Yes, of course it can. Cytotec can induce a miscarriage in pregnant women; it's use can cause premature delivery, fetal death and birth defects.

thanks but fact is I inserted cytotec after a week of missing my period but had no bleeding so decided to keep the pregnancy am 5 months now but I still have fear of birth defects.

I think it's encouraging that you are so far in your pregnancy and no problems have been found yet. I hope you have a safe and healthy delivery. Sorry if I sounded a little abrupt in my earlier post.