Abortion Facts & Procedures


Manual Vacuum Aspiration Within 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 Within 6 to 14 weeks after LMP
In this procedure, the doctor opens the cervix with a dilator (a metal rod) or laminaria (thins sticks derived from plants and inserted 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 us a curette, a loop-shaped knife, to scrape the fetal parts out of the uterus.
Dilation and Evacuation (D & E) Within 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 eleventh and twelfth 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) - Partial Birth Abortion From 20 weeks after LMP to full-term
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.
RU486, Mifepristone - Abortion Pill Within 4 to 7 weeks after LMP
This medical abortion is used for women who are within 30 to 49 days after their last menstrual period. This procedure usually requires three office visits. The RU 486 or mifepristone pills are given to the woman who returns two days later for a second medication called misprostol. The combination of these medications causes the uterus to expel the fetus.
Consider the Risks of Abortion

Some side effects may occur with induced abortion. These include abdominal pain and cramping, nausea, vomiting, and diarrhea. In most abortions, no serious complications occur. However, complications may happen in as many as 1 our of every 100 early abortions and in about 1 out of every 50 later abortions.
Such complications may include:
Heavy Bleeding
Some bleeding after abortion is normal. There is, however, a risk of hemorrhage, especially if the uterine artery is torn. When this happens, a blood transfusion may be required.
Infection
Bacteria may get into the uterus from an incomplete abortion resulting in infection. A serious infection may lead to persistent fever over several days and extended hospitalization.
Incomplete Abortion
Some fetal parts may not be removed by the abortion. Bleeding and infection may occur. RU486 may fail in up to 1 out of every 20 cases.
Allergic Reaction to Drugs
An allergic reaction to anesthesia used during abortion surgery may result in convulsions, heart attack and, in extreme cases, death.
Tearing of the Cervix
The cervix may be cut or torn by abortion instruments.
Scarring of the Uterine Lining
Suction tubing, curettes, and other abortion instruments may cause permanent scarring of the uterine lignin.
Perforation of the Uterus
The uterus may be punctured or torn by abortion instruments. The risk of this complication increases with the length of the pregnancy. If this occurs, major surgery, including a hysterectomy, may be required.
Damage to Internal Organs
When the uterus is punctured or torn, there is also a risk that damage will occur to nearby organs such as the bowel and bladder.
Death
In extreme cases, other physical complications from abortion including excessive bleeding, infection, and organ damage from a perforated uterus, and adverse reactions to anesthesia may lead to death. This complication is very rare and occurs, on average, in less than 20 cases per year.
Effect on Future Pregnancy
Scarring or other injury during an abortion may prevent or place at risk future wanted pregnancies. The risk of miscarriage is greater for women who abort their first pregnancy.
Emotional Impact
Some women experience strong negative emotions after abortion. Sometimes this occurs within day and sometimes it happens after many years. This psychological response is known as Post-Abortion Stress (PAS). Several factors that impact the likelihood of Post-Abortion Stress include: the woman's age, the abortion circumstances, the stage of pregnancy at which the abortion occurs, and the woman's religious beliefs.

PAS Symptoms
Guilt
Anger
Anxiety
Depression
Suicidal Thoughts
Anniversary Grief
Flashbacks of Abortion
Sexual Dysfunction
Relationship Problems
Eating Disorders
Alcohol and Drug Abuse
Psychological Reactions

If you're suffering from any of the above symptoms, you're not alone, and help is available!
The HOPE Center offers a bible study group through Healing Hearts Ministries entitled "Binding up the Brokenhearted". Contact The HOPE Center for more information.

Spiritual Consequences
People have different understandings of God. Whatever your present beliefs may be, there is a spiritual side to abortion that deserves to be considered. Having an abortion may affect more than just your body and your mind - it may have an impact on your relationship with God. What is God's desire for you in this situation? How does God see your unborn child? These are important questions to consider.
Explore Your Options
You have the legal right to choose the outcome of your pregnancy. But real empowerment comes when you find the resources and inner strength necessary to make your best choice.
Here are some other options:
Parenting
Choosing to continue your pregnancy and to parent is very challenging. But with the support of caring people, parenting classes, and other resources, many women find the help they need to make this choice.
Adoption
You may decide to place your child for adoption. Each year over 50,000 women in America make this choice. This loving decision is often made by women who first thought abortion was their only way out.


Additional Resources:
Windows to the Womb
Men and Abortion resources


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