Sister in law won’t accept that shes pregnant

Location: Missouri Usa

Hello everyone, not sure if this is the correct sub to post in, but I thought I’d give it a try. I apologize in advance for any rambling or bad formatting.

My sister in law, we’ll call her Kat is 34 years old and while she has never been medically diagnosed, she has all the signs of being a schizophrenic. When she was younger she had a very normal and well functioning life. I’d say things started to change about 8 years ago but the last 3 years have been the worst. She has hallucinations, delusional, hostile (to the point of hurting people) She’s very detached from reality. I can go on and on. To make things worse, she abuses drugs.

My mother-in-law has been trying to reach out to her for months. She always invites Kat to family get togethers and will even stop by Kats home to check on her. Well, today she finally got to meet with her for brunch. Kat showed up looking to be about 6 months pregnant. When my mother-in-law showed excitement and asked Kats response was something like, “OH, I’m not pregnant, I just got fat. If I was pregnant I’d stab my belly until the baby died” ” I can’t be pregnant, I haven’t had sex with anyone in 2 years, unless it was from when my brother’s rped me”
First off, she believes her 2 brother’s live in her home and steal from her, rape her and beat her. Truth is, she hasn’t seen her brother’s in about 3 years. Second, I totally believe her when she says she would kill this baby.

My mother-in-law teaches medical so she offered to take Kat to the dr and when Kat refused, she offered to take her to her office/class, Kat refused again. Because she truly thinks she’s not pregnant.

I guess I’m wondering if there’s anything we can do and I truly mean anything. Ideally, Kat can go into labor and deliver at a hospital. Of course, there’s a lot of concern about the baby’s health and I assume the state would get involved but we’ve already decided to be there for the baby and help out no matter what. What I’m afraid of is her giving birth at home, alone. There’s not a doubt in my mind that she will hurt or even get rid of the baby if she delivers alone.

Is there anything we can do? We have a lot of evidence that can prove she’s a danger to herself and her unborn child. Do we contact a judge? Can we have her admitted somewhere? We’ve tried getting her help multiple times for her drug abuse and mental health but she would always flee within a couple days of being there. Now that there’s a child involved, we need to try harder but at the end of the day, she’s an adult and has to want to do it. She can’t even accept that she’s pregnant, how do we ask her to get help for something she doesn’t believe?

Anyways, it’s late and I’m so tired. I hope some of this made sense.