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Last Updated: July 21, 2010

Abortion Techniques

Abortion violates the most basic medical tenet: “Do No Harm”.

Page Summary:

While some surgeries carry a risk of harm, abortion is intended to harm. It may be one of the most common surgical procedures in the world, but it is hardly a harmless one. A better understanding of the techniques involved makes this abundantly clear.

Primum non nocere! This Latin phrase meaning "First, do no harm" is one of the principal precepts guiding all medical intervention. Like the Hippocratic Oath, which also vows to "never do harm", it is a reminder that the physician's role is to heal, not to harm. While many surgical procedures carry the risk of harm, their intent is to provide healing for the patient. The explicit intent of abortion, however, is to harm the embryo or fetus to death. Abortion may be a common procedure, but it is by no means simple or benign. From an ethical standpoint, it results in the violent destruction of a living human being. From a technical standpoint, it is a blind procedure which results in the forceful evacuation of the woman's uterus. Warren Hern is one of the most well-known abortionists in the United States. His book Abortion Practice remains the only single-author abortion textbook in publication. In it, he describes the abortion procedure this way:

One of my more experienced colleagues recently commented, “Abortion is a simple procedure except for the uterus’s total intolerance to poor technique.”  The first half of this comment summarizes the popular notions about abortion within the medical community; the last half summarizes the wisdom of one who is experienced with the pitfalls of this “simple” procedure.  In medical practice, there are few surgical procedures given so little attention and so underrated in its potential hazard as abortion.

No matter how much "relief" abortion provides for the mother who doesn't want a baby, it is a procedure which violates the most basic medical ethic. Listed below you will find information on the various methods used to "abort" a developing embryo or fetus. They are descriptions of legal, medical procedures designed to kill living human beings who have given absolutely no consent to be terminated.

Suction Aspiration or Vacuum Aspiration Abortion:

MEDICAL ILLUSTRATIONS OF 9-WEEK SUCTION ABORTION (click images to enlarge)

Suction Abortion Illustration - 01
Suction Abortion Illustration - 02
Suction Abortion Illustration - 03

Copyright © Nucleus Medical Art, Inc. All rights reserved. www.nucleusinc.com

Suction Aspiration abortion (also called Vacuum Aspiration) is the most common abortion procedure in practice today. About 90% of all abortions happen in the first trimester, and this method accounts for the vast majority of those first trimester abortions. For the procedure to begin, the woman's cervix must be manually dilated with a series of rods to allow for the insertion of a hollow plastic tube with a sharp cutting-tip. This tube is connected to a suction machine that is able to pull the tiny, developing human being apart as it is suctioned out of the uterus (killing him or her in the process). The remains are deposited into a collection canister. The placenta must then be cut away from the uterine wall before it, too, can be sucked into a collection bottle.

This is how the procedure is described by a typical abortion clinic. Notice that they don't call the developing human being a baby, an embryo or even a fetus. Instead, they say it is the "pregnancy" that is being lightly vacuumed out of the womb. How's that for honesty?

Medical Abortion (like Mifepristone / RU-486):

Recently, non-surgical abortion techniques have increased in frequency, but have not taken hold like many predicted. Medical abortions are a two-step procedure, generally requiring three trips to an abortion facility, and can be performed on embryos in the the first six or seven weeks of pregnancy. Patients that smoke, have asthma, high blood pressure or are obese cannot take the necessary drugs for a medical abortion. Those that do qualify begin the process by taking the first pill (RU-486 or mifepristone) to block the hormone (progesterone) that maintains the uterus' nutrient lining during pregnancy. Once the uterus is compromised, the embryo starves and dies. Two days later, the woman returns to the abortion facility for a dose of misoprostol to initiate uterine contractions. Most women will expel the dead embryo within four hours of taking the second drug. The final visit must take place two weeks later to ensure that the abortion has taken place. If it hasn't, which is true in 5-10% of all cases*, a surgical abortion will then be required.

This is how the procedure is described by a typical abortion clinic
. Like the clinic linked above, their language is veiled. They describe medical abortion as causing the uterus to expel the "pregnancy", not as causing the uterus to expel the dead embryo, fetus, or child.

This is one abortion clinic's comparison between medical abortion and suction abortion.

* Élisabeth Aubeny and É.É.Baulieu, "Contragestion with Ru 486 and an orally active prostaglandin," C.R. Acad. Sci. Paris (III), Vol. 312 (1991), pp. 539-545, obtained a 95% completion rate with women 49 days amenorrhea or less. Carolyn McKinley, et al, "The effect of dose of mifepristone and gestation on the efficacy of medical abortion with mifepristone and misoprostol," Hum. Reproduc., Vol. 8 (1993), pp. 1502-1503, obtained a completion rate of 89.1% for women 50-63 days amenorrhea.

Dilation & Curettage (D&C) or Sharp Curettage Abortion:

In a Dilation & Curettage abortion, a sharp curette is used to dismember and remove the embryo or fetus from the mother's uterus (instead of the suction cannula used in the above procedure). The curette is inserted directly into the mother's uterus and used to scrape, first, the baby and then the placenta out of the uterus and through the cervix. Bleeding is generally profuse. Dilation & Curettage may also be used in non-abortive circumstances to treat abnormal uterine bleeding, dysmenorrhea, etc.

