Law and medical practice does it prevent us from serving

narendra malhotra
M.D., F.I.C.O.G., F.I.C.M.C.H.,F.R.C.O.G.(hon causa)F.I.C.S.
• Prof.Dubrovnik International univ
• FOGSI rep to FIGO
• Member FIGO good practise guidelines committee
• President FOGSI (2008)
• Dean of I.C.M.U. (2008)
• Director Ian Donald School of Ultrasound
• National Tech. Advisor for FOGSI-G.O.I.—Mc Arthur Foundation EOC Course
• Practicing Obstetrician Gynecologist at Agra. Special Interest in High Risk Obs., Ultrasound,
Laparoscopy and Infertility, ART & Genetics
• Member and Fellow of many Indian and international organisations
• FOGSI Imaging Science Chairman (1996-2000)
• Awarded best paper and best poster at FOGSI : 5 times, Ethicon fellowship, AOFOG young gyn.
award, Corion award, Man of the year award, Best Citizens of India award
• Over 30 published and 100 presented papers
• Over 50 guest lectures given in India & Abroad.Presented 10 orations.
• Organised many workshops, training programmes, travel seminars and conferences
• Editor 8 books, many chapters, on editorial board of many journals
• Editor of series of STEP by STEP books
• Revising editor for Jeatcoate’s Textbook of Gynaecology (2007)(2014)
• Very active Sports man, Rotarian and Social worker
MNMH,AGRA
GLOBAL RAINBOW HEALTH CARE,AGRA
RAINBOW IVF
www.rainbowhospitals.org
mnmhagra3@gmail.com

Does law actually prevent us to
serve ?
Narendra Malhotra
R N Goel
Jaideep Malhotra
www.mnmhagra3@gmail.com

We need to understand what is
LAW ?
Why are LAWS made and for whom ?

PMT COMPTETION
law of reservations !
Do we need this and is this preventing
good students to NOT opt for
MEDICINE as a career !
PG ENTERANCE COMPETITION
START
MATERNITY AND NURSING HOMES
To
START SERVE WOMEN
That is the AIM of most of the DOCTORS or MEDICAL students

ON SERVICES TO WOMEN
ON HUMANITARIAN GROUND
GOVERNMENT
AND PUBLIC
ALL
EXPECTS CHARITY FROM DOCTORS
WE ALL WANT TO SERVE WOMEN
HEALTH
SAFE PREGNANCY
SAFE DELIVERY
FAMILY PLANNING
CANCER SCREENING

SO WE ALL WANT RELAXED LAWS?
DOCTORS WANT LAWS TO BE
RELAXED SPECIALLY FOR THEM ?
WHY ?
BECOS WE WANT TO SERVE ?
SO LETS FIRST PONDER WHY LAWS ARE BEING
MADE ?
LAWS ARE MADE BECAUSE WE /SOME OF US
PRACTISE BEYOND THE LINES OF ETHICS
SO WE DO NEED SOME LAWS TO REGULATE
PRACTISE
SO THAT THERE IS NO MALPRACTISE AND
ABUSE

LAW NO 1.
Maternity & Nursing Home are
commercial activity as per
Government.
For start of many commercial activity many facility like
relaxation of taxes etc for first few years. (specially for
export/import etc)
But for starting of Maternity & Nursing home no
relaxation of any type.
This hampers our desire to serve women…….and we
would definitely like this type of LAW to be simplified….
YES THIS LAW DOES ACTUALLY PREVENT US TO SERVE
WOMEN !

MANY OTHER COMMERCIAL TAXES
• Commercial water and electricity taxes
• Nagar nigam taxes:capital cost/house tax
• Clinical establishment act
• Nursing homes and hospitals not allowed in the residential areas
• Annual registration with the CMO
• Pollution and generators
• Sales tax if the sale of medicines is over 3 lacs
• Labour deptt
• Fire deptt
• Biomedical waste
MANY SUCH LAWS WHICH ARE GOOD LAWS BUT THE
IMPLIMENTATION AND THE ADMINISTRRATIVE HURDLE IS SO
MUCH AND THE “BABU” CORRUPTION IS SO MUCH THAT
THIS PREVENTS US DOCTORS TO DO ALL THE SERVICE WHICH
WE WANT TO DO.

