const pptxgen = require("pptxgenjs");
const { execSync } = require("child_process");

let pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Criminal Abortion & MTP Act";
pres.author = "Forensic Medicine - MBBS Final Year";

// ─── COLOR PALETTE ───────────────────────────────────────────────────
const C = {
  darkBg:    "1A1A2E",  // deep navy – title slides
  midBg:     "16213E",  // dark blue-navy – section headers
  lightBg:   "F4F6FB",  // off-white – content slides
  accent:    "E94560",  // crimson/red – headings & accents
  accent2:   "0F3460",  // dark blue – sub-headings
  white:     "FFFFFF",
  textDark:  "1A1A2E",
  textMid:   "2C3E50",
  textLight: "ECF0F1",
  subtleGray:"D5D8DC",
  green:     "27AE60",
  orange:    "E67E22",
  yellow:    "F1C40F",
  tableHead: "E94560",
  tableAlt:  "EBF5FB",
};

// ─── HELPERS ──────────────────────────────────────────────────────────
function fetchImg(url) {
  try {
    const r = JSON.parse(execSync(
      `node /home/daytona/skills/shared/scripts/fetch_images.js "${url}"`,
      { timeout: 15000 }
    ).toString());
    return (r[0] && !r[0].error) ? r[0].base64 : null;
  } catch { return null; }
}

// Title slide helper
function titleSlide(title, subtitle, bgColor) {
  let s = pres.addSlide();
  // Background gradient via rectangle
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: bgColor || C.darkBg } });
  // Red accent bar
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 4.8, w: 10, h: 0.825, fill: { color: C.accent } });
  // Red left accent bar
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  // Title
  s.addText(title, {
    x: 0.3, y: 1.5, w: 9.4, h: 1.8,
    fontSize: 38, bold: true, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle"
  });
  if (subtitle) {
    s.addText(subtitle, {
      x: 0.3, y: 3.4, w: 9.4, h: 0.7,
      fontSize: 18, color: "AEBFD7", fontFace: "Calibri",
      align: "center", valign: "middle"
    });
  }
  // Bottom label
  s.addText("Forensic Medicine & Toxicology  |  MBBS Final Year", {
    x: 0.3, y: 4.9, w: 9.4, h: 0.5,
    fontSize: 13, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle"
  });
  return s;
}

// Section divider slide helper
function sectionSlide(sectionNum, title, subtitle) {
  let s = pres.addSlide();
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: C.midBg } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 2.4, w: 10, h: 0.06, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.12, h: 5.625, fill: { color: C.accent } });
  if (sectionNum) {
    s.addText(sectionNum, {
      x: 0.3, y: 0.6, w: 9.4, h: 0.8,
      fontSize: 16, color: C.accent, bold: true, fontFace: "Calibri",
      align: "center", charSpacing: 4
    });
  }
  s.addText(title, {
    x: 0.3, y: 1.5, w: 9.4, h: 1.6,
    fontSize: 36, bold: true, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle"
  });
  if (subtitle) {
    s.addText(subtitle, {
      x: 0.3, y: 3.2, w: 9.4, h: 0.7,
      fontSize: 17, color: "AEBFD7", fontFace: "Calibri",
      align: "center"
    });
  }
  return s;
}

// Standard content slide
function contentSlide(title, bullets, options = {}) {
  let s = pres.addSlide();
  // White background
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: C.lightBg } });
  // Top accent bar
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 0.08, fill: { color: C.accent } });
  // Left accent bar
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  // Title background
  s.addShape(pres.shapes.RECTANGLE, { x: 0.08, y: 0.08, w: 9.92, h: 0.78, fill: { color: C.accent2 } });
  // Title text
  s.addText(title, {
    x: 0.2, y: 0.1, w: 9.6, h: 0.72,
    fontSize: 22, bold: true, color: C.white, fontFace: "Calibri",
    align: "left", valign: "middle", margin: 6
  });

  const bx = options.bx || 0.3;
  const bw = options.bw || 9.4;
  const by = options.by || 1.05;
  const bh = options.bh || 4.3;
  const fs = options.fontSize || 17;

  if (bullets && bullets.length > 0) {
    const items = bullets.map((b, i) => {
      if (typeof b === "string") {
        return {
          text: b,
          options: {
            bullet: { indent: 20 },
            fontSize: fs,
            color: C.textMid,
            breakLine: i < bullets.length - 1
          }
        };
      }
      // sub-bullet object: { text, sub: true }
      return {
        text: b.text,
        options: {
          bullet: { indent: 40 },
          fontSize: b.fontSize || fs - 2,
          color: b.color || C.textMid,
          bold: b.bold || false,
          breakLine: i < bullets.length - 1,
          indentLevel: b.sub ? 1 : 0
        }
      };
    });
    s.addText(items, {
      x: bx, y: by, w: bw, h: bh,
      fontFace: "Calibri",
      valign: "top",
      lineSpacingMultiple: 1.25
    });
  }
  return s;
}

// Two-column slide
function twoColSlide(title, leftItems, rightItems, leftTitle = "", rightTitle = "") {
  let s = pres.addSlide();
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: C.lightBg } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 0.08, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.08, y: 0.08, w: 9.92, h: 0.78, fill: { color: C.accent2 } });
  s.addText(title, {
    x: 0.2, y: 0.1, w: 9.6, h: 0.72,
    fontSize: 22, bold: true, color: C.white, fontFace: "Calibri",
    align: "left", valign: "middle", margin: 6
  });
  // Divider
  s.addShape(pres.shapes.RECTANGLE, { x: 5.08, y: 0.95, w: 0.04, h: 4.5, fill: { color: C.subtleGray } });

  if (leftTitle) {
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    s.addText(leftTitle, { x: 0.2, y: 0.95, w: 4.7, h: 0.32, fontSize: 13, bold: true, color: C.white, fontFace: "Calibri", align: "center", valign: "middle" });
  }
  if (rightTitle) {
    s.addShape(pres.shapes.RECTANGLE, { x: 5.2, y: 0.95, w: 4.7, h: 0.34, fill: { color: C.accent2 }, rectRadius: 0 });
    s.addText(rightTitle, { x: 5.25, y: 0.95, w: 4.65, h: 0.32, fontSize: 13, bold: true, color: C.white, fontFace: "Calibri", align: "center", valign: "middle" });
  }

  const topOffset = leftTitle ? 1.38 : 1.05;
  function buildBullets(items) {
    return items.map((b, i) => ({
      text: typeof b === "string" ? b : b.text,
      options: {
        bullet: { indent: 18 },
        fontSize: typeof b === "object" && b.fontSize ? b.fontSize : 15,
        color: typeof b === "object" && b.color ? b.color : C.textMid,
        bold: typeof b === "object" ? b.bold || false : false,
        breakLine: i < items.length - 1
      }
    }));
  }
  s.addText(buildBullets(leftItems), {
    x: 0.2, y: topOffset, w: 4.7, h: 5.625 - topOffset - 0.2,
    fontFace: "Calibri", valign: "top", lineSpacingMultiple: 1.3
  });
  s.addText(buildBullets(rightItems), {
    x: 5.25, y: topOffset, w: 4.65, h: 5.625 - topOffset - 0.2,
    fontFace: "Calibri", valign: "top", lineSpacingMultiple: 1.3
  });
  return s;
}

// Table slide
function tableSlide(title, headers, rows, colW) {
  let s = pres.addSlide();
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: C.lightBg } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 0.08, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.08, y: 0.08, w: 9.92, h: 0.78, fill: { color: C.accent2 } });
  s.addText(title, {
    x: 0.2, y: 0.1, w: 9.6, h: 0.72,
    fontSize: 22, bold: true, color: C.white, fontFace: "Calibri",
    align: "left", valign: "middle", margin: 6
  });
  const tableData = [
    headers.map(h => ({ text: h, options: { bold: true, color: C.white, fill: C.tableHead, align: "center", fontSize: 14 } })),
    ...rows.map((r, ri) => r.map(cell => ({
      text: cell,
      options: { color: C.textMid, fill: ri % 2 === 0 ? "FFFFFF" : C.tableAlt, fontSize: 13, align: "left" }
    })))
  ];
  s.addTable(tableData, {
    x: 0.2, y: 1.05, w: 9.6, h: 4.3,
    colW: colW || Array(headers.length).fill(9.6 / headers.length),
    rowH: 0.38,
    fontFace: "Calibri",
    border: { pt: 1, color: C.subtleGray },
    autoPage: false
  });
  return s;
}

