- In the first trimester : surgical abortions like suction and D&C.
- In the second and third trimesters : instillation types, D&E, intracardiac injections and partial birth abortions.
What are the first trimester surgical ones?
There are several types:
- Menstrual extraction:
This is a very early suction abortion, often done before the pregnancy test is positive.
- Suction-aspiration:
In this method, the abortionist must first paralyze the cervical muscle ring (womb opening) and then stretch it open. This is difficult because it is hard and not ready to open. He then inserts a hollow plastic tube, which has a knife-like edge on the tip, into the uterus. The suction tears the baby’s body into pieces. He then cuts the deeply rooted placenta from the inner wall of the uterus. The scraps are sucked out into a bottle. The suction is 29 times more powerful than a home vacuum cleaner.
- Dilatation & Curettage (D&C):
This is similar to the suction procedure except that the abortionist inserts a curette, a loop-shaped steel knife, up into the uterus. With this, he cuts the placenta and baby into pieces and scrapes them out into a basin. Bleeding is usually profuse.
What are second trimester ones?
In the 1970s and ’80s the most common type was saline amniocentesis, or salt poisoning abortions.
These are not used much anymore because of danger to the mother. These are done after the 16th week. A large needle is inserted through the abdominal wall of the mother and into the baby’s amniotic sac. A concentrated salt solution is injected into the amniotic fluid. The baby breathes and swallows it, is poisoned, struggles, and sometimes convulses. It takes over an hour to kill the baby. When successful, the mother goes into labor about one day later and delivers a dead baby.
Is it actually poisoning?
Yes. The mechanism of death is acute hypernatremia or acute salt poisoning, with development of wide-spread vasodilatation, edema, congestion, hemorrhage, shock, and death.
And other methods?
In the ’70s and ’80s, prostaglandin drugs were used to induce violent premature labor and delivery. When used alone, there was: "...a large complication rate (42.6%) is associated with its use. Few risks in obstetrics are more certain than that which occurs to a pregnant woman undergoing abortion after the 14th week of pregnancy." Duenhoelter & Grant, "Complications Following Prostaglandin F-2 Alpha Induced Mid-trimester Abortion." Jour. of OB & GYN, Sept. 1975
Because of these problems, the D&E or Dilatation & Evacuation method was developed and largely replaced the above. It involves the live dismemberment of the baby and piecemeal removal from below . A material made from seaweed (laminaria) is placed in the cervix in order to dilate it. Forceps are then used to remove the fetus, in pieces.
A pliers-like instrument is used because the baby’s bones are calcified, as is the skull. There is no anesthetic for the baby. The abortionist inserts the instrument up into the uterus, seizes a leg or other part of the body, and, with a twisting motion, tears it from the baby’s body. This is repeated again and again. The spine must be snapped, and the skull crushed to remove them. The nurse’s job is to reassemble the body parts to be sure that all are removed.
This sounds dangerous.
It is, but a report from the U.S. Center for Disease Control, Dept. HEW, stated that it is still safer for the mother than the salt-poisoning or Prostaglandin method. "Comparative Risks of Three Methods of Midtrimester Abortion," Morbidity and Mortality Weekly Report, Center for Disease Control, HEW, Nov. 26, 1976
It is reported that every year about 100,000 women are aborted by the D&E method, between 13 and 24 weeks gestation. Of this, 500 have "serious complications." This was still judged to have a "lower risk of morbidity and mortality than the infusion procedures." MacKay et al., "Safety of Local vs General Anesthesia for Second Trimester D&E Abortions" OB-GYN, vol. 66, no. 5, Nov.1985, p. 661
Any new methods?
Yes, intracardiac injections. Since the advent of fertility drugs, multi-fetal pregnancies have become common. "The frequency of triplet and higher pregnancies . . . has increased 200% since the early 1970s."
Since these are usually born prematurely and some have other problems, a new method has been developed. Assisted Repro. Techniques . . . , L. Wilcox, Fertl. & Sterility, vol. 65, #2, Feb. ’96, pg. 361
At about 4 months a needle is inserted through the mother’s abdomen, into the chest and heart of one of the fetal babies and a poison injected to kill him or her. This is "pregnancy reduction." It is done to reduce the number or to kill a handicapped baby, if such is identified. If successful, the dead baby’s body is absorbed.
Sometimes, however, this method results in the loss of all of the babies.
Are there 3rd trimester abortions?
A more recently developed method here is the partial birth abortion, also called "brain suction" or "D&X" methods.
- These are done after 4 or 5 months.
- 80% of babies are normal.
- Most babies are viable.
This is like a breech delivery. The entire infant is delivered except the head. A scissors is jammed into the base of the skull. A tube is inserted into the skull, and the brain is sucked out. The now-dead infant is pulled out. The drawings illustrate this.
But isn’t it the safest?
It is not. Instead today the much safer Cesarean Section is used.
Complications that could arise :
- cause amniotic fluid embolism or placental abruption
- cervical incompetence in subsequent pregnancies caused by three days of forceful dilation of the cervix, and uterine rupture caused by rotating the fetus in the uterus
- could lead to infection causing sterility
- drawing out the baby in breech position is a very dangerous procedure and could tear the uterus. Such a ruptured uterus could cause the mother to bleed to death in ten minutes.".."The puncturing of the child’s skull produces bone shards that could puncture the uterus."
- Hysterotomies: These are almost identical to a Cesarean section. An incision is made in the woman's abdomen and the fetus is removed.
Links:
http://www.abortionfacts.com/online_books/love_them_both/why_cant_we_love_them_both_18.asp
http://www.religioustolerance.org/abo_surg.htm
http://www.americanpregnancy.org/unplannedpregnancy/surgicalabortions.html
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