LAW 2. MCI Registration
Registration under MCI Act
Graduation Registration
P G Registration
REGISTRATION SHOULD BE SIMPLIFIED
ALL OF US HAVE TO GO PHYSICALLY TO GET THESE REGISTRATION AND WE
HAVE TO GO PHYSICALLY EVEN TO GET A ‘GOOD STANDING’ CERTIFICATE
OR FOR JUST CHANGING OUR CITY AND GETTING REGISTRATION IN AND
OF ALL THE STATES…this is very cumbursome,time consuming and actually
just not required
SOLUTION: ONE SINGLE REGISTRATION IN
M.C.I. REGISTER SHOULD LET YOU PRACTISE
AND SERVE WOMEN ANYWHERE IN INDIA

MCI Registration I.M.R
Procedure for Getting IMR CertificateThe following are
requirements for obtaining IMR Certificate
1. A hand written/typed application addressed to the
Secretary, Medical Council of India, New Delhi, requesting
for getting IMR Certificate.
2. An attested Xerox copy of registration with Medical
Council of India or with any State Medical Council
3. A demand draft of Rs.100/- in favour of Secretary, Medical
Council of India payable at New Delhi at any Bank.

LAW NO 3.
Sale Tax/Vat Registration for Medicine
shop
ITS NOW MANDATORY TO HAVE MEDICINE
OUTLETS IN YOUR NURSING HOME
• If your annual sale of medicine is above 5 lac
If owner of medical shop is other than doctor
and/or dispensing medicine on prescription of
other doctor than they have to take DRUG LICENSE.
Both process are with sales tax offices and a lot of
corrupt lower staff is a big problem every year.

LAW NO.4
Registration under BMW
GOOD LAWS
BUT CORRUPTION AND NON
UNIFORM IMPLIMENTATION
• Registration under BMW act by Pollution
Control Board
• Registration with CBWTF (Common Bio Waste
Treatment Facility)

SCHEDULE III
(see Rule 6)
LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS
BIOHAZARD CYTOTOXIC

Important Precautions
Never transfer sharps directly from person to person
Never recap the needles
Never overload bins used for storing Bio Medical WasteDo not inhale chemicals directly. Use always mask.

Keep away sharps medicines from children
Never transfer sharp directly Always incinerate human anatomical waste.

General waste to be put in black container.
Display the Bio-Hazardous Symbol and the types of waste to be put in each container as per Schedule-II

LAW NO 5.
Registration for Water & Air
Pollution
Disposal of Radioactive substances

LAW NO.6.
Noise Pollution
Canopy for Generator

LAW N0.7
LABOUR ACT
• Minimum Wedges act is applicable for staff
of hospital

LAW NO.8
ESI ACT
• Nursing Home employee are entitled under
ESI act.

LAW NO 9.
Provident Fund Act
• If employee are more than 7 than they are
covered as per Provident Fund

LAW no 10.
Fire Department
Clinic and single story nursing homes requirement are:
1. Emergency Exit
2. Fire Extuingsher
Multy story Hospital with/without basement has to
have
1. Emergency Exit
2. NOC as per act

LAW no 11
Nagar Nigam Ceiling
Nursing Homes are not allowed in
Residential areas.
on the other hand nursing homes
services are needed in the vicinity
of residential areas only
If a lady have labor pain than she
will go to maternity home near to
her residence. If she has to go to
maternity home in commercial
area than who will be responsible
for delivery on the way.

LAW no 12
Commercial PROPERTY TAX
Doctors chambers, Day care center and small
nursing homes has to pay Commercial
Property Tax nearly equal to Hotels.
Why the Government and public expect
charity from doctors………
Prevents us to serve women >>>>YES

LAW no 13
Commercial Water
Water supplied to health care
centers are charge on commercial
rates
ALL ADDING TO THE INCREASE IN
COSTS OF SERVICE PROVIDED TO
THE PATIENTS, MAKING
TREATMENT MORE AND MORE
EXPENSIVE

LAW NO 14
Commercial Electricity
As per Power Department there are follwing
category:
LMV I Residential
LMV II Commercial
LMV IVb Nursing homes are kept in this
category whose rates are more than LMV II

LAW NO .15
Consumer Protection Act
Due to high tech investment cost of treatment
has increased very high.
Due to un affordability they can not go to higher
center, but expect same result of higher center at
low cost treatment facility.
Cases are increasing day by day and very high
compensation judgments are coming.
DEFINITION OF NEGLIGENCE AND MISTAKES
AND KNOWN TREATMENT COMPLICATIONS ARE
MIXED UP AND LAWYERS ARE HAVING A GREAT
DAY