// ─── IMAGE DOWNLOAD ───────────────────────────────────────────────────
console.log("Fetching images...");
const img_instruments = fetchImg("https://cdn.orris.care/cdss_images/cbf1c51be131df73394cdccb2ebdd404940421bf3c4da5d836aaaee03f7b89e5.png");
console.log("img_instruments:", img_instruments ? "OK" : "FAILED");

// ══════════════════════════════════════════════════════════════════════
//  SLIDES BEGIN
// ══════════════════════════════════════════════════════════════════════

// ─── SLIDE 1: Title ───────────────────────────────────────────────────
{
  let s = pres.addSlide();
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: C.darkBg } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 4.5, w: 10, h: 1.125, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.1, h: 5.625, fill: { color: C.accent } });
  // Red circle decoration
  s.addShape(pres.shapes.OVAL, { x: 7.5, y: -0.5, w: 4, h: 4, fill: { color: C.accent, transparency: 85 } });
  s.addShape(pres.shapes.OVAL, { x: -1.5, y: 3, w: 4, h: 4, fill: { color: C.accent2, transparency: 75 } });
  s.addText("FORENSIC MEDICINE & TOXICOLOGY", {
    x: 0.3, y: 0.4, w: 9.4, h: 0.5,
    fontSize: 13, color: C.accent, bold: true, fontFace: "Calibri",
    align: "center", charSpacing: 3
  });
  s.addText("Criminal Abortion", {
    x: 0.3, y: 0.95, w: 9.4, h: 1.3,
    fontSize: 46, bold: true, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle"
  });
  s.addText("& the MTP Act", {
    x: 0.3, y: 2.2, w: 9.4, h: 0.85,
    fontSize: 34, bold: false, color: "AEBFD7", fontFace: "Calibri",
    align: "center"
  });
  s.addShape(pres.shapes.RECTANGLE, { x: 3.5, y: 3.15, w: 3, h: 0.04, fill: { color: C.accent } });
  s.addText("Medico-Legal Duties  •  Methods  •  Complications  •  2021 Amendment", {
    x: 0.3, y: 3.3, w: 9.4, h: 0.5,
    fontSize: 14, color: "7FB3D3", fontFace: "Calibri",
    align: "center"
  });
  s.addText("MBBS Final Year  |  P C Dikshit  •  KS Narayan Reddy  •  Parikh's Textbook", {
    x: 0.3, y: 4.6, w: 9.4, h: 0.4,
    fontSize: 12, color: C.white, fontFace: "Calibri",
    align: "center"
  });
}

// ─── SLIDE 2: Clinical Scenario ───────────────────────────────────────
{
  let s = pres.addSlide();
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 5.625, fill: { color: "0D1B2A" } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 0.08, fill: { color: C.accent } });
  s.addShape(pres.shapes.ROUNDED_RECTANGLE, { x: 0.4, y: 0.7, w: 9.2, h: 3.8, fill: { color: "162032" }, rectRadius: 0.15,
    shadow: { type: "outer", color: "000000", blur: 20, offset: 4, angle: 135, opacity: 0.4 }
  });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.4, y: 0.7, w: 9.2, h: 0.5, fill: { color: C.accent } });
  s.addText("CLINICAL SCENARIO", {
    x: 0.5, y: 0.72, w: 9, h: 0.44,
    fontSize: 14, bold: true, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle", charSpacing: 3
  });
  s.addText("A 25-year-old female was brought to casualty\nwith bleeding per vagina.\n\nAs per history, she was treated by an\nunregistered abortionist and resulted in bleeding.", {
    x: 0.7, y: 1.3, w: 8.7, h: 2.8,
    fontSize: 21, color: C.white, fontFace: "Calibri",
    align: "center", valign: "middle", lineSpacingMultiple: 1.5
  });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.08, y: 4.65, w: 9.92, h: 0.78, fill: { color: C.accent2 } });
  s.addText([
    { text: "a) Medico-legal duties  ", options: { color: C.yellow, bold: true } },
    { text: "  b) Methods of criminal abortion  ", options: { color: "#7DCDBE", bold: true } },
    { text: "  c) Complications  ", options: { color: "#F8A5C2", bold: true } },
    { text: "  d) MTP Act 1971 & 2021 Amendment", options: { color: "#A29BFE", bold: true } }
  ], {
    x: 0.2, y: 4.68, w: 9.6, h: 0.6,
    fontSize: 12, fontFace: "Calibri", align: "center", valign: "middle"
  });
}

// ─── SLIDE 3: Table of Contents ───────────────────────────────────────
{
  let s = pres.addSlide();
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  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 10, h: 0.08, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0, y: 0, w: 0.08, h: 5.625, fill: { color: C.accent } });
  s.addShape(pres.shapes.RECTANGLE, { x: 0.08, y: 0.08, w: 9.92, h: 0.78, fill: { color: C.accent2 } });
  s.addText("Contents", {
    x: 0.2, y: 0.1, w: 9.6, h: 0.72,
    fontSize: 24, bold: true, color: C.white, fontFace: "Calibri",
    align: "left", valign: "middle", margin: 6
  });
  const sections = [
    ["01", "Abortion — Definitions & Classification", C.accent],
    ["02", "Criminal Abortion — Overview", C.accent2],
    ["03", "Medico-Legal Duties of the Doctor", "#1ABC9C"],
    ["04", "Methods of Criminal Abortion", C.orange],
    ["05", "Complications of Criminal Abortion", "#9B59B6"],
    ["06", "MTP Act 1971 — Original Provisions", "#2980B9"],
    ["07", "MTP Amendment Act 2021 — Key Changes", C.accent],
    ["08", "MTP vs Criminal Abortion — Comparison", C.accent2],
    ["09", "Medico-Legal Autopsy Findings", "#1ABC9C"],
    ["10", "Summary & Clinical Pearls", C.orange],
  ];
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    const row = i % 5;
    const y = 1.05 + row * 0.85;
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}

// ═══════════════════════════════════════════════════════════
// SECTION 1: DEFINITIONS & CLASSIFICATION
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 01", "Abortion", "Definitions & Classification");

// SLIDE 5: Medical vs Legal Definition
twoColSlide(
  "Definitions of Abortion",
  [
    { text: "MEDICAL DEFINITION", bold: true, color: C.accent, fontSize: 16 },
    "Spontaneous or induced expulsion of products of conception before viability (28 weeks)",
    "Abortion → 1st trimester",
    "Miscarriage → 2nd trimester",
    "Premature labor → 3rd trimester",
    { text: "(P C Dikshit, Forensic Medicine)", color: "#7F8C8D", fontSize: 12 }
  ],
  [
    { text: "LEGAL DEFINITION", bold: true, color: C.accent2, fontSize: 16 },
    "Expulsion of products of conception from uterus at any period prior to full term",
    "Law makes NO distinction between abortion, miscarriage, and premature labor",
    "Products of conception include:",
    "  • Ovum: 7–10 days gestation",
    "  • Embryo: 10 days → end of 9th week",
    "  • Fetus: > 9 weeks → birth"
  ],
  "Medical", "Legal"
);

// SLIDE 6: Classification of Abortion
contentSlide("Classification of Abortion", [
  { text: "I. NATURAL ABORTION", bold: true, color: C.accent, fontSize: 18 },
  "  a) Spontaneous — due to natural causes before 28 weeks",
  "  b) Accidental — due to trauma or accident",
  { text: "II. ARTIFICIAL (INDUCED) ABORTION", bold: true, color: C.accent2, fontSize: 18 },
  "  a) Justifiable / Therapeutic — legal, under MTP Act",
  "  b) Criminal — unlawful termination without proper indication",
  { text: "III. CLINICAL TYPES", bold: true, color: "#1ABC9C", fontSize: 18 },
  "  Threatened  •  Inevitable  •  Incomplete  •  Complete",
  "  Missed  •  Septic  •  Habitual (recurrent — 3 consecutive)"
], { fontSize: 16 });

// SLIDE 7: Clinical Types Detail
twoColSlide(
  "Clinical Types of Abortion",
  [
    { text: "Threatened Abortion", bold: true, color: C.accent },
    "Moderate vaginal bleeding + mild pain",
    "Cervical os — CLOSED",
    "",
    { text: "Inevitable Abortion", bold: true, color: C.accent },
    "Severe pain + increased contractions",
    "Cervical os — DILATED",
    "",
    { text: "Incomplete Abortion", bold: true, color: C.accent },
    "Continuous bleeding from placental site",
    "Retention of placenta → severe anemia"
  ],
  [
    { text: "Missed Abortion", bold: true, color: C.accent2 },
    "Fetus dies in utero, retained > 8 weeks",
    "Products converted to carneous/blood mole",
    "",
    { text: "Habitual Abortion", bold: true, color: C.accent2 },
    "Occurs at 3 or more consecutive pregnancies",
    "",
    { text: "Septic Abortion", bold: true, color: C.accent2 },
    "Complication of incomplete abortion",
    "Organisms: Cl. welchii, E. coli,",
    "Strep. pyogenes, Staph. aureus"
  ]
);

