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Curious Case of ‘Reproductive Rights’: Indian and International Perspective*
Part I: Introduction
Evolving jurisprudence on the global reproductive rights framework is based on two key-
principles: (a) the right to reproductive healthcare; and (b) the right to reproductive self-
determination. The human rights inherent in the protection of reproductive rights are as
follows: (a) the right to life, liberty, and security; (b) the right to health, reproductive health,
and family planning; (c) the right to decide the number and spacing of children; (d) the right
to consent to marriage and to equality in marriage; (e) the right to privacy; (f) the right to be
free from discrimination on specific grounds; (f) the right to be free from practices that harm
women & girls; (g) the right not to be subjected to torture or other cruel, inhuman, or
degrading treatment; (h) the right to be free from sexual violence; (i) the right to enjoy the
benefits of scientific progress and to consent to experimentation; and, (j) the right to
information (qua reproduction and sterilization) and education.
Right to procreate in a good sense of the term draws impetus from the right to marry. In the
case of Pierce v. Society of Sisters1, it was held that, the basis for protecting the right to
marry is that it safeguards children and families and thus, draws meaning from related rights
of child-rearing, procreation, and education. In the case of, Maynard v. Hill2, the United
States Supreme Court characterised marriage as the foundation of the family and of society,
without which there would be neither civilisation nor progress. Later, in the case of Meyer v.
Nebraska3, the United States Supreme Court recognised that the right to marry, establish a
home and to bring up children was a central part of the liberty protected by the ‘due process
clause’. Jurisprudential developments of high sightings were witnessed qua the ‘right to
marry’, when the United States Supreme Court in the case of Loving v. Virginia4, reversed its
*Shivam Goel; B. Com Honours, LL.B., LL.M. (NUJS); Author: Corporate Manslaughter & Corporate
Homicide: Scope for a New Legislation in India, Partridge India (June 26, 2015), ISBN-10: 1482846837,
ISBN-13: 978-1482846836; International Arbitration with Special Focus on Bahrain, Lambert Academic
Publication, ISBN: 978-3-659-60665-6; and Concept of Rights in Islam, Lambert Academic Publication;
ISBN-10: 3659641448; ISBN-13: 978-3659641442 1 268 U.S. 510 (1925) 2 125 U.S. 190 (1888) 3 262 U.S. 390 (1923) 4 388 U.S. 1 (1967)
In this case, one Mildred Loving (a black woman), and Richard Loving (a white man), were sentenced to
imprisonment for having married each other, despite the fact that the Virginian Anti-Miscegenation Statute
prohibited marriage between a “white” and a “coloured” individual. The United States Supreme Court declared
the Anti-Miscegenation Statute of the State of Virginia (the Racial Integrity Act, 1924) as un-constitutional,
being derogative of the equality clause (the fourteenth amendment) of the Constitution of the United States of
America.
2
previous decision in Pace v. Alabama5, thereby holding that right to marry was a
fundamental right. The court, threadbare held that, freedom to marry has long been
recognised as one of the vital personal rights essential to the orderly pursuit of happiness by
free men. The United States Supreme Court, further held in the case of Boddie v.
Connecticut6, that, “marriage involves interests of basic importance in our society”.
Speaking with deliberation, about the right of choice in marriage, the Supreme Court of India
in the case of Gang-rape Ordered by Village Kangaroo Court in W.B., In re7, categorically
held that an inherent aspect of Article 21 of the Constitution of India, 1950, would be the
freedom of choice in marriage.
To say ‘right to procreate’ is in the nature of, and as a matter of fact, an off shoot of, ‘right to
life’, and is thus, of fundamental (or universal) consequence, is not a flawed proposition; but
to see ‘right to procreate’ as a right in absolution, is flawed, not on one but on two counts.
Firstly, the Hohfeldian analysis of rights and duties is testamentary to the fact that, there are
no ‘absolute rights’, and all rights in the nature of ‘claims’ have corresponding ‘duties’,
attached to them. Secondly, ‘right to life’ means right to life with human dignity and not just
mere animal existence.8 Thus, ‘right to procreate’ can be regulated by the State (in the
interest of justice) by qualifying it or by limiting it, thus making ‘family planning’ necessary,
this in law holds good. Hence, ‘right to procreate’ is a fundamental right but with necessary
qualifications of ‘family planning’ and ‘right of women to health-care, safety and hygiene’.
More-over, laws prohibiting marriage between minors (or with a minor), close relatives or, of
a person with other person suffering from a venereal disease, in fact is good in law. However,
it is noteworthy that, in the case of Moore v. City of East Cleveland, Ohio9, the United States
Supreme Court, in a plurality opinion, held that, State power over domestic relations is not
without constitutional limits. The ‘due process clause’ requires a showing of justification
when the government intrudes on choices concerning family living arrangements, in a
manner which is contrary to deep-rooted traditions.
5 106 U.S. 583 (1883) 6 401 U.S. 371 (1971) 7 (2014) 4 SCC 786, Para 16 8 Field, J. in the case of, Munn v. Illinois, 94 U.S. 113, held that the term ‘life’ means something more than
mere animal existence. This statement has been quoted with approval in the following judgments of the
Supreme Court of India: Kharak Singh v. State of U.P., AIR 1963 SC 1295; Sunil Batra v. Delhi
Administration, (1978) 4 SCC 494; Olga Tellis v. Bombay Municipal Corporation, (1985) 3 SCC 545. 9 431 U.S. 494 (1932)
3
Observation of the Honourable Supreme Court of India, in furtherance of the discussion will
be of much relevance. In the case of Javed v. State of Haryana10, the Supreme Court of India
observed that: “...It may be permissible for Muslims to enter into four marriages with four
women and for anyone whether a Muslim or belonging to any other community or religion to
procreate as many children as he likes but no religion in India dictates or mandates as an
obligation to enter into bigamy or polygamy or to have children more than one. What is
permitted or not prohibited by a religion does not become a religious practice or a positive
tenet of a religion. A practice does not acquire the sanction of religion simply because it is
permitted. Assuming the practice of having more wives than one or procreating more
children than one is a practice followed by any community or group of people, the same can
be regulated or prohibited by legislation in the interest of public order, morality and health
or by any law providing for social welfare and reform... India being a democratic country
has so far not chosen to go beyond casting minimal disincentives and has not embarked upon
penalising procreation of children beyond a particular limit. However, it has to be
remembered that complacence in controlling population in the name of democracy is too
heavy a price to pay, allowing the nation to drift towards disaster.” (emphasis-supplied)
Global avant-garde understanding of the ‘right to procreate’ is moving in a direction which
emphasises upon giving high regards and consideration to the discretion of women so far as
reproduction is concerned, much because of the realisation, in regards to, the mental and
physical toll that pregnancy has on a woman’s physical health and mental well-being. One of
the earliest cases, showcasing advancement of judicial thought qua the reproductive well-
being and discretion of woman was the case of, Rex v. Bourne11. In this case, Dr. Alex
Bourne (a distinguished gynaecologist) performed an abortion operation on a 14-year-old-
girl, who had been gang-raped by a group of soldiers. Dr. Alex Bourne, for having the
operation performed, was charged with felony. In defence, Dr. Alex Bourne argued that, the
operation was performed not only to preserve the life of the girl but also her mental health.
Dr. Alex Bourne was subsequently released with the verdict of ‘not guilty’. This case is of
potential significance, much because, it suggests that, no matter how stringent the law is, the
courts will not convict for compassionate reasons based on “factors” in each individual case.
10 (2003) 8 SCC 369: MANU/SC/0523/2003 11 (1939) 1 K.B. 687
4
The “factors” in this case were: the woman was under-age; she was brutally raped; and the
fact that the rapists were none other than the official guardians of the law.12
Note should also be taken of the case, K.L. v. Peru13, a case that was brought against the
Peruvian Government under the Optional Protocol to the Civil and Political Rights Covenant,
in furtherance of adjudication of which, in the year 2005, the Human Rights Committee
issued a landmark ruling. This case involved a woman who was forced by the State hospital
authorities to carry a pregnancy to term, even though she carried an anencephalic foetus that
threatened her health and had no chance of survival. The Human Rights Committee ruled in
favour of the woman, recognizing that, denying her an abortion in a circumstance where it
was legal, violated her ‘right to privacy’, and that forcing her to carry the pregnancy to term
constituted ‘cruel, inhuman and degrading treatment’. This decision is a testimony, revealing
how the restrictive traditional perception of reproductive rights as a socio-heath issue can be
broadened through dynamic advocacy skills, bringing to fore claims that shall illumine the
civil and political rights implicated in reproductive rights violations. Another case,
concerning progressive and beneficial interpretation of law, furthering the cause of
reproductive rights in regards to woman, is the case of, Society for the Protection of the
Unborn Child (SPUC) v. Grogan (Case 159/90). This case concerned, the officers of the
students’ union who provided information in Ireland about the availability of legal abortion in
the U.K. An action was brought by the SPUC alleging that this was contrary to the Irish
Constitution. The defence of the officers’ was based on the freedom to provide services
within the Community and freedom of expression contained in the ECHR (European
Convention on Human Rights) which forms part of the Community law as a general
principle. The ECJ (European Court of Justice) evaded this issue. Since the students’ union
did not have economic link with the clinic whose services they advertised, the provision of
information about the clinics was not an economic activity within the treaty. As the issues fell
outside the scope of the EC law, it was held that, the officers could not rely on either the
provisions on freedom to provide services in the treaty or on general principles of law.14 An
12 See: George Dennis O’ Brien, The Church and Abortion: A Catholic Dissent, Chapter 2: Abortion and Law,
Rowman & Littlefield Publishers, 2010 edition, p.29-30 13 See: K.L. v. Peru, International Covenant on Civil and Political Rights,
http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/KL%20HRC%20final%20decision.
pdf, Visited on: 24-06-2015 14 See: Josephine Steiner & Lorna Woods, EU Law, Chapter 6: General Principles of Law, Oxford University
Press, 10th Edition, p. 136
5
important observation was made in the case of L.C. v. Peru15, in this case, the United Nations
Committee on the Elimination of Discrimination against Women held that, the Government’s
denial of legal abortion services to a 13-year-old girl whose health was at risk constituted
discrimination against women and this in turn reinforced gender stereotypes.
