How are abortions done?

 

Below are the names, descriptions and an explanation of how the various types of abortion are performed.

 

MANUAL VACUUM ASPIRATION

When?:  Up to 7 weeks after last menstrual period

  • This surgical procedure requires informed, signed consent and requires a payment.
  • The vaginal and cervical areas are cleansed.
  • A sterile tube is inserted into the uterus.
  • A large syringe is attached to the tube.
  • The embryo is suctioned out of the uterus.
  • The tube is withdrawn.
  • Patients are awake during this procedure.
  • To determine how far along you are in your pregnancy you may chat, email or call us toll free: 888-598-5491.

Risks of Manual Vacuum Aspirations:

  • Failed abortion (The embryo was missed.)
  • Infection
  • Retained embryo or placental fragments
  • Cervical weakness or tear
  • Sepsis
  • Increased scar formation
  • Potential for breast cancer
  • Infertility
  • Miscarriage
  • Increased incidence of premature births for future pregnancies
  • PAS (Post-Abortion Syndrome).

 

SURGICAL SUCTION CURETTAGE

When?:  6 weeks to 14 weeks after last menstrual period

  • To determine how far along you are in your pregnancy, chat, email, or call us toll free: 888-598-5491.
  • The total time is 17 minutes from start to completion.
  • This is the most common procedure done in the US of all surgical abortions.

Day 1

  • Lab tests
  • Ultrasound
  • Health history
  • Counseling (with literature)
  • Payment for all or a portion of the abortion procedure
  • Return after a 24-hour reflection (waiting) period if you want to proceed with the abortion. (39 of our 50 States require the 24-hr reflection time).
  • If you decide not to have an abortion, obtain a refund of the money you paid for the actual surgery. (You will be charged for the other services.)
  • If the abortion facility refuses to honor your choice by refunding the money you gave them for the abortion, you may call          888-598-5491
    • Tell us about the money you paid for the abortion
    • How you changed your mind, and
    • That the clinic will not give you a refund.
    • There is no guarantee, but we may be able to assist you. You would be required to go to a center.
    • Again the Toll Free number is: 888-598-5491.

Day 3

  • The vaginal area is cleansed.
  • The location and size of the uterus is determined.
  • A speculum is inserted to enlarge the vaginal canal.
  • A pain-killer is injected into the cervical area.
  • A grasping instrument (tenaculum) is locked onto the cervix and pulled until the uterus is brought in line with the vaginal canal.
  • The cervix is opened using progressively larger smooth metal rods.
  • A sterile hollow plastic tube called a cannula is inserted into the uterus.
  • A motorized suction machine is turned on.
  • The fetus, amniotic sack and fluid are sucked out and collected.
  • Tong-like forceps are used to remove fetal body parts or tissue missed with the cannula.
  • A sharp-edged rounded instrument called a curette is skimmed along the inside walls of the uterus to scrape off any remaining placental tissue.
  • The cannula is again used to remove dislodged tissue.
  • The tenaculum is released.
  • The speculum is removed.

Day 17

  • Return two weeks after the abortion to check for complications including:
    • Fever
    • Pain
    • Tenderness
    • Vaginal discharge
      • Should it be determined that fetal body parts or placental tissue remains in the uterus, a D&C (Dilation and Curettage, a surgical procedure), may be required.

      Risks of Suction Curettage:

      • Infection
      • D&C
      • Punctured uterus
      • Cervical weakness or tear
      • Sepsis
      • Scar formation
      • Sensitivity or allergic reactions to the anesthesia:
        • Cardiac events
        • Respiratory events
        • Death
      • Increased potential for breast cancer
      • Infertility
      • Miscarriage
      • Increased incidence of premature births for future pregnancies
      • PAS (Post-Abortion Syndrome)

       

      SURGICAL D&E (DILATION and EVACUATION)

      When?:  13-24 weeks after last menstrual period

      Day 1

      • Lab tests
      • Ultrasound
      • Health history
      • Counseling (with literature)
      • Payment
      • Return after a 24-hour reflection (waiting) period

      Day 3

      • The vaginal area is cleansed.
      • The size and location of the uterus are determined.
      • A speculum is inserted to enlarge the vaginal canal.
      • An instrument (tenaculum), is locked onto the cervix and pulled until the uterus is brought in line with the vaginal canal.
      • To open the cervix, laminaria sticks are inserted.
        • Laminaria is a sterilized, compressed seaweed product that looks like a dried stick with a string attached to one end.
        • The depth of the cervical canal is measured with a thin, metal rod.
        • Forceps are used to insert the laminaria.
        • Sterile gauze is placed over the cervix.
        • The tanaculum is released.
        • The uterus returns to its normal position.
        • The tenaculum is removed.
        • The speculum is removed.
        • The client returns home for the remainder of the day to allow the laminaria to open the cervix as it absorbs body fluids.

