Chapter 32:05 - Medical Termination of Pregnancy

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L.R.O. 1/2012
.
LAWS OF GUYANA
MEDICAL TERMINATION OF PREGNANCY ACT
CHAPTER 32:05
Act
7 of 1995

Current Authorised Pages
Pages
(inclusive)
Authorised
by L.R.O.






1 – 36 ... 1/2012
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Index
of
Subsidiary Legislation
Page
Medical Termination of Pregnancy Regulations 16
(Reg. 4/1995)




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CHAPTER 32:05
MEDICAL TERMINATION OF PREGNANCY ACT
ARRANGEMENT OF SECTIONS
SECTION
PRELIMINARY
1. Short title and application.
2. Interpretation.
3. Modification of sections 78, 79, 80 and 99 of the Criminal Law
(Offences) Act.
COUNSELLING
4. Counselling
TERMINATION OF PREGNANCY
5. Termination of pregnancy of not more than eight weeks duration.
6. Termination of pregnancy of more than eight weeks and not more
than sixteen weeks duration.
7. Termination of pregnancy of more than sixteen weeks duration.
8. Consent.
9. Non-liability of medical practitioner.
10. Non-application of certain provisions.
11. Conscientious objection to participate in treatment.
PENALTIES
12. Penalties for offences.
MISCELLANEOUS
13. Statement by guardian.
14. Confidential information.
15. Powers of entry.
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16. Power to make regulations. __________________________
CHAPTER 32:05
MEDICAL TERMINATION OF PREGNANCY ACT
7 of 1995 An Act to reform the law relating to medical terminations of
pregnancies, to enhance the dignity and sanctity of life
by reducing the incidence of induced abortion, to
enhance the attainment of safe motherhood by
eliminating deaths and complications due to unsafe
abortion, to prescribe those circumstances in which any
woman who voluntarily and in good faith wishes to
terminate her pregnancy may lawfully do so and to
provide for matters connected therewith.
[14TH JUNE, 1995]

Short title and
application.

Interpretation.
PRELIMINARY
1. (1) This Act may be cited as the Medical
Termination of Pregnancy Act.
(2) This Act applies to treatment for the
termination of pregnancy by medication, surgical procedures
or other means.
2. (1) In this Act—
“approved institution” means any institution approved by the
Minister for the purposes of this Act;
“authorised medical practitioner” means any person
registered as a duly qualified medical practitioner
under the Medical Practitioners Act and, being either
SECTION
c.32:02
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a specialist in obstetrics and gynaecology with such
experience as may be prescribed or a medical
practitioner authorised in accordance with regulations
made under section 16 to perform medical
terminations of pregnancies;
“foetus” includes an embryo;
“institution” means—
(a) a hospital;
(b) a clinic;
(c) a nursing home, including a maternity home;
(d) any other facility where arrangements for
the treatment of termination of pregnancy exist;
“medical practitioner” means any person registered as a duly
qualified medical practitioner under the Medical
Practitioners Act;
“nurse” means any person registered as a duly qualified
nurse under any law, for the time being in operation
in Guyana, relating to the registration of nurses;
“person of unsound mind” means an idiot or a person who is
suffering from mental derangement;
“pregnancy” means an intra-uterine human pregnancy where
the foetus is viable;
“prescribed” means prescribed by regulations made by the
Minister;
“termination of pregnancy” means termination of human
pregnancy with an intention other than to produce a
live birth.
(2) For the purposes of this Act, the duration of a
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Modification of
sections 78,
79, 80 and 99 of
the Criminal
Law
(Offences) Act.
c. 8:01

Counselling.