LAW NO .16
LOCAL REGISTRATION
Local Registration
1. CMO registration in UP/Registration
under Nursing Home Act
2. Nursing Home Registration as per CEA

HI-TECH Investment
in this era new technology are coming
everyday, so doctors has to invest a lot.
Treatment than become costly, which is not
acceptable, so there is dissatisfaction
increasing.
NO EASY LOANS FOR MEDICAL EQUIPMENTS
INTREST RATES ON EQUIPMENT LOANS
NEARING 13-14 %....MAKES IT VERY COSTLY

LET’S NOW COME TO SPECIFIC
LAWS FOR WOMEN CARE
SPECIFIC TO THE TREATMENT AND
SERVICE WHICH WE PROVIDE

INDIA HAS THE MOST LIBERAL MTP
LAW BUT A VERY DIFFICULT LAW TO
REGISTER CENTRES AND DOCTORS
CENTRES SHOULD BE IN PLACES WHERE THERE IS REAL
NEED (VILLAGES & REMOTE AREAS)
BECAUSE OF THE STRICT LAW NO RECOGNISED CENTRES AT
VILLAGE LEVEL
HENCE ILLEGAL ABORTIONS STILL RAMPANT ??
SOLUTION: LIBERALISE REGISTRATION AND LET
PROFFESSIONAL BODIES DECIDE…
FOGSI
JUST LIKE RCOG AND RCPI SHOULD RUN AND CONTROL
HOW PRACTISE SHOULD BE DONE

Indication for MTP
(a) Danger to life of the pregnant woman.
(b) Grave injury to the physical & mental health of
the pregnant woman.
(c) Pregnancy caused by rape.
(d) Substantial risk that if the child was born, it would
suffer from such physical or mental abnormalities
as to be seriously handicapped.
(e) Failure of any contraceptive device or method.

Registration under MTP Act
Registration of Place
Registration of Doctors

Registration of Place
(a) A hospital established or
maintained by Government,
or
(b) A private set up

Private set up
A place for the time being approved for the purpose of
this Act by
Government or a District Level Committee
constituted by that Government with the Chief Medical
Officer or District Health Officer as the Chairperson of
the said Committee:
Provided that the District Level Committee shall
consist of not less than three and not more than five
members including the Chairperson, as the Government
may specify from time to time.

Composition and tenure of District
level Committee
(1) Chief Medical Officer…Chairman
(2) Gynaecologist/ Surgeon/ Anaesthetist
(3) Member of local medical profession,
(4) Non-governmental organization,
(5) and Panchayati Raj Institution of the District.
Provided that one of the members of the Committee
shall be a woman.
Tenure of the Committee shall be for two calendar years and
the tenure of the non-government members shall not be
more than two terms.

Requirement for Registration of Doctors
(c) MTP Training: if he has assisted a registered medical practitioner in the
performance of twenty-five cases of medical termination of pregnancy of which
at least five have been performed independently, in a hospital established or
maintained or a training institute approved for this purpose by the government.
(i) This training would enable the Registered Medical Practitioner (RMP) to do
only 1st Trimester terminations (up to 12 weeks of gestation).
(ii) For terminations up to twenty weeks the experience or training as
prescribed under sub rules (a), (b) and (d) shall apply .
(d) In case of a medical practitioner who has been registered in a State
Medical Register and who holds a post-graduate degree or diploma in
gynaecology and obstetrics, the experience or training gained during the
course of such degree or diploma.

Consent Form for MTP by MMA
I have been explained about the process of medical method of abortion, which is a method to
terminate a pregnancy using a combination of two medicines. I understand that I will be required to take
the prescribed doses of mifepristone on Day 1, followed by misoprostol on Day 3. I also understand that
I will be required to come to the clinic for a follow-up visit on Day 15 to confirm the completion of
procedure.
I understand that many women experience some side effects with medical method of abortion
such as nausea, vomiting, diarrhea, abdominal pain, cramping and bleeding. The bleeding may be
heavier than I usually experience during my menstruation.
My doctor/counselor has also explained that there are chances that the method may fail to
terminate the pregnancy. In such a situation, it will be necessary for me to undergo a surgical abortion to
complete the process. If I experience any symptoms identified by my doctor as danger signs, or if I have
any concerns about the procedure during the course of the 15 days, I may call my doctor.
I _____________ daughter/wife of _____________ aged about __________ years, residing
at _______________________________________________________________________
do hereby give my consent to the termination of my pregnancy at______________________
_________________________________________________________________________________
Place :
Date :
Signature
I________________ son/daughter/wife of ________________ aged about __________ years,
residing at__________________________________________________________________________
do hereby give my consent to the termination of the pregnancy of my ward_____ __________ who is a
minor/lunatic at ______________________________
Place :
Date : Signature