// ═══════════════════════════════════════════════════════════
// SECTION 2: CRIMINAL ABORTION
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 02", "Criminal Abortion", "Definition, Legality & IPC Provisions");

// SLIDE 9: Criminal Abortion — Definition & Law
contentSlide("Criminal Abortion — Definition & Law", [
  { text: "Definition", bold: true, color: C.accent, fontSize: 18 },
  "Intentional termination of pregnancy without lawful justification — performed by an unqualified person outside the provisions of the MTP Act",
  "",
  { text: "IPC Sections (pre-BNS era)", bold: true, color: C.accent2, fontSize: 18 },
  "  IPC Sec 312 — Causing miscarriage: 3 yrs + fine (simple), 7 yrs + fine (woman herself)",
  "  IPC Sec 313 — Without woman's consent: Life imprisonment or 10 yrs + fine",
  "  IPC Sec 314 — Death of woman caused: 10 yrs or life; life if no consent",
  "  IPC Sec 315 — Act to prevent child being born alive: 10 yrs or fine or both",
  "  IPC Sec 316 — Causing death of quick unborn child: 10 yrs + fine",
], { fontSize: 15 });

// SLIDE 10: Who is at Risk?
contentSlide("Who Performs Criminal Abortion?", [
  { text: "Common Performers", bold: true, color: C.accent, fontSize: 18 },
  "  • Unregistered abortionists (dais, quacks)",
  "  • Self-induced by the woman herself",
  "  • Unqualified practitioners",
  "",
  { text: "Common Motives", bold: true, color: C.accent2, fontSize: 18 },
  "  • Illegitimate pregnancy / social stigma",
  "  • Failure of contraception",
  "  • Poverty, inability to support child",
  "  • Extramarital affair",
  "  • Sex selection (in some regions)",
  "",
  { text: "Key Point", bold: true, color: "#1ABC9C", fontSize: 16 },
  "  Criminal abortion is responsible for significant maternal morbidity and mortality in developing countries"
], { fontSize: 16 });

// ═══════════════════════════════════════════════════════════
// SECTION 3: MEDICO-LEGAL DUTIES
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 03", "Medico-Legal Duties of the Doctor", "When a case of suspected criminal abortion presents");

// SLIDE 12: Immediate Duties
contentSlide("Immediate Duties of the Doctor — Step 1: Treat First", [
  { text: "The treating doctor's PRIMARY duty is to the patient", bold: true, color: C.accent, fontSize: 18 },
  "",
  "1.  Stabilize the patient — manage hemorrhage, treat shock",
  "2.  Assess and manage complications (sepsis, perforation, retained products)",
  "3.  Arrange blood transfusion if required",
  "4.  Take detailed history — nature of procedure, substances used, timeline",
  "5.  Perform thorough general and gynecological examination",
  "6.  Order relevant investigations: CBC, coagulation, cultures, imaging",
  "",
  { text: "Remember: Treatment takes priority over medico-legal formalities", bold: true, color: C.green, fontSize: 15 }
], { fontSize: 16 });

// SLIDE 13: Medico-Legal Duties — Reporting
contentSlide("Medico-Legal Duties — Reporting & Documentation", [
  { text: "Mandatory Reporting", bold: true, color: C.accent, fontSize: 18 },
  "  • File MLC (Medico-Legal Case) immediately upon admission",
  "  • Inform the police — suspected criminal abortion is a cognizable offense",
  "  • Preserve all evidence (instruments, foreign bodies, abortifacient substances)",
  "",
  { text: "Documentation", bold: true, color: C.accent2, fontSize: 18 },
  "  • Record history in the patient's own words — verbatim in case notes",
  "  • Note time, date of examination and all physical findings",
  "  • Describe nature, site, and extent of all injuries",
  "  • Record general condition: pallor, pulse, BP, signs of sepsis",
  "",
  { text: "Evidence Preservation", bold: true, color: "#1ABC9C", fontSize: 18 },
  "  • Preserve vaginal swabs, blood, urine, vomitus for chemical analysis",
  "  • Retain any expelled products of conception for examination"
], { fontSize: 15 });

// SLIDE 14: Examination Findings
contentSlide("Clinical Examination — What to Look For", [
  { text: "General Examination", bold: true, color: C.accent, fontSize: 17 },
  "  • Pallor, tachycardia, hypotension (hemorrhagic shock)",
  "  • Fever, rigors (septic abortion)",
  "  • Signs of drug/chemical toxicity (if abortifacients used)",
  "",
  { text: "Local Examination (with speculum)", bold: true, color: C.accent2, fontSize: 17 },
  "  • Vaginal canal: erosions, lacerations, foreign bodies",
  "  • Cervix: marks of vulsellum forceps, fissures, lacerations",
  "  • Cervical os: open/partially open (with products visible)",
  "  • Products of conception at os or in vagina",
  "",
  { text: "Uterus", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  • Size corresponds to gestational age",
  "  • Tenderness: peritoneal involvement / uterine perforation"
], { fontSize: 16 });

// SLIDE 15: Special Duties — Confidentiality
contentSlide("Duty of Confidentiality & Consent", [
  { text: "Confidentiality under MTP Act (Section 5A, post-2021 Amendment)", bold: true, color: C.accent, fontSize: 17 },
  "  • No RMP shall reveal the name/details of the woman",
  "  • Except to a person authorized by law",
  "  • Violation is punishable with fine and/or imprisonment",
  "",
  { text: "Consent Issues", bold: true, color: C.accent2, fontSize: 17 },
  "  • Adult woman (≥18 yrs): Only her own written consent required",
  "  • Minor (<18 yrs) / Mentally ill: Guardian's consent required",
  "  • Husband or family: NOT required legally",
  "",
  { text: "Duty to Cooperate with Investigation", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  • Provide factual medical opinion to police/court if summoned",
  "  • Medico-legal report must be objective and factual",
  "  • Doctor may be called as expert witness"
], { fontSize: 16 });

// SLIDE 16: Summary Box — Duties
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// ═══════════════════════════════════════════════════════════
// SECTION 4: METHODS OF CRIMINAL ABORTION
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 04", "Methods of Criminal Abortion", "Abortifacient Drugs • Mechanical Methods • Systemic Methods");

// SLIDE 18: Overview of Methods
contentSlide("Overview — Methods of Criminal Abortion", [
  { text: "Timeline of attempts (KS Narayan Reddy)", bold: true, color: C.accent, fontSize: 17 },
  "  Up to end of 1st month: Violent exercise, hot baths, purgatives",
  "  Up to end of 2nd month: Abortifacient drugs (when suspicion = certainty)",
  "  3rd–4th month: Mechanical interference when drugs fail",
  "",
  { text: "Classification of Methods", bold: true, color: C.accent2, fontSize: 17 },
  "  A. Abortifacient Drugs",
  "     i. Systemic (oral/parenteral)    ii. Local (vaginal/uterine application)",
  "  B. Mechanical Methods",
  "     i. Instrumental (intrauterine)    ii. Dilation of cervix",
  "  C. Systemic Methods",
  "     i. Violent exercise    ii. Trauma / Violence",
], { fontSize: 16 });

// SLIDE 19: Abortifacient Drugs — Ecbolics
contentSlide("Abortifacient Drugs — Ecbolics (Act on Uterus Directly)", [
  { text: "Ecbolics — increase uterine contraction", bold: true, color: C.accent, fontSize: 17 },
  "  ⚠ Do NOT dilate cervix — expulsion often incomplete",
  "",
  { text: "Ergot", bold: true, color: C.accent2 },
  "  Most commonly used • Acts more in advanced pregnancy",
  "  Side effects: arterial spasm, gangrene of extremities",
  "",
  { text: "Quinine", bold: true, color: C.accent2 },
  "  Direct action on uterus/uterine nerves — unreliable",
  "",
  { text: "Lead (diachylon / lead plaster)", bold: true, color: C.accent2 },
  "  Tonic contractions + direct toxic effect on ovum",
  "  Symptoms of lead poisoning may precede abortion",
  "",
  { text: "Pituitary extracts (Oxytocin)", bold: true, color: C.accent2 },
  "  Specific oxytocic effect — significant only near term"
], { fontSize: 15 });