Termination of
pregnancy of
not more than
eight weeks
duration.
pregnancy shall be determined—
(a) by calculating from the first day of the
last normal menstruation of the
pregnant woman and ending on the
last day of the relevant week; and
(b) by clinical examination.
3. (1) Notwithstanding sections 78, 79, 80 and 99 of the
Criminal Law (Offences) Act the treatment for the termination
of a pregnancy shall be lawful if administered in accordance
with the provisions of this Act.
(2) For the removal of doubt it is hereby declared
that nothing in this Act shall be construed as affecting the
provisions of section 99 of the Criminal Law (Offences) Act
relating to the offence of child destruction.
COUNSELLING
4. The Minister shall make regulations for pre- and
post-abortion counselling for any woman seeking treatment
regarding the medical termination of her pregnancy and,
where appropriate, her partner; to facilitate such counselling
such regulations shall provide for a waiting period of forty-
eight hours after the woman has made a request for such
medical termination of pregnancy.
TERMINATION OF PREGNANCY
5. (1)Subject to the provisions of this Act, the
treatment for the termination of a pregnancy of not more than
eight weeks duration by any lawful and appropriate method
other than a surgical procedure may be administered or
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Termination of
pregnancy of
more than
eight weeks
and not more
than sixteen
weeks duration.
supervised by a medical practitioner.
(2) It is not necessary that the treatment referred to
in subsection (1), in the case referred to therein, should be
administered in an approved institution and in any such case
it shall not be necessary to establish the matters referred to in
section 6(1).
6. (1) Where a pregnancy sought to be terminated is of
more than eight weeks duration and of not more than twelve
weeks duration or the treatment for the termination of the
pregnancy is by any lawful and appropriate medical
preparation, then subject to the provisions of this Act, the
treatment of such a pregnancy may be administered by an
authorised medical practitioner and any assistant acting
under such authorised medical practitioner’s directions but
such treatment shall be administered only—
(a) in an approved institution approved
for that purpose, having regard to the
medical procedure involved and the
duration of the pregnancy; and
(b) where, in the opinion of the
authorised medical practitioner
administering or directing the
treatment—
(i) the continuance of the
pregnancy would involve risk
to the life of the pregnant
woman or grave injury to her
physical or mental health:
(ii) there is substantial risk that
if the child were born, it would
suffer such physical or mental
abnormalities as to be seriously
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Termination of
pregnancy of
more than
sixteen weeks
handicapped; or
(iii) on account of being a person of
unsound mind, the pregnant
woman is not capable of taking
care of an infant;
(c) where the pregnant woman
reasonably believes that her
pregnancy was caused by an act of
rape or incest and submits a statement
to that effect;
(d) where the pregnant woman is known
to be HIV positive; or
(e) where there is clear evidence that
the pregnancy resulted in spite of the
use in good faith of a recognised
contraceptive method by the pregnant
woman or her partner:
Provided that the treatment for the termination of a
pregnancy of more than twelve weeks duration and of not
more than sixteen weeks duration may be administered by an
authorised medical practitioner in an approved institution, if
two medical practitioners are of the opinion, formed in good
faith, of the matters specified in paragraphs (b), (c), (d) or (e).
(2) In determining whether the continuance of a
pregnancy would involve risk of grave injury to the health of
a pregnant woman as mentioned in subsection (1)(b)(i), a
medical practitioner or authorised medical practitioner shall
take into account the pregnant woman’s entire social and
economic environment, whether actual or foreseeable.
7. The treatment for the termination of a pregnancy of
more than sixteen weeks duration may be administered by an
authorised medical practitioner in an approved institution, if
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duration.

Consent.

Non-liability of
medical
practitioner.
three medical practitioners are of the opinion formed in good
faith, that the treatment to terminate the pregnancy is
necessary to save the life of a pregnant woman or to prevent
grave permanent injury to the physical or mental health of the
woman or her unborn child.
8. (1) Except where the pregnant woman is of
unsound mind, a medical practitioner or an authorised
medical practitioner, as the case may be, may require the
written or oral consent of the pregnant woman before
administering treatment for the termination of her pregnancy.
(2) The treatment for the termination of a
pregnancy of a woman of unsound mind of any age shall not
be administered except with the written or oral consent of her
guardian.
(3) In the treatment of the termination of a
pregnancy of a child of any age, while the medical
practitioner or authorised medical practitioner, as the case
may be, may encourage the child to inform her parents, he is
not required either to obtain the consent of her parents or
guardian or to notify them.
(4) In the treatment of the termination of a
pregnancy of a woman of any marital status, while the
medical practitioner or authorised medical practitioner, as the
case may be, may encourage the patient to inform her partner,
he is not required either to obtain the partner’s consent or to
notify him.
9. No medical practitioner or authorised medical
practitioner or person authorised by him shall be in any way
liable for the carrying out of, or the supervision of treatment
to terminate a pregnancy where the pregnant woman has
consented to such treatment, unless such treatment was
carried out in a negligent manner.
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Non-applica-
tion of certain
provisions.

