Expert: Pat G - 5/10/2011

Question
Dear Ma'm, I am from pakistan and abortion is illegal here. I am married and my baby is 04 months old only. He was born on Dec 29,2010 by C-section. I got preg again. My husband was careless so....my last menses started at 4th april.Now i am 5th week 1 day.
I cannot afford (health wise ) baby now. I plan to take misoprostol 200mcg (04 tab sub,lingually in 03hr intervals, would it work?
regards, shania

Answer
Hello, shannia,

If you take Misoprostol, it may cause more serious harm to your health, and make it difficult or impossible for you to take care of your older child (4 months). Please don't do it. And no, it may well NOT work. So in that case, you would be taking a terrible risk that might even not fix the problem. And if it doesn't work, it could cause a fairly serious birth defect. Also, having an abortion can cause it to be much more difficult for you to be a good mother to your baby, given the way women often react emotionally to abortion.

Misoprostol can cause a woman to bleed to death. A lot of women are dying that way.

It is possible you could have a normal birth after a C-section. I don't know what they are doing in Pakistan about allowing it, but I will explain a technique to you that will make it much more safe to have a normal birth. You should massage your uterus daily as you are a little further along so that your uterus has grown some. You gently push into your skin with your fingertips, inside a circle big enough to include the length of your Caesarian scar. Do this for a few minutes a couple of times a day. This will soften the scars so that they will develop a blood supply and it makes rupture unlikely. Also, you should get some red hot peppers in your diet or take cayenne daily once you get close to the time for birth.

There are also things you can do to improve your health in the meantime. We can talk about those things. Diet is an important part. Let me know if you want to talk about the things that will help. Having two babies about a year apart is really not a problem for the children. They will tend to be close friends if you establish good discipline. I had two children 14 months apart, and it works very well. Your baby deserves to know and love his sibling. You also deserve to know and love your younger child. Your child already has a heartbeat, brain waves, and fingers. He or she is depending on you for your protection. Please protect your baby.

Please keep in touch. I will be here for you, and I'll help you all I can. Stay safe!