Decree of the Ministry of Health of the Czech Socialist Republic No. 71 / 1973 Coll.
Decree of the Ministry of Health of the Czech Socialist Republic, implementing Act No. 68 / 1957 Coll., on the artificial abortion of pregnancy
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Effective from 29.06.1973
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71
DECLARATION
Ministry of Health of the Czech Socialist Republic
of 16 May 1973
implementing Act No. 68 / 1957 Coll., on artificial abortion
The Ministry of Health of the Czech Socialist Republic provides, in agreement with the Ministry of Justice of the Czech Socialist Republic, pursuant to Section 7 of Act No. 68 / 1957 Coll., on artificial abortion of pregnancy, and under Section 11 (3) of Act No. 20 / 1966 Coll., on the care of the health of the people:
Preliminary provisions
In order to protect women's health and to improve population development, it is necessary to carefully assess the health and other reasons for the artificial interruption of pregnancy and to take responsible decisions on its authorisation, while respecting the important status of a woman in a socialist society.
Reasons for abortion
(1) The health grounds (indications) for abortion are set out in the Annex, which forms an integral part of this Decree.
(2) In particular, circumstances which may give rise to difficult conditions for the life of a woman or her children shall be considered as being of particular concern for the artificial cessation of pregnancy, in particular:
(a) age of a woman over 40,
(b) at least three living children;
(c) pregnancy as a result of rape or other offence;
(d) a difficult pregnancy situation in a woman who is not married;
(e) the loss of the spouse or his severe medical condition;
(f) housing or financial distress seriously affecting the standard of living of the family, in particular minors,
(g) proven family disruption.
(3) For the reasons referred to in points (e) to (g) of paragraph 2, artificial discontinuation of pregnancy may be permitted only exceptionally in married women without children or with one child.
(4) For the reasons set out in paragraph 2, abortion may not be allowed for foreign nationals who are not long-term in the Czech Republic.
(1) Artificial discontinuation of pregnancy cannot be permitted if the following health reasons (contraindications) prevent this:
(a) pregnancy over 12 weeks of age;
(b) a concurrent acute or chronic disease which substantially increases the risk associated with discontinuation of pregnancy,
(c) abortion carried out in the last 12 months.
(2) Artificial termination of pregnancy may also be permitted in contraindications if continued pregnancy would endanger the life of a woman.
(3) Women who have been proven or cannot be excluded by serological examination that have undergone rubella during the first 12 weeks of pregnancy and could not have had this examination by the end of the 12th week of pregnancy may be allowed to undergo artificial interruption until the end of the 16th week of pregnancy.
(4) Women who have or raise at least 3 children may be allowed to stop their pregnancy artificially even if they have already been artificially interrupted during the last 12 months of pregnancy if at least 6 months have elapsed since their interruption.
(5) Artificial discontinuation of pregnancy for genetic reasons may be permitted even if pregnancy is 12 weeks or has been artificially interrupted in the last 12 months; However, they may be authorised at the latest by the end of the 24th week of pregnancy and, exceptionally, by the end of the 26th week of pregnancy for evidence of severe incurable foetal or mental disorders.
(6) In cases where pregnancy has occurred as a result of failure of intrauterine contraception, or where pregnancy and childbirth may lead to a significant deterioration in the female's physical or mental health or an exceptional deterioration in the social situation of the family, artificial discontinuation of pregnancy shall be permitted, even if this woman has already been artificially interrupted during the last 12 months of pregnancy.
The overall health and social situation of the woman and her family and of women who have not yet given birth, and in particular the possible adverse effects on their health, in view of the risk of infertility following the first interruption of pregnancy, should be considered when assessing whether abortion should be allowed.
Interrugation Commission
(1) In order to decide on abortion, the District National Committees and the National Committees shall set up a Regional Interruption Commission (hereinafter referred to as "the Regional National Committees"). They may also set up multiple abortion commissions, as appropriate, for each hospital with a clinic.
(2) The Regional National Committees and the National Committee of the City of Prague (hereinafter referred to as the "Regional National Committees") are set up in order to decide on appeals against decisions of the District Interruptions Committees.