Conscientious
objection to
participate in
treatment.
10. The following sections do not apply where the
treatment to terminate the pregnancy is immediately
necessary to save the life of the pregnant woman or to prevent
grave permanent injury to her physical or mental health,
namely—
(a) section 4 relating to counselling;
(b) sections 6 and 7 relating to the number of
medical opinions required; and
(c) section 8 relating to consent,
and in such circumstances any medical practitioner may
administer the treatment.
11. (1) Subject to subsection (4), no person shall be
under any legal duty to participate in any treatment of a
patient for the termination of a pregnancy to which he has a
conscientious objection.
(2) In any legal proceedings the burden of proof of
conscientious objection shall lie on the person claiming such
objection.
(3) The burden of proof referred to in subsection
(2) may be discharged by any person by a statement on oath
or affirmation to the effect that he has a conscientious
objection to participate in any treatment authorised by this
Act.
(4) Nothing in subsection (1) shall affect the duty
of a person to participate in treatment for the termination of a
pregnancy that is immediately necessary to save the life of a
pregnant woman or to prevent grave permanent injury to her
physical or mental health.

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Penalties for
offences.

c. 8:02
PENALTIES
12. (1) Where, by or under any provision of this Act
any person or any approved institution is required to
maintain any document or record, and such person or
institution deliberately refuses or fails to maintain such
document or record, or maintains such document or record
but it is incomplete or contains any statement which is false or
misleading in any material particular, that person or, in the
case of an approved institution, the person owning or
managing the institution shall be liable, on summary
conviction to a fine of twenty thousand dollars and
imprisonment for six months.
(2) Where any statement made by a pregnant
woman under section 6 is intentionally false or misleading in
any material particular, the pregnant woman shall be liable,
on summary conviction, to a fine of seven thousand dollars
and imprisonment for six months.
(3) Where any medical practitioner, authorised
medical practitioner, approved institution or person
employed by, or working in, or any other person with lawful
access to any approved institution contravenes section 14, the
medical practitioner, the person owning or managing the
approved institution, or other person shall be liable, on
summary conviction, to a fine of one hundred thousand
dollars and imprisonment for one year.
(4) Any person who contravenes or refuses or fails
to comply with any provision of this Act or the regulations
made thereunder, and for which no penalty has been
prescribed by this Act or the Criminal Law (Offences) Act,
shall be liable, on summary conviction, to a fine of ten
thousand dollars and imprisonment for three months.

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Statement by
guardian.
Confidential
information.
MISCELLANEOUS
13. Any statement required to be made by a pregnant
woman under this Act, shall, where she is of unsound mind,
be made by her guardian, and any reference in this Act to a
statement by a pregnant woman shall, in such a case be
construed as a reference to a statement by the guardian of the
pregnant woman.
14.(1) A record of every treatment for the
termination of a pregnancy shall be kept at the premises
where the treatment was administered by the medical
practitioner, authorised medical practitioner or person
owning or managing an approved institution, containing the
name, the address, the treatment and reasons therefor and
such other relevant particulars as may be prescribed.
(2) Every medical practitioner, authorised medical
practitioner, the person owning or managing an approved
institution or person employed by, or working in, and all
other persons with lawful access to any approved
institution—
(a) shall deal with as secret and
confidential all information,
documents and matters in respect of
any matter dealt with by or under this
Act; and
(b) shall not make use of any such
information to the advantage or
benefit of himself or any other person.
(3) Nothing in subsection (1) shall be deemed to
prevent any medical practitioner, authorised medical
practitioner, the person owning or managing an approved
institution, all senior personnel employed therein, or any
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c.8:02