GOVT WANTS TO OVER LIBERALISE
MTP
• NON MBBS DOCTORS
• ALTERNATE MEDICINE SPECIALISTS
• NURSES
• MIDWIVES
FIRSTLY SHOULD WE ALLOWS THIS AND IF WE ALLOW
BEFORE WE ALLOW ALL THIS TO HAPPEN THE TRAINING AND
ACCREDITATION AND PROPER MONITORING SYSTEM SHOULD BE IN PLACE
WHICH IS NOT CORRUPT.
WE CANNOT LET THE LIVES OF WOMEN BE IN THE HANDS OF UNTRAINED
PERSONNELS WHO WILL CAUSE MORE DAMAGE .
PUT THE RIGHT PEOPLE IN THE RIGHT PLACE
PUT DOCTORS (SENIOR) IN VILLAGES FOR A YEAR BEFORE THEIR
PROMOTIONS…………THINGS WILL CHANGE AND LESSER WOMEN WILL DIE
PUTTING FRESH INTERNS WITHOUT SENIOR SUPERVISION IS A DISASTOR

Tubal Ligation
Empanelment of doctor/health center is
now compulsory.
The FP indeminity scheme is applicable
only if doctor/health center is empanelled
(Registration with appropriate authority).

Eligibility criteria for performing
sterilizations
Qualification requirements for service
providers
Female sterilization by minilap tubectomy
should be performed by
a trained MBBS/
post graduate doctor.

sterilizations
Laparoscopic sterilization for females
should be performed by
a gynaecologist with DGO/MD/MS
qualification a surgeon with an MS degree;
(these doctors should be trained in
laparoscopic sterilization.)

sterilizations
The male sterilization procedures, both
conventional vasectomy and no-scalpel
vasectomy (NSV), should be performed by
a trained MBBS doctor/
a post graduate doctor.

sterilizations
Empanelment of doctors for performing
sterilization
Approved panel of doctors: Each state will
prepare a district-wise list of doctors
(from both government and accredited private
centres/NGOs) who are qualified to
perform sterilization operations as per the
prescribed eligibility criteria.

sterilizations
Only those doctors whose names appear
on the panel will be entitled to carry out
sterilization procedures in the government
and/or government-accredited institutions
and will be covered under indemnity
insurance. The panel will be updated
quarterly.

The Application for the Approval of Private Medical Practitioner / Clinic/Nursing Home /
Maternity Homes for Carrying out Tubal ligation
1. Name of Applicant Doctor :
2. Qualification :
3. Registration No. :
4. Experience in the performance of Tubectomy Operation
5. Address in full
6. Whether has Clinic/Nursing Home/Maternity Hospital
7. State, if the following facilities are available with him/her :
(i) Beds for Gynaecological Cases No.
(ii) Operation Table
(iii) Shadow less Lamp
(iv) Oxygen Cylinder
(v) Apparatus for Resuscitation
(vi) Suction Apparatus
(vii) Instrument sets for carrying out tubectomies.
[Give Name of Instruments & Quantity]
(viii) Autoclave with drums :
(ix) Sterilizer for Instruments :
(x) Necessary equipments & Instruments for instilling anesthesia :
(xi) Separate Operation Room :
(xii) Availability of Drugs for Pre & Post Operative Medication as well as for
Emergencies :
Place...........................
Date............................. Signature of Applicant

FOR DOING THE SIMPLEST OPERATION WE
HAVE TO GO THROUGH THE MOST COMPLEX
REGISTRATION PROCESS
FOR DOING LAPAROSCOPIC HYSTRECTOMY
YOU ARE QUALIFIED WITH AN M.D.DEGREE
AND MCI REGISTRATION BUT FOR T.L. YOU
NEED REGISTRATION SPECIAL
PREVENTS THE FAMILY WELFARE AND
PLANNING OF INDIA
PREVENTS US FROM SERVING BETTER

PC PNDT ACT
today the most
talked,discussed
and objected to
LAW and ACT
almost a draconian LAW

WHY this Act
"An Act to provide for the prohibition of sex
selection, before or after conception,
and
for regulation of pre-natal diagnostic techniques for the
purposes of detecting genetic abnormalities or metabolic
disorders or chromosomal abnormalities or certain
congenital malformations or sex-linked disorders
and
for the prevention of their misuse for sex
determination leading to female feticide and for
matters connected therewith or incidental thereto.”.

