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The 17-year-old girl had filed a petition in Bombay HC saying scans had shown that the foetus had skeletal anomalies.
The court also observed the child must be allowed to be born through either a caesarean section or normal delivery, a decision left to medical experts.
Justice Ziyad Rahman A A said that even according to the report of a medical board, constituted to examine the girl, continuation of the over 32 week pregnancy was likely to cause grave injury to the social and mental health of the 15-year old victim.
The Child Welfare Committee of Kasaragod united a 16-year-old girl with her newborn daughter 20 days after the state government separated them.
The marriage of a 17-year-old girl with a 26-year-old youth was conducted by her mother and relatives.
The verdict comes at a time the Delhi HC had refused to terminate an abortion request from a 25-year-old unmarried woman.
Finding the plight of the girl who became pregnant at such a tender age 'unfortunate', Justice P V Kunhikrishnan allowed the plea for medical termination of pregnancy moved by the girl's mother.