Issues qua presumption of marriage and legitimacy of children: In English law, when a
man and a woman live together as husband and wife being married to each other, they are
said to “cohabit” and are referred to as “cohabitees”. This relationship is distinguished from
the relationship of marriage that gives rise to a particular status. As the society advanced and
morals underwent social change, increased recognition was given to the rights and
obligations qua the cohabitees. Professor Martin L. Parry, in his much recognised work, The
Law Relating to Cohabitation (Second Edition, p.7), states as follows: “the legal
consequences of cohabitation have developed on an ad hoc basis depending upon the context
in which the relationship falls, to be considered and the nature of cohabitation. This
development has taken place under the general umbrella of family law thereby reflecting an
acceptance that those who cohabit as husband and wife can properly be described as
members of a family provided that the relationship is of sufficient permanence and stability.”
In A. Dinohamy v. W.L. Balahamy16, the Privy Council held that, where a man and a woman
are proved to have lived together as a man and wife, the law will presume, that they were
living together in consequence of a valid marriage, unless the contrary can be proved.
As per the laws prevailing in India, ‘presumption of marriage’ is available if a man and a
woman are living under the same roof and are cohabiting for a number of years.17 Prolonged
and continuous cohabitation raises a presumption in favour of marriage and against
concubinage.18 This proposition of law is in tune with the language and the intent of Section
5019 and Section 11420 of the Indian Evidence Act, 1872. In the case of S.P.S.
Balasubramanyam v. Suruttayan21, the Supreme Court of India held that, if a man and
15 See: L.C. v. Peru, http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/CEDAW-C-
50-D-22-2009%20English%20(clean%20copy).pdf, Visited on: 04-07-2015 16 AIR 1927 PC 185: (1928) 1 MLJ 388 17 See: Gurubasawwa v. Irawwa, (1997) 1 HLR 695 (Karn) 18 See: Gokal Chand v. Parvin Kumari, AIR 1952 SC 231; Mohabbat Ali Khan v. Mohd. Ibrahim Khan,
(1928-29) 56 IA 201: AIR 1929 PC 135; Ranganath Parmeshwar Panditrao Mali v. Eknath Gajanan
Kulkarni, (1996) 7 SCC 681; Sobha Hymavathi Devi v. Setti Gangadhara Swamy, (2005) 2 SCC 244 19 See: Illustration (a) of Section 50 provides that: “The question is, whether ‘A’ and ‘B’ were married. The fact
that they were usually received and treated by their friends as husband and wife is relevant.” 20 It refers to the common course of natural events, human conduct and private business. (Section 114: Court
may presume existence of certain facts) 21 1992 Supp (2) SCC 304
6
woman are living together under the same roof (and are cohabiting) for a number of years,
then there is a presumption under Section 114 of the Indian Evidence Act that they live as
husband and wife; children born to them are legitimate. In Tulsa v. Durghatiya22, the
Supreme Court held that when a man and a woman live together for a long spell, then there is
a presumption in their favour; of them been married; unless rebutted vide convincing
evidence. In the case of Gokal Chand v. Parvin Kumari23, the Supreme Court categorically
stated that, a couple would not get legitimacy, if the evidence of them living together was
rebuttable. Lastly, in the case of Mohammad Bauker v. Shurfoon Nissa Begum24, the Privy
Council upheld the legitimacy of children of Mohammedan parents despite the fact that, there
wasn’t any concrete proof qua their marriage. The court drew impetus from couple’s
prolonged and continuous cohabitation. The court held that, where the couple lived together
for a long time, there shall be presumption of marriage in their favour and the child born from
such a relationship shall enjoy all rights qua legitimacy.
Part II: International Framework on the Right to Reproduce (Right to Procreate)
The Preamble to the Constitution of the World Health Organisation (WHO) states that, it is
one of the fundamental rights of every human being to enjoy the highest attainable standard
of health. The term ‘health’, here, encompasses within its ambit women’s right to
reproductive health. The right to health carries significant importance with reference to
women, more particularly, keeping in view their biological structure and child bearing
capacity.
Article 16 (1), of the Universal Declaration of Human Rights, 194825, states that: ‘Men and
women of full age, without limitation due to race, nationality or religion, have the right to
marry and to found a family. They are entitled to equal rights as to marriage, during marriage
and at its dissolution.’ Thus, what can be inferred from the language of Article 16 (1) of the
Universal Declaration of Human Rights is that, the right to procreate, in furtherance of, the
right to establish a family is a basic human right, having a universal application. Article 25
further states that, everyone has the right to a standard of living adequate for the health and
well being of himself and of his family.
22 (2008) 4 SCC 520 23 AIR 1952 SC 231 24 (1859-61) 8 MIA 136 25 See: The Universal Declaration of Human Rights, http://www.un.org/en/documents/udhr/, Visited on: 20-06-
2015
7
Article 11, Article 12 and Article 14 of the Convention on the Elimination of All Forms of
Discrimination against Women, 1979, in affirmative terms hold that, States shall take
necessary measures to eliminate discrimination against women in the field of health-care, in
order to ensure that access to information, counselling and services qua family planning is
available to all women on equal terms, in parity with men.26
Under Article 12 (1) of the International Covenant on Economic, Social and Cultural Rights,
196627, Member States have agreed to recognise the right of everyone to the enjoyment of the
highest attainable standard of physical and mental health. Article 12 (2) of the Protocol
provides that the steps to achieve this right, in particular in regards to, the right to
reproductive health, shall include those stated in, Article 12 (2) (a), that is, the provision for
the reduction of the still-birth rate and of infant mortality and for the healthy development of
the child; and Article 12 (2) (d), that is, the creation of conditions, which will assure to all
medical service and medical attention in the event of sickness.
The Convention for the Protection of Human Rights and Fundamental Freedoms, 1950, by
virtue of Article 12 (Right to Marry) holds that, “Men and women of marriageable age have
the right to marry and to found a family, according to the national laws governing the
exercise of this right”.28
The 1994 Cairo Programme of Action, categorically states, in regards to the right to
procreate, as follows: “Reproductive rights embrace certain human rights that are already
recognised in national laws, international human rights documents and other relevant United
Nations consensus documents. These rights rest on the recognition of the basic right of all
couples and individuals to decide freely and responsibly the number, spacing and timing of
their children and to have the information and means to do so, and the right to attain the
highest standard of sexual and reproductive health. It also includes the right to all to make
decision concerning reproduction free of discrimination, coercion and violence as expressed
in human rights documents. In the exercise of this right, they should take into account the
needs of their living and future children and their responsibilities towards the community.”
26 See: The Convention on the Elimination of All Forms of Discrimination against Women, 1979,
http://www.ohchr.org/Documents/ProfessionalInterest/cedaw.pdf, Visited on: 18-07-2015 27 See: The International Covenant on Economic, Social and Cultural Rights,
http://www.ohchr.org/Documents/ProfessionalInterest/cescr.pdf, Visited on: 25-06-2015 28 See: The Convention for the Protection of Human Rights and Fundamental Freedoms,
http://conventions.coe.int/treaty/en/Treaties/Html/005.htm, Visited on: 23-06-2015
8
Article 17 of the Beijing Conference of 1995 explicitly states that, all women have the right
to control all aspects of their health, particularly ‘fertility’, as it is an aspect which is very
basic qua their empowerment.29
The Maternity Protection Convention, 200030, by virtue of Article 3 states that, Member
States are to adopt appropriate measures to ensure that pregnant (or breast-feeding) women
are not made to perform tasks which shall have detrimental effect qua their health or the
health of the child. By virtue of Article 4, the Convention states that, on production of
relevant documents (that is, medical certificate and other supporting documents), as
determined by the national law of the particular State, the women to whom the Convention
applies will be entitled to maternity leave of not less than 14 weeks.
The Convention on the Rights of Persons with Disabilities, 2006, directs all Member States to
provide all persons with disabilities, the right to enjoyment of the highest attainable standard
of health without discrimination. States are directed to provide all persons suffering with
disabilities, affordable yet high quality healthcare, particularly in areas concerning sexuality
and reproductive health.
Development albeit the reproductive rights framework, in the international sphere is
advancing the jurisprudential tenets qua these rights in the municipal (or domestic) sphere. As
for example, in the case of M.C.D. v. Female Workers (Muster Roll)31, the Supreme Court
of India, supplying due emphasis on Article 11 of the Convention on the Elimination of All
Forms of Discrimination against Women, 1979, held that, maternity benefit is applicable to
all casual workers and daily wage workers, as there is nothing in the Maternity Benefit Act,
1961 which entitles only regular women employees to the benefit of maternity leave and not
to those who are engaged on casual basis or on muster roll on daily wages.