(3) The District and Regional Interruptions Commission is the Administrative Commission under Section 57 of the National Committees Act. 1)
(1) County and regional abortion commissions are three members.
(2) The Regional National Committees shall elect an Interrupting Commission for each district
(a) a President from among the members of the National Committee, usually from the members of the Health and Social Commission;
(b) one member of staff working in the field of family and youth care (social workers, psychologists, sociologists, lawyers, etc.),
(c) one doctor, the head of the women's ward of the hospital with a clinic or a clinic.
(3) The Regional National Committees elect the Regional Interrugation Commission
(a) a President from among the members of the National Committee, usually from the members of the Health and Social Commission;
(b) one member of staff working in the field of family and youth care (social workers, psychologists, sociologists, lawyers, etc.),
(c) one doctor, a regional expert in gynecology and obstetrics.
(4) The Regional and Regional National Committees are hereby elected as alternates for each member of the Interrugation Committee.
Procedure for examining an application for abortion
A woman applying for an artificial termination of pregnancy will contact her doctor, who must, inter alia, draw her particular attention to the possible harmful effects of artificial discontinuation. If a woman does not withdraw from her request, she shall instruct her to proceed and give her evidence of the pregnancy found.
A woman shall submit her application on the grounds and supporting documents necessary to the Interrupting Commission in the county where she is resident, or where her place of residence or school is visited. (2) If the Panel does not comply with the request for abortion, the woman shall inform the Regional Interruption Commission of the possibility of lodging an appeal with a Regional Interruption Commission, and shall do so no later than three days after the date of notification of the decision.
Applications and appeals must be dealt with expeditiously and quickly so that the abortion can be carried out within 14 days of the notification of the decision, but not later than 12 weeks after the date of the commencement of pregnancy, unless the abortion can take place after 12 weeks of pregnancy (Sections 3 (3) and (5)).
The Interrugation Committee shall, if necessary, invite the man who, according to the woman's statement, caused the pregnancy and the parents of girls or boys under the age of 18.
For artificial abortion permitted for the reasons set out in § 2 (2), the Interrupting Commission provides for a surcharge of between 200, - Kčs to 800, - Kčs to cover part of the nursing costs. From the fixing of the surcharge may be waived in exceptional cases .3)
Pregnancy is artificially interrupted in the hospital's women's ward hospital with a clinic whose head is a member of an abortion committee or a hospital with a clinic determined by an abortion committee. In the maternity ward, pregnancy can only be artificially interrupted if there are appropriate conditions.
Common and final provisions
For each year, county and regional abortion commissions shall analyse the causes that lead women to apply for abortion and discuss with the competent authorities of the national committees measures to address these causes.
Members of the Interrupting Commission and all participating workers shall be required to maintain confidentiality regarding the facts which they are aware of when discussing a request for abortion, except where the woman shows her consent to such disclosure; all documentation on this must also be handled in such a way that these facts are not disclosed.
(1) The artificial termination of pregnancy is reported by the health care institution where the interruption was carried out on the prescribed form .4)
(2) Any doctor who finds that a woman treated has been interrupted in a manner other than that laid down in the provisions on abortion must report such a case to the competent public safety authorities unless it is known that the report has already been submitted. The same applies in cases of death to the consequences of unlawful abortion.
Directive No 28 / 1966 of the Ministry of Health is hereby repealed. MZ, about the procedure for abortion.
This decree shall take effect on the day of its publication.
Minister:
Doc. MUDr. Prohlo, CSc.
Annex to Decree No 71 / 1973 Coll.
List of diseases, syndromes and conditions that are medical indications for abortion
1. INTERNAL
(a) heart and vascular disease
Chlopenic defects, in particular mitral and aortic stenosis, with limited cardiac performance or one that experienced pre-pregnancy signs of circulatory weakness, heart attack, major circulation emboli or acute pulmonary oedema.
Acute or evolutionary inflammatory heart disease (myocarditis, bacterial endocarditis, evolutionary rheumatism).
Heart muscle infections.
Any cardiac disease that occurs before the end of 12 weeks of pregnancy is arrhythmias (atrial agitation or agitation, cardiac syncope), venous congestion or cyanosis.
