Pontem One · Insight 26 Aug 2026
India Pontem One · 3 min read · 26 Aug 2026

The one thing a diagnostic centre may never advertise

If your clinic owns a scanner, a criminal statute governs part of your website — whether or not you do any prenatal work. Fifteen Indian healthcare marketing agencies were audited. None of them mentions it.

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If your clinic owns an ultrasound machine, a scanner or any imaging equipment, a criminal statute governs part of what you publish on your website. It applies whether or not you do any prenatal work at all.

We audited fifteen healthcare marketing agencies operating in India. Not one of them mentions it.

The statute is section 22 of the Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994.

What the section says

(1) No person, organization, Genetic Counselling Centre, Genetic Laboratory or Genetic Clinic, including clinic, laboratory or centre having ultrasound machine or imaging machine or scanner or any other technology capable of undertaking determination of sex of foetus or sex selection shall issue, publish, distribute, communicate or cause to be issued, published, distributed or communicated any advertisement, in any form, including internet, regarding facilities of pre-natal determination of sex or sex selection before conception available at such centre, laboratory, clinic or at any other place.

(3) Any person who contravenes the provisions of sub-section (1) or sub-section (2) shall be punishable with imprisonment for a term which may extend to three years and with fine which may extend to ten thousand rupees.

PCPNDT Act 1994, s22(1) and s22(3). The Explanation to the section defines advertisement to include “any notice, circular, label, wrapper or any other document including advertisement through internet or any other media in electronic or print form”.

Three things practices get wrong

1. It binds you by the machine you own

Most clinics assume the Act reaches only centres offering prenatal diagnostics. Read the words again: including clinic, laboratory or centre having ultrasound machine or imaging machine or scanner. The trigger is possession of the equipment, not the service advertised. A general diagnostic imaging centre that has never performed a prenatal scan is inside the section.

2. Your website is expressly covered

The Act names the internet directly, in the operative subsection and again in the Explanation. Page copy, blog posts, meta descriptions, paid search text and social posts are all “advertisement” here. There is no argument that a website sits outside the section, because the section says it does not.

3. Subsection (2) is drafted to catch indirect wording

Subsection (2) prohibits advertising prenatal or pre-conception sex determination “by any means whatsoever, scientific or otherwise”. That phrasing exists to reach oblique and coded language, not only explicit offers.

The penalty that actually matters

Ten thousand rupees is not the risk. Section 23(2) is. On the framing of charges, the registered medical practitioner’s name is reported to the State Medical Council and registration is suspended until the case is disposed of. On conviction, the name is removed from the register for five years for a first offence and permanently for a subsequent one. The exposure is the doctor’s ability to practise, not the fine.

What this does not mean

We will not overstate this, because overstating it is how compliance advice stops being useful.

Section 22 restricts one category of content: advertising the availability of prenatal sex determination or pre-conception sex selection. An imaging centre advertising MRI knee scans, CT angiography or routine obstetric ultrasound is not in breach of section 22.

The section reaches every centre that owns a scanner   It does not stop those centres advertising

What it means in practice is narrower and more manageable than the fear of it. Any copy that could be read as offering to reveal foetal sex, however indirectly, is a criminal exposure with a registration consequence attached — and it is a category of copy that no automated content tool, and no agency working from a generic healthcare template, is checking for.

The related rule most sites miss

Rule 17(1) of the PNDT Rules 1996 requires every genetic counselling centre, genetic laboratory, genetic clinic, ultrasound clinic and imaging centre to display prominently, in English and the local language, a notice stating that disclosure of the sex of the foetus is prohibited under law.

The Rule says “on its premises”. It does not, on its face, require the notice on a website. We recommend publishing the equivalent statement on the site anyway: it is consistent with the purpose of the Act, it reads as clinical seriousness rather than marketing, and it costs nothing. But we will not tell you it is a statutory requirement for a website, because it is not.

Sources
  1. Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 — Chapter VII, sections 22 and 23. India Code. indiacode.nic.in
  2. Ministry of Health and Family Welfare / NHSRC, Handbook on PC&PNDT Act and Rules with Amendments — Rule 17(1), PNDT Rules 1996. qps.nhsrcindia.org
  3. Agency coverage finding: audit of fifteen healthcare marketing agencies operating in India, August 2026. Method and agency list available on request.

Want this checked on your own site?

We start with an audit, not a pitch: a crawl of your site and fifty live queries across Google AI Overviews, ChatGPT, Perplexity and Gemini.

Written by Manav Sadhwani, Founder, Pontem One. This page states the position as at 26 Aug 2026. It is not legal advice.