Part III: Exploring the Dimensions: Indian Scenario and International Practice
According to Black’s Law Dictionary, ‘procreation’ means the generation of children, and
‘pregnancy’ means the condition resulting from the fertilized ovum, that is, the existence of
29 The Beijing Conference of 1995, http://www.un.org/womenwatch/daw/beijing/pdf/BDPfA%20E.pdf, Visited
on: 09-07-2015 30 See: The Maternity Protection Convention, 2000,
http://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO::P12100_ILO_CODE:C183, Visited on:
24-07-2015 31 2000 (2) SCR 171: MANU/SC/0164/2000
9
condition beginning at the moment of conception and terminating with delivery of the child.32
According to Dorland’s Illustrated Medical Dictionary, pregnancy is the condition of having
a developing embryo or foetus in the body, after union of an ovum and spermatozoon. In
women, duration of pregnancy from conception to delivery is about 266 days. Pregnancy is
marked by cessation of the menses; nausea on arising in the morning (morning sickness);
enlargement of breasts and pigmentation of the nipples; progressive enlargement of the
abdomen. The absolute signs of pregnancy are foetal movements, sounds of the foetal heart,
and demonstration of the foetus by x-ray or ultrasound.33
As per Section 3 (65) of the General Clauses Act, 1897, ‘reproducing’ means ‘producing
again’. According to Dorland’s Illustrated Medical Dictionary, reproduction is defined as
the production of offspring by organised bodies; the creation of a similar object or situation,
duplication, replication.34 Taking necessary clue from Section 312 of the Indian Penal Code,
1860, ‘abortion’ can be defined as, the delivery or expulsion of human foetus prematurely,
that is, before it is yet capable of sustaining life (that is, any period of gestation short of the
full term). According to P. Ramanatha Aiyar’s Concise Law Dictionary, ‘criminal abortion’
may be defined as, premeditated or intentional abortion procured, at any period of pregnancy,
by artificial means, and solely for the purpose of preventing the birth of living child, the same
not being necessary to save the mother’s life.35
The Medical Termination of Pregnancy Act, 1971, categorically holds that, women in India
have a right to medical termination of pregnancy (that is, abortion), if and when the
pregnancy is up to 12 weeks through the assistance of one-doctor, and in case the pregnancy
is up to 20 weeks through the assistance of two-doctors; if giving birth would cause unjust
physical or mental harm to the women or, the child if born would be born with severe
infirmities (or disabilities). It is worth mentioning that, the Pre-Conception and Pre-Natal
Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994, prohibits the pre-natal sex-
determination tests of the foetus. This Act is in fact a legislative measure through which
unborn female child could be protected.36
32 See: The Black’s Law Dictionary, Sixth Edition (Centennial Edition, 1891-1991), p. 1179, 1207 33 See: Dorland’s Illustrated Medical Dictionary, 30th Edition (International Edition), p. 1500 34 Ibid at p. 1613 35 See: P. Ramanatha Aiyar’s Concise Law Dictionary, Lexis Nexis Publication, Fifth Edition, p.6 36 While dealing with violation qua the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition on
Sex Selection) Act, 1994, the Supreme Court of India in the case of Voluntary Health Association of Punjab v.
Union of India, (2013) 4 SCC 1: (2013) 2 SCC (Cri) 287, observed that female foeticide has its roots in the
social thinking which is fundamentally based on certain erroneous notions, ego-centric traditions, pervert
10
Abortion in India is an offence, except for done in good faith and for therapeutic purposes. As
per Section 312 of the Indian Penal Code, 1860, “Whoever voluntarily causes a woman with
child to miscarry, shall, if such miscarriage be not caused in good faith for the purpose of
saving the life of the woman, be punished with imprisonment of either description for a term
which may extend to three years, or with fine, or with both; and, if the woman be quick with
child, shall be punished with imprisonment of either description for a term which may extend
to seven years, and shall also be liable to fine.” A woman who causes, herself to miscarry is
well within the domain of Section 312 of the Indian Penal Code, 1860. By treating the act of
procuring an abortion (except in good faith) as an offence, an implicit protection has been
provided to the foetal right. This can be said in a qualified sense by reverting to Section 20 of
the Hindu Succession Act, 1956 which confers a right to succeed to the father’s estate upon a
child who was in the mother’s womb when the father died intestate.
Appreciation of penal laws contemplating punishment for offences qua abortion and
miscarriage in Indian context requires a threadbare understanding of Sections 313, 314, 315
and 316 of the Indian Penal Code, 1860. As per Section 313 of the Indian Penal Code, 1860,
causing miscarriage without woman’s consent is a cognizable, non-bailable offence, triable
by the Court of Session, calling for punishment albeit imprisonment for life, or imprisonment
for 10 years and fine. Section 314 of the Indian Penal Code, 1860 states that, death caused by
an act done with the intent to cause miscarriage, is a cognizable, non-bailable offence, which
is punishable with imprisonment for 10 years and fine.37 Section 315 of the Indian Penal
Code, 1860, states that, an act done with the intent to prevent a child being born alive, or to
cause it to die after its birth, is cognizable, non-bailable offence, punishable with
imprisonment for 10 years, or fine, or both. Lastly, Section 316 of the Indian Penal Code,
1860 states that, causing death of a quick unborn child by an act amounting to culpable-
homicide is a cognizable, non-bailable offence, punishable with imprisonment for 10 years,
or fine.
The United States Supreme Court in the case of, Skinner v. Oklahoma38 characterised the
right to reproduce as one of the basic civil rights of man. Incorporating the dictum of Skinner,
the High Court of Andhra Pradesh in the case of B.K. Parthasarathi v. Government of
perception of societal norms, and obsession with ideas which are totally individualistic sans the collective good.
All involved in female foeticide deliberately forget to realise that when foetus of a girl child is destroyed, a
woman of future is crucified. 37 If the act done, as so enumerated in Section 314 of the Indian Penal Code, 1860, is without the consent of the
women, then the punishment is imprisonment for life or, imprisonment for 10 years and fine. 38 316 U.S. 535
11
Andhra Pradesh39 held that, the right to make a decision about reproduction is essentially a
very personal decision either on the part of the man or woman; necessarily, such a right
includes the right not to reproduce.
In the case of Alka Sharma v. Abhinesh Chandra Sharma40, it was held that, ‘procreation’
means ‘to produce an offspring’ and ‘procreate’ means ‘the capacity of a spouse to give birth
as also rear up and bring up children’. In the case of Bandhua Mukti Morcha v. Union of
India41, the Supreme Court of India, relying on Francis Coralie v. Union Territory of
Delhi42, held that, Article 21 has within its sweep, the right of women to maternity relief.
Procreation and Right to health: Right to health in India has been recognised as a
fundamental right. The term ‘reproductive health of women’ lies well within the compass of
the term ‘health’. In the case of, Kesavananda Bharti v. State of Kerala43, the Supreme
Court of India held that, right to life implies right to a basic “healthy life” as provided under
the Constitution of India, 1950. Further, in the case of Francis Coralie v. Union of India44,
the Supreme Court of India extended the right to basic necessities such as adequate nutrition,
shelter, free movement and expressing oneself, as part of the fundamental rights. In another
case, Consumer Research Centre v. Union of India45, the Apex Court required that
compulsory health insurance should be provided to every worker in order to implement the
worker’s fundamental right to health. In yet another case, Kirloskar Brothers Ltd. v.
Employee’s State Insurance Corporation46, the Apex Court held that, the right to health is a
fundamental right of every worker (male as well as female), and the same should be extended
to both, the State as well as the Private employees. Lastly, pushing the scope of ‘right to
health’ a bit further, in the case of Pt. Parmanand Katara v. Union of India47, the Supreme
Court of India held that, a doctor at a government hospital has the duty under Article 21 of
the Constitution of India, 1950 to provide medical care, regardless of whether the person is
innocent or criminally liable under the penal statute.
39 Para 15, MANU/AP/0043/2000 40 AIR 1991 MP 205, 212 41 (1984) 3 SCC 161: AIR 1984 SC 802 42 (1981) 1 SCC 608: AIR 1981 SC 746 43 (1973) 4 SCC 225 44 AIR 1978 SC 597 45 (1995) 3 SCC 42 46 (1996) 2 SCC 682 47 AIR 1989 SC 2039
12
Procreation and Sterilization: In order to regulate sterilization procedures in India, the
Supreme Court of India, in the case of Ramakant Rai & Ors v. Union of India & Ors48, gave
the Government of India the following directions: (a) Introduce a system of having an
approved panel of doctors which shall be entitled (and authorised) to carry out sterilization
procedures in the State. The panel should be prepared State-wise, District-wise and Region-
wise; (b) The State Government shall prepare and circulate a check-list which every doctor
will be required to fill before carrying out sterilization procedure qua a proposed patient. The
check-list is to contain the following items: age of the patient, status of health of the patient,
and the number of children the proposed patient has. Doctors shall be prohibited from
carrying out sterilization without filling the check-list; (c) Each State shall establish a Quality
Assurance Committee, consisting of Director of Health Services, the Health Secretary and the
Chief Medical Officer, for the purpose of not only ensuring that guidelines are followed in
respect of pre-operative measures and operational facilities but also post-operative follow
ups. The Quality Assurance Committee shall be duty-bound to publish reports of the number
of persons sterilized, as well as the number of deaths / complications arising out of the
sterilization; (d) Each State shall maintain, overall statistics qua the number of sterilizations
carried out, particulars of procedures followed (as there are different methods of
sterilization), age of the patients sterilized, number of children the person sterilized has,
number of deaths post-sterilization due to surgical complications, and number of persons
incapacitated by reason of sterilization programmes; (e) State shall bring to effect insurance
policies qua persons sterilized, to ensure (and secure) safety of health and general well-being
of such persons; Union of India, to this effect shall prescribe a standard format. Despite the
directions rendered qua sterilization, situation in India continues to be dismal, for India is still
ill-equipped technologically so far as measures concerning sterilization are concerned.
