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DASH WHEY BELLY WID JUS ONE PILL?

Black market abortion pills in high demand

BY DONNA HUSSEY-WHYTE Sunday Observer staff reporter [email protected]

Sunday, May 29, 2011

JAMAICAN women have been secretly using a drug intended to treat something completely different, to abort unwanted pregnancies without a doctor’s prescription.

The drug, known as Cytotec — which is the generic name for the medication Misoprostol — was intended to prevent stomach ulcers, but has found widespread use as a means of inducing labour in pregnant women and, in secret, to terminate healthy pregnancies.

Bottles of the anti-ulcer drug Cytotec, which has gained popularity as an abortion pill and is sold without prescription on the local black market.
The Ministry of Health says under a new policy, only gynaecologists and obstetricians who are consultants in hospitals will have access to the powerful drug Cytotec.
FLETCHER… we were one of the first to publish its usefulness in inducing labour and now it has widespread use worldwide

FLETCHER… we were one of the first to publish its usefulness in inducing labour and now it has widespread use worldwide

3/3
The drug, which Sunday Observer sources confirm has become widely available on the local black market, sells for up to $15,000 for a course of treatment, which is about the same it would cost to get a more invasive surgical abortion done by a medical doctor.

One woman in an inner-city community, who spoke on the grounds of anonymity, has been selling the tablets for a number of years. She said demand for the ‘abortion pill’ has grown as more and more persons learn about it.

“Nuff people tek it,” she said. “Both teenagers and big people buy it. It don’t have no specific set a people, and nuff other people want it but don’t know where to get it. Nuff people just start hear bout it, so that’s why you find that more buying it.”

She said the tablets are supplied by another woman who travels overseas and purchases them and smuggles them into the country.

Four to six of the small white pills, she said, are sold on the black market for between $12,000 and $15,000. However, another woman told the Sunday Observer she got four pills for $4,000 at a pharmacy in Portmore.

She also reported that she was able to procure the drug at a downtown Kingston pharmacy, five for $8,000.

The pills are taken both orally and are inserted into the vagina. It is the vendor, without the benefit of medical or pharmaceutical training, who explains to the purchaser how the pills must be used.

The woman the Sunday Observer spoke with explained that all the tablets are taken and inserted at the same time and within an hour, the woman will expel or “bleed out” the foetus. This is usually accompanied by non-stop pain, high fever, diarrhoea, vomiting and the passing of large blood clots.

She noted that she would not recommend that women take the tablets after three months of pregnancy. However, she denied that there were any ill-effects from using them.

“It safe. It not doing you nothing,” she insisted. “A years now it selling and I never hear of anyone getting sick or going to the hospital because of it. It safe man.”

However, while it is an open secret that the drug is available for purchase illegally, some medical doctors are also giving it to their patients, without prescription, for ‘off-label’ use. In most cases, it is given to patients to induce the abortion of a healthy foetus, the Sunday Observer has learned.

Head of the Gynaecological and Obstetrics Department at the University Hospital of the West Indies (UHWI), Professor Horace Fletcher, who reiterated that abortion is against the law in Jamaica, said many doctors and patients nonetheless use Cytotec/Misoprostol to terminate pregnancies, sparking controversy over its use.

However, it has a perfectly legitimate and legal application.

“It is a prescription drug used to prevent stomach ulcers in people who use non-steroidal anti-inflammatory drugs like aspirin or ibuprofen,” Fletcher explained. “It has, however, been found to be very useful in women.”

He explained that Misoprostol has been used to induce abortion or terminate abnormal and normal pregnancies for social and medical reasons, but also to induce labour by softening and opening the cervix; to stop bleeding after delivery (post-partum haemorrhage); and to soften the cervix prior to surgical procedures like dilatation and curettage (D and C), or ‘scraping’ the womb.

Fletcher said it has its advantages and it is widely used in underdeveloped countries on mothers after they have given birth, especially because it does not need to be refrigerated like other drugs.

“It stops women from bleeding to death after having a baby,” he said.

He added that Cytotec has been in use legally in Jamaica for over 10 years. The tablets, he explained, are the most common method of inducing labour in Jamaica.