THE PRE-NATAL DIAGNOSTIC
TECHNIQUES
REGULATION (PNDT)
AND PREVENTION OF MISUSE)
RULES, was formed in 1994

In 1996, It was called as
PCPNDT
THE PRE-CONCEPTION & PRE-
NATAL DIAGNOSTIC
TECHNIQUES (TPROHIBITION
OF SEX SELECTION) RULES,
1996

Pre-natal diagnostic techniques
Pre-natal diagnostic techniques include
(A) Pre-natal diagnostic procedures
and
(B) Pre-natal diagnostic tests

(A) Pre-natal diagnostic procedures
(A) Pre-natal diagnostic procedures means
All gynecological or obstetrical or medical
procedures such as:
* Ultrasonography
* Foetoscopy
* Taking or removing samples of
-amniotic fluid, -chorionic villi
-blood, -any tissue, -fluid
of a man or a woman before or after conception

(B) Pre-natal diagnostic tests
(B) Pre-natal diagnostic tests means
* Ultrasonography
* Foetoscopy
* Test or analysis of
-amniotic fluid, -chorionic villi
-blood, -any tissue, -fluid
of any pregnant woman or conceptus conduced to detect:
-genetic disorder, -metabolic disorder,
-chromosomal abnormalities, -congenital anomalies,
-haemoglobinopathies, - sex-linked diseases

( C) Sex selection
( C) Sex selection includes:
* Technique
* Procedure
* Test
* Administration
* Prescription
* Provision
of anything for the purpose of ensuring or
increasing the probability that an embryo will
be of a perticular sex.

Under this Act there is provision of
Registration in 3 category as under:
1. Genetic Counselling Centre GCC
2. Genetic Laboratory GL
3. Genetic Clinic / Ultrasound Clinic
/ Imaging Centre

Genetic Counselling Centre
means
• An institute
• Hospital
• Nursing home
• Any place
by whatever name called which provides
genetic counseling to patients.

Genetic Laboratory
means
• a laboratory; and
• includes a place
where facilities are provided for conducting
analysis or tests of samples received from
Genetic Clinic for pre-natal diagnostic test.

Genetic Clinic
means
• A clinic
• Institute
• Hospital
• Nursing home
• Any place
by whatever name called which is used for
conducting pre-natal diagnostic procedures.

DUTIES OF REGISTERED CENTRE
1 Should not involve in fetal sex detection
2. Should keep copy of Bare act of PC-PNDT
3. Should display Board in local language also
4. Copy of Form D/E/F / Summary of these Forms
must be submitted by 5th of every month in the
office of appropriate authority.

17.Public Information.-
(1 ) Every Genetic Counselling Centre,
Genetic Laboratory and Genetic Clinic shall
prominently display on its premises a notice in
English and in the local language or languages
for the information of the public, to effect that
disclosure of the sex of the foetus is
prohibited under law.

(2) At least one copy each of the bare Act and
these rules shall be available on the premises
of every Genetic Counselling Centre, Genetic
Laboratory and Genetic Clinic, and shall be
made available to the clientele on demand for
perusal.

• (3) The Appropriate Authority, the Central
Government, the State Government, and the
Government/Administration of the Union
Territory may publish periodically lists of
registered Genetic Counselling Centres, Genetic
Laboratories and Genetic Clinics and findings
from the reports and other information in their
possession, for the information of the public
and for use by the experts in the field.

18 Code of Conduct
*Wear NAME TAG yourself and every employee
working at the US Clinic. Write full name and
designation under signatures.
(Rule18-viii & ix)
*Should not indulge in SEX DETERMINATION &
FEMALE FETICIDE and do not commit any other
act of professional misconduct.
(Rule18-x & xi

19 Appeal
Appeal against charge sheet can be filed to
DAC / SAC within 30 days and decision has
to be taken within 90 days
(Rule19-1-3).

