Abortion Information:

Depending on how far along you are in the first trimester, this procedure may be done without dilation or anesthesia, but if you are further along in your pregnancy the abortion provider may begin by using local anesthesia to numb the cervix. After it is numbed, the cervix must be stretched open. The abortion provider inserts the dilator through the vagina and into the cervix. Once it has established a clear pathway, the abortion provider will continue by inserting progressively larger dilators into the cervix. When the cervix has been stretched wide enough, the abortion provider suctions out the baby. After the embryo or fetus has been removed, the abortion provider will inspect the cervix and other internal organs. To ensure the procedure is complete, some providers will use sharp curettage followed by final suctioning to ensure that none of the baby’s body parts have left over inside the uterus.

Afterward, you most likely will be taken to a recovery room to recuperate. The recovery time after the procedure varies. Physical complications resulting from the abortion may manifest immediately or sometime later. Complications of surgical or induced abortions include but are not limited to: heavy bleeding, psychological distress (including a significantly increased risk of clinical depression or anxiety, drug and alcohol abuse, PTSD like symptoms, and suicidal thoughts or behavior), incomplete or failed abortion, infection, organ damage, blood clots (emboli), RH sensitization, and in severe cases, maternal death. Long term risks may include increased risk for breast cancer, as well as preterm birth, placenta previa, and early infant death in future pregnancies. Data also clearly presents evidence that “many couples who choose induced abortion are at increased risk for problems in their relationships.” – Before you Decide booklet from Carenet. 

If you are considering a first trimester surgical abortion, you deserve complete, honest information on the procedure, risks and alternatives available to you. Reach out to schedule your free, confidential consultation. 

Pre-Procedure

The abortion provider begins by opening the cervix. At this stage in pregnancy, the cervix needs to be opened wider than in a first trimester abortion. To do so, the abortion provider will use dilators. For pregnancies that are early in the second trimester, dilation can take several hours or be overnight; dilation may take one to two days for pregnancies that are further along in the second trimester. Different methods exist to dilate the cervix, and the method used depends on many factors.

D&E Procedure

The abortion provider will begin by removing the dilators and then may use an ultrasound to locate the fetus and pregnancy matter. If it is early in the second trimester, suction aspiration may be enough to remove the pregnancy without the use of forceps. This is similar to a vacuum aspiration abortion procedure. After about sixteen weeks gestation, forceps are usually needed to complete the procedure. The abortion provider inserts forceps into the uterus, opens them, and begins to pull the fetus apart and out using a rotating motion. After the fetus and the contents in the uterus have been evacuated, the provider will check to make sure nothing internally has been punctured during the procedure and that the fetus as well as the pregnancy matter have been removed.

Fetal Demise

If the fetus has reached an age where he or she could live independently of the mother, the abortion provider may choose to inject the fetus with chemicals. Depending on the drug used, it is injected either into the amniotic sac or into the fetus’s heart or umbilical cord. The abortion provider may use ultrasound to direct the needle as it is being inserted. After the fetus has died, the provider may perform a D&E procedure to ensure nothing has been left inside the uterus.

Intact D&E

The more passes the forceps must make into the uterus, the more potential there is for harm. In cases when the cervix has been stretched open wide enough it is desirable for the fetus to be removed from the uterus intact. The abortion provider will insert dilators (usually laminaria) about two days in advance. Oftentimes the skull of the fetus is too big to pass through the cervical canal and must be crushed so it can be removed. The abortion provider may accomplish this through the use of forceps or by making an opening at the base of the skull through which the contents can be suctioned out. If complications arise, the abortion provider may pierce the skull with a sharp instrument and collapse it using forceps or suction. After this, the abortion provider can remove the fetus from the uterus otherwise intact. Many women who choose a late-term abortion do so because the fetus has been diagnosed with an abnormality. If this is the case, you have help, hope, and options. Call us so we can talk to you about all of your options.

If you are thinking about abortion, you are not alone. There are a number of options available to you that do not include abortion. As with any medical procedure, it’s important to understand what the abortion entails, side effects, possible risks, complications and alternatives. If you are ready to talk to someone about your situation, call us and we can provide you with free, compassionate, and confidential help.