Right to Procreate vide the Surrogacy Route: Surrogacy is a well-known method of
reproduction, whereby a woman agrees to become pregnant for the purposes of gestating and
giving birth to a child she will not raise but handover to the contracted party. Intending
parents may arrange a surrogate pregnancy, for because the woman who intends to parent, is
either unwilling to undergo pregnancy or is infertile. An intending parent may be a single
male or female individual. Surrogacy arrangement can be in regards to, the fulfilling of the
48 Writ Petition (Civil) No. 209/2003, Date: 01.03.2005; Supreme Court of India, Coram: Honourable Mrs.
Justice Ruma Pal, Honourable Mr. Justice Arijit Pasayat & Honourable Mr. Justice C.K. Thakker
13
parental needs of a same-sex-couple.49 Gestational surrogacy is a pregnancy in which one
woman (the genetic mother) provides the egg, which is fertilized, and another woman (the
surrogate mother) carries the foetus and gives birth to the child. Traditional surrogacy is a
pregnancy in which a woman provides her own egg, which is fertilized by artificial
insemination, and thereafter she carries the foetus and gives birth, to a child for another
person. In Gestational surrogacy, in total sense of the term, an embryo is created by the
process of IVF (In-Vitro Fertilization). Traditional surrogacy can be called as partial or
genetically contracted motherhood, much because, the surrogate mother is impregnated with
the sperm of the intended father making her both the genetic and the gestational mother; the
child shares make-up of the commissioning father and the surrogate mother.50 Surrogacy is
commercial or altruistic, depends on whether or not, the surrogate receives monetary
consideration for her pregnancy (or for the relinquishment of the child). Surrogacy is legal in
India, for there is absence of laws in India that prohibit surrogacy. Due to moral
considerations attached qua the surrogacy route of procreation, the National Guidelines for
Accreditation, Supervision & Regulation of ART Clinics was evolved in 2005, by the ICMR
(Indian Council of Medical Research) and NAMS (National Academy of Medical Sciences).
In pursuance of the 2005 Guidelines, a surrogate mother is not considered as the legal
mother; the birth certificate is made in the name of the genetic mother.
Procreation, Surrogacy, Child Care Leave & Maternity Benefits: In the case of
Kalaiselvi v. Chennai Port Trust51, it was held that, a woman employee is entitled to avail
‘child care leave’ even in case where she gets the child through the surrogacy route. K.
Chandru, J., categorically stated that, though the commissioning mother did not undergo any
pre-natal phase qua pregnancy, however, from the first day itself, post the delivery, the
commissioning mother is required to be treated as the ‘mother’ of the new born, and thus
without deliberating over the issue of genetic mother vis-à-vis gestational mother, the
commissioning mother should be made entitled to all benefits accruing to a woman employee
post the delivery of the child. Further, in the case of P. Geetha v. The Kerala Livestock
Development Board Limited52, D.S. Naidu, J. dealt with the issue of, whether a ‘biological
mother’ is entitled to maternity leave, in a case where she has obtained the child vide the
49 See: Baby Manji Yamada v. Union of India, JT 2008 (11) SC 150 50 See: Law Commission of India (Report No. 228), Need for legislation to regulate assisted reproductive
technology clinics as well as rights and obligations of parties to a surrogacy, August 2009,
http://lawcommissionofindia.nic.in/reports/report228.pdf, Visited on: 03-07-2015 51 2013 SCC Online Mad 811 52 2015 SCC Online Ker 71
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surrogacy route. After deliberating over the issue, the Kerala High Court held that, a mother
who obtained the baby through the surrogacy route is entitled to all benefits that an employee
could have, post the delivery of the child. All benefits meant, all child specific statutory
benefits. In another case, Rama Pandey v. Union of India53, the Delhi High Court (through
Rajiv Shakdher, J.) ruled that, confining the term ‘maternity’ only to gestational mother (that
is, the one who biologically conceives the child) would be, turning a blind eye qua the
advancement in science and technology. Deliberating over the issue qua maternity benefits, to
be given to a commissioning mother, Rajiv Shakdher, J. concluded that, the genetic mother is
entitled to both, pre-natal and post-natal maternity leave, despite the fact that she did not
carry the child albeit in her womb. Maternity is established qua a commissioning mother, as
soon as, the child is conceived by the gestational mother; entitlement of the commissioning
mother both during the pre-natal and post-natal stage is that of a ‘legal mother’. In case the
commissioning mother and the surrogate are both working (that is, are government
employees), it is for the competent authority to decide, as to how the maternity leave is to be
divided amongst the genetic and the gestational mother; the competent authority is to do so
vide a reasoned order.
Procreation and Right to Privacy: The interface between the ‘right to procreate’ and the
‘right to privacy’ has long been a topic of contest in the United States. Before taking note of
the developing trends in India, it will be insightful to gaze over the U.S. jurisdiction.
1. In the case of Griswold v. Connecticut54, the constitutionality of a statute which
sought to restrict the right of married persons to use contraceptive devices fell for the
consideration of the court. The majority of the United States Supreme Court held that
this statute impermissibly restricted (or limited) the right of privacy of the married
persons. Justice Douglas, who delivered the majority opinion, traced this right of
privacy to several guarantees of the Bill of Rights. The court candidly stated that, the
right to privacy in marriage is older than the Bill of Rights, the State political parties
and even the State education (school) system; marriage is coming together for better
or for worse, hopefully enduring, and intimate to the degree of being sacred, for it is
an association for a noble purpose. The court held that the impugned statute regulated
a personal marital relationship without an identifiable and legitimate relationship and
53 W.P. (C) No. 844/ 2014, http://lobis.nic.in/dhc/RAS/judgement/17-07-2015/RAS17072015CW8442014.pdf,
Visited on: 18-07-2015 54 381 U.S. 479 (1965)
15
would expose the married couple to an inquiry into the intimate details of their sacred
association.
2. In the case of Eisenstadt v. Baird55, the United States Supreme Court invalidated a
statute which prohibited the distribution of contraceptives to un-married persons on
the ground that it violated the equal protection clause as the court found no rationale
or legitimate distinction qua the use of contraceptives by married as against (or
distinguished from) the un-married persons. Hence, this case made clear that, right to
privacy in the area of procreation was not confined to the married couples only.
3. In the case of Roe v. Wade56, the United States Supreme Court, held that, the right to
have an abortion was a part of the fundamental constitutional right to privacy of the
woman and such a right could be interfered with by the State only to promote a
compelling interest of the State. The protection of the health of the women was held
to be of a compelling interest to the State. Thus, the court held threadbare that, the
right to privacy is broad enough to encompass a woman’s decision whether or not to
terminate her pregnancy.
4. In the case of Carey v. Population Services International57, the United States
Supreme Court held that, while the outer limits of the right to personal privacy have
not been marked by the court, it is clear that among the decisions that an individual
may make without unjustified government interference are personal decisions relating
to marriage; procreation; contraception; family relationships; and child rearing and
education.
5. The State of Missouri enacted a statute which in its preamble stated as follows: (a) life
of each human being begins at conception; and (b) unborn children have protectable
interests in life, health and well-being. The statute was alleged to be unconstitutional,
in the case of Webster v. Reproductive Health Services58, for being contrary to the
United States Supreme Court dictum in the case of Roe v. Wade. The United States
Supreme Court upheld the constitutional validity of the statute stating that, the
restrictions imposed on the use of State funds, facilities and employees in performing,
assisting with, or counselling on abortions, were just. Reversing the Eighth Circuit
decision, the Supreme Court allowed States to legislate in areas that were previously
thought to be forbidden under Roe v. Wade ruling.
55 405 U.S. 38 (1972) 56 410 U.S. 113 (1973) 57 431 U.S. 678 (1977) 58 492 U.S. 490 (1989)
16
6. In the case of Planned Parenthood v. Casey59, the constitutionality of the
Pennsylvania Abortion Control Act, 1982 was challenged, and the United States
Supreme Court was called upon to adjudicate upon the vires of the Act. Five
provisions of the 1982 Act were challenged, for these were alleged to be
unconstitutional. These provisions were: (a) the informed consent rule, which required
doctors to inform women about detriments to health in abortion procedures; (b) the
spousal notice rule, which required women to give prior notice to their husbands
before abortion; (c) the parental notification and consent rule, which required minors
to receive consent from parent or guardian prior to an abortion; (d) rule concerning
24-hours hold before obtaining an abortion; and (e) rule concerning imposition of
certain reporting mandates on facilities providing abortion services. The United States
Supreme Court upheld the constitutionality of the informed consent rule; the parental
notification and consent rule; and the rule concerning 24 hours waiting period.
Holding the spousal notice rule as constitutionally bad, the court held that this rule
created undue burden on married women seeking an abortion, and thus, it was ultra
vires the fourteenth amendment to the United States Constitution.
7. In the case of Stenberg v. Carhart60, the United States Supreme Court was to
adjudicate upon the constitutionality of a Nebraska statute which made the performing
of ‘partial birth abortion’61 illegal, without giving sufficient regards to the health and
safety of a pregnant woman. The court observed that, laws banning partial birth
abortion are unconstitutional, if they lack necessary exceptions qua the heath, and
safety of woman, or if they cannot be construed reasonably to apply only to partial
birth abortions (intact dilation and extraction) procedures and not other abortion
methods. The court according struck down the statute, holding it unconstitutional, that
is in violation of the “due process clause” of the United States Constitution, as was
interpreted by the Honourable Court in Planned Parenthood v. Casey and Roe v.
Wade.
