This article analyzes the illegal trade in misoprostol in Brazil. The study analyzed ten cases that came to the attention of the Public Prosecution Service for the Federal District between 2004 and 2010. The cases were organized into three categories: 1. women’s stories; 2. profile of the vendors; 3. maternal mortality cases. The main results show that: 1. Young women in steady relationships use misoprostol at home or with the assistance of drug vendors. Of the seven women indicted, three were reported on arrival at the public hospital to finalize abortion; 2. The drug vendors work at the community drugstore and are local agents for the sale of misoprostol. They instruct women on how to use the drug and how to prevent infections, but refuse to provide them with care in case of emergency. Traffickers operate via the internet and have a larger stock of drugs; 3. There were two cases of maternal mortality due to the combination of high risk methods, such as a vaginal probe and misoprostol. The main causes for maternal mortality are the delay in seeking medical care, for fear of criminal prosecution, and the combined use of misoprostol with high-risk methods.