// SLIDE 20: Abortifacient Drugs — Irritants
contentSlide("Abortifacient Drugs — Systemic Irritants & Others", [
  { text: "Irritant Drugs (cause systemic toxicity)", bold: true, color: C.accent, fontSize: 17 },
  "  Cantharides (Sp. fly) — GI + urinary tract irritant",
  "  Phosphorus, Arsenic, Mercury compounds",
  "  Oil of pennyroyal, Oil of savin (Juniperus sabina)",
  "  Rue (Ruta graveolens), Ergot of rye",
  "",
  { text: "Local Abortifacients (applied to vagina/cervix)", bold: true, color: C.accent2, fontSize: 17 },
  "  Potassium permanganate tablets — produce severe chemical burns",
  "  Caustic soda, phenol, lysol",
  "  Slippery elm bark — placed in cervical canal; absorbs moisture, swells",
  "  Paste of arsenic compounds, mercuric chloride",
  "",
  { text: "Mechanism", bold: true, color: "#1ABC9C", fontSize: 15 },
  "  Irritate uterine mucosa → congestion → bleeding → contractions → expulsion"
], { fontSize: 15 });

// SLIDE 21: Mechanical Methods
contentSlide("Mechanical Methods of Criminal Abortion", [
  { text: "A. Intrauterine Instrumentation", bold: true, color: C.accent, fontSize: 17 },
  "  Instruments introduced through cervix into uterine cavity",
  "  Knitting needles, sounds, catheters, bougie, curettes, syringe",
  "  High risk: perforation of uterus, hemorrhage, sepsis",
  "",
  { text: "B. Abortion Stick", bold: true, color: C.accent2, fontSize: 17 },
  "  Thin bamboo/wood stick 12–18 cm long",
  "  Wrapped in cotton soaked with juice of marking nut, calotropis, arsenic, mercury",
  "  Introduced into vagina/cervical os — retained until contractions begin",
  "  Used by 'dais' and traditional abortionists",
  "",
  { text: "C. Syringe Aspiration", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Large syringe + catheter → suction ruptures chorionic sac → expulsion",
], { fontSize: 15 });

// SLIDE 22: Instruments Image slide
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// SLIDE 23: Cervical Dilation Methods
contentSlide("Cervical Dilation Methods", [
  { text: "Laminaria Tent", bold: true, color: C.accent, fontSize: 17 },
  "  Dried stalk of seaweed; absorbs moisture and swells → dilates cervix",
  "  Used after 8 weeks in nulliparous women / rigid cervix",
  "",
  { text: "Slippery Elm Bark", bold: true, color: C.accent2, fontSize: 17 },
  "  Flat pieces inserted into cervical canal",
  "  Forms jelly-like layer → cervical dilation",
  "",
  { text: "Compressed Sponge", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Introduced into cervix; swells with moisture → expulsion",
  "",
  { text: "Pessaries / Obturators", bold: true, color: C.orange, fontSize: 17 },
  "  Left in cervical canal → irritate uterine mucosa → congestion + contractions",
  "",
  { text: "Mechanism of Cervical Dilation", bold: true, color: "#7F8C8D", fontSize: 15 },
  "  All → physical dilation + uterine irritation → contractions → abortion"
], { fontSize: 15 });

// SLIDE 24: Summary Table — Methods
tableSlide(
  "Summary: Methods of Criminal Abortion",
  ["Category", "Agent / Method", "Mechanism", "Main Risk"],
  [
    ["Ecbolic drugs", "Ergot, Quinine, Lead", "Uterine contractions", "Systemic toxicity"],
    ["Irritant drugs", "Cantharides, Phosphorus", "GI/GU irritation → contractions", "Death from toxicity"],
    ["Local drugs", "KMnO₄, Arsenic paste", "Chemical burn + irritation", "Tissue necrosis, sepsis"],
    ["Abortion stick", "Bamboo + irritant paste", "Chemical irritation of uterus", "Tetanus, perforation"],
    ["Instruments", "Catheter, sound, curette", "Physical disruption of fetus", "Hemorrhage, perforation"],
    ["Cervical dilators", "Laminaria, sponge", "Cervical dilation", "Incomplete abortion"],
    ["Aspiration", "Syringe + catheter", "Suction ruptures chorionic sac", "Air embolism"],
  ],
  [2.5, 2.5, 2.8, 1.8]
);

// ═══════════════════════════════════════════════════════════
// SECTION 5: COMPLICATIONS
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 05", "Complications of Criminal Abortion", "Immediate • Delayed • Fatal");

// SLIDE 26: Hemorrhage
contentSlide("Complications — Hemorrhage (Most Common Immediate)", [
  { text: "Primary Hemorrhage", bold: true, color: C.accent, fontSize: 17 },
  "  Occurs at the time of procedure",
  "  Lacerations of cervix, vagina, uterine wall",
  "  Uterine perforation with injury to iliac vessels",
  "  Retained products of conception → continued bleeding",
  "",
  { text: "Secondary Hemorrhage", bold: true, color: C.accent2, fontSize: 17 },
  "  Occurs days later due to sepsis, sloughing at placental site",
  "",
  { text: "Management reminders", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  IV fluids, blood transfusion, uterotonic drugs",
  "  Emergency suction evacuation / D&C",
  "  Hysterectomy if uterus perforated with uncontrollable bleeding"
], { fontSize: 16 });

// SLIDE 27: Infection & Sepsis
contentSlide("Complications — Infection & Sepsis", [
  { text: "Organisms responsible", bold: true, color: C.accent, fontSize: 17 },
  "  • Clostridium welchii (Cl. perfringens)",
  "  • Escherichia coli",
  "  • Streptococcus pyogenes",
  "  • Staphylococcus aureus",
  "  • Anaerobic streptococci",
  "",
  { text: "Spread of infection", bold: true, color: C.accent2, fontSize: 17 },
  "  Endometrium → placental site → myometrium → tubes → peritoneum",
  "",
  { text: "Conditions resulting", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Endometritis → Salpingitis → Peritonitis → Septicemia",
  "  Septic shock → Multi-organ failure → DEATH",
  "",
  { text: "Strong antiseptics paradoxically worsen infection", bold: true, color: C.accent, fontSize: 14 },
  "  Surface tissue necrosis from caustic agents encourages bacterial growth"
], { fontSize: 15 });

// SLIDE 28: Uterine Perforation
contentSlide("Complications — Uterine Perforation", [
  { text: "Mechanism", bold: true, color: C.accent, fontSize: 17 },
  "  Instruments introduced blindly by untrained abortionists",
  "  Perforation most common at fundus or posterior uterine wall",
  "  Broken instrument fragments may remain in cavity",
  "",
  { text: "Consequences", bold: true, color: C.accent2, fontSize: 17 },
  "  Intraperitoneal hemorrhage → hemorrhagic shock",
  "  Injury to bowel, bladder, ureters, major vessels",
  "  Peritonitis if bowel perforated",
  "",
  { text: "Diagnosis", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Sudden severe pain during procedure",
  "  Abdominal rigidity, guarding, tenderness",
  "  USG / CT abdomen confirms free fluid / pneumoperitoneum",
  "",
  { text: "Treatment: Emergency laparotomy", bold: true, color: C.accent, fontSize: 15 }
], { fontSize: 15 });

// SLIDE 29: Air Embolism + Chemical Poisoning
twoColSlide(
  "Complications — Air Embolism & Chemical Poisoning",
  [
    { text: "Air / Fluid Embolism", bold: true, color: C.accent, fontSize: 15 },
    "Occurs with syringe aspiration or irrigation",
    "Air enters open venous sinuses of uterus",
    "Can be FATAL — immediate cardiac arrest",
    "",
    { text: "Signs at autopsy", bold: true, color: C.accent2 },
    "Right heart filled with frothy blood",
    "Marbled appearance of skin",
    "Air in heart found on percussion"
  ],
  [
    { text: "Chemical / Drug Toxicity", bold: true, color: C.accent, fontSize: 15 },
    "Cantharides → severe GI + renal damage",
    "Phosphorus → acute liver failure",
    "Potassium permanganate → oral/vaginal burns",
    "Ergot → arterial spasm, gangrene",
    "Lead → systemic lead poisoning",
    "",
    { text: "Antiseptic overdose", bold: true, color: C.accent2 },
    "Lysol, phenol, Dettol → mucosal burns",
    "Potassium permanganate tablets → deep vaginal ulcers"
  ]
);