“We (the local medical fraternity) were one of the first to publish its usefulness in inducing labour,” he said. “And now it has widespread use world wide. It has resulted in a decrease in deaths from high blood pressure and bleeding after pregnancy.”

“In viable pregnancies (when there are no signs of miscarriage or impending pregnancy loss and the pregnancy can be expected to result in the birth of a live infant) near to, or at term, it is used to induce labour for certain conditions, decreasing the need for Caesarean section,” he explained

Nonetheless, he warned against unprescribed Cytotec being used by pregnant women, and offered the reminder that abortions are illegal in Jamaica.

Fletcher noted that the drug can be used legally to terminate abnormal pregnancies, but confirmed that despite this, some doctors are, in fact, giving it to patients who simply want to abort normal, healthy foetuses.

Twenty-three-year-old Alicia (last name withheld) said last year she found out she was pregnant at a time when she simply could not afford to have a child. It was her first pregnancy and she said she just was not ready. Neither was her 38-year-old partner, who already had three children he was struggling to look after.

Four and a half months into her pregnancy, despite feeling the baby’s movements inside of her, she visited a doctor who inserted one of the tablets inside her vagina and gave her two more tablets, instructing her to take them orally within seven hours after the insertion.

Alicia recalled experiencing horrific abdominal pain which felt as if she were giving birth. This was accompanied by very heavy bleeding. All this began within an hour of taking the pills.

“A day and half later, everything pass out,” Alicia recalled. “Ten days later I went back to the doctor to make sure that everything was out.” She was then given a prescription that would prevent any infection from developing as a result of the chemically induced termination.

Alicia said she has not experienced any problems since. However, she says her stomach remains enlarged and her breasts have sagged.

That abortion cost her $10,000.

While he does not know of anyone dying from the unprescribed use of the drug in Jamaica, Fletcher said he is aware of persons in other countries dying from complications associated with the drug.

“It has been a cause of maternal deaths in some other countries as it can cause rupture of the uterus,” he explained. “It can also cause death of the baby from excess uterine contractions.”

He added that the drug can force the fluid around the baby (amniotic fluid) into the mother’s lungs, which could result in death.

But, one reputable gynaecologist who did not wish to be named, said while he is not promoting the use of Cytotec for abortions, the drug is one of the most efficient methods of terminating a pregnancy and safer than abortions performed by many ‘back-door’ doctors using surgical instruments.

“It is much safer than other forms of termination,” he said. “A lot of the complications once associated with abortions have been reduced,” he added.

“We no longer see young girls coming in with their insides rotting out, or developing infections, or persons with their insides dig-up and ruptured from the use of unsterilised instruments.”

“Cytotec is very efficient and it does not leave anything inside of you. Nowadays you hardly see those complications. It’s just that termination is illegal in Jamaica, so it just can’t be used like that. There are specifications to termination of pregnancies, but a lot of complications have been reduced since the ‘abuse’ of Cytotec,” he said.

Studies have demonstrated that Cytotec can be used to terminate pregnancies at any stage of gestation, hence unconfirmed reports reaching the Sunday Observer of unborn babies as old as five and six months being aborted through use of the powerful drug.

Director of Standards and Regulations in the Ministry of Health, Princess Thomas-Osbourne said the ministry is aware of the misuse of the drug and steps are being taken to curb the practice.

“The Ministry has had several reports regarding the illicit use in this way, and harm caused to patients to whom it has been given,” Osbourne said. “A policy has been developed and is to be implemented.”

This policy, she explained, would remove the use of Cytotec from the private sector and allow its access only to gynaecologists and obstetricians who are consultants in hospitals. The medication could then only be used under the direct supervision of these consultants.

“Any use by anyone to procure an abortion is illegal, whether on a prescription by a doctor or dispensed by a pharmacist,” she warned.

Using the pills for abortion is considered to be ‘off-label’. This means that the drug has not been FDA approved for use as an abortion pill, for cervical ripening or to start labour.

Not having FDA approval for this also means there are no standardised dosages or guidelines in prescribing Cytotec for these purposes.

One manufacturer of Misoprostol, Searle, warned consumers in 2000 about the possible risks of the drug if used during late pregnancy.

