Can Women with Cervical Insufficiency Safely Use Medication for Abortion? - Obstetrics and Gynecology

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Is it possible to undergo a medical abortion with cervical incompetence?


Hello, I currently have three children, the youngest being 11 months old, and I recently discovered that I am pregnant.
If I want to undergo a medical abortion, can I do so with a history of cervical incompetence? I just read an article stating "High-risk factors for patients undergoing abortion: breastfeeding, cervical incompetence, etc." Since I am currently breastfeeding, how many days should I stop breastfeeding to ensure safety if I decide to proceed with a medical abortion? Thank you, doctor.

Miss Hsu, 30~39 year old female. Ask Date: 2022/03/18

Dr. Cai Yonglong reply Obstetrics and Gynecology


Medication-induced abortion is possible, but please stop breastfeeding for 2-3 days.
If you have any concerns, please visit the gynecology outpatient clinic.

Reply Date: 2022/03/18

More Info


When considering the use of medication for abortion in women with cervical insufficiency, it is essential to approach the situation with caution and a thorough understanding of the risks involved. Cervical insufficiency, also known as cervical incompetence, is a condition where the cervix is weak and cannot support a pregnancy, leading to premature birth or miscarriage. Given your history of having three children and currently breastfeeding, there are several factors to consider.

Firstly, medication for abortion typically involves the use of mifepristone followed by misoprostol. These medications are generally safe for use in early pregnancy, but they can pose additional risks for women with cervical insufficiency. The primary concern is that the medications can cause contractions and changes in the cervix, which may lead to complications such as cervical dilation or even rupture, especially in a woman whose cervix may already be compromised.

In your case, it is crucial to consult with a healthcare provider who can assess your specific situation. They will consider your medical history, the degree of cervical insufficiency, and any other relevant factors before recommending a course of action. If you decide to proceed with a medical abortion, your healthcare provider may suggest close monitoring to ensure your safety throughout the process.

Regarding breastfeeding, the medications used for medical abortion can pass into breast milk, but the amounts are generally considered low and not harmful to a breastfeeding infant. However, it is advisable to discuss with your healthcare provider how long you should wait before resuming breastfeeding after taking these medications. Some recommendations suggest waiting at least 24 hours after taking mifepristone and misoprostol before breastfeeding again, but this can vary based on individual circumstances.

In conclusion, while it is possible for women with cervical insufficiency to use medication for abortion, it is not without risks. A thorough evaluation by a healthcare professional is essential to determine the safest approach for your situation. If you choose to proceed with a medical abortion, ensure that you have a support system in place and follow your provider's recommendations closely. Your health and safety, as well as that of your child, should always be the top priority.

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