Pessary to induce labor with miscarriage

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26/01/2022

Question

If a woman has a miscarriage or stillbirth, and she has not yet begun to bleed, if a pessary is used to help progress with the birth process, does the pessary itself – or the insertion of the pessary – cause her to become nidda? Or not? What is the reason for this?

Answer

Significant dilation of the uterus can make a woman niddah, even without bleeding. This principle applies when an instrument of sufficient diameter is inserted through the cervix into the uterus.
However, a pessary inserted into the vaginal canal to induce labor does not reach the cervix or uterus. Therefore, this procedure does not, in itself, make a woman niddah.
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