8. In the case of Gonzales v. Carhart62, the United States Supreme Court was to
adjudicate upon the constitutionality of the Partial-Birth Abortion Ban Act, 2003. The
court upheld the constitutionality of the Act by distinguishing the present case with
59 505 U.S. 833 (1992) 60 530 U.S. 914 (2000) 61 Partial Birth Abortion is defined as any abortion in which the physician partially delivers vaginally a living
unborn child before killing the unborn child and completing the delivery. 62 550 U.S. 124 (2007)
17
the case of Sternberg v. Carthart, in which the court dealt with related issues. The
main claim against the statute was that, it lacked an exception for the health of the
women. The court held that, the respondents failed to demonstrate that the Act was
void for vagueness, or that it imposed an undue burden on women’s right to abortion
based on its over-breadth or lack of health exception. Upholding the vires of the Act,
the court reversed the decision of the Court of Appeals, Eighth and Ninth Circuits
respectively.
In India too, the approach qua the interface between the ‘right to procreate’ and the ‘right
privacy’ has been comprehensive. In the case of Govind v. State of M.P.63, the Honourable
Supreme Court of India authoritatively held that, privacy primarily concerns the individual. It
therefore relates to and overlaps with the concept of liberty. Any right to privacy must
encompass and protect intimacies of the home, the family, marriage, motherhood, procreation
and child rearing. In another case, R. Raj Gopal v. State of Tamil Nadu64, explaining the
‘right to privacy’, the Apex Court held that, the right to privacy has within its sphere the right
of an individual to be let alone and the right to safeguard the privacy of his own, his family,
marriage, procreation, motherhood, child bearing and education among other matters.65
Procreation and Right to Personal Liberty: To construe ‘personal liberty’ in the American
sense of the term, especially in areas of advancing jurisprudence, is stellar. In the case of
Cleveland Board of Education v. La Fleur66, the United States Supreme Court asserted that,
it was long recognised that freedom of personal choice in matters of marriage and family life
is one of the liberties protected by the ‘due process clause’ of the fourteenth amendment to
the United States Constitution.
In the case of Suchita Srivastava & Anr v. Chandigarh Administration67, the Supreme
Court of India, made the following important observation- “There is no doubt that a woman’s
right to make reproductive choices is also a dimension of “personal liberty” as understood
under Article 21 of the Constitution of India, 1950. It is important to recognise that
reproductive choices can be exercised to procreate as well as to abstain from procreating.
The crucial consideration is that a woman’s right to privacy, dignity and bodily integrity
should be respected. This means that there should be no restriction whatsoever on the
63 (1975) 2 SCC 148 64 (1994) 6 SCC 632 65 See: V.N. Shukla, Constitution of India, Tenth Edition, Eastern Book Company, p. 169-170 66 414 U.S. 632 (1974) 67 (2009) 9 SCC 1
18
exercise of reproductive choices such as women’s right to refuse participation in sexual
activity or alternatively the insistence on use of contraceptive methods. Furthermore, women
are also free to choose birth control methods such as undergoing sterilisation procedures.
Taken to their logical conclusion, reproductive rights include a women’s entitlement to carry
a pregnancy to its full term, to give birth and to subsequently raise children. However, in the
case of pregnant women there is also a compelling State interest in protecting the life of the
prospective child. Therefore, the termination of a pregnancy is only permitted when the
conditions specified in the applicable statute have been fulfilled. Hence, the provision of the
Medical Termination of Pregnancy Act, 1971 can also be viewed as reasonable restrictions
that have been placed on the exercise of reproductive choices.”
Procreation and Mental Retardation: The United Nations Convention on the Rights of
Persons with Disabilities68, by virtue of Article 23, states that, States party to the convention
shall take effective and appropriate steps to eliminate discrimination against persons with
disabilities in all matters relating to marriage, family, parenthood and relationships, on an
equal basis with others, to ensure that, their right to procreation, marriage and retention of
fertility are not impeded.
An intriguing proposition of law came before the United States Supreme Court, in the case of
Stump v. Sparkman69. In the year 1971, Judge Harold D. Stump gave grant to a mother's
petition to have a tubal ligation performed on her 15 years old daughter; the mother to seek
the grant alleged that her daughter was ‘mildly retarded’. The petition was given the grant,
the same day it was filed. The judge, it was averred, did not hold any hearing to receive
evidence on the subject matter in dispute (that is, whether or not such a grant should be or
could be given) or appoint any lawyer to protect the interests of the daughter. The daughter
was made to undergo the surgery on the pretext that the surgery is been performed to have
her appendix removed. Later, two years thereafter, the daughter having got married and
persistently failing to conceive, she and her husband realized that, she was sterilized way
back in 1971 itself. The daughter and her husband, thereafter, sued the judge and others
associated with the sterilization done in the 1971 operation, in Federal District Court. The
district court observed that the judge was immune from the suit. The Seventh Circuit Court of
Appeals, however, reversed the decision and the findings of the Federal District Court,
68 The United Nations Convention on the Rights of Persons with Disabilities,
http://www.un.org/disabilities/convention/conventionfull.shtml, Visited on: 26-06-2015 69 435 U.S. 349 (1978)
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thereby holding that, the judge is supposed to have lost his immunity because of his failure to
observe the "elementary principles of due process", for having ordered the sterilization.
Finally, in the year 1978, the U.S. Supreme Court, in a landmark decision of 5:3 majority,
reversed the decision of the Court of Appeals, holding that, a judge will not be deprived of
immunity because the action he took was in error, or was done maliciously, or was in excess
of his authority. He in fact, will be subject to liability only when, he accused of having acted
in the excess of, or, absence of the necessary jurisdiction. This case, lexicologists believe,
became the stepping stone qua the advancing of the theory of “best interests test” and
“substituted judgment test”, thereby limiting the scope and application of the eugenics theory.
Another interesting proposition of law came before the Supreme Court of Canada in the case
of E (Mrs.) v. Eve70. In this case, Mrs. E applied to the Supreme Court of Prince Edward
Island for permission to give consent to the sterilization of Eve, her adult daughter who was
mentally retarded and suffered from a condition making it extremely difficult to communicate
with others. Mrs. E feared that, Eve might innocently conceive, and this would consequently
force Mrs. E (who was widowed and approaching sixty years of age) to assume the
responsibility of the child born. Thus, an application was sought for: (a) Declaration that Eve
was mentally incompetent pursuant to the Mental Health Act; (b) Appointment of Mrs. E as
committee of Eve; and (c) Authorization for Eve’s undergoing tubal ligation.
The application for authorization to sterilize was denied, and an appeal to the Supreme Court
of Prince Edward Island, in banco, was launched. An order was then made appointing the
official trustee as guardian ad litem for Eve. The appeal was allowed. The court ordered that
Eve be made a ward of the court pursuant to the Medical Health Act solely to permit the
exercise of the ‘parens patriae’ jurisdiction to authorise sterilization, and that the method of
sterilization be determined by the court following further submissions. A hysterectomy was
later authorised. Eve’s guardian ad litem appealed. The appeal was allowed. The court made
the following observations:
a. Sterilization should never be authorized for non-therapeutic purposes under the
‘parens patriae’ jurisdiction. In the absence of the affected person’s consent, it can
never be safely determined that it is for the benefit of that person. The grave intrusion
on a person’s rights and the ensuing physical damage outweigh the highly
70 [1986] 2 SCR 388; See: Judgments of the Supreme Court of Canada, http://scc-csc.lexum.com/scc-csc/scc-
csc/en/item/170/index.do, Visited on: 22-06-2015
20
questionable advantages that can result from it. The court, therefore, lacks jurisdiction
in such a case.
b. The function of the court qua the protection of those unable to take care of themselves
must not be transformed so as to create a duty obliging the court, at the behest of a
third party, to make a choice between two alleged constitutional rights- that is to
procreate or not to procreate- simply because the individual is unable to make that
choice. There was no evidence to indicate that failure to perform the operation would
have any detrimental effect on Eve’s physical or mental health. Further, since the
‘parens patriae’ jurisdiction is confined to doing what is for the benefit and protection
of the disabled person, it cannot be used for Mrs. E’s benefit.
c. Cases involving applications for sterilization for therapeutic reasons may give rise to
the issues of the burden of proof required to warrant an order for sterilization and of
the precautions, judges should take with these applications in the interest of justice.
Since, barring emergency situations, a surgical procedure without consent constitutes
battery, the onus of proving the need for the procedure lies on those seeking to have it
performed. The burden of proof, though a civil one, must be commensurate with the
seriousness of the measure proposed. A court in conducting these procedures must
proceed with extreme caution and the mentally incompetent person must have
independent representation.
In critical appreciation of the above judgment (E (Mrs.) v. Eve), necessary mention requires
of the following judgment of the Supreme Court of India, Samira Kohli v. Dr. Prabha
Manchanda & Anr71. In this case, the following question came before the honourable court
for consideration: Whether informed consent of a patient is necessary for surgical procedure
involving removal of reproductive organs? If so what is the nature of such consent? (See:
Para 13 of the Judgment)
The court categorically stated thus:
(a) A doctor has to seek and secure the consent of the patient before commencing a
‘treatment’ (the term ‘treatment’ includes surgery also). The consent so obtained
should be real and valid, which means that, the patient should have the capacity and
competence to consent; his consent should be voluntary; and his consent should be on
the basis of adequate information concerning the nature of the treatment.
71 JT 2008 (1) SC 399
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(b) The ‘adequate information’ to be furnished by the doctor (or a member of his team)
who treats the patient, should enable the patient to make a balanced decision as to
whether or not, he should submit himself to the particular treatment. This means that
the doctor should disclose:
1. The nature and procedure of the treatment and its purpose, benefits and effect;
2. Alternatives, if any available;
3. An outline of substantial risks; and
4. Adverse consequences qua the refusing of the treatment.
(c) Consent given only for a diagnostic procedure, cannot be considered as consent for
therapeutic treatment.
(d) There can be common consent for diagnostic and operative procedures where they are
contemplated. There can also be a common consent for a particular surgical
procedure and an additional or further procedure that may become necessary during
the course of the surgery.
