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RU486: 4 to 7
weeks after last menstrual period (LMP)
Also known as
the Abortion Pill, this medical abortion is
used for women who are within 28 to 49 days
after their last menstrual period. This
procedure usually requires three office
visits. The RU486 or mifepristone pills are
given to the woman who returns two days for
a second medication called misoprostol. The
combination of these medications causes the
uterus to expel the fetus.
Early Vacuum
Aspiration: 7 weeks after LMP
This surgical
abortion is done early in the pregnancy up
until 7 weeks after the woman’s last
menstrual period. The cervical muscle is
stretched with dilators (metal rods) until
the opening is wide enough to allow the
abortion instruments to pass into the
uterus. A hand held syringe is attached to
tubing that is inserted into the uterus and
the fetus is suctioned out.
Suction
Curettage: 6 to 14 weeks after LMP
In this
procedure, the doctor opens the cervix with
a dilator (a metal rod) or laminaria (thin
sticks derived from plants and inserted
several hours before the procedure). The
doctor inserts tubing into the uterus and
connects the tubing to a suction machine.
The suction pulls the fetus’ body apart and
out of the uterus. One variation of this
procedure is called Dilation and Curettage
(D&C). In this method, the doctor may use a
curette, a loop-shaped knife, to scrape the
fetal parts out of the uterus.
Dilation and Evacuation (D&E): 13
to 24 weeks after LMP
This surgical abortion is done during the
second trimester of pregnancy. Because the
developing fetus doubles in size between the
thirteenth and fourteenth weeks of
pregnancy, the body of the fetus is too
large to be broken up by suction and will
not pass through the suction tubing. In this
procedure, the cervix must be opened wider
than in a first trimester abortion. This is
done by inserting laminaria a day or two
before the abortion. After opening the
cervix, the doctor pulls out the fetal parts
with forceps. The fetus' skull is crushed to
ease removal.
Dilation and Extraction (D&X): 20
weeks after LMP to full-term
Also known as Partial-birth Abortion,
this procedure takes three days. During the
first two days, the cervix is dilated and
medication is given for cramping. On the
third day, the woman receives medication to
start labor. After labor begins, the
abortion doctor uses ultrasound to locate
the baby's legs. Grasping a leg with
forceps, the doctor delivers the baby up to
the baby's head. Next, scissors are inserted
into the base of the skull to create an
opening. A suction catheter is placed into
the opening to remove the skull contents.
The skull collapses and the baby is removed.
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