Congenital heart defects with disorders of the circulation of the blood, in particular those with cyanosis and coarctation of the aorta with a clear overpressure on the upper extremities.
Conditions after heart surgery and large blood vessels for congenital or acquired heart defects, unless a complete correction of the defect and normalisation of haemodynamic ratios has been achieved.
Hypertensive illness if organ changes occur with diastolic pressure of 110 mm Hg or higher.
Variation complex of large degree, especially affecting the landscapes of birth and lower extremities, with ulcerations and thrombophlebitis.
Cardiomyopathy with cardiac enlargement and pathological ECG.
Note: In the case of lighter cardiopathies, it is necessary to consider whether the mother will be able to protect herself sufficiently other exertions (household, employment, nursing especially in the first 2 to 3 years, if there are more small children in the family needed supervision even at night).
(b) lung disease
Pulmonary diseases with reduced respiratory function (pulmonary insufficiency, bronchiectasis, chronic bronchitis, emphysis).
Chronic pulmonary infection.
(c) kidney disease
Chronic glomerulonephritis, particularly with signs of active inflammatory process.
Chronic glomerulonephritis accompanied by nephrotic or hypertensive syndrome.
Pyelonephritis with limited renal function.
Nephrotic syndrome.
Polycystic kidneys.
Genetically contingent nephropathy (e. g. metabolic tubular syndromes), any kidney disease associated with a significant decrease in renal function.
(d) disease of blood production
Bleeding diseases where severe bleeding can be expected in childbirth and 6 Sundays.
All hemoblastosis and hemoblastoma.
Wood depression.
Hemolytic anemia.
Proven transmission of severe haemophilia or Renduovy-Oslerovy-Weber disease.
(e) digestive tract diseases
Complicated cholelithiasis (biliary cirrhosis, choledocholithiasis, gallbladder empyme, cholangitis, pancreatitis).
Recurrent pancreatitis, pancreatitis.
The ulcer disease.
Ulcerative colitis.
Stages of detectable denutrice caused by digestive diseases.
Chronic parenchymatous liver disease.
Post-infectious hepatitis status up to 2 years of age or if there are signs of hepatic impairment.
(f) endocrine disorders
Basedown disease.
Struma with mechanical consequences especially retrosternal strum with compression of cervical veins.
Hyperthyroidism based on advice from an endocrine specialist.
A pituitary adenoma with mechanical consequences, especially with a risk of vision.
Hyperparathyroidism.
Diabetes mellitus: at bilateral loading (diabetes of both parents or in both families); with a tendency to acidosis; not responding to insulin treatment; diabetes accompanied by some complications, particularly vascular in juvenile forms, in recurrent abortions and death of the foetus in the previous pregnancy.
Addison's disease (after preparation in a professional institution to prevent the addison crisis).
Adenomas of the adrenal gland.
Other endocrinopathy based on an examination of the institute.
(g) infectious diseases
In the first 12 weeks of pregnancy transmissible to the fetus and causing its malformations and changes in development.
(h) metabolic disorders
Arturitis urica.
Lipid disorders.
Thesaurismosis.
2.
Extensive abdominal hernia, diaphragm hernia and hiatus, if the woman disagrees with surgery.
Post-stress syndrome after gastric resection and post-cholecystectomy syndrome.
Recurrent ileus.
Surgically treated congenital anomalies of the colon and rectum.
Extensive benign abdominal and pelvic tumors.
Conditions after performance on organs internal secretion.
Lung resection states with reduced lung capacity.
Lung actinomycosis and pulmonary abscesses.
Advanced organic changes in peripheral vessels.
Right and wrong arteriovenous aortic aneurysms of aorta and large vessels of intra-abdominal and limb.
Malformation of brain vessels anatomically benign.
3. UROLOGICAL
Conditions after kidney removal, or if one kidney is missing (agenesis) or is atrophied (hypoplasia) in case of functional insufficiency of the remaining kidney.
Kidney cystitis.
Pyelonephritis with limited renal function.
Haematuria from unknown causes.