// SLIDE 30: Tetanus + Retained Products
twoColSlide(
  "Complications — Tetanus & Retained Products",
  [
    { text: "Tetanus", bold: true, color: C.accent, fontSize: 15 },
    "Classic complication of abortion stick use",
    "Clostridium tetani introduced via contaminated stick",
    "Trismus, risus sardonicus, opisthotonus",
    "High mortality without ICU care",
    "",
    { text: "Gangrene", bold: true, color: C.accent2 },
    "Gas gangrene — Cl. welchii",
    "Rapid spread, fatal if not treated early",
    "Requires surgical debridement + hyperbaric O₂"
  ],
  [
    { text: "Retained Products of Conception", bold: true, color: C.accent2, fontSize: 15 },
    "Incomplete evacuation → continued bleeding",
    "Nidus for infection",
    "DIC in cases of long-standing retention",
    "",
    { text: "Future Reproductive Consequences", bold: true, color: C.accent },
    "Asherman syndrome (intrauterine adhesions)",
    "Cervical incompetence",
    "Chronic pelvic inflammatory disease",
    "Infertility / recurrent abortion",
    "Ectopic pregnancy risk increased"
  ]
);

// SLIDE 31: Summary Table — Complications
tableSlide(
  "Summary: Complications of Criminal Abortion",
  ["Category", "Complication", "Key Feature"],
  [
    ["Hemorrhagic", "Primary / Secondary hemorrhage", "Most common immediate cause of death"],
    ["Infective", "Septicemia, peritonitis", "Cl. welchii, E. coli — most dangerous"],
    ["Traumatic", "Uterine perforation", "Instruments, bowel/bladder injury"],
    ["Embolic", "Air embolism", "Fatal — syringe/irrigation methods"],
    ["Toxic", "Drug / chemical poisoning", "Phosphorus, cantharides, KMnO₄"],
    ["Neurological", "Tetanus", "Contaminated abortion stick"],
    ["Delayed", "Infertility, Asherman syndrome", "Long-term reproductive consequences"],
  ],
  [2.2, 4.0, 3.4]
);

// ═══════════════════════════════════════════════════════════
// SECTION 6: MTP ACT 1971 — ORIGINAL
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 06", "MTP Act, 1971", "Original Provisions — The Medical Termination of Pregnancy Act");

// SLIDE 33: Why was the MTP Act needed?
contentSlide("MTP Act 1971 — Background & Purpose", [
  { text: "Background", bold: true, color: C.accent, fontSize: 17 },
  "  Before 1971, ALL abortions were illegal under IPC Sections 312–316",
  "  Millions of unsafe abortions → major cause of maternal mortality",
  "  Need for a humane, legally safe framework for therapeutic termination",
  "",
  { text: "Enacted", bold: true, color: C.accent2, fontSize: 17 },
  "  Act No. 34 of 1971 — enacted by Parliament of India",
  "  Came into force: 1 April 1972",
  "",
  { text: "Aim of the Act", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Reduce maternal morbidity and mortality from unsafe abortions",
  "  Balance ethical, legal, and medical concerns",
  "  Ensure abortions are performed by qualified practitioners in approved facilities"
], { fontSize: 16 });

// SLIDE 34: Structure of MTP Act 1971
tableSlide(
  "Structure of the MTP Act, 1971",
  ["Section", "Title / Description"],
  [
    ["Section 1", "Short title, extent, and commencement"],
    ["Section 2", "Definitions"],
    ["Section 3", "When pregnancies may be terminated — Indications"],
    ["Section 4", "Place where pregnancy may be terminated"],
    ["Section 5", "Termination in emergency (no time limit)"],
    ["Section 6", "Power to make rules"],
    ["Sections 7–8", "Power to make regulations + protect actions in good faith"],
  ],
  [1.8, 7.8]
);

// SLIDE 35: Indications under original MTP Act
contentSlide("Indications for MTP under 1971 Act (Section 3)", [
  { text: "1. Therapeutic", bold: true, color: C.accent, fontSize: 17 },
  "  Risk to LIFE of pregnant woman, or grave injury to her physical or mental health",
  "",
  { text: "2. Eugenic", bold: true, color: C.accent2, fontSize: 17 },
  "  Substantial risk that child would suffer from serious physical or mental abnormality",
  "  NO time limit for eugenic indication (post 2021 Amendment: Medical Board needed)",
  "  E.g., maternal infection (rubella, toxoplasmosis), teratogenic drugs, radiotherapy",
  "",
  { text: "3. Social / Contraceptive Failure", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Failure of contraceptive device or method (originally: married woman only)",
  "  Anguish = grave injury to mental health",
  "  Applicable below 20 weeks (original act)",
  "",
  { text: "4. Humanitarian", bold: true, color: C.orange, fontSize: 17 },
  "  Pregnancy caused by rape → mental anguish = grave injury to mental health"
], { fontSize: 15 });

// SLIDE 36: Qualifications & Place — 1971
twoColSlide(
  "Qualifications of Practitioner & Place of MTP",
  [
    { text: "Qualified RMP Must Have:", bold: true, color: C.accent, fontSize: 15 },
    "PG degree/diploma in OBG",
    "OR assisted 25 MTP cases",
    "OR 6 months as house surgeon in OBG",
    "  (in a recognized hospital)",
    "",
    { text: "Two RMPs needed for:", bold: true, color: C.accent2, fontSize: 14 },
    "> 12 weeks (original 1971 Act)",
    "Up to 20 weeks only allowed"
  ],
  [
    { text: "Approved Place:", bold: true, color: C.accent2, fontSize: 15 },
    "Government hospitals",
    "Hospitals approved by Government",
    "Must have:",
    "  • Aseptic surgical environment",
    "  • Emergency resuscitation",
    "  • Blood transfusion facilities",
    "  • Postprocedure care",
    "",
    { text: "Record keeping:", bold: true, color: "#1ABC9C" },
    "Opinions kept confidential",
    "Forms I, II, III to be maintained"
  ]
);

// SLIDE 37: Time Limits (Original 1971)
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// ═══════════════════════════════════════════════════════════
// SECTION 7: MTP AMENDMENT ACT 2021
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 07", "MTP Amendment Act, 2021", "Key Changes — Came into force 25 March 2021");

// SLIDE 39: What Changed in 2021?
contentSlide("MTP Amendment Act 2021 — Key Changes", [
  { text: "1. Extended Gestational Limits", bold: true, color: C.accent, fontSize: 17 },
  "  Old: Up to 20 weeks (2 RMPs needed for 12–20 wks)",
  "  New: Up to 24 weeks for special categories (2 RMPs needed)",
  "",
  { text: "2. Unmarried Women Included", bold: true, color: C.accent2, fontSize: 17 },
  "  Contraceptive failure clause extended to UNMARRIED women",
  "  Previously available to married women only",
  "",
  { text: "3. Privacy Clause Strengthened", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Section 5A: RMP must NOT disclose woman's identity",
  "  Except to person authorized by law",
  "  Violation: Fine + Imprisonment",
  "",
  { text: "4. Medical Board for Beyond 24 Weeks", bold: true, color: C.orange, fontSize: 17 },
  "  State Government constitutes Medical Board",
  "  Handles cases: severe fetal anomalies beyond 24 weeks"
], { fontSize: 16 });

// SLIDE 40: Special Categories for 20–24 week window
contentSlide("Who Can Terminate at 20–24 Weeks? (2021 Amendment)", [
  { text: "Special Categories (Rule 3B) — requiring only 2 RMP opinions:", bold: true, color: C.accent, fontSize: 16 },
  "",
  "  1. Survivors of sexual assault / rape / incest",
  "  2. Minors (< 18 years of age)",
  "  3. Change in marital status (widowhood or divorce)",
  "  4. Women with physical disabilities (as per MCI/PWD Act criteria)",
  "  5. Mentally ill women (including intellectual disability)",
  "  6. Fetal anomalies — major congenital or chromosomal abnormalities",
  "  7. Women in humanitarian settings or disaster / emergency situations",
  "",
  { text: "Beyond 24 weeks:", bold: true, color: C.accent2, fontSize: 16 },
  "  ONLY for severe fetal anomalies — requires State Medical Board approval",
  "  Medical Board: Gynecologist + Radiologist/Sonologist + Pediatrician + Others"
], { fontSize: 16 });

