
India has strict laws against prenatal gender determination, and the Pre-Conception and Pre-Natal Diagnostic Techniques Act (PCPNDT) bans the use of any method, including ultrasounds, to determine a foetus's gender after conception. This was enacted to prevent the abortion of female foetuses, which is still practised despite being punishable by lengthy prison terms. However, some doctors and clinics continue to perform illegal ultrasounds for gender determination, and patients who can afford it may go abroad to countries like Dubai or Singapore to find out the gender of their baby. While the law has been enforced in some widely publicised cases, it has not stopped the illegal use of ultrasounds for prenatal sex determination.
| Characteristics | Values |
|---|---|
| Legality of revealing gender | Forbidden by the Pre-Conception and Pre-Natal Diagnostic Techniques Act (PCPNDT Act) |
| Enforcement of the law | Varies; some doctors follow the law strictly, while others find ways to disclose the gender without technically breaking the law |
| Reasons for the law | To prevent the abortion of female foetuses, which is still practised despite being punishable by lengthy prison terms |
| Son preference | Still prevalent, with 15% of Indian women aged 15-49 reporting they want more sons than daughters, and sex ratios at birth biased towards males |
| Impact of religion | Muslim women with no living sons are the most likely of all religious groups to want more children |
| Ultrasound availability | Widely available |
| Gender determination accuracy | Ultrasounds can indicate gender from 12 weeks, but results are more definitive in the second trimester (between 18 and 22 weeks) |
| Gender determination methods | For boys, sonographers identify the presence of a penis and scrotum ("turtle sign"); for girls, they observe the absence of a penis and look for three parallel lines representing the labia ("hamburger sign") |
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What You'll Learn

Ultrasound gender determination is illegal in India
Despite this legislation, there is evidence that illegal ultrasound gender determination and sex-selective abortions still occur in India. Research published in the Lancet in 2017 revealed that up to 10 million female foetuses may have been aborted in India over the past two decades due to a preference for male heirs. This preference for sons is also supported by a 2019-21 National Family Health Survey, which found that 15% of Indian women aged 15 to 49 wanted more sons than daughters, while only 3% wanted more daughters than sons.
The Indian government has implemented several programmes to address this issue, including the "Mukhbir Yojna," which offers a reward of 2 lakh rupees to anyone who reports medical professionals involved in gender determination or female foeticide. However, the deep-rooted patriarchal customs and son preference in Indian society have made it challenging to eradicate these practices completely.
It is important to note that the PCPNDT Act has strict consequences for both the patient and the radiologist or doctor involved in illegal gender determination. In most cases, doctors focus ultrasounds on vital organs and avoid the genitalia, ensuring they do not know the gender themselves. Additionally, in some hospitals, only the mother is allowed in the scanning area and is not shown the screen to prevent any potential disclosure of the foetus's gender. These measures demonstrate the Indian government's commitment to combating gender-based discrimination and its recognition of the seriousness of the issue.
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Son preference in India
India has extremely strict laws against pre-natal gender determination. Both the patient and the radiologist can face serious repercussions for attempting to determine the gender of the foetus. Doctors and radiologists are also prohibited from revealing the gender to family members, as this could result in their licences being revoked.
Despite this, India's son preference has been well-documented, and sex-selective abortions are still prevalent. Son preference is a sensitive topic, and so it can be difficult to measure in surveys. One approach is to ask parents how many boys and girls they would ideally like to have. In the 2019-21 National Family Health Survey (NFHS), 15% of Indian women aged 15-49 reported wanting more sons than daughters, while only 3% said they wanted more daughters than sons.
The Indian government has attempted to combat son preference and sex-selective abortions through various campaigns, such as "Save the girl child, educate the girl child" (Beti Bachao Beti Padhao). While these efforts have had some impact, with the sex ratio at birth showing signs of improvement, the problem persists. The illegal use of ultrasounds for prenatal sex determination continues, and female foetuses are still being aborted at alarming rates.
It is important to note that while son preference is a significant issue in India, the majority of Indian adults also consider it important to have at least one daughter. This indicates a complex interplay of cultural, social, and economic factors influencing family planning decisions.
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Loopholes and euphemisms used by doctors to disclose gender
India has extremely strict laws against prenatal gender determination. Both the patient and the radiologist can face serious repercussions for enquiring about or disclosing the gender of the foetus. Doctors can have their licenses revoked and patients can be fined for breaking this law.
Despite the strict laws, a series of euphemisms and loopholes have been developed to help doctors disclose the gender of the foetus without technically breaking the law. Some examples of euphemisms used by doctors include:
- "Your child will be a fighter."
- "Your child has very doll-like features."
- Congratulating the parents with a "Jai Shri Ram" or "Jai Mata Di", depending on the gender of the unborn child.
- Handing out blue or pink sweets at the end of the examination.