Powers of
entry.
other person with lawful access thereto from disclosing, or
entitle him to refuse to disclose, to the court or person
referred to in paragraph (b) any information, document or
matter referred to in subsection (1)—
(a) for the purpose of discharging his
functions under this Act, or for the
purpose of complying with any
provision of this Act; or
(b) when lawfully required to make the
disclosure by any court, or by any
person having authority to do so
under any law, for the purposes of
any legal proceedings in respect of the
contravention of any provision of this
Act or of the Criminal Law (Offences)
Act.
15.(1) The Chief Medical Officer or any public officer
authorised by him in writing may at all reasonable times
enter any premises—
(a) where a medical practitioner
administers or supervises or is
reasonably suspected to administer
or supervise treatment for the
termination of pregnancy; or
(b) of any approved institution,
for the purpose of ascertaining whether there has been
any contravention of, or failure to comply with, any provision
of this Act or any regulations made thereunder.
(2) Subsection (1) shall be without prejudice to the
powers of a member of the Police Force while investigating
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Power to make
regulations.
any complaint or information relating to the commission of an
offence.
(3) Nothing in the exercise of the authority
conferred by subsections (1) and (2) shall over-ride the
paramount consideration of the health of the patient and the
authority conferred on officers acting under this section is
limited to observation and evidence-taking and does not
include the power to obstruct any procedures observed.
16. (1) The Minister may make regulations for
carrying out the purposes of this Act.
(2) Without prejudice to the generality of the
foregoing, and in particular, such regulations may provide for
all or any of the following matters—
(a) defining the conditions for the
authorisation of registered medical
practitioners as authorised medical
practitioners;
(b) defining the conditions which an
institution must satisfy before it is
granted approval as an approved
institution and the consequences of a
breach of any such conditions;
(c) in respect of the records to be kept
by medical practitioners or other
persons of the pregnancies terminated
and in respect of the submission of
the records to the Chief Medical
Officer, together with other
prescribed information;
(d) in respect of counselling services
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referred to in section 4 to be provided
to a pregnant woman desirous of
having treatment for the termination
of her pregnancy and to a woman
who has had such treatment;
(e) regarding the appointment and
operation of any monitoring or
advisory body to advise the Minister
on securing the effective operation of
this Act;
(f) any form and its contents necessary in
the administration of this Act;
(g) any other matter that is required to be
or may be, prescribed by the Minister.
___________________