9 Maintenance and preservation of records.-
after amendment on 14.2.2003
(1) Every Genetic Counseling Centre, Genetic Laboratory, Genetic
Clinic, Ultrasound Clinic and Imaging Centers shall maintain a
register showing, in serial order, the names and
addresses of the men or women given genetic
counseling, subjected to pre-natal diagnostic procedures
or pre-natal diagnostic tests, the names of their spouse
or father and the date on which they first reported for
such counseling, procedure or test.
(2) The record to be maintained by every Genetic Counseling Centre,
in respect of each woman counseled shall be as specified in Form D.
3) The record to be maintained by every Genetic Laboratory,
in respect of each woman subjected to any pre-natal
diagnostic test, shall be as specified in Form E.

---------continue
(4) The record to be maintained by every Genetic Clinic,
in respect of each man or woman subjected to any pre-
natal diagnostic procedure/technique/test, shall be as
specified in Form F.
(5) The Appropriate Authority shall maintain a
permanent record of applications for grant or renewal of
certificate of registration as specified in Form H. Letters
of intimation of every change of employee, place,
address and equipment installed shall also be preserved
as permanent records.

---------continue
(6) All case related records, forms of consent, laboratory results,
microscopic pictures, sonographic plates or slides,
recommendations and letters shall be preserved by the Genetic
Counselling Centre, Genetic Laboratory or Genetic Clinic for a
period of two years from the date of completion of counseling,
pre-natal diagnostic procedure or pre-natal diagnostic test, as the
case may be. In the event of any legal proceedings, the records
shall be preserved till the final disposal of legal proceedings, or till
the expiry of the said period of two years, whichever is later.
(7) In case the Genetic Counselling Centre or Genetic Laboratory
or Genetic Clinic maintains records on computer or other
electronic equipment, a printed copy of the record shall be taken
and preserved after authentication by a person responsible for
such record.

---------continue
"(8) Every Genetic Counseling Centre, Genetic
Laboratory, Genetic Clinic, Ultrasound Clinic and
Imaging Centres shall send a complete report in
respect of all pre-conception or pregnancy related
procedures/ techniques/tests conducted by them
in respect of each month by 5th day of the
following month to the concerned Appropriate
Authority."

Offences and penalties.-
(1) Any medical geneticist, gynaecologist, registered
medical practitioner or any person who owns a Genetic
Counselling Centre, a Genetic Laboratory or a Genetic
Clinic or is employed in such a Centre, Laboratory or
Clinic and renders his professional or technical services
to or at such a Centre, Laboratory or Clinic, whether on
an honorary basis or otherwise, and who contravenes
any of the provisions of this Act or rules made there
under shall be punishable with imprisonment for a
term which may extend to three years and with fine
which may extend to ten thousand rupees and on any
subsequent conviction, with imprisonment which may
extend to five years and with fine which may extend to
fifty thousand rupees.

Offences and penalties.-
• 2) The name of the registered medical
practitioner shall be reported by the
Appropriate Authority to the State Medical
Council concerned for taking necessary action
including suspension of the registration if the
charges are framed by the court and till the case
is disposed of and on conviction for removal of
his name from the register of the Council for a
period of five years for the first offence and
permanently for the subsequent offence.

PCPNDT LAW HAS FAILED
• BECAUSE OF MANY MANY REASONS
• THE ETHOS WAS TO STOP SEX SELECTION
AND TERMINATION
• WHAT HAPPENED WAS SEALING BY “BABUS”
AND ADMINISTRATIVE STAFF ON a –b –c –d
OF THE LAW….SO CONVICTIONS ARE
OCCURING ON BASIS OF small silly reasons
..like name plates, like not having thee book,
like not signing properly etc etc………

SEALING AND CONVICTIONS WILL
NEVER STOP THE EVIL OF SEX
DETERMINATION AND SELECTIVE
TERMINATION
THIS WILL ONLY STOP THE HONEST GOOD
PRACTISIONERS TO GIVE UP THIS
WONDERFUL MACHINE AND HENCE THE
SERVICE TO WOMEN WILL BE WORST HIT

WE ALL URGENTLY NEED TO ASK
THE GOVT TO REVIEW THIS LAW
GOOD NEWS IS
REVIEW COMMITTEE HAS BEEN SET UP 2 WEEKS BACK AND TO
GIVE REPORT IN 6 WEEKS….SO LETS WAIT FOR 4 MORE WEEKS
OUR PRESIDENT AND THE PRESIDENTS BEFORE HAVE ALL
PUSHED VERY STRONGLY ON THIS LAW
WE NEED TO TARGET THE PARLIAMENT ON THIS
SOME THING GOOD SHOULD COME OUT
I AM HOPEFUL