Nephrolithiasis bilaterally, although the details are not fixed and often spontaneously leave both kidneys - urate urolithiasis.
Papillomatosis of the bladder.
Hydronephrosis.
Other severe developmental abnormalities leading to decreased kidney function.
4. Orthopaedic
The deformation of the pelvis after injury, by the Crobáková pelvis, by central hip luxation. A history of symphyseolysis.
lumbar and thoracic spine scoliosis with pelvic deformations.
Pelvic deformation at bone malacia and Morbus Paget.
Spondylolisthesis.
Subluxation and other hip deformities, possibly post-Perthesov disease (it is necessary to consider whether the mother will be able to take proper care of her child when she is hardly mobile alone).
Double-sided hip ankylose.
Deformation arthritis of the hip and lumbosacral.
Construction after extensive and complicated fractures of long bones and fractures of intraarticular large joints.
Systemic diseases (such as osteopsathyrosis, Morbus Albers-Schönberg), although only the father, chondrodystrofia fetalis, is affected by the disease.
Osteomalacia.
Abdominal pain after poliomyelitis, especially if the lower extremities are affected by polio.
Recurrent chronic osteomyelitis of the pelvic bone.
Spastic polio.
Recurring chronic osteomyelitis of the pelvic bone and pitting osteomyelitis of other localisation.
Bone and joint tumours and processes similar to them capable of malignancy or impending as a result of their localisation by pathological fractures.
5. REVMATOLOGICAL
Spondylartritis ankylopoetica - Morbus Bechvorev.
Polyarthritis progressiva. In chronic polyarthritis, account should be taken in particular of the course of the disease, its activity and its effect on treatment, as well as its performance.
Chronic gout with advanced deformations and especially visceral (renal) disorders.
Confusion disease (called collagenosis)
a) Systemic lupus erythematosus, especially evolutionary forms with lupus symptoms, nephritis.
b) Sclerodermia diffusa, especially progressive forms with signs of organ involvement.
c) Dermatomyosis with polymyositic syndrome and visceral changes.
d) Polyarthritis nodosa.
6.
All malignant tumors without distinction of location and condition after their surgical removal or treatment with radiation.
7. TUBERCULOSIS
(a) tuberculosis pulmonary
(aa) All contagious forms of tbc, as well as all forms of tbc even without finding mycobacteria in the evolutionary phase (decontamination, sowing, infiltration), or in the resorption phase, when a complex treatment, especially anti-tuberculosis, cannot be expected to avert the risk of worsening maternal tuberculosis and prevent infection of the child.
ab) All uninfected and inactive forms of tuberculosis which, despite proper treatment with antituberculosis, are at risk of reactivation or worsening as a result of pregnancy, especially in young mothers; if the previous pregnancy has had an effect on the formation or worsening of tbc; if cardiac function is significantly reduced; in tbc complicated by more severe non-specific disease, even if its degree in itself is not an indication for abortion (diabetes mellitus).
(b) tuberculosis
Tbc urological:
(ba) Urotuberculosis with significant renal parenchymal loss followed by chronic renal insufficiency. The key factor is the degree of renal insufficiency.
(bb) Florida specific cystitis, during renal tuberculosis, which persists despite treatment with antituberculosis and significantly depletes the patient (pollakiuria, nycturia).
(bc) Posttuberculosis nephropathy in which pregnancy could lead to decompensation. Functional fitness of the kidneys or solitary kidneys, as well as the incidence and degree of hypertonic disease, is a crucial factor.
Note: Particularly careful assessment requires every young person. The indication for the termination of pregnancy is also the contagious father's if his isolation is not feasible due to difficult housing conditions and if his mother were forced to leave work, which would be associated with a threat to her proper living life.
8.
Multiple sclerosis of cerebrospinal and other demyelinating diseases (depending on the severity of the condition and picture of the disease).
Paraplegia and severe paraparesis of the lower limbs for organic causes.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Czech Socialist Republic No. 71 / 1973 Coll., implementing Act No. 68 / 1957 Coll., on the artificial abortion of pregnancy |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 29.06.1973 |
|---|---|
| Effective from | 29.06.1973 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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