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Justice V G Arun made the ruling while allowing a woman living separately from her abusive husband to terminate her 21-week pregnancy.
The verdict comes at a time the Delhi HC had refused to terminate an abortion request from a 25-year-old unmarried woman.
The court suggested that the petitioner be kept somewhere safe until she delivers the child who can subsequently be given up for adoption.
The Biden administration and other defenders of abortion rights have warned that a decision overturning Roe also would threaten other high court decisions in favor of gay rights and even potentially, contraception.
The main causes for abortions in Kerala were complicated pregnancy (22.1 per cent), poor health of mother (17.8 per cent), unwanted pregnancy (17.7 per cent) and abnormalities in the foetus (16 per cent).
Rheumatological diseases are considered as nontreatable and are not generally covered by various insurance and reimbursement policies. Recent therapeutic advances have revolutionised the field and timely diagnosis with proper treatment will result in good clinical outcomes.
Adding that being poor was no one's fault, the court observed that there were several people in the society willing to help such people.
This is the third such order passed by the high court in the last one week, with the first one being on September 14.
The decision in the world's second-biggest Roman Catholic country means that courts can no longer prosecute abortion cases, and follows the historic legalization of the right in Argentina, which took effect earlier this year.
The court made the observation while dismissing a petition filed by an Ernakulam native woman, seeking to terminate a 31-week pregnancy.