25 Responses to DASH WHEY BELLY WID JUS ONE PILL?

  • Danhai Skeng says:

    why woman dash weh belly?

  • SWEET says:

    @DANHAI, SOME WOMEN KNOW THAT FINANCIALLY THEY ARE NOT READY TO HAVE A CHILD.. ESPECIALLY IF THE MAN NO DEH PON NUTTEN FI HELP TEK CARE A HIM RESPONSIBILITY.. SOME WOMEN BECOME PREGNANT AS THE RESULT OF SEXUAL ASSAULT.. AND THE CHILD WOULD BE A CONSTANT REMINDER OF THAT EPISODE. SOME JUST CAYLISS AN NO USE PROTECTION WID A RANDOM DUDE.. THERE ARE NUMEROUS REASONS.. EVERY WOMAN IS DIFFERENT, AND EVERY SITUATION IS DIFFERENT.

  • eyecandy says:

    Excellent answer sweet.

  • Met says:

    Sorry people it neva a show mi fix it now

  • Maniac says:

    Ah good while now mi ah hear bout di pill enuh, neva really know di karrek name caw di smaddy whey tell mi cudden memba. They call it ‘medical abortion’

    Whey mi nuh get doe is di black markit ting. Mi nuh agree wid dat atall

  • Lipstick says:

    a chute sweets but wah happen to di gals weh dash weh belly becah too much name a call pon di belly an dem caan bother wid di raffle, so dem jus dash eh weh, mi tink dem did seh one a di regula jmg groupie dem did do it, a tink she a breed again now dem seh

  • kiss teet says:

    SWeet womean nu hear bout condom boots rubbers ok if not them will about aids which pill can dash that weh awiting your response

  • kiss teet says:

    gal dem a fck too hard a yard it wouldnt 2 bad if them did a get a phone credit fi dem fck but not even that wuklis

  • ***** says:

    IF YOU ARE NOT FINANCIALLY READY TO TAKE CARE OF CHILD, CLOSE YOUR LEGS. IF DI MAN AH WUTLESS MAN, WHY FUCK HIM? MI NUH INNA DAT. A DOCTOR GAVE ME THE SAME PILL YEARS AGO WHEN I MISCARRIED, BUT DIDN’T START THE EXPELLING PROCESS RIGHT AWAY. I NEVER TOOK IT. I PRAYED AND PRAYED AND 3 DAYS LATER THE BABY EXPELLED ITSELF AND EVERYTHING ELSE. MI KNOW PEOPLE WEH TEK DA PILL YA AND AH BARE PAIN DEM GUH TRUE.

  • ***** says:

    SOMETIMES THE PILL DON’T WORK AND THE PEOPLE STILL HAVE TO FOLLOW UP WITH A REGULAR ABORTION/D&C/D&E.

  • u more find a woman want to use condum a man always wah fuck rawww and when gyal breed them no want it…but if a woman no strong enough we will mek every man fuck without boots…. when ur pussy wet and u wah fuck is a serious ting if man say dash wei boots more time u ready,..untilnext day u sorry bcz u a worry both baby and std

  • Anonymous says:

    kiss teet u naw no fuckin sense smh ugh why MOST jamaican haffi b so dark n fool…

  • Jules says:

    Well u learn summen new pon JMG. I never heard bout dis drug or it uses. Mi did haffi [email protected] Alicia part wah seh har belly still big and har breast sagging. Guess another bonus of this drug is that it lacks all the hormones that are present in the ‘abortion pill’. Dem keep saying no side effects, but are women still able to conceive after using this drug?

    It nuh meck sense anybody twist demself inna pretzel cause abortion will always be a part of the human landscape. Even in ancient Egypt abortions took place. The real issue is that every abortion creates an intense amount of shock to the body, and reproductive organs. So ladies don’t be lulled into a false sense of security. The best security is abstinence.

