• Q9. D. Psorinum (remedy for women who can only lie on stomach in early pregnancy)
• Q10. A. 7 weeks (suction evacuation preferred up to 7 weeks)

1. M.T.P. Act - Medical Termination of Pregnancy Act, 1971, legalizes abortion up to 20 weeks under specified conditions.
2. Signs of pregnancy - Classified as presumptive (amenorrhea, nausea), probable (Hegar's sign, urine test), and positive (FHS, fetal parts, ultrasound).
3. Retention of Placenta - Failure of placenta to expel within 30 minutes after delivery, requiring manual removal.
4. Pregnancy Induced Hypertension - BP ≥140/90 mmHg after 20 weeks gestation without proteinuria (gestational hypertension).
5. I.U.G.R. - Intrauterine Growth Restriction: fetal weight below 10th percentile for gestational age.
6. Contracted Pelvis - Pelvis with one or more diameters reduced below normal, causing obstructed labour.
7. Vesicular Mole - Abnormal pregnancy with grape-like vesicles due to hydropic degeneration of chorionic villi, elevated β-hCG.
8. PCPNDT Act - Pre-Conception and Pre-Natal Diagnostic Techniques Act prohibiting sex determination of fetus.

1. Prolonged Labour - Labour >18 hrs (primigravida) or >12 hrs (multigravida); Homoeopathic remedies include Caulophyllum and Pulsatilla.
2. Normal Puerperium - 6-week post-delivery period of uterine involution; puerperal care includes breast feeding, hygiene, and monitoring for complications.
3. PPH & Phosphorus - Post-partum haemorrhage (>500 mL blood loss after delivery); Phosphorus is a homoeopathic remedy for haemorrhage with bright red, freely flowing blood.
4. Ectopic Pregnancy - Implantation outside uterine cavity (most commonly fallopian tube); presents with pain, amenorrhea, and vaginal bleeding; managed by methotrexate or surgery.
5. Asphyxia Neonatorum - Failure of newborn to establish spontaneous respiration at birth; managed by APGAR scoring, airway clearance, oxygen, and resuscitation.

M.T.P. Act (Medical Termination of Pregnancy Act)

Key Points:

Grounds for MTP (Any one is sufficient):

1. Risk to life of the pregnant woman
2. Grave injury to physical or mental health
3. Rape or sexual assault (pregnancy presumed to cause grave mental injury)
4. Contraceptive failure - now applicable to any woman (earlier only married women)
5. Fetal abnormalities - substantial risk of physical/mental handicap
6. Humanitarian grounds - pregnancy due to sexual assault on mentally ill woman

Who Can Perform:

• Registered Medical Practitioner (RMP) with training in gynecology/obstetrics
• Must be performed in a government hospital or MTP-approved place

Important Additions (2021 Amendment):

• Unmarried, divorced, widowed, and survivors of sexual assault all included
• Medical Board in every state for beyond 24-week cases
• Confidentiality of woman's identity is mandatory
• Termination up to 24 weeks for special categories (rape survivors, minors, disabled women, etc.)