Abortion Procedure #4: Dilation and Evacuation (D&E) 15-21 weeks
From The American Pregnancy Association website:Dilation and evacuation is a surgical abortion procedure performed between 15 to 21 weeks gestation. In most cases, 24 hours prior to the actual procedure, your abortion provider will insert laminaria or a synthetic dilator inside your cervix. When the procedure begins the next day, your abortion provider will clamp a tenaculum to the cervix to keep the uterus in place and cone-shaped rods of increasing size are used to continue the dilation process.
The cannula is inserted to begin removing tissue away from the lining. Then using a curette, the lining is scraped to remove any residuals. If needed, forceps may be used to remove larger parts. The last step is usually a final suctioning to make sure the contents are completely removed. The procedure normally takes about 30 minutes. Although some clinics may perform the procedure, it is usually performed in a hospital setting because of the greater risk for complications. The fetal remains are usually examined to ensure everything was removed and that the abortion was complete.
Source: http://www.americanpregnancy.org/unplannedpregnancy/surgicalabortions.html
Sounds fairly routine and benign. Here is the description from webMD:
I love how they say they are grabbing ‘larger pieces of tissue’ instead of arm or leg. The basic idea is that they go into the uterus with forceps or scissors, depending on how far along a woman is and how tough the baby’s skin is and literally pull the arms and legs off the baby and out of the uterus. Mercifully, at least on Planned Parenthood’s website, they say that they may need to give the woman a shot to bring about ‘fetal demise’ (http://www.plannedparenthood.org/health-topics/abortion/in-clinic-abortion-procedures-4359.asp) . Go to the following link for an illustration of a ‘D&E’ (even though it says it is for a 23 week old fetus, it is an enlarge version of the procedure). http://www.nrlc.org/abortion/pba/DEabortiongraphic.html From www.nucleusinc.com
Picture above a 20 week old baby in utero, again from http://www.lennartnilsson.com/
Abortion Procedure #5: Dilation and Extraction (also known as D&X or Partial Birth Abortion)
In this paper, http://www.nrlc.org/abortion/pba/Haskellinstructional.pdf, the doctor describes the procedure in full. Here is what the American Pregnancy Association says about it:
The dilation and extraction procedure is used after 21 weeks gestation. The procedure is also known as D & X, Intact D & X, Intrauterine Cranial Decompression and Partial Birth Abortion. Two days before the procedure, laminaria is inserted vaginally to dilate the cervix. Your water should break on the third day and you should return to the clinic. The fetus is rotated and forceps are used to grasp and pull the legs, shoulders and arms through the birth canal. A small incision is made at the base of the skull to allow a suction catheter inside. The catheter removes the cerebral material until the skull collapses. Then the fetus is completely removed. So in other words, they induce labor, deliver the baby breech, leaving the head in the vagina. The doctor punctures the baby’s skull and sucks out the brain. This causes the head to collapse and the baby is delivered, dead. Some other procedures have them injecting things like saline to kill and ‘soften’ the baby so that they can perform a D&E. Either way, the baby is close to delivery and then its life is taken.
Picture is of my own son during my 26 week ultrasound. He spent quite a few minutes trying to get his fingers in his mouth.
By the numbers:
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6001a1.htm?s_cid=ss6001a1_w http://www.census.gov/compendia/statab/2011/tables/11s0078.pdf )
*In 2007, 84% of all abortions were performed on unmarried women (CDC).
*Women between the ages of 20-24 obtained 33% of all abortions; women between 25-29 obtained 24% (CDC).
*50% of U.S. women obtaining abortions are younger than 25; women aged 20-24 obtain 33% of all U.S. abortions and teenagers obtain 17% (AGI).
*In 2007, adolescents under 15 years obtained .05% of all abortions, but had the highest abortion ratio, 768 abortions for every 1,000 live births (CDC).
*47% of women who have abortions had at least one previous abortion (AGI).
*Black women are more than 4.8 times more likely than non-Hispanic white women to have an abortion, and Hispanic women are 2.7 times as likely (AGI).
*37% of women obtaining abortions identify themselves as Protestant, and 28% identify themselves as Catholic (AGI).
*At current rates, nearly one-third of American women will have an abortion (AGI).
*88-92% of all abortions happen during the first trimester, prior to the 13th week of gestation (AGI/CDC).
*In 2007, 86% of abortions were performed by curettage (which includes dilatation and evacuation [D&E]). Most curettage abortions are suction procedures (CDC).
*Medical abortions made up approximately 12% of all abortions reported (CDC).
*Induced abortions usually result from unintended pregnancies, which often occur despite the use of contraception (CDC).
*54% of women having abortions used a contraceptive method during the month they became pregnant. Among those women, 76% of pill users and 49% of condom users reported using the methods inconsistently, while 13% of pill users and 14% of condom users reported correct use (AGI).
*8% of women having abortions have never used a method of birth control (AGI).
*9 in 10 women at risk of unintended pregnancy are using a contraceptive method (AGI).
*Given that there were 4,316,000 live births ( in 2007 and there were 1,209,640 abortions (http://www.johnstonsarchive.net/policy/abortion/ab-unitedstates.html) - there were 5,516,000 pregnancies (minus fetal deaths by natural causes) in the US. That made the national abortion rate that year 22%. Abortion rates in larger metropolitan areas, like NYC and DC are up around 40% (in NYC, there were 737 abortions per 1000 live births in 2007)