(e) The nature and extent of information to be furnished by the doctor to the patient
should depend upon the physical and mental condition of the patient, the nature of the
treatment, and the risks and consequences attached to the treatment.
In India, doctors are not required to explain, the remote or theoretical risks involved with the
treatment (or surgery), which may frighten (or confuse) the patient and thus, may result in
refusal of consent for the necessary treatment (or surgery). Focus is on the ‘balance’ that
should be achieved between the need for disclosing the necessary information, and
information deterring the patient from agreeing to a necessary treatment. India has
consciously preferred the ‘real consent’ concept evolved in Bolam v. Friern Hospital
Management Committee72 and Sidaway v. Bethlem Royal Hospital Governors & Ors73 in
preference to the ‘reasonably prudent patient test’ in Canterbury v. Spence74. Court
categorically observed that, it awaits the day when medical practitioners and private hospitals
in India will become less commercialised and there will be greater awareness qua the ‘rights
of patients’ generally, and thus India will be qualified enough for the ‘reasonably prudent
patient test’ as illustrated in Canterbury.
72 1957 (2) All ER 118 73 1985 (1) All ER 643 74 1972 (464) Federal Reporter 2d 772
22
In the case of Suchita Srivastava & Anr v. Chandigarh Administration75, the Supreme
Court authoritatively upheld the right to procreate, of persons with mild mental retardation.
The court observed that, there is a crying need to look beyond the social prejudices in order to
rationally decide whether an individual who is in a condition of mild mental retardation can
perform parental responsibilities. The court noted that, empirical studies conclusively
disprove the eugenics theory that, mental defects are likely to be passed on to the next
generation. The court directed that, best medical facilities should be made available to ensure
pre-natal and post-natal supervision and health care to individuals suffering from mental
retardation but, are willing to procreate. The basis for arriving at this decision was the
understanding that, a condition of ‘mental retardation’ or ‘developmental delay’ is gauged on
the basis of parameters such as the IQ (Intelligence Quotient) and MA (Mental Age) which in
fact, mostly relate to academic abilities. The court observed that, it is quite possible that a
person with a low IQ or MA may possess social and emotional capacities that will enable him
or her to be a good parent. Thus, importance lies in the evaluation of each case in a thorough
manner with due emphasis being given to the medical opinion rendered for concluding
whether or not, a mentally retarded person is capable of performing parental responsibilities.
India has taken an opposing position qua the eugenics theory, thus, forced sterilisation or
abortion of mentally retarded individuals, in India, is not only considered as anti-democratic
but also violative of Article 14 of the Constitution of India, 1950.
There is a crying need in India that reproductive rights of women be protected for the current
trend is not only dismal but also worrisome. It is estimated that, about 33 percent of all
women in India are malnourished, and 52 percent are anaemic; and nearly 21 percent of all
pregnancies in India are either unwanted or mistimed. Out of the total actual family planning
outlay of Rs. 397 crore (2013-2014 Budget), 85 percent was spent only on sterilising females.
It seems female sterilisation is the norm in India, and male sterilisation an exception.76
Sterilisation, in India, is a primary method of family planning and birth control, more-so-over
it is an intrinsic part of the National Family Planning Programme.
Issue of safe motherhood in India needs to be a comprehensive and dynamic concept with
stress given not exclusively to, physical and mental well-being of women, and family
75 Para: 50, 54, 59 and 60; (2009) 9 SCC 1 76 See: Poonam Muttreja, Honour Reproductive Rights of Women, The Tribune, 7 May 2015,
http://www.tribuneindia.com/news/comment/honour-reproductive-rights-of-women/77100.html, Visited on: 26-
06-2015
23
planning, but also to their education, dignity and reproductive rights (discretion to procreate
or not to procreate).
Reproductive rights scenario in India continues to be dismal; the same is evident from the
findings of the Committee on the Rights of the Child (UN Doc. CRC/C/IND/CO/3-4, Para
33-34), the same is quoted threadbare as follows: “Due to long-standing traditions and
cultural influences that perpetuate boy preference and unequal status of girls, sex-selective
abortions, female infanticide and abandonment of girls remain widespread, resulting among
others in a high male-to-female sex ratio.” It was further observed: “India needs to ensure the
effective implementation of the Pre-Conception and Pre-Natal Diagnostic Techniques Act, so
as to prevent sex-selective abortions and strengthen regulatory mechanisms.”
Part IV: Can “Incarceration” take away the “Right to Procreate”?
In the case of Turner v. Safley77, it was held that, prisoners could not be denied the right to
marry; but nothing explicitly was said qua procreation vis-à-vis prison setting. The case of
Regina (Mellor) v. Secretary of State for the Home Department78 is an interesting read,
more so because it deals with the issue of, right of procreation vis-à-vis incarceration in a
manner that sets the cornerstones right for the development of future jurisprudential thoughts
qua the topic under consideration. The applicant in this case was convicted for murder in the
year 1995 and was thereby sentenced to life-imprisonment in furtherance of the offence
committed by him. The tariff element of his sentence was due to expire in the year 2006,
when he would be 35 years old, with his wife around 31 years old. The earliest he could
reasonably expect to be granted temporary release by the Parole Board was in the year 2004.
In the year 1997, the applicant, with his wife’s support, applied for permission for access to
artificial insemination facilities to start a family. It was the policy of the prison service to
grant such access only in exceptional circumstances. The Secretary of the State refused the
applicant’s request on the ground that there was no medical need for artificial insemination
and out of concern, for the long-term stability of the marriage. Later, applicant’s application
for judicial review of that decision was refused.
Dismissing the appeal preferred by the applicant, it was held that, one of the purposes of
imprisonment was to punish the criminal by depriving him of certain rights and pleasures
which he could only enjoy when at liberty, including the enjoyment of family life, the
77 482 U.S. 78, 95 (1987) 78 [2001] EWCA Civ. 472
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exercise of conjugal rights and the right to form a family; that the basic (fundamental) human
rights did not include the right of a prisoner to inseminate his wife by artificial means, and
thus, the prison authorities did not infringe the auspices of Article 12 of the Convention for
the Protection of Human Rights and Fundamental Freedoms, by refusing to provide a
prisoner with assistance to do so in the absence of exceptional circumstances; that, since any
interference with fundamental human rights had to be proportionate, exceptional
circumstances might require the normal consequences of imprisonment to yield; that public
perception was a legitimate element of penal policy to maintain public confidence in the
criminal justice system to which regard could be had when considering the right of prisoners
to beget children by artificial insemination; that the general policy of facilitating artificial
insemination by prisoners only in exceptional circumstances was therefore not irrational, and
that, accordingly there being no exceptional circumstances in the case of the applicant and his
wife, the refusal to permit artificial insemination was not in breach of the Convention,
unlawful or prejudiced.
Further in case of, William Gerber v. Rodney79, the United States Court of Appeal (Ninth
Circuit), considered the claim of an inmate in the California State Prison alleging that Mule
Creek State Prison was violating his constitutional right by disallowing him to provide his
wife with a sperm specimen, so that she may use it for artificial insemination. The convict
was 41-years old, serving sentence of over a hundred years; his wife was 44-years old; the
couple wished for a child vide artificial insemination. The Court of Appeals, with a majority
of 6:5, held that, (a) many aspects of marriage that make it a basic civil right, such as
cohabitation, sexual intercourse, and the bearing and rearing of children, are superseded by
the fact of confinement; and, (b) prisoners have no constitutional right while incarcerated to
‘contact visits’ or ‘conjugal visits’, this is keeping in view the nature and objective of a prison
system. The court held that, the conclusion that, the right to procreate is inconsistent with
incarceration is not dependent on science of artificial insemination, or on how easy or
difficult it is to accomplish, but on the premise that prison-setting does not provide for
facilitation of reproductive measures qua prisoners.
The Honourable Supreme Court of India categorically held in the case of Dr. Bhuvan Mohan
Patnaik & Ors v. State of Andhra Pradesh & Ors80 that, convicts cannot be denied the
protection of fundamental rights which they otherwise possess, merely because of their
79 291 F. 3d 617 (2002) 80 (1975) 3 SCC 185: MANU/SC/0038/1974
25
conviction. A convict whom the law bids to live in confinement though stands denuded of
some of the fundamental rights, like that of, the right to move freely or the right to practice a
profession, but never the less, such convict continues to enjoy other constitutional guarantees
including the right to life and personal liberty (Article 21 of the Constitution of India). The
observations made in this case are far-fetched; impetus if drawn from the observations made
in this case may make us conclude that ‘right to procreate’ as an off-shoot of the ‘right to life’
survives despite an individual been incarcerated.
In the case of, Jasvir Singh and Ors v. State of Punjab and Ors81, the High Court of Punjab
and Haryana concerned itself with the answering of the following questions: (a) Whether the
right to procreation survives incarceration, and if so, whether such a right is traceable within
the Indian Constitution?; (b) Whether penological interest of the State permits creation of
facilities for the exercise of right to procreation during incarceration?; (c) Whether ‘right to
life’ and ‘personal liberty’ guaranteed under Article 21 of the Constitution include the right of
convicts (or jail inmates) to have conjugal visits or artificial insemination?; (d) If answer to
(c) is in the affirmative, whether all categories of convicts are entitled to such rights?
Answering the first question, that is, (a), in affirmative, the court observed that, right to
procreation survives incarceration. Such a right emanates from and squarely falls within the
ambit of Article 21 of the Constitution of India, 1950 read with the Universal Declaration of
Human Rights.