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SUBSIDIARY LEGISLATION
_________________
ARRANGEMENT OF REGULATIONS
REGULATIONS
1. Citation.
2. Counselling
3. Authorisation of Medical practitioner.
4. Approval of institution.
5. Maintenance of records of treatment.
6. Advisory board.
SCHEDULE: Forms
Citation.
Counselling.
1. These Regulations may be cited as the Medical
Termination of Pregnancy Regulations.
2. (1) A medical practitioner or authorised medical
practitioner who carries out the treatment for the termination
of a pregnancy shall acquaint himself with counselling
functions with particular reference to family life education
and child-birth.
(2) Before carrying out the treatment for the
termination of a pregnancy a medical practitioner shall –
4 of 1995 MEDICAL TERMINATION OF PREGNANCY
REGULATIONS
made under section 16
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(a) counsel the woman requesting the
termination of her pregnancy and,
where appropriate, her partner; or
(b) ensure that the woman and, where
appropriate, her partner have been
counselled by a person authorised by
the Minister; and
(c) advise the woman and, where
appropriate, her partner of the
requirement in section 4 of the Act, of
a forty-eight hour waiting period,
after the woman has made a request
for a medical termination of her
pregnancy, so that the woman and,
where appropriate her partner shall
receive counselling to consider
whether or not the woman should
undertake the treatment for the
medical termination of pregnancy.
(3) A person who counsels a woman requesting a
termination of her pregnancy, or her partner, shall –
(a) advise either of them on courses of
action that are available as
alternatives to the termination of the
pregnancy;
(b) inform either of them of the operative
procedures and the possible
immediate and long-term effects of
the termination of the pregnancy;
(c) advise either of them of methods of
contraception and the availability of
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family planning services;
(d) advise either of them about sexually
transmitted diseases, including
information about the transmission
and avoidance of these diseases;
(e) give such advice as to enable either of
them to deal with the social and
psychological consequences of
continuing the pregnancy or of
terminating it;
(f) in the case of a woman who decides to
continue her pregnancy, advise her on
the availability of adoption, fostering
or other services; and
(g) in the case of a woman who decides to
terminate her pregnancy, make
reasonable arrangements for the
continuation of counselling after the
termination of pregnancy.
(4) After carrying out the treatment for the
termination of pregnancy a medical practitioner or authorised
medical practitioner shall –
(a) counsel the patient and, where
appropriate, her partner about
responsible sexual behaviour;
(b) give such advice to the patient and,
where appropriate, her partner as
may be appropriate to enable either of
them to deal with the social and
psychological consequences of the
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Authorisation
of medical
practitioner.
termination of the pregnancy, or
(c) refer the patient to any individual or
institution approved by the Minister
to provide such counselling.
(5) Where a termination involves a woman under
eighteen years of age, a medical practitioner or authorised
medical practitioner and any counsellor are required to give
particular attention to-
(a) directing her and, where appropriate,
her partner on or to moral guidance;
(b) educating her and, where
appropriate, her partner on the full
responsibility of parenthood;
(c) making her and, where appropriate,
her partner aware of modern family
planning methods.
(6) In determining whether it is appropriate to
involve the partner in counselling, the medical practitioner or
counsellor shall defer to the wishes of the woman seeking the
termination.
3. (1) The Medical Council of Guyana shall have the
power to determine for the purpose of section 2 (1) (b) of the
Act the training and experience deemed appropriate for
certifying a registered medical practitioner as an authorised
medical practitioner.
(2) A registered medical practitioner shall satisfy
the requirements of the Medical Council of Guyana to be
recognised as a medical practitioner if he has one or more of
the following experience or training in gynaecology and
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obstetrics, namely-
(a) if he has been in the practice of
gynaecology and obstetrics for a
period of not less than three years;
(b) if he has completed six months of
house surgery in gynaecology and
obstetrics;
(c) if he has had experience at any
hospital for a period of not less than
one year in the practice of obstetrics
and gynaecology;
(d) if he has assisted a registered medical
practitioner in the performance of
twenty-five cases of medical
termination of pregnancies in a
hospital approved by the Minister;
(e) if he has completed the training
provided by the Minister to be
qualified as an authorised medical
practitioner; or
(f) if he holds a post-graduate degree or
diploma in gynaecology and
obstetrics, the experience or
(g) training gained during the course of
such degree or diploma.
(3) The Minister acting on such guidelines as
may be provided by the Medical Council of Guyana, shall
make provision for such training and supervision as is
required in order for a medical practitioner to qualify as an
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Form A.