      Day 4

      • The vaginal area is cleansed.
      • A speculum is inserted.
      • Forceps are used to remove the gauze from the cervix.
      • If the cervix has not dilated sufficiently, additional laminaria may have to be inserted and the abortion procedure delayed.
      • Another day or two may be required for adequate dilation.
      • Once the cervix is adequately opened, the tenaculum is used to pull the uterus back in line with the vaginal canal.
      • The laminaria is removed.
      • Pain-killers are injected in the cervical area.
      • Additional opening is achieved by using progressively larger rods (cervical dilators).
      • A suction cannula is inserted to remove the amniotic sack and fluid.
      • Forceps are used to dismember and remove the baby’s body parts and to remove the remainder of the umbilical cord.
      • The doctor grasps all body parts (the chest cavity, the pelvis, arms, legs), twists his wrist, and pulls pieces out to be reassembled on a tray to confirm that all of the fetus was removed from the uterus.
      • The head of the fetus must be crushed inside the uterus before being brought out, as otherwise it would be too large to travel through the cervical canal without damaging the cervix.
      • A sharp curette is skimmed along the inside wall of the uterus, scraping the uterine lining to dislodge any remaining placental tissue.
      • The suction cannula is used to remove whatever tissue was dislodged by the curette.
      • The tenaculum is released.
      • The uterus returns to its normal position.
      • The tenaculum is removed.
      • The speculum is removed.

      Day 18

      • Return in two weeks to check for incomplete abortions or complications such as
        • Fever
        • Pain
        • Tenderness
        • Vaginal discharge

      Risks of D&E:

      • Infection
      • D&C
      • Punctured uterus
      • Cervical weakness or tear
      • Sepsis  
      • Weakness where the placenta had attached
      • Sensitivity or allergic reactions to the anesthesia:
        • Cardiac events
        • Respiratory events
        • Death
      • Increased potential for breast cancer
      • Infertility
      • Miscarriage
      • Increased incidence of premature births for future pregnancies
      • PAS (Post-Abortion Syndrome).

       

      MORNING-AFTER PILL MEDICAL (CHEMICAL) (PLAN B, PREVEN)

      When?:  Effective no more than 72 hours (3 days) after intercourse

      • Designed to end the life of a fertilized egg before a pregnancy is confirmed
      • Effectiveness: 89% of the time according to Plan B insert
      • The drugs in Plan B and Preven make the uterine lining hostile to the living, growing embryo who tries to attach to the uterus. When the embryo can’t attach and get the nutrients and oxygen necessary to grow, the embryo dies.  These drugs may work as a contraceptive if they prevent the ovaries from releasing an egg.
      • Makers of Plan B and Preven do not consider their pills to be abortifacient (abortion-causing) because the pharmaceutical company’s definition of “pregnancy” was changed to deny the fact that life begins at fertilization. Their definition denies the fact that there is life before the fertilized egg attaches to the uterine wall. Those using Plan B do not know for sure if these drugs are acting to prevent fertilization (contraception) or ending the life of an embryo (abortifacient).

      Warning:  Not intended for contraceptive use.  Seek medical help if abdominal pain persists.

      Risks related to Chemical Abortions:

      • Nausea
      • Failed abortion (Plan B is effective 89% according to Plan B insert.)
      • Abdominal pain
      • Ectopic pregnancy
      • Fatigue
      • Headache
      • Heavier menstrual bleeding
      • Dizziness

      ABORTION PILL MEDICAL (CHEMICAL) ABORTION

      When:  9 weeks of pregnancy or less (counting from the time your last period began)

      • To better determine how far along your pregnancy is, chat, email, or call us toll free: 888-598-5491
      • Other names for the Abortion Pill are RU-486, Early Option, Mifeprex,and Mifepristone.
      • Effectiveness: 92% of women taking RU-486/Misoprostol* through the 7th week of pregnancy had a complete abortion. *(insert info.)

      Day 1

      • Lab tests
      • Ultrasound
      • Health history
      • Counseling (with literature)
      • Payment
      • Return after a 24-hour reflection (waiting) period if you want to proceed with the abortion.

      Day 3

      • Swallow RU-486 pills in the presence of clinic staff.
      • Return in two days to take a Prostaglandin called Misoprostol (brand name Cytotec) by tablet OR be given Misoprostol vaginal suppositories to self-administer at home.
    • The degree of bleeding and severity of cramping varies for each woman
    • Timing when the dead fetus will expel is hard to predict.
    • You will need to time when you want the bleeding and cramping to begin to expel the dead fetus.

Day 14

  • You will return to the abortion clinic to be examined.  If it is determined that your uterus is not clear of fetal body parts or placental tissue, a surgical abortion is required.  (See “Suction Curettage” abortion).

Risks for RU 486:

  • Failed abortion
  • Nausea
  • Vomiting
  • Diarrhea
  • Hemorrhage
  • Toxic Shock Syndrome
  • Death

 

Related Questions: