Surgical Abortion

SUCTION D & C (5-13 WEEKS)

  • Surgical abortions are invasive procedures that require anesthesia, dilation of the cervix, and entering the uterus.
  • Vacuum aspiration is used in most first trimester abortions.
    • A tube is inserted through the dilated cervix into the womb, and a strong suction pump is used to pull the fetus through the tube.
    • Often the fetus is too large to fit through the tube. The suction will then pull the baby into pieces.
    • These pieces must be identified afterward to ensure the entire baby has been removed.
  • Often a dilation and curettage (D&C) procedure is used with vacuum aspiration. This procedure uses a sharp surgical instrument to scrape any remaining pieces from the uterus.
  • There are risks involved with a suction D&C.
    • An incomplete abortion may occur if part of the fetus is left in the uterus. This can cause infection and bleeding.
    • There is a risk of puncturing or lacerating the uterus or cervix.
    • Risks also include infection, cramping, abdominal pain, heavy bleeding, scar tissue formation, and in rare cases, death.

 

D & E (13-24 WEEKS)

 

  • Surgical abortions are invasive procedures that require anesthesia, dilation of the cervix, and entering the uterus.
  • Dialation and Extraction is performed for pregnancies in the second or third trimester.
    • In this procedure, the cervix is dilated and forceps are inserted into the womb.
    • The baby is pulled into pieces and removed.
    • Then the uterus is scraped to make sure all pieces have been removed.
    • The remains are examined to make sure they have gotten all the pieces of the baby.
  • There are risks involved with a Dialation and Extraction (D&E) abortion, including:
    • An incomplete abortion may occur if part of the fetus is left in the uterus. This can cause infection and bleeding.
    • There is a risk of puncturing or lacerating the uterus or cervix.
    • Risks also include infection, cramping, abdominal pain, heavy bleeding, scar tissue formation, and in rare cases, death.
References

5-13 Weeks

Vacuum Aspiration for Abortion, University of Michigan Health System (UMHS), updated September 5, 2018.
2. Evidence presented to the United States Supreme Court, Gonzales v. Carhart, 550 U.S. 914 No. 05-380. (2007) found at http://caselaw.findlaw.com/us-supreme-court/550/124.html, accessed 8/18/2019.
3. Vacuum Aspiration for Abortion, University of Michigan Health System (UMHS), updated September 5, 2018
4. Abortion Professional, Dr. Tony Levatino explaining Aspiration Abortion
5. Dilation and curettage (D&C), Mayo Foundation for Medical Education and Research (MFMER), Mayo Clinic Staff. Found at https://www.mayoclinic.org/tests-procedures/dilation-and-curettage/about/pac-20384910 accessed 8/18/209

13-24 Weeks

1. Evidence presented to the United States Supreme Court, Gonzales v. Carhart, 550 U.S. 914 No. 05-380. (2007) found at http://caselaw.findlaw.com/us-supreme-court/550/124.html, accessed 8/18/2019.
2. Abortion Professional, Dr. Tony Levatino explaining Dialation and Extraction
3. Dilation and Evacuation (D&E), Mayo Foundation for Medical Education and Research (MFMER), Mayo Clinic Staff. Found at https://www.mottchildren.org/health-library/tw2462 accessed 8/18/2019