Form B
Form C

Approval of
institution.
Form E.
authorised medical practitioner under paragraphs (a), (b), (c),
(d) or (e).
(4) The Minister may from time to time determine
what fee is appropriate for such training.
(5) Applications for training shall be directed to the
Chief Medical Officer in Form A in the Schedule.
(6) On satisfactory completion of the training
provided by the Chief Medical Officer the Secretary of the
Medical Council shall so certify in Form B in the Schedule.
(7) A medical practitioner desirous of being
registered as an authorised medical practitioner shall make
application in Form C in the Schedule with supporting
documentation.
4. (1) The Minister, acting on the advice of the Chief
Medical Officer, may grant to the person owning or managing
an institution approval in Form E in the Schedule of the
institution as an approved institution to provide treatment for
the medical terminations of pregnancies of more than eight
weeks duration, having given due consideration to –
(a) the training and experience of the
medical staff, nurses and technical
personnel employed by or working in
the institution; and
(b) the equipment and facilities available
in the institution.
(2) Any change in the medical practitioners, nurses
or medical technical personnel working in an approved
institution, or any deterioration or non-functioning of the
medical equipment or other arrangements available in an
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approved institution which may reduce the safety of
providing treatment under the Act shall be intimated to the
Minister by the person owning or managing the institution as
soon as may be possible and in any case before the expiry of
fourteen days from the date on which the change,
deterioration or non-functioning took place.
(3) No place shall be approved –
(a) unless the Minister is satisfied that
termination of pregnancies may be
done therein under safe and hygienic
conditions; and
(b) unless the following facilities are
provided therein, namely –
(i) an operation table, instruments
and supplies for performing
abdominal and gynaecological
surgery;
(ii) anaesthetic equipment,
resuscitation equipment and
sterilisation equipment;
(iii) drugs and parenteral fluids for
emergency use; and
(iv) adequate facilities for recovery
from anaesthesia
(4) The Minister shall notify in the Gazette, and a
newspaper having circulation in Guyana, the name and
address of every approved institution and of the person
owning or managing the institution.

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Form D.
Form E.
(5) Application in Form D in the Schedule for
approval of an institution as an approved institution must be
submitted to the Minister by the person owning or managing
that institution.
(6) The Minister shall give a certificate in Form E in
the Form E Schedule to the person owning or managing an
institution, where that institution fulfils the requisite
conditions to qualify as an approved institution.
(7) A certificate issued under paragraph (6) shall be
displayed by an approved institution at a prominent place in
the institution.
(8) The approval of an institution under these
regulations shall be valid for two years or such other shorter
period as may be stipulated in Form E in the Schedule and
may be renewed by the Minister.
(9) The Minister may cancel the approval of an
approved institution if –
(a) any person employed by the
institution, or the person owning or
managing the institution, refuses or
fails to comply with, or contravenes,
any provision of the Act or these
regulations; or
(b) having regard to a change referred to
in paragraph (2) it is not desirable that
the institution should continue to be
an approved institution.
(10) For the reasons referred to in paragraph (9)
(b), the Minister may, instead of cancelling the approval of an
institution for all the medical procedures regarding the
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Maintenance of
records of
treatment.
Form F.
termination of pregnancy, restrict the approval to some or one
of such medical procedures as are deemed appropriate.
(11) The Minister shall not restrict the approval of
an institution under paragraph (10) or cancel the approval
under paragraph (9) without giving the institution a
reasonable opportunity of being heard.
5. (1) A medical practitioner or authorised medical
practitioner who carried out the treatment for the termination
of a pregnancy shall –
(a) keep records of the treatment in Form
F in the Schedule; and
(b) forward the records to the Chief
Medical Officer within thirty days of
the treatment.
(2) Any information given to the Chief Medical
Officer in pursuance of these regulations shall not be
disclosed except –
(a) by the Chief Medical Officer in the
performance of his functions under
the Act and these regulations;
(b) to a member of the Police Force for
the purpose of instituting criminal
proceedings under the Act;
(c) for the purpose of carrying out
scientific research; and
(d) to a medical practitioner, authorised
medical practitioner or other person,
with the consent in writing of the
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Advisory
Board.
woman whose pregnancy was
terminated.
6. (1) The Minister shall appoint an Advisory Board to
monitor conduct under the Act and these regulations and to
advise the Minister on securing the effective operation
thereof.
(2) The Advisory Board shall be broad based and
balanced, consisting of not more than nine members chosen
from non-governmental organisations, such as religious, legal
and medical organisations.
(3) The Advisory Board shall assess the operation
of the Act and these regulations and from time to time make
such recommendations to the Minister as it deems
appropriate to achieve the purposes thereof, namely –
(a) to reduce the incidence of medical
terminations of pregnancies;
(b) to reduce the incidents of septic
abortions; and
(c) to improve the standard of maternal
health.
(4) The Advisory Board may request such data and
encourage such research as it deems appropriate for assessing
the impact of the Act and these regulations.