• India initially was not anywhere on
the reproductive tourism list.
• But of late more and more couples are
seeking fertility services in various parts of
India.
• We have tried to understand its impact on
the country, fertility practice, on the patients
and general population

ART has raised many questions?
• Are we happy with the situation of ART in our
country ?
What changes would you like to see in the
ART management in our country?
Mushrooming of IVF centres all over the country,least
we can do is set some basic guidelines and licensing.

The ART regulation bill has been put
on the web site for your comments
AGAIN A LAW WHICH WAS PROPOSED TO REGULATE THE ART PRACTISE IN INDIA IS
FORMULATED IN SUCH A WAY AS IF THE ART SPECIALIST IS A CRIMINAL
ALSO EACH AND EVERY GYNAEC DOING SIMPLE IUI HAS COME UNDER THIS LAW
MORE EXPENSE ON REGISTRATION
MORE HARRESMENT BY UNTRAINED BABUS AND INSPECTORS
MORE USELESS PAPER WORK
AND MORE DOCTORS WILL GO TO JAIL JUST FOR NOT FILLING PROPER FORMS
A RIDICULOUS FORMULATED LAW
WE STONGLY OBJECT TO THIS AND I PERSONALLY
REQUEST ALL OF YOU TO SIGN THE PETITION ON
THE IMA WEB SITE SAYING YOU DO NOT AGREE
WITH THE PROPOSED ART BILL

Across the border laws
Laws all over the world are
different, even different states in
US have different laws,.
Difficult to keep track
Till the demand is there,
providers are available
Lets not forget the safe waters
for abortions and cloning

MANY MANY MORE LAWS WILL
COME LADIES AND GENTLEMEN
WAKE UP AND OBJECT ASK YOUR
M.P FROM YOUR CITY TO RAISE
YOUR VOICE IN THE PARLIAMENT!
ONCE A LAW IS PASSED IN PARLIAMENT AND GAZETTED THEN WE
HAVE NO CHOICE BUT TO FOLLOW
SO TILL WE CAN FORCE AND URGE THE PARILAMENT OR THE
SUPREME COURT TO CHANGE THESE LAWS WE NEED TO FOLLOW
THEM BECOS THE PUNISHMENT IS HARSH
THIS IS UNFAIR AND HAS LED TO MANYOF US GIVING UP LIFE
SAVING PRACTISE OF ULTRASOUND ,MTP,OPENING SMALL
HOSPITALS ETC ETC
THIS ALL PREVENTS US TO SERVE

LAWS ARE MADE BY LAW MAKERS
• LAWS ARE MADE TO CHECK EXPLOITATION
• CHECK ABUSE
• CHECK COSTS
• CHECK UNETHICAL WORKS
• PUT CHECKS ON WRONG DOINGS
• WHENEVER LAWS ARE MADE PUNISHMENTS
ARE ADDED TO DETER PEOPLE FROM
BREAKING THE LAW

IF LAWS ARE NOT THERE
• TOTAL CHAOS
• EVERY ONE WILL DO WHAT THEY FEEL LIKE
• THERE WILL BE COSTS,EXPLOITATION,WRONG
DOINGS ETC ETC

LAWS ARE NEEDED
• BUT IT SHOULD BE UNDERSTOOD THAT DOCTORS
ARE HEALING SPECIALISTS
• NEED TO ACT FAST SOMETIMES
• NEED TO DO LIFE SAVING PROCEDURES
SOMETIMES WITHOUT CONSENTS ETC
• IF THE LAW FINDS DOCTORS GUILTY FOR SMALL
PROCEDURAL LACUNAE AND PAPER WORK THEN
DEFINITELY YES LAW WILL PREVENT US FROM
SERVING THE WOMEN….AS IT IS HAPPENING IN
MANY SITUATIONS TODAY

CONGRATULATE FOGSI FOR
ORGANISING THIS BOLD EVENT TO
DISCUSS ISSUES WHICH AFFECT
OUR PRACTISE TODAY
THANK YOU FOR ASKING ME TO
PRESENT SOME OF MY VIEWS

Law and medical practice does it prevent us from serving

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Law and medical practice does it prevent us from serving