Answering the second question, that is, (b), the court observed that, the penological interest
of the State ought to permit the creation of facilities for the exercise of right to procreation
during incarceration (may be in a phased manner) as there is no inherent conflict between the
right to procreate and incarceration, however, the same is subject to reasonable restrictions,
social order and security concerns.
Answering the third question, that is, (c), the court held that, the ‘right to life’ and ‘personal
liberty’ guaranteed under Article 21 of the Constitution of India, 1950 includes the right of
convicts (or jail inmates) to have conjugal visits or artificial insemination (as an alternative).
However, the court emphasised that, the exercise of these rights are to be regulated by the
procedure established by law and the same is the sole prerogative of the State.
81 2015 Cri LJ 2282: 2015 (1) RCR (Criminal) 509
26
Answering the fourth question, that is, (d), the court stated that, ordinarily, all convicts
(unless classified) are entitled to the right to procreation while incarcerated. Such a right,
however, is to be regulated as per the policy established by the State, which may deny the
same to a class or category of convicts as the aforesaid right is not an absolute right and is
subject to the penological interests of the State.
Before we harp too much, or argue too sharply in favour of procreation rights qua prisoners,
we must appraise ourselves of the doctrine of ‘best interests of unborn child’ particularly
when we talk of procreation rights qua female prisoners, for prison-setting is the most
undesired form qua a child to open his eyes to this world writ-large. It is quite obvious that, a
new born child, born to an incarcerated mother shall most naturally accompany her to the jail.
In this context the Honourable Supreme Court, in the case of R.D. Upadhyay v. State of
Andhra Pradesh82, observed as follows (relying upon the report prepared by the Tata
Institute of Social Science): (a) Prison environment is not conducive to the normal growth
and development of children; (b) Many children are born in prison and never experience a
normal family life, sometimes till the age permitted to stay inside the jail, that is four to five
years; (c) Socialisation pattern gets severely affected due to their stay in prison. Their only
image of male authority is that of police and prison officials. They are unaware of the concept
of a home, as we know it. Boys may sometimes be found talking in the female gender, having
grown up only among women confined in the female ward. Unusual sights, like animals on
the road, seen on the way to court with the mother, are frightening; (d) Children get
transferred with their mothers from one prison to another, frequently, due to overcrowding,
unsettles them completely; and (e) Such children sometimes display violent and aggressive,
or alternatively, withdrawn behaviour in prison.
Part V: Conclusion
The 2014 Report of the Centre for Reproductive Rights brought to fore three important
observations83:
a. Roughly about 39% of the world’s total population live in countries with highly
restrictive abortion (procreation) laws (that is, laws which prohibit abortion
82 2006 (2) RCR (Criminal) 717: (2007) 15 SCC 337 83 See: Centre for Reproductive Rights, July 2014,
http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/WAM_GlobalView_2014%20EN_
0.pdf, Visited on: 03-07-2015
27
altogether, or allow procedures only to save a woman’s life, or to preserve her
physical and mental well-being).
b. About 47,000 women die each year, globally, due to unsafe abortions, according to
the World Health Organisation.
c. Only over 30 countries have liberalised their abortion-laws since the year 1994,
having expanded the grounds under which women can legally access abortion
services.
The recent case of Purvi Patel has brought to fore a great deal of debate, cardinally
questioning, is it right to criminalize abortion by defining it as ‘murder’ or ‘feticide’?
On 30th March, 2015, Purvi Patel, resident of Indiana State of United States of America was
sentenced to 20 years imprisonment for having an abortion, although there seems a good
reason to believe that what actually happened was a miscarriage and not an abortion. 33-
years-old, Purvi Patel lived in Granger, Indiana; she worked at Moe’s Southwest Grill (a
franchise restaurant, run by her brother and by her, since 2007). Patel developed sexual
intimacy with a co-worker who was already married. Post coitus with the male co-worker,
Purvi became pregnant, without actually realising for long that she is pregnant. When Purvi
gained awareness qua her pregnancy, she revealed the same to her friend Felicia Turbo and
no one else, other than her. To Purvi’s awareness, she was 3-week-pregnant in July 2013.
She, subsequently, started suffering cramping. One day, in the month of July, due to pain and
un-easiness, she came back home early, went to her bathroom and miscarried. She found the
foetus, which looked lifeless, she tried resuscitating it but her attempts failed. In the state of
shock, Purvi dumped the lifeless foetus in a dumpster. Realising that she was bleeding
heavily, she made it to the emergency room of the Saint Joseph Medical Centre. When Purvi
was examined, it was found that her umbilical cord was protruding from her vagina. Dr.
Kelly McGuire called the police on suspicion that Purvi Patel had given birth to a live foetus;
the foetus was abandoned by her. Purvi Patel was placed under police custody. Purvi’s
lawyers contested that she was never read her ‘Miranda Rights’ and she was force-questioned
by detectives while she was in the maternity ward. It came about as an admitted fact that
Purvi administered a miscarriage onto herself. Purvi thus was charged with child neglect and
was accused of killing her foetus. The case came up before the State of Indiana (St. Joseph
County) in the St. Joseph Superior Court, listed as, State of Indiana v. Purvi Patel84. The
84 Cause Number 71D08- 1307- FA- 000017 (Elizabeth C. Hurley, Judge; St. Joseph Superior Court)
28
court charged Purvi on two counts- first, neglect of a dependent (Class-A Felony); and
second, feticide (Class-B Felony). Court found Purvi guilty on both the counts, Class-A
Felony and Class-B Felony. The court adjudged as follows:
“The Court now sentences the Defendant to the care, charge and custody of the
Indiana Department of Corrections for a period of 30 years on Count I, and 6 years
on Count II, with Class 1 Credit for 4 days served prior to imposition of the sentence
herein. The sentences are concurrent to each other.
The sentence shall be served as follows: 20 years of the term shall be an executed
sentence in the Department of Corrections. The execution of the remaining 10 years
shall be suspended. The defendant shall be placed on probation for a period of 5
years following release from the Department of Corrections.
The Court recites the conditions of probation, which the Defendant acknowledges
understanding and agrees to abide by.
The Defendant is assessed court cost and a $500 fine. The Defendant is to provide a
DNA sample.
Following advertisement of C.R. 11 rights, the Defendant advises the Court she
wishes to appeal the conviction. The Defendant shall hire private counsel for
purposes of pursuing the Defendant’s right to appeal.”
This case, in the opinion of the author, is a bad precedent.85 The argument is two-fold.
Firstly, the reproductive rights of a woman, is an extension of the basic human right to life
and personal liberty. Thus, a woman should be given adequate discretion qua the decisions
concerning reproduction, abortion, pre-marital coitus, procreation without getting married
and medical self-determination. Purvi miscarried due to the social-stigma that was attached
with the pregnancy, as she was procreating before getting married. Thus, to charge Purvi for
‘feticide’ is uncalled for; much because lexically speaking, ‘feticide’ means, “intentional
destruction of the foetus in the womb or any untimely delivery brought about with the intent
to cause the death of the foetus”86. Every case, least requires, to be inspected and introspected
in totality, that is, in the background of the facts and circumstances that resulted in the
85 This case is a perfect example, calling for the application of the legal maxim: festinatio justitiae est noverca
infortunii, that is, ‘hasty justice is the step-mother of misfortune’. 86 See: P. Ramanatha Aiyar’s Concise Law Dictionary, Lexis Nexis Publication, Fifth Edition, p. 497;
Butterworth’s Medico-Legal Encyclopaedia
29
culmination of the event. In the present case, Purvi’s intention was to safeguard herself from
the social-stigma that followed the pregnancy, her intention was not to commit feticide;
feticide was the result of the actions that followed in furtherance of safeguarding herself from
the social-stigma that pre-marriage pregnancy carried. Secondly, Purvi was investigated
during the time she was still in the maternity ward. She was neither being made aware of, nor
was she read her Miranda Rights87 (or Miranda Warnings). The manner in which the case was
investigated and there-after the decision was reached, speaks much about the veracity of the
judgment delivered in this case.
In contra-distinction to the Purvi Patel case, is the Lakshmi Dhikta case. In Lakshmi Dhikta
v. Nepal88, the principal question that came for adjudication before the Supreme Court of
Nepal was this: ‘Is abortion a woman’s right?’
The facts of the case in brief are as follows: Lakshmi Dhikta (a mother of five children) was
forced to give birth to the sixth child, only for the reason that she was not able to pay the sum
of money required (Nepalese Rupees 1130, that is, approximately $20) for administration of a
legal abortion at a Government hospital in Nepal, owing to her poor financial condition. The
question for adjudication that came before the Supreme Court of Nepal was this: Is or is not,
a legal abortion, a basic human right of every woman?
Before coming to the conclusion, the court made the following observations:
1. Neither does science nor the law recognises the existence of a human being, until
born. The Constitution of Nepal, does not, any-where speaks of the rights qua a child
yet not born. In the case of Roe v. Wade89, the United States Supreme Court observed
that the court cannot recognise the ‘foetus’, as a ‘human life’. The case of Christian
Lawyers Association of South Africa and Ors v. Minister of Health and Ors90,
involved a legal challenge to the Choice on Termination of Pregnancy Act, claiming
that it violated the constitutional guarantee of the right to life of all persons. The
87 Miranda Rights: The rights (as the right to remain silent, to have an attorney present, and to have an attorney
appointed if indigent) of which an arresting officer must advice the person being arrested. A reading of the
Miranda Rights usually includes a warning that anything said could be used as evidence. No statements made by
an arrested person or evidence obtained there-from may be introduced at trial unless the person was advised of
or validly waived these rights. A fresh reading of the Miranda Rights may be required by the passage of time
after the initial reading, as for example if a previously silent person begins to speak or police interrogate a
person more than once. See: Miranda v. Arizona, 384 U.S. 436 (1966); P. Ramanatha Aiyar’s Concise Law
Dictionary, Lexis Nexis Publication, Fifth Edition, p. 817 88 Writ Petition Number: WO- 0757, 2067 (2007), Supreme Court of Nepal 89 410 U.S. 113 (1973) 90 1998 (11) BCLR 1434 (T): 1998 (4) SA 1113 (T)
30
South African Constitutional Court held that, the foetus cannot be treated as an
individual person.