Dilation and Evacuation (D and E) Abortion:

MEDICAL ILLUSTRATIONS OF 14-WEEK D&E ABORTION (click images to enlarge)

D & E Abortion Illustration - 01
D & E Abortion Illustration - 02
D & E Abortion Illustration - 03
D & E Abortion Illustration - 04

Copyright © Nucleus Medical Art, Inc. All rights reserved. www.nucleusinc.com

Dilation and Evacuation is a 2nd trimester abortion procedure. For the procedure to take place, the woman's cervix must first be dilated, usually with laminaria, over a two or three day period prior to the abortion. Laminaria sticks are made of sterilized and compressed seaweed that can be inserted into a woman's cervix. Here, they begin expanding from moisture absorption, resulting in an enlarged cervix. When the woman returns for the actual abortion to take place, forceps are inserted through the enlarged cervix into the uterus. The abortion provider then uses the forceps instrument to dismember the fetus by seizing a leg or arm and twisting it until it tears off and can be pulled out of the uterus. This will continue until only the head remains. Finally the skull is crushed and also pulled out. The body parts must then be reassembled to ensure that the entire baby has been removed.

This is how the procedure is described by a typical abortion clinic. Again, no mention of the terms: embryo, fetus, child, or baby.

MEDICAL ILLUSTRATIONS OF 23-WEEK D&E ABORTION (click images to enlarge)

D & E Abortion Illustration - 01
D & E Abortion Illustration - 02
D & E Abortion Illustration - 03
D & E Abortion Illustration - 04

Copyright © Nucleus Medical Art, Inc. All rights reserved. www.nucleusinc.com

Saline Injection Abortion:

Dilation & Evacuation abortions have largely replaced the saline variety). Their extreme risk to the mother has removed them from common practice today. In saline abortions, done after the 16th week, a large needle is inserted through the woman's abdominal wall and into the baby’s amniotic sac. A concentrated salt solution is injected into the amniotic fluid resulting in acute hypernatremia or acute salt poisoning. The baby breathes in and swallows the solution and is usually dead within a couple hours. Dehydration, hemorrhaging of the brain, organ failure, and burned skin also contribute to the fetus' demise. The mother generally goes into labor the next day and delivers a dead baby.

Dilation and Extraction (D and X) / Partial Birth Abortion:

Dilation and Extraction (often called partial birth abortion) is used during the 2nd or 3rd trimester and is usually performed on a viable baby. The Ultrasound-guided procedure is essentially the breach delivery of a live baby. Forceps, inserted through the cervical canal, are used to position the fetus so that it can be delivered feet first and face down. The child’s body is then pulled through the birth canal, but the head (too large to pass through the cervix) is left inside. With arms and legs exposed (and likely flailing), the abortion provider then inserts blunt surgical scissors into the base of the fetal skull and spreads the tips apart. A suction catheter is inserted into the skull and the brain is sucked out. The skull collapses until the baby’s head can pass through the cervix.

POSSIBLE OBJECTION: Though abortion procedures are not pleasant, abortion is a far better solution than for an unwanted child to be born into a life of neglect. It mercifully spares them a great deal of suffering.

TO LEARN OUR RESPONSE, CONTINUE TO THE NEXT PAGE: Abortion Pictures

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6 Comments on Abortion Techniques

abort73 (May 25, 2010 / 20:21 CST)

Kathrin,

I think Imn7 made many good points.  However I think a lot of people like to talk about what rape victims need without being one themselves.  I was raped and I conceived a baby.  let me tell you I went a little nuts with what I should do.  Sadly I never got a choice and I miscarried my baby boy, Ryan.  Let me tell you a baby is the greatest thing that can come from a rap, in fact it is normally then only good.  Because that is what a baby is, good, no matter how they were conceive.  and if you can’t keep your baby thats fine because their are so many people, including me, who can’t carry children to term and would do anything just to have one baby, if they were only going to live for an hour or grow up and become the person who’s vote ended abortion.  Every life is good.

abort73 (Apr 25, 2010 / 20:45 CST)

2 of 2
      You say that if a baby has a genetic dysfuction it’s even better to have an abortion. You also say that people don’t have the right to judge a woman for her decision. Likewise, you don’t have the right do judge how a baby’s life will be if they have a “genetic dysfunction”
      Its true that women are informed of what can happen after an abortion, but its normally only the tip of the iceberg. No one mentions the extent of the emotional after-effects. Guilt, feelings of isolation, anniversary reactions, suicidal thoughts, feeling of isolation, nightmares, regret, shame, depression… the list goes on and on. I find it extremely unfair that you say men will never be in the situation. They won’t physically, but they go through many of the same emotional after-effects women do. My heart breaks for anyone going through that.
    http://www.Afterabortion.org is a great place to go if someone has Post-abortion syndrome.
    So I’ll end with saying that abortion has nothing to do with being a choice, and everything to do with love.

abort73 (Apr 25, 2010 / 20:41 CST)

1 of 2
Kathrin,
      Take a look at your opening statement, you’re right, no one has the right to decide about the life of someone else. Every baby has the right to life.
      I see what you’re saying with the 14 year old, however if someone is sexually active, they have to deal with the consequences of their actions. This is about the time when you say, “what if they were raped?” It’s horrible that someone has to go through that. It wasn’t the mother’s fault, but it wasn’t the baby’s either, so why should they suffer? Ive heard children who were the product of rape grow up to become councelors for people who have been raped. Plus adoption is always an option.

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