// SLIDE 41: 2021 Amendment — Comparison Table
tableSlide(
  "MTP Act 1971 vs Amendment Act 2021 — Comparison",
  ["Feature", "MTP Act 1971 (Original)", "MTP Amendment 2021"],
  [
    ["Gestational limit", "Up to 20 weeks", "Up to 24 weeks (special categories)"],
    ["1 RMP opinion", "Up to 12 weeks", "Up to 20 weeks"],
    ["2 RMP opinion", "12 to 20 weeks", "20 to 24 weeks (special categories)"],
    ["After 24 weeks", "Not permitted", "Medical Board approval (fetal anomaly only)"],
    ["Contraceptive failure", "Married women only", "Married + Unmarried women"],
    ["Confidentiality", "Not explicitly mentioned", "Section 5A — punishable breach"],
    ["Medical Board", "Not present", "Mandated by State Government"],
  ],
  [2.8, 3.4, 3.4]
);

// SLIDE 42: Medical Board — Constitution & Role
contentSlide("Medical Board — Constitution & Role (Post 2021)", [
  { text: "Constituted by:", bold: true, color: C.accent, fontSize: 17 },
  "  State Governments across India",
  "",
  { text: "Composition:", bold: true, color: C.accent2, fontSize: 17 },
  "  • Gynecologist",
  "  • Radiologist / Sonologist",
  "  • Pediatrician",
  "  • Other members as notified by government",
  "",
  { text: "Function:", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Reviews cases of fetal anomaly presenting after 24 weeks of gestation",
  "  Decides if termination is warranted based on severity of anomaly",
  "  Provides written opinion to the requesting RMP",
  "",
  { text: "Time limit for Board opinion:", bold: true, color: C.orange, fontSize: 15 },
  "  Board must give opinion within 3 days of referral"
], { fontSize: 16 });

// SLIDE 43: Consent in MTP Act
tableSlide(
  "Consent for MTP — Who Gives It?",
  ["Category", "Who Gives Consent?", "Husband/Family Required?"],
  [
    ["Adult woman ≥ 18 years", "The woman herself — written consent only", "No — NOT required"],
    ["Minor < 18 years", "Guardian's written consent required", "Guardian only"],
    ["Mentally ill woman", "Guardian's written consent required", "Guardian only"],
    ["Woman with intellectual disability", "Guardian/authorized person", "Not the husband"],
    ["Emergency (Sec 5)", "Doctor may proceed without consent", "No — life-saving measure"],
  ],
  [3.2, 3.8, 2.6]
);

// ═══════════════════════════════════════════════════════════
// SECTION 8: MTP vs CRIMINAL ABORTION COMPARISON
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 08", "MTP vs Criminal Abortion", "Legal Termination vs Unlawful Act");

// SLIDE 45: Comparison Table
tableSlide(
  "MTP (Legal) vs Criminal Abortion",
  ["Feature", "MTP Act (Legal)", "Criminal Abortion"],
  [
    ["Performer", "Registered, qualified RMP (OBG trained)", "Unregistered quack, dai, or self"],
    ["Gestational limit", "≤ 24 wks (special: Board needed beyond)", "No restriction — any gestation"],
    ["Place", "Government or approved hospital/clinic", "Unsafe, unhygienic premises"],
    ["Consent", "Written, informed consent of woman", "Often absent or coerced"],
    ["Legality", "Legal — governed by MTP Act", "Criminal offense — IPC 312–316"],
    ["Complications", "Minimal if done by trained RMP in facility", "High — sepsis, hemorrhage, death"],
    ["Record keeping", "Mandatory (Form I, II, III)", "None — hidden / clandestine"],
    ["Reporting", "Confidential to government records", "Reported to police when detected"],
  ],
  [2.5, 3.5, 3.6]
);

// ═══════════════════════════════════════════════════════════
// SECTION 9: AUTOPSY FINDINGS
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 09", "Medico-Legal Autopsy Findings", "Death Due to Criminal Abortion");

// SLIDE 47: Autopsy Findings
contentSlide("Autopsy Findings in Death Due to Criminal Abortion", [
  { text: "External Examination", bold: true, color: C.accent, fontSize: 17 },
  "  Pallor, jaundice (if septic), cyanosis (if air embolism)",
  "  Burns/corrosion of genitalia if caustic substances used",
  "  Examination of clothing, bedlinen (blood-stained, Dettol smell)",
  "",
  { text: "Internal Examination — Uterus", bold: true, color: C.accent2, fontSize: 17 },
  "  Enlarged uterus consistent with gestational age",
  "  Perforation/laceration of uterine wall",
  "  Retained products of conception (placenta, fetal parts)",
  "  Endometrium: inflamed, necrotic, with organisms",
  "",
  { text: "Blood & Other Samples to Preserve", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  Blood, urine, vomit, vaginal swabs — chemical analysis",
  "  Expelled material — DNA profiling to identify accused",
  "  Bacteriological cultures from uterine contents"
], { fontSize: 15 });

// SLIDE 48: Cause of Death
contentSlide("Common Causes of Death in Criminal Abortion", [
  { text: "I. Immediate (within hours)", bold: true, color: C.accent, fontSize: 17 },
  "  • Primary hemorrhage (uterine perforation, cervical laceration)",
  "  • Vagal inhibition — sudden instrumental stimulation of cervix (sudden cardiac arrest)",
  "  • Air embolism — air entering uterine veins via syringe",
  "  • Anesthetic overdose (if chloroform/ether used)",
  "",
  { text: "II. Early (1–3 days)", bold: true, color: C.accent2, fontSize: 17 },
  "  • Septicemia from infected incomplete abortion",
  "  • Peritonitis from uterine perforation",
  "  • Drug/chemical toxicity",
  "",
  { text: "III. Delayed (1–3 weeks)", bold: true, color: "#1ABC9C", fontSize: 17 },
  "  • Tetanus",
  "  • Gas gangrene",
  "  • Secondary hemorrhage from sloughing",
  "  • Multi-organ failure (renal, hepatic failure)"
], { fontSize: 16 });

// ═══════════════════════════════════════════════════════════
// SECTION 10: SUMMARY & CLINICAL PEARLS
// ═══════════════════════════════════════════════════════════
sectionSlide("SECTION 10", "Summary & Clinical Pearls", "Key Points for MBBS Final Exam");

// SLIDE 50: Clinical Pearls
contentSlide("High-Yield Exam Points", [
  { text: "Definitions", bold: true, color: C.accent },
  "  Medical abortion: Expulsion before 28 weeks | Legal: Expulsion before full term (any gestation)",
  { text: "Criminal Abortion", bold: true, color: C.accent2 },
  "  IPC 312 — causing miscarriage | IPC 313 — without consent | IPC 314 — death of woman",
  { text: "Most Dangerous Complication", bold: true, color: C.accent },
  "  Septicemia (Cl. welchii) — can lead to rapid multi-organ failure",
  { text: "Air Embolism", bold: true, color: C.accent2 },
  "  FATAL — syringe aspiration; right heart frothy blood at autopsy",
  { text: "Abortion Stick", bold: true, color: C.accent },
  "  Bamboo + irritant paste → TETANUS classic complication",
  { text: "MTP Act 2021 Key Point", bold: true, color: "#1ABC9C" },
  "  Up to 24 weeks (special categories) | Unmarried women now included | Medical Board > 24 wks",
  { text: "Doctor's Duty: TREAT first, then report to police", bold: true, color: C.orange }
], { fontSize: 15 });

// SLIDE 51: References
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    { text: "The Essentials of Forensic Medicine and Toxicology, 36th Edition (2026), Chapters 17 & Annexure 36.2\n\n", options: { color: "AEBFD7" } },
    { text: "2.  P C Dikshit, ", options: { bold: true, color: C.accent } },
    { text: "Textbook of Forensic Medicine and Toxicology, Chapter 28 (Abortion)\n\n", options: { color: "AEBFD7" } },
    { text: "3.  Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology\n\n", options: { bold: true, color: C.accent, breakLine: true } },
    { text: "4.  Medical Termination of Pregnancy Act, 1971 (Act No. 34 of 1971)\n\n", options: { color: "AEBFD7" } },
    { text: "5.  The MTP (Amendment) Act, 2021 — came into force 25 March 2021", options: { color: "AEBFD7" } },
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// ══════════════════════════════════════════════════════════
// SLIDE 1 — Title slide
// ══════════════════════════════════════════════════════════
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// ══════════════════════════════════════════════════════════
// SLIDE 2 — Background + Original 1971 Act snapshot
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// ══════════════════════════════════════════════════════════
// SLIDE 3 — The 4 Key Amendments (visual cards)
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        "New: Up to 24 weeks",
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        "Violation → Fine + Imprisonment"
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// ══════════════════════════════════════════════════════════
// SLIDE 4 — Comparison Table + Special Categories + Exam Pearl
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  });
  const cats = [
    "Survivors of rape / sexual assault",
    "Minors (< 18 years)",
    "Change in marital status (widow/divorce)",
    "Women with physical disabilities",
    "Mentally ill / intellectually disabled",
    "Fetal anomalies (chromosomal/structural)",
    "Humanitarian / disaster settings",
  ];
  s.addText(cats.map((c,i)=>({
    text:`${i+1}. ${c}`,
    options:{fontSize:13,color:C.textMid,breakLine:true}
  })),{x:6.15,y:1.36,w:3.6,h:2.5,fontFace:"Calibri",valign:"top",lineSpacingMultiple:1.3});

