeopathic medicine. Since the medicine did not help, I went to a doctor at a local hospital and she did the needful”, said the woman.
In several other cases, the patients are rendered permanently infertile due to the mishandling of cases by these so-called “doctors”. The doctors charge anything between Rs 300 and Rs 1500 and above depending on the duration of pregnancy.