2. A foetus assumes the status of a ‘child’ only when it is born alive, after being in the
womb of the gestational mother for a certain period of time or, after reaching a certain
stage of development within the womb. If an infant is born dead after completing
gestation or, if it suffers demise during the process of being born, it cannot be
considered a ‘human life’. Life is attained when there is live-birth from the womb of a
mother, anything else to the contrary, the entity remains a foetus. Even in situations
where the foetus is capable of life outside the womb of the gestational mother, if it
suffers demise, in the process of being born, it is not to be considered a human life.
3. Because the development of the foetus is dependent upon the health and fitness of the
mother, it owes its existence to the mother; hence, the interests qua the foetus can
never supersede the interests qua the mother. Foetus is to be seen as the extension of
the body of the pregnant mother, and not as a separate entity to itself.
4. Where there is a risk to the life of the mother; or where the foetus suffers from an
impairment of the kind that takes away the possibility of its survival upon its own-
self; or where the pregnancy results from a rape; or where the pregnancy occurs while
infected with HIV; abortion is legally permissible. Apart from these cases, abortion
should be made legally permissible, if it takes place in the first three-months or twelve
weeks, on request.91
5. If reproductive rights of women are not protected, then they may be forced to become
pregnant and as a consequence, continue to hold unwanted pregnancies, in which case
instead of being respected as right holders, they will be forced to bear the
responsibility qua human reproduction, there by transforming them into mere
instruments for that purpose. No doubt, to become pregnant is noble; but forced
pregnancy is worst of all tyrannies. Every woman is the sole master of her body.
6. In Nepal (as also in many other countries) women can obtain safe-legal-abortion
within the first three months or twelve weeks as provided in Section 28(b) of the
National Code of Nepal (Muluki Ain). Article 20 of the Constitution of Nepal provides
as follows: (1) A woman must not be discriminated against in any way on the ground
that she is a woman; (2) Every woman shall have the right to reproductive health and
rights relating to reproduction; (3) No woman shall be subjected to physical, mental or
91 In Nepal, as in many other countries, a woman can obtain a safe and legal abortion within the first three-
months or twelve weeks as provided in Section 28 (b) of the National Code.
31
any other form of violence and such acts shall be punishable by law; and (4) Sons and
daughters shall have equal rights to ancestral property.
Thus, the court held as follows: (a) Government must guarantee access to safe and affordable
abortion services; (b) Right to abortion is an essential component of reproductive rights
framework; (c) Forced pregnancy violates fundamental human rights of women; and (d)
Foetus does not have a legal status of ‘human life’.
Procreation rights still have to cover a long distance, for awareness qua them is still abysmal.
A host of issues need to be dealt with, and a lot of questions need to be answered, primary
among them, is the question of, ‘how trans-genders should be equipped with these rights’?
Many countries still do not recognise these rights qua trans-genders despite the international
recognition given to them albeit the Yogyakarta Principles92. Principle 24 of the Yogyakarta
Principle deals with the right to found a family.93 This principle states that, all States should
take necessary legislative, administrative and other measures to ensure the right to found a
family, including through access to adoption or assisted procreation (including donor
insemination), without discrimination on the basis of sexual orientation or gender identity.
The Supreme Court of India lately held, in the case of National Legal Services Authority v.
Union of India94, that non-recognition albeit gender-identity qua trans-genders is violative of
Article 14 and Article 21 of the Constitution of India. This decision, trans-gender-
reproductive-rights-activists state, will lay down the foundation for the realisation of
reproductive rights qua trans-genders.
92 In 2006, in response to the well documented patterns of abuse qua trans-genders, a distinguished group of
international human rights experts met in Yogyakarta (Indonesia) to outline a set of international principles
relating to “sexual orientation” and “gender-identity”. The result was the Yogyakarta Principles, which formed,
a universal guide to human rights which affirm the binding international legal standards with which all States
need to comply. 93 See: The Yogyakarta Principles, http://www.yogyakartaprinciples.org/principles_en.pdf; Visited on: 24-07-
2015; Principle 24: Everyone has the right to found a family, regardless of sexual orientation or gender identity.
Families exist in diverse forms. No family may be subjected to discrimination on the basis of sexual orientation
or gender identity of any of its members. 94 See: W.P. (C) No. 400/ 2012, http://supremecourtofindia.nic.in/outtoday/wc40012.pdf, Visited on: 24-07-
2015
32
Bibliography:
Statutes:
1. The Indian Penal Code, 1860
2. The Indian Evidence Act, 1872
3. The General Clauses Act, 1897
4. The Racial Integrity Act, 1924
5. The Constitution of India, 1950
6. The Hindu Succession Act, 1956
7. The Maternity Benefit Act, 1961
8. The Medical Termination of Pregnancy Act, 1971
9. The Pennsylvania Abortion Control Act, 1982
10. The Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex
Selection) Act, 1994
11. The Partial-Birth Abortion Ban Act, 2003
12. The National Code of Nepal (Muluki Ain)
International Instruments, Conventions & Conferences:
1. The Universal Declaration of Human Rights, 1948
2. The Convention for the Protection of Human Rights and Fundamental Freedoms,
1950
3. The International Covenant on Economic, Social and Cultural Rights, 1966
4. The Convention on the Elimination of All Forms of Discrimination against Women,
1979
5. The Cairo Programme of Action, 1994
6. The Beijing Conference, 1995
7. The Maternity Protection Convention, 2000
8. The Convention on the Rights of Persons with Disabilities, 2006
9. The Yogyakarta Principles, 2006
10. The Centre for Reproductive Rights Report, 2014
11. The Committee on the Rights of the Child (UN Doc. CRC/C/IND/CO/3-4, Para 33-
34)
Books, Journals and Articles:
1. George Dennis O’ Brien, The Church and Abortion: A Catholic Dissent, Chapter 2:
Abortion and Law, Rowman & Littlefield Publishers, 2010 edition, p.29-30
2. Josephine Steiner & Lorna Woods, EU Law, Chapter 6: General Principles of Law,
Oxford University Press, 10th Edition, p. 136
3. The Black’s Law Dictionary, Sixth Edition (Centennial Edition, 1891-1991), p. 1179,
1207
4. Dorland’s Illustrated Medical Dictionary, 30th Edition (International Edition), p. 1500
5. P. Ramanatha Aiyar’s Concise Law Dictionary, Lexis Nexis Publication, Fifth
Edition, p.6
6. V.N. Shukla, Constitution of India, Tenth Edition, Eastern Book Company, p. 169-
170
33
Miscellaneous:
1. K.L. v. Peru, International Covenant on Civil and Political Rights,
http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/KL%20H
RC%20final%20decision.pdf, Visited on: 24-06-2015
2. L.C. v. Peru,
http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/CEDAW-
C-50-D-22-2009%20English%20(clean%20copy).pdf, Visited on: 04-07-2015
3. The Universal Declaration of Human Rights, http://www.un.org/en/documents/udhr/,
Visited on: 20-06-2015
4. The Convention on the Elimination of All Forms of Discrimination against Women,
1979, http://www.ohchr.org/Documents/ProfessionalInterest/cedaw.pdf, Visited on:
18-07-2015
5. The International Covenant on Economic, Social and Cultural Rights,
http://www.ohchr.org/Documents/ProfessionalInterest/cescr.pdf, Visited on: 25-06-
2015
6. The Convention for the Protection of Human Rights and Fundamental Freedoms,
http://conventions.coe.int/treaty/en/Treaties/Html/005.htm, Visited on: 23-06-2015
7. The Beijing Conference of 1995,
http://www.un.org/womenwatch/daw/beijing/pdf/BDPfA%20E.pdf, Visited on: 09-
07-2015
8. Law Commission of India (Report No. 228), Need for legislation to regulate assisted
reproductive technology clinics as well as rights and obligations of parties to a
surrogacy, August 2009, http://lawcommissionofindia.nic.in/reports/report228.pdf,
Visited on: 03-07-2015
9. W.P. (C) No. 844/ 2014, http://lobis.nic.in/dhc/RAS/judgement/17-07-
2015/RAS17072015CW8442014.pdf, Visited on: 18-07-2015
10. The United Nations Convention on the Rights of Persons with Disabilities,
http://www.un.org/disabilities/convention/conventionfull.shtml, Visited on: 26-06-
2015
11. Judgments of the Supreme Court of Canada, http://scc-csc.lexum.com/scc-csc/scc-
csc/en/item/170/index.do, Visited on: 22-06-2015
12. Poonam Muttreja, Honour Reproductive Rights of Women, The Tribune, 7 May 2015,
http://www.tribuneindia.com/news/comment/honour-reproductive-rights-of-
women/77100.html, Visited on: 26-06-2015
13. Centre for Reproductive Rights, July 2014,
http://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/WAM_Gl
obalView_2014%20EN_0.pdf, Visited on: 03-07-2015
14. The Maternity Protection Convention, 2000,
http://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO::P12100_ILO
_CODE:C183, Visited on: 24-07-2015
15. The Yogyakarta Principles, http://www.yogyakartaprinciples.org/principles_en.pdf;
Visited on: 24-07-2015
16. W.P. (C) No. 400/ 2012, http://supremecourtofindia.nic.in/outtoday/wc40012.pdf,
Visited on: 24-07-2015