  // Exam pearl box at bottom
  s.addShape(pres.shapes.RECTANGLE,{x:0.15,y:4.9,w:9.7,h:0.58,fill:{color:C.accent,transparency:0}});
  s.addText([
    {text:"EXAM PEARL: ",options:{bold:true,color:C.yellow,fontSize:14}},
    {text:"Came into force 25 March 2021  |  Unmarried women NOW included  |  Medical Board for fetal anomaly > 24 wks  |  Privacy breach = criminal offense",
     options:{color:C.white,fontSize:13}}
  ],{x:0.2,y:4.9,w:9.6,h:0.58,fontFace:"Calibri",align:"left",valign:"middle"});
}

// ─── write ─────────────────────────────────────────────────
pres.writeFile({fileName:"/home/daytona/workspace/criminal-abortion-ppt/MTP_Amendment_2021.pptx"})
  .then(()=>console.log("DONE"))
  .catch(e=>{console.error(e);process.exit(1);});

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, KeepTogether
)
from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_JUSTIFY

OUT = "/home/daytona/workspace/criminal-abortion-ppt/MTP_Amendment_2021_QuickRef.pdf"

doc = SimpleDocTemplate(
    OUT,
    pagesize=A4,
    leftMargin=2*cm, rightMargin=2*cm,
    topMargin=2*cm, bottomMargin=2*cm,
    title="MTP Amendment Act 2021 – Quick Reference",
    author="Forensic Medicine & Toxicology – MBBS Final Year"
)

# ── Colours ──────────────────────────────────────────────
NAVY   = colors.HexColor("#0F3460")
RED    = colors.HexColor("#E94560")
TEAL   = colors.HexColor("#1ABC9C")
ORANGE = colors.HexColor("#E67E22")
PURPLE = colors.HexColor("#9B59B6")
YELLOW = colors.HexColor("#F1C40F")
LGRAY  = colors.HexColor("#F4F6FB")
DGRAY  = colors.HexColor("#2C3E50")
ALT    = colors.HexColor("#EBF5FB")
WHITE  = colors.white

# ── Styles ───────────────────────────────────────────────
styles = getSampleStyleSheet()

def S(name, **kw):
    return ParagraphStyle(name, **kw)

title_style = S("Title",
    fontName="Helvetica-Bold", fontSize=20,
    textColor=WHITE, alignment=TA_CENTER,
    leading=26, spaceAfter=4)

subtitle_style = S("Subtitle",
    fontName="Helvetica", fontSize=11,
    textColor=colors.HexColor("#AEBFD7"), alignment=TA_CENTER,
    leading=14, spaceAfter=2)

sec_style = S("Section",
    fontName="Helvetica-Bold", fontSize=13,
    textColor=WHITE, alignment=TA_LEFT,
    leading=16, leftIndent=6)

body = S("Body",
    fontName="Helvetica", fontSize=10.5,
    textColor=DGRAY, leading=15,
    spaceAfter=3, alignment=TA_JUSTIFY)

bold_body = S("BoldBody",
    fontName="Helvetica-Bold", fontSize=10.5,
    textColor=NAVY, leading=15, spaceAfter=2)

bullet_style = S("Bullet",
    fontName="Helvetica", fontSize=10,
    textColor=DGRAY, leading=14,
    leftIndent=14, bulletIndent=4,
    spaceAfter=2)

sub_bullet = S("SubBullet",
    fontName="Helvetica", fontSize=9.5,
    textColor=colors.HexColor("#5D6D7E"), leading=13,
    leftIndent=28, bulletIndent=16, spaceAfter=1)

pearl_style = S("Pearl",
    fontName="Helvetica-Bold", fontSize=10,
    textColor=WHITE, alignment=TA_LEFT,
    leading=14, leftIndent=6)

ref_style = S("Ref",
    fontName="Helvetica-Oblique", fontSize=8.5,
    textColor=colors.HexColor("#7F8C8D"),
    alignment=TA_CENTER, leading=12)

# ── Helpers ──────────────────────────────────────────────
def section_header(text, bg=NAVY):
    data = [[Paragraph(text, sec_style)]]
    t = Table(data, colWidths=[17*cm])
    t.setStyle(TableStyle([
        ("BACKGROUND", (0,0), (-1,-1), bg),
        ("TOPPADDING",    (0,0),(-1,-1), 5),
        ("BOTTOMPADDING", (0,0),(-1,-1), 5),
        ("LEFTPADDING",   (0,0),(-1,-1), 8),
        ("ROUNDEDCORNERS", [4,4,4,4]),
    ]))
    return t

def bul(text, sub=False):
    st = sub_bullet if sub else bullet_style
    return Paragraph(f"• {text}", st)

def hr(col=RED, thickness=1.5):
    return HRFlowable(width="100%", thickness=thickness, color=col, spaceAfter=4, spaceBefore=4)

# ── Build story ──────────────────────────────────────────
story = []

# ── Title Banner ─────────────────────────────────────────
banner_data = [[
    Paragraph("MTP Amendment Act, 2021", title_style),
    ],[
    Paragraph("Amendments to the Medical Termination of Pregnancy Act, 1971", subtitle_style),
    ],[
    Paragraph("Question (d)  |  Forensic Medicine & Toxicology  |  MBBS Final Year", subtitle_style),
]]
banner = Table([[Paragraph("MTP Amendment Act, 2021", title_style)],
                [Paragraph("Amendments to the Medical Termination of Pregnancy Act, 1971", subtitle_style)],
                [Paragraph("Question (d)  ·  Forensic Medicine & Toxicology  ·  MBBS Final Year", subtitle_style)]],
               colWidths=[17*cm])
banner.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), NAVY),
    ("TOPPADDING",    (0,0),(-1,-1), 10),
    ("BOTTOMPADDING", (0,0),(-1,-1), 10),
    ("LEFTPADDING",   (0,0),(-1,-1), 12),
    ("RIGHTPADDING",  (0,0),(-1,-1), 12),
]))
story.append(banner)
story.append(Spacer(1, 0.3*cm))

# ── Background ───────────────────────────────────────────
story.append(section_header("Background"))
story.append(Spacer(1, 0.15*cm))
story.append(Paragraph(
    "The MTP Act was enacted in <b>1971 (Act No. 34 of 1971)</b> to allow legal termination "
    "of pregnancy by registered medical practitioners (RMPs) under specified conditions — "
    "primarily to reduce maternal mortality from unsafe illegal abortions. "
    "It was first amended in <b>2002</b>, and then significantly amended in <b>2021</b>, "
    "coming into force on <b>25th March 2021</b>.", body))
story.append(Spacer(1, 0.2*cm))

# ── 4 Key Amendments ─────────────────────────────────────
story.append(section_header("Key Amendments in the MTP (Amendment) Act, 2021"))
story.append(Spacer(1, 0.15*cm))