In some cases, patients travel to other countries, such as Bangkok, Dubai, or Singapore, to find out the gender of their baby. Additionally, some doctors and members of the Indian Medical Association support the legalisation of sex determination to curb the issue of sex-selective abortions.
The strict laws and their evasion are a result of India's historical preference for male children, which has led to a high number of female foetuses being aborted. While this preference still exists, with 15% of Indian women aged 15 to 49 reporting wanting more sons than daughters, it is decreasing. Recent surveys show that the majority of Indian adults view both sons and daughters as important parts of a family, with 90% saying it is very important to have at least one daughter.
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Sex-selective abortions in India
Sex-selective abortion is the practice of terminating a pregnancy based on the predicted sex of the infant. This practice overwhelmingly targets female foetuses and is closely linked to female infanticide. It is recognised by many human rights organisations as an act of violence against women.
In India, sex-selective abortion is an established phenomenon that cuts across rural/urban, educational, and socioeconomic status divides. India's skewed ratio of men to women—currently between 900-930 females per 1,000 males—reflects the country's ingrained attitude towards girls. Boys are seen as breadwinners, while girls are considered a burden across every social class. This preference for sons is also reflected in a 2019-21 National Family Health Survey, where 15% of Indian women aged 15 to 49 reported wanting more sons than daughters, while only 3% wanted more daughters than sons.
The practice of sex-selective abortions in India has led to a significant decline in the country's child sex ratio. Census data from 2011 reveals a ratio of 914 females for every 1,000 male children, a decrease from 927 females per 1,000 males in 2001. This decline is further exacerbated by practices such as female infanticide and the denial of healthcare to female children. Researchers estimate that there will be 6.8 million fewer female births across India by 2030 due to the persistent use of selective abortions.
To address this issue, the Indian government passed the Pre-Conception and Pre-Natal Diagnostic Techniques Act in 1994, making it illegal to reveal the sex of an unborn child except for strictly medical purposes. However, enforcement of this law varies by jurisdiction, and sex-selective abortions continue to occur illegally. While India has strict laws against prenatal gender determination, there are challenges in enforcing them, and some doctors still disclose the gender of the foetus to expectant parents.
The persistence of sex-selective abortions in India is a complex issue influenced by cultural norms, kinship patterns, dowry practices, and the low social value accorded to women. It is important to address these underlying factors and promote gender equity to eradicate the practice of sex-selective abortions and improve the country's child sex ratio.
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Ovum Hospitals in Bangalore offers gender-reveal ultrasounds
India has extremely strict laws against pre-natal gender determination. Even inquiring about it can get both the patient and the radiologist in trouble. Doctors and radiologists in India are not allowed to know the sex of the baby themselves. They focus ultrasounds on vital organs and never on the genitalia. In some hospitals, only the mother is allowed in the scanning area and is not shown the screen.
Despite these strict laws, the illegal use of ultrasounds for prenatal sex determination and sex-selective abortions continues. This is due to India's strong "son preference". A 2019-2021 survey of 29,999 adults across India found that 94% of Indians say it is "very important" for a family to have at least one son, while 90% say it is very important to have at least one daughter. This has led to the abortion of female foetuses by parents who would prefer to have sons.
Ovum Hospitals in Bangalore is a leading woman and child speciality hospital. It offers gender-reveal ultrasounds to determine the gender of the baby during the second trimester, typically between weeks 18 and 22 of pregnancy. At this stage, the baby's anatomy is developed enough for a skilled sonographer to identify key gender-related features. However, Ovum Hospitals also notes that some ultrasound reports may not display the gender clearly, depending on the clarity of the scan and the baby's position.
Ovum Hospitals provides world-class medical care and personalized service to offer the best outcomes for its patients. Its expert team of specialists in neonatology, obstetrics, gynaecology, and general medicine ensures comprehensive, holistic care. Ovum Hospitals also has a dedicated fertility clinic, Ovum Fertility, which offers a wide range of specialized services, including fertility, maternity, and neonatology.
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Frequently asked questions
No, it is forbidden by the Pre-Conception and Pre-Natal Diagnostic Techniques Act (PCPNDT Act), also known as the Prohibition of Sex Selection Act. This law was passed in 1994 to stop the abortion of female foetuses in India.
Ultrasound clinics in India are banned from having pictures of Ganesh or Lakshmi, as these could be used to indicate the gender of the child. However, some doctors do still reveal gender information to parents, either directly or through a series of euphemisms.
Doctors who reveal the gender of a foetus can lose their licence to practice medicine. They can also face lengthy prison terms.
Patients who ask about the gender of a foetus can also face legal consequences, although it is not clear what these are.
From 12 weeks, an ultrasound can give an indication of the baby's gender, although this is not always accurate. From 18-22 weeks, a skilled sonographer can identify gender-specific features more accurately. For boys, they look for the presence of a penis and scrotum (the 'turtle sign'). For girls, they look for the absence of a penis and three parallel lines representing the labia (the 'hamburger sign').


























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