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Defining the Best Interest of a Child: Who Comes First - The Child or the Fetus?
Samir H Dalwai1, Santosh T Soans2
1New Horizons Child Development Centre, Mumbai, Maharashtra, India. Correspondence to: Dr Samir Dalwai, Developmental Pediatrician and Director, New Horizons Child Development Centre, Mumbai, Maharashtra, India. samyrdalwai@enablemychild.org.
Abstract:
In 2017, a 10-year-old girl, who was allegedly raped and impregnated, was denied an abortion on the basis of the Medical Termination of Pregnancy Act 1971. This perspective re-examines this issue while prioritizing the best interest of the child. We recommend that boards should be constituted at district-level hospitals, headed by senior pediatricians, and supported by obstetricians, psychologists, neonatologists, medical social workers, and others to decide the course of action - in particular, the outcome, irrespective of the weeks of pregnancy. If not compatible with the child's life, earlier termination of pregnancy should be considered ensuring the availability of state-of-the-art care to the newborn and the young mother.
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