Abortion Illustrated / 23 Weeks Gestational Age / Video Video
Dilation And Evacuation Abortion Of A 23 Week Unborn Baby. Images from Nucleus Communications, Inc. All text from Fair Use. Once the women's cervix has been dialated, which is a two or three day process requiring two trips to the abortionist, forceps are inserted through the enlarged cervix into the uterus. The body parts are grasped at random with a large, long toothed grasping clamp. With the large, long toothed grasping clamp, the abortionist twists the limbs and body parts from the unborn baby -- and pulls them from the baby -- and pulls the body parts out of the vaginal canal. The remaining body parts, with the exception of the head, are grasped and pulled out. During this procedure, perforation of the uterus is possible. The head is then crushed in order to remove it through the vaginal canal. The placenta and remaining contents are then suctioned from the uterus. The body parts must be reassembled outside of the mother's body to be sure all was removed from the womb. If some body parts are missing, then the abortionist must continue to search for the missing body parts and retrieve them. At a gestational age of twenty weeks, the mother has been feeling her baby kick for the last two weeks. At twenty weeks gestation, the uterus is thin and soft, so the abortionists must be careful not to perforate or puncture the walls of the uterus. A second trimester dilation and evacuation abortion is a blind procedure. The baby can be in any orientation or position inside the uterus. The toughest part of the dilation and evacuation abortion is extracting the baby's head. The head of a baby is floats freely inside the uterine cavity. The skull pieces must then be extracted. Some abortionists have reported that on bad days, a little face may come out and stare back at you. Dilation and evacuation is the most common technique used for second trimester abortion. Typically done 13-16 weeks into pregnancy, doctors who specialize in abortion may use this technique into the 20th week of pregnancy. An anesthetic injection is administered to numb the cervix which makes the procedure less painful for the woman, but no anesthetic is administered to the unborn child. Dilating tools are used to stretch open the cervix wide enough to perform the abortion. The doctor uses forceps and other special tools to tear the fetus out of the uterus in pieces. A large vacuum tube is pushed into the uterus and to suction out any remaining pieces. The doctor will then examine the pieces to be sure that the abortion is complete. A D & E abortion is performed in the second trimester (12-24 weeks) and is usually a 2-3 day procedure. At this stage of pregnancy, the fetus' tendons, muscles, and bones are more developed. The cervix has closed more tightly and must be dilated enough to remove the larger fetus. To aid in cervical dilation, laminaria (dried seaweed sticks) are inserted into the cervix. The dilation process can take 1-2 days depending on the size of the fetus. Once the cervix is sufficiently dilated, the laminaria are removed. Forceps are inserted into the uterus to forcibly dismember the fetus. The skull is then crushed and removed. A suction aspiration is then introduced to remove any remaining fetal parts, the placenta and uterine lining. All abortions involve a degree of post-operative bleeding, which is to be expected. Incomplete abortion may occur if fetal tissue is left inside the uterus. Infection is a fairly common problem after an abortion. Although it is easily treated with antibiotics, the infection can result in impaired fertility. Cervical tearing can occur as a result of the dilating process, which may require stitches. A less common but more serious complication is perforation of the uterine wall; this could require surgical repair in a hospital, depending on the severity. In rare cases, abortion patients may experience a major complication, such as a life-threatening pelvic infection, hemorrhage requiring a blood transfusion, uterine rupture, or unintended major surgery. Long-term health risks may include increased risk of miscarriage for future pregnancies. Because late abortion is physically painful and often emotionally distressing, many women elect to have general anesthesia for the procedure. Potential anesthetic complications include severe hemorrhage, convulsion, cardiac arrest, and death.
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