Is medical abortion advisable after C-section?

Q. Is it fine to use Mifepristone for abortion after C-section?

Answered by
Dr. Sameer Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 02, 2018 and last reviewed on: Jun 26, 2023

Hi doctor,

My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion.

1. Is it a safe drug?

2. Do we have to consult doctor for taking this drug?

3. What are all the possible side effects?

4. Is that drug 100 percent reliable?

5. Is there any other options?

6. Whether this drug is available without doctor's prescription?

Thank you.



Welcome to

First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful.

Hi doctor,

Thank you for the answer.

Is there any other option for medical abortion other than surgical one? Is medical abortion absolutely contraindicated? Also, if we need to do ultrasound guided dilation and curettage, is it an OPD procedure? Within how many days we need to get it done? Please guide.



Welcome back to

If medical abortion is to be considered then the uterine scar thickness should be more than 2.5 mm on ultrasound, which is unlikely in just one year. So, it is better not to take a risk and opt for surgical procedure. Dilation and curettage is a day care procedure and lasts only 15 minutes under ultrasound guidance. It can be done for pregnancy till 63 days. You may visit a gynecologist and it can be done safely.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
After abortion, my wife is bleeding from anus. How to manage?

She had 6 weeks pregnancy ...   Read full

Is the abortion process complete or not?

So we cannot be sure about the complete termination of pregnancy ... Ultrasound will confirm the status of pregnancy ...   Read full

I did not go for the follow-up appointment after an abortion. Will it cause any problem?

Hello doctor, I had an abortion by a gynecologist few months back ... If you have had regular periods after that episode, it only means the abortion has been completely expelled ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.