Ultrasound

Abortion Methods

First Trimester

1. Suction Curettage

Procedure

The woman's vagina is dilated with a speculum and dilators. A tenaculum is then locked onto the woman's cervix to align the uterus with the vagina. The abortionist inserts a cannula in the woman's vagina and with the help of a suction machine, the baby is removed together with any other tissue contained in the woman's uterus.


Instruments


Side Effects and Complications

  • Higher risk of future miscarriages
  • Increase of ectopic pregnancies
  • Retained Fetal Parts
  • Torn Cervix
  • Uterine Scarring and Perforation
  • Bloodstream contamination
  • Sexually Transmitted Diseases
  • Damage to various organs (bladder, bowel)

2. Mifepristone (Mifeprex) and Mifoprostol (RU-486)

Procedure

The woman is first examined to ensure that she is eligible for this type of procedure. One Mifepristone tablet is given at the clinic. Mifoprostol tablets are given to the woman to be taken at home within the next 36 to 72 hours. The woman will then experience cramping and expel the baby. A follow-up must be done within two weeks to ensure that the abortion is complete. On occasion, the woman is still pregnant and will have to undergo a surgical abortion. This procedure can be done up until nine weeks.


Instruments


Side Effects and Complications

  • Surgical abortion may be required
  • Unsuccessful procedure
  • Heavy bleeding
  • Infection
  • Cramping
  • Nausea
  • Vomiting
  • Diarrhea

Second and Third Trimester

1. Dilation and Evacuation (D & E)

Procedure

This procedure is performed in two steps. First, a laminaria is inserted near the cervix to absorb the moisture and expand the cervix. A few days later, the woman goes back to the clinic to have the laminaria removed and the baby is sucked out with the use of a cannula. Due to the fact that the baby is bigger, forceps will also be necessary to break-up the baby parts and remove all the tissue contained inside the uterus.


Instruments


Side Effects and Complications

  • Retained Fetal Parts
  • Uterine Scarring and Perforation
  • Septic infection causing death
  • Torn Cervix
  • Bloodstream contamination
  • Higher risk of miscarriages
  • Higher risk of ectopic pregnancies
  • Sexually Transmitted Diseases
  • Damage to various organs (bladder, bowel)
  • Infection caused by the instruments
  • Complications caused by the drugs
  • Emotional and psychological problems

2. Dilation and Extration (D & E)

Procedure

This type of procedure is very similar to Dilation and Evacuation. However, once the laminaria is removed, the baby is rotated and pulled out of the woman's womb, up until his head. The abortionist will then make an incision at the base of baby's skull and remove the brains until the skull collapses.


Instruments


Side Effects and Complications

  • Retained Fetal Parts
  • Uterine Scarring and Perforation
  • Septic infection causing death
  • Torn Cervix
  • Bloodstream contamination
  • Higher risk of miscarriages
  • Higher risk of ectopic pregnancies
  • Sexually Transmitted Diseases
  • Damage to various organs (bladder, bowel)
  • Infection caused by the instruments
  • Complications caused by the drugs
  • Increase of emotional and psychological problems

3. Hysterotomy or Caesarean Section

Procedure

This procedure is similar to a C-Section except that the umbilical cord is removed while the baby is still in the woman's womb. This causes the oxygen supply to be cut off and the baby ends up suffocating. Just like the saline solution, there may be instances where the baby is removed alive, but is then left unattended, exposed and left to die.


Side Effects and Complications

  • Peritonitis
  • Rupture of the scar
  • Thrombosis
  • Pulmonary embolism