# Amendment 1
amend_data = [
    [Paragraph("<b>1. Extended Gestational Limit</b>", bold_body), ""],
]
story.append(KeepTogether([
    Paragraph("<b>1. Extended Gestational Limit</b>", bold_body),
    hr(TEAL, 0.8),
]))

tbl1_data = [
    [Paragraph("<b>Gestational Age</b>", S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE)),
     Paragraph("<b>1971 Act</b>",        S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE)),
     Paragraph("<b>2021 Amendment</b>",  S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE))],
    ["Up to 20 weeks",  "1 RMP opinion",    "1 RMP opinion (unchanged)"],
    ["20 – 24 weeks",   "NOT permitted",     "2 RMP opinions (special categories)"],
    ["Beyond 24 weeks", "NOT permitted",     "Medical Board approval (fetal anomaly only)"],
]
t1 = Table(tbl1_data, colWidths=[5.5*cm, 5*cm, 6.5*cm])
t1.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,0),  RED),
    ("BACKGROUND",    (0,1),(-1,1),  WHITE),
    ("BACKGROUND",    (0,2),(-1,2),  ALT),
    ("BACKGROUND",    (0,3),(-1,3),  WHITE),
    ("TEXTCOLOR",     (0,1),(-1,-1), DGRAY),
    ("FONTNAME",      (0,1),(-1,-1), "Helvetica"),
    ("FONTSIZE",      (0,0),(-1,-1), 9.5),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("GRID",          (0,0),(-1,-1), 0.5, colors.HexColor("#D5D8DC")),
    ("FONTNAME",      (0,1),(0,-1),  "Helvetica-Bold"),
    ("TEXTCOLOR",     (0,1),(0,-1),  NAVY),
]))
story.append(t1)
story.append(Spacer(1, 0.25*cm))

# Amendment 2
story.append(KeepTogether([
    Paragraph("<b>2. Unmarried Women Included</b>", bold_body),
    hr(ORANGE, 0.8),
]))
story.append(bul("<b>Old (1971):</b> Contraceptive failure clause applied to <b>married women ONLY</b>"))
story.append(bul("<b>New (2021):</b> Extended to <b>unmarried women</b> as well"))
story.append(bul("This is the most landmark change — recognises reproductive autonomy of ALL women regardless of marital status"))
story.append(Spacer(1, 0.2*cm))

# Amendment 3
story.append(KeepTogether([
    Paragraph("<b>3. Privacy / Confidentiality Clause — Section 5A (NEW)</b>", bold_body),
    hr(PURPLE, 0.8),
]))
story.append(bul("No RMP shall reveal the <b>name or details</b> of the woman seeking MTP"))
story.append(bul("Disclosure only to a person <b>authorized by law</b>"))
story.append(bul("<b>Violation is punishable</b> with fine and/or imprisonment"))
story.append(bul("Previously, NO such explicit confidentiality protection existed in the Act"))
story.append(Spacer(1, 0.2*cm))

# Amendment 4
story.append(KeepTogether([
    Paragraph("<b>4. Medical Board Constituted</b>", bold_body),
    hr(TEAL, 0.8),
]))
story.append(bul("For terminations <b>beyond 24 weeks</b> (severe fetal anomalies only)"))
story.append(bul("Constituted by <b>State Governments</b>"))
story.append(Paragraph("<b>Composition:</b>", S("cb", fontName="Helvetica-Bold", fontSize=10, textColor=DGRAY, leftIndent=14, leading=14)))
story.append(bul("Gynecologist", sub=True))
story.append(bul("Radiologist / Sonologist", sub=True))
story.append(bul("Pediatrician", sub=True))
story.append(bul("Other members as notified by State Govt", sub=True))
story.append(bul("Must give opinion <b>within 3 days</b> of referral"))
story.append(Spacer(1, 0.25*cm))

# ── Rule 3B ──────────────────────────────────────────────
story.append(section_header("Rule 3B — Special Categories Eligible for 20–24 Week Termination", bg=colors.HexColor("#1A5276")))
story.append(Spacer(1, 0.15*cm))
cats = [
    ("1.", "Survivors of <b>sexual assault / rape / incest</b>"),
    ("2.", "<b>Minors</b> (< 18 years of age)"),
    ("3.", "<b>Change in marital status</b> — widowhood or divorce during pregnancy"),
    ("4.", "Women with <b>physical disabilities</b> (as per PWD Act criteria)"),
    ("5.", "<b>Mentally ill</b> women / intellectual disability"),
    ("6.", "<b>Fetal anomalies</b> — major congenital or chromosomal abnormalities"),
    ("7.", "Women in <b>humanitarian settings</b> / disaster / emergency situations"),
]
cat_data = [[Paragraph(n, S("cn", fontName="Helvetica-Bold", fontSize=10, textColor=NAVY)),
             Paragraph(t, S("ct", fontName="Helvetica", fontSize=10, textColor=DGRAY, leading=14))]
            for n,t in cats]
cat_tbl = Table(cat_data, colWidths=[0.8*cm, 16.2*cm])
cat_tbl.setStyle(TableStyle([
    ("TOPPADDING",    (0,0),(-1,-1), 4),
    ("BOTTOMPADDING", (0,0),(-1,-1), 4),
    ("LEFTPADDING",   (0,0),(-1,-1), 4),
    ("BACKGROUND",    (0,0),(-1,-1), WHITE),
    ("ROWBACKGROUNDS",(0,0),(-1,-1), [WHITE, ALT]),
    ("GRID",          (0,0),(-1,-1), 0.4, colors.HexColor("#D5D8DC")),
]))
story.append(cat_tbl)
story.append(Spacer(1, 0.25*cm))

# ── Comparison Table ─────────────────────────────────────
story.append(section_header("Summary Comparison: MTP Act 1971 vs Amendment Act 2021"))
story.append(Spacer(1, 0.15*cm))
comp_data = [
    [Paragraph("<b>Feature</b>", S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE)),
     Paragraph("<b>MTP Act 1971</b>", S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE)),
     Paragraph("<b>Amendment Act 2021</b>", S("th", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE))],
    ["Upper gestational limit", "20 weeks", "24 weeks (special categories)"],
    ["1 RMP opinion",           "Up to 12 weeks", "Up to 20 weeks"],
    ["2 RMP opinions",          "12 – 20 weeks", "20 – 24 weeks (special categories)"],
    ["Beyond 24 weeks",         "Not permitted", "Medical Board only (fetal anomaly)"],
    ["Unmarried women",         "Excluded", "Included (2021 Amendment)"],
    ["Confidentiality",         "Not specified", "Section 5A — punishable breach"],
    ["Medical Board",           "Absent", "Mandated by State Government"],
    ["Came into force",         "1 April 1972", "25 March 2021"],
]
comp_tbl = Table(comp_data, colWidths=[5.5*cm, 5.5*cm, 6*cm])
comp_tbl.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,0),  RED),
    ("TEXTCOLOR",     (0,0),(-1,0),  WHITE),
    ("FONTNAME",      (0,0),(-1,0),  "Helvetica-Bold"),
    ("ROWBACKGROUNDS",(0,1),(-1,-1), [WHITE, ALT]),
    ("TEXTCOLOR",     (0,1),(-1,-1), DGRAY),
    ("FONTNAME",      (0,1),(0,-1),  "Helvetica-Bold"),
    ("TEXTCOLOR",     (0,1),(0,-1),  NAVY),
    ("FONTSIZE",      (0,0),(-1,-1), 9.5),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("GRID",          (0,0),(-1,-1), 0.5, colors.HexColor("#D5D8DC")),
]))
story.append(comp_tbl)
story.append(Spacer(1, 0.25*cm))

# ── Exam Pearls ──────────────────────────────────────────
pearls_data = [[
    Paragraph(
        "<b>⭐ EXAM PEARLS</b>  |  "
        "Came into force: <b>25 March 2021</b>  |  "
        "Unmarried women now <b>included</b>  |  "
        "Medical Board for fetal anomaly <b>&gt; 24 wks</b>  |  "
        "Privacy breach = <b>criminal offense</b>  |  "
        "Emergency (Sec 5) = <b>no time limit</b> to save mother's life",
        pearl_style)
]]
pearls_tbl = Table(pearls_data, colWidths=[17*cm])
pearls_tbl.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), RED),
    ("TOPPADDING",    (0,0),(-1,-1), 8),
    ("BOTTOMPADDING", (0,0),(-1,-1), 8),
    ("LEFTPADDING",   (0,0),(-1,-1), 10),
    ("RIGHTPADDING",  (0,0),(-1,-1), 10),
]))
story.append(pearls_tbl)
story.append(Spacer(1, 0.2*cm))

# ── References ───────────────────────────────────────────
story.append(hr(NAVY, 0.8))
story.append(Paragraph(
    "Ref: KS Narayan Reddy, Essentials of Forensic Medicine & Toxicology, 36th Ed. (2026)  •  "
    "P C Dikshit, Textbook of Forensic Medicine & Toxicology  •  "
    "MTP Act, 1971 (Act No. 34 of 1971)  •  MTP (Amendment) Act, 2021",
    ref_style))

# ── Build ────────────────────────────────────────────────
doc.build(story)
print(f"PDF created: {OUT}")