LAWS OF GUYANA
26 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
FORM A
APPLICATION FOR TRAINING AND CERTIFICATION
OF MEDICAL PRACTITIONERS DESIROUS OF PROVIDING
TREATMENT FOR THE MEDICAL TERMINATION OF
PREGNANCY OF MORE THAN EIGHT WEEKS DURATION
I............................................................................................being a
Registered medical practitioner, No..............................................
wish to be trained and certified as an authorised medical
practitioner by the CHIEF MEDICAL OFFICER to provide
treatment for the medical termination of pregnancy of more than
eight weeks duration.
.................................................................................................................
PLEASE PRINT YOUR FULL NAME
....................................................... .....................................
SIGNATURE DATE

Reg.3 (6) FORM B
CERTIFICATION
I certify that.......................................................................................
Medical practitioner No...................................................has successfully
completed the training required for certification as an authorised medical
practitioner.
............................................................... ............................
CHIEF MEDICAL OFFICER DATE
Reg. 3(5) SCHEDULE
LAWS OF GUYANA
Medical Termination of Pregnancy Cap. 32:05 27
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012 L.
Reg.3 (7) FORM C
APPLICATION TO BE REGISTERED AS AN AUTHORISED MEDICAL
PRACTITIONER
I........................................................being a registered medical practitioner
No.................. having –
(a) the experience and training referred to in regulation 3 (2),
(a), (b), (c), or (d);
(b) a post-graduate degree/diploma in gynaecology and
obstetrics;
(c) completed the training required to qualify as an
authorised medical practitioner,
do according apply to the MEDICAL COUNCIL OF GUYANA to be
registered as an authorised medical practitioner.
I am familiar with the Medical Termination of Pregnancy Act of 1994
and the regulations made thereunder, and in good faith undertake to
honour my duties and responsibilities as an authorised medical
practitioner in accordance with the provisions thereof.
............................................................................................................................
PLEASE PRINT (OR TYPE) YOUR FULL NAME
............................................................... .......................................................
SIGNATURE DATE
Attachment: Certification from the Chief Medical Officer; or
certification or documentation of relevant advanced training or
LAWS OF GUYANA
28 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
evidence of the experience and training referred to in regulation 3(2),
(a), (b), (c), (d) or (f).

Reg. 4 (5) FORM D
FORM OF APPLICATION FOR APPROVAL OF INSTITUTION
UNDER REGULATION 4
1. (a) Name of person owning or managing the institution:

(b) Address:
2. (a) Name of the Institution:

(b) Address:

3. The names of the authorised medical practitioners are as follows:
1.
2.
3.
4. Details of other staff:
Anaesthetists
Nurses
Pharmacists

Radiographers
5. Details of items-

LAWS OF GUYANA
Medical Termination of Pregnancy Cap. 32:05 29
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012 L.
(i) Number of beds
(ii) Is there an operation table?
(iii) Are there instruments and supplies for performing
abdominal or gynaecological surgery?
(iv) Are there drugs and parenteral fluids in sufficient
supply for emergency cases?
(v) Is there anaesthetic equipment?
(vi) Is there resuscitation equipment?
(vii) Is there sterilisation equipment?
(viii) Is there a blood transfusion service?
(ix) Are there adequate facilities for recovery from
anaesthesia?
(x) Is there an alternate supply of electricity
independent of the service of the Guyana
Power and Light Inc.
Dated this ................................................ day of .......................................20..........