  • Canada says:

    This pill has been on the market since I was in high school and that’s from 98′ 99′ that time I think it was for $800 everything written in the article is true! I followed one of my classmate to a pharmacy on Spanish twn rd near to Greenwich farm to purchase it and the man tell we say she must swallow 3 and insert 3! We went back to our house and in minutes she start Ben up with diarrhea next 3 hrs she bleed out but she had to wear a pad

    Cpl weeks after at sch she start complain to me say she still a experience morning sickness vomitin etc but she had regula periods for last mth or so she thought! Eventually she save up her lunch money and we went to this doctor after telling the man everything he made her do pregnancy test which was positive! Resulting in her gettin a emergency letter for public by now parents got involve cuz we tun ediot n bawling start long story short she was indeed pregnant and was bleeding but the baby was in tha wrong tube ectopic pregnancy

    So yes it wrks but a medical check up is always good after cuz if she had not been to the docta the tube wld a busssss in a har and that a str8 death she lost a tube in the process so her chance of gettin pregnant again decrease

  • Maniac says:

    @****** 6’10. Whey u mean by if u not financially able to, u mussen fuck????

    Ah luuu chat dat.

  • GoldRush_ says:

    mi no a girl weh tek dat same abortion pill (a fool di gal fool) an she say 4 hour afta she tek di pill har belly start rumble like she affi do numba 2 soo she go 2 di batroom and sit deh fi likkle while and she start feel sumn a squirm out har pussy an she gi likkle push an she hear sumn drop out and she look inna di toilet and there was di likkle embryo….it dont stop dere di ediot gal tek picto a di embryo an even freeze it fi a day or two before she trow it weh…mi seh..mi couldnt believe she cudda soo fool…i think a drug dealer did give it to har…mi nuh no how much…all to this day mi still have di picto a di embryo weh she send me inna har hand ….when u tek dat pill not only does it kill and wash out di baby…but it ruins your chances of having children in the future.

  • abstinence? so the choice is abortion or no sex! wow i wish i could turn my harmones off is natural to have sex….and the only way to be save is SAFE SEX! CONDOM CONDOM DEM MEK IS ALL SIZE, FEELS, SMELL AND SHAPES….Is these lil school kids have sex and dont know the consequences and dem parents a tun a blind eye…carry dem to a OB and mek he/she tell her whats it like fi have u hole a rotten out and see if that nuh scare dem horny rawse straight lol….we mi a big woman n mi fraid a std n one more pikney suh mi mek sure have condoms ready fi, if him “cho babes mi love yuh mek mi put it een lil raw” yeah right muhfckr…wear condom or guh jack off, i can only imagine tis embarassing n conscience killing fi have an abortion.

  • reine says:

    some people just dont want to or arent ready to have children. taking this pill to have an abortion is perfectly normal. The abortion pill has been on the market in america for a while now. if someone chooses to have an abortion its their personal business. i dont see why people care.

  • Jules says:

    Is natural to have sex yes, but di ongle safe protection is abstinence..everything can fail; everyone a dem. Up to Corey Todd did a talk how di condom dem did a buss up…lol, plus the pill is a precursor to breast cancer if you are estrogen sensitive and also leads to infertility in a very small percentage of women. Nuff man also bore hole inna condom fi breed di ooman fi lock har down, suh u caan even trust u lova. If u know u life set a way and u caan manage di possibility of an unwanted pregnancy at dis stage a u life, u may haffi put a hold on sex until u can face any possibility. Of course if you willing fi exercise odda options in the event of an unwanted pregnancy re: abortion, or adoption den knock uself out and hab u sex.

  • ISpy says:

    Abortion…can happen to anyone never say never….if i should get pregnant now sorry to say i would do it….ppl can always talk, but until the shoe is on your foot and it start to hurt up di caaarn toe….dont judge.

  • A mussi di pill yah dem tek ova yah to. me know 1 gyal weh dash weh belly 3time fi 3 different man, she have 1 already. all she seh she do is tek pill weh doctor gi har

  • sexysammy says:

    mi learn somethin new everyday

  • Anonymous says:

    Hi wah her number

  • Anonymous says:

    Right now me need that pill bad, want fi no where to get it, uno can talk as uno like but who feels it knows never wanted it to happen take 72 hrs pills man still no decide to ware boots get him one time baby mother pregnant no want fi in that league

  • Anonymous says:

    Right now me need that pill bad, want fi no where to get it, uno can talk as uno like but who feels it knows never wanted it to happen take 72 hrs pills man still no decide to ware boots get him one time baby mother pregnant no want fi in that league

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