I am 20 weeks pregnant; can I use Misoprostol?
Misoprostol should never be used after 20 weeks pregnancy. The fetus is able to live outside the woman’s womb from 20 weeks on. After this period the use of Misoprostol can result in the birth of a living baby and the risk of complications is multiplied. This increase of complications concern the mother as well as the premature born baby, who will have more chance to survive with multiple handicaps.
You are strongly discouraged to do an abortion after 15 weeks by yourself because of the high complication risk and because it can be very traumatic. It is essentially an induction of birth at that point so she should be close to a hospital.
The chance of complications rapidly increases the more advanced the pregnancy is. 4% to 8% of women with second trimester pregnancies (after 12 weeks of pregnancy), who try to end their pregnancies with Misoprostol as described below, will experience severe bleeding. Therefore, it is strongly advised that the pills are taken in the waiting room of a hospital or in a cafe very close to a hospital. In that case, should you need urgent medical attention, you will be nearby. The symptoms are exactly the same as a miscarriage. If you need emergency care in a hospital, it is important to tell the doctors you had a miscarriage, as women can be prosecuted for having an abortion. The symptoms and treatment are the same.
You should not be alone when doing this.