.......................................................................
SIGNATURE
..................................................................................
DESIGNATION OF APPLICANT
Reg. 4 (1), (6), (8) FORM E
CERTIFICATE OF APPROVAL OF AN INSTITUTION AS AN
APPROVED
INSTITUTION
The institution mention hereunder is hereby approved for the
duration mentioned herein, for the purpose of the Medical
Termination of Pregnancy Act 1994 and the regulations made
thereunder as an approved institution (where the treatment for the
LAWS OF GUYANA
30 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
termination of pregnancy of more than eight weeks, duration may
be undertaken).
.......................................................................................................................
NAME OF INSTITUTION
........................................................................................................................
ADDRESS OF INSTITUTION
........................................................................................................................
NAME OF THE OWNER OR MANAGER
VALID UNTIL............................................................................................

Dated this ................................day of...........................20........
Minister of Health.
Reg. 5(2) FORM F

(1) Treatment only to commence termination of pregnancy
(hereinafter referred to as TOP)
Treatment only to complete TOP
Treatment to commence and complete TOP
Treatment of compliance of TOP
(2) Date of termination
(3) Age of woman years
LAWS OF GUYANA
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L.R.O. 1/2012 L.

Caribbean

Other Specify__________
(5) Marital status: Married
Single
Widowed
Divorced
Separated
Common Law Union
(7) Number of previous pregnancies

Number of living children

Number of previous terminations
(8) Date of last TOP under the Act
(9) Grounds for TOP:

Medical condition of woman Specify____________

Suspected medical condition of foetus Specify_____________
Rape
Incest
(4) Citizenship: Guyanese
(6) Duration of pregnancy weeks
LAWS OF GUYANA
32 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
Failed contraceptive Specify ____________
H.I.V. infection
Socioeconomic

Other Specify _____________
Menstrual regulation
Suction curettage

Intra-amniotic prostaglandin
Hysterectomy
Other Specify _____________
Dilatation and curettage
Other Specify________________

None
Sepsis
Haemorrhage
Retained products of conception
Uterine perforation
(10) Method of termination
(11) Any further method required
(12) Complications
LAWS OF GUYANA
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L.R.O. 1/2012 L.
Other Specify______________

None
Antibiotics
Blood transfusion
Further operation
ICU case Specify____________________
Approved hospital Specify___________________
Approved institution
Specify_________________________
(15) Patient had to be referred for further treatment
No
Yes Place referred to___________________
Place referred from_______________
Reason_________________________
(16) Pre-TOP counselling given by
(13) Additional treatment given
(14) Place TOP performed
LAWS OF GUYANA
34 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
Doctor Nurse Volunteer
Social Worker Religious leader
Other Specify______________________
0-2 3-4 5-6 >6
Doctor Nurse Volunteer
Social worker Specify
0-2 3-4 5-6 >6
Audiotapes Specify________________
Videotapes Specify_______________

One-to-one
counselling
Group sessions
Alternatives to TOP
(17) Number of hours of pre-TOP counselling
(18) Post-TOP counselling given by
(19) Number of hours of post-TOP counselling
(20) Methods of counselling used
(21) Areas covered in counselling
LAWS OF GUYANA
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L.R.O. 1/2012 L.
Method of TOP and risks
Discussion of involvement of father of foetus
Responsible sexual behaviour
Psychosocial aspects
Post TOP contraception
Other Specify_______________
Spiritual/religious guidance Specify_____________

Oral contraceptive pill
Intrauterine contraceptive device

Depot injection
Condoms
Spermicide
Sterilisation of woman
Sterilisation of man
Other Specify_____________

Refused contraceptive
Patient defaulted from
follow up
(22) Type of contraceptive accepted
LAWS OF GUYANA
36 Cap. 32:05 Medical Termination of Pregnancy
[Subsidiary] Medical Termination of Pregnancy Regulations
L.R.O. 1/2012
Day case 1-3 days 4-7
days
8-14 days 15-21 days

21 days Specify_____________days
comments__________________________________________________

TOP)
Address
________________________
(23) Length of stay
(24) Additional
(25) Name of practitioner
(26) Qualifications
(28) If TOP commenced elsewhere: Name (of person commencing
(29) Signature.___________
(30) Date________________
(27) Address of practitioner