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Abortion Procedures:
  1. Suction Aspiration or Vacuum Curettage or Vacuum Aspiration
  2. Dilation and Curettage (not to be confused with routine D & C.)
  3. Chemical Abortions
  4. RU 486 - French Abortion Pill
  5. Methotrexate
  6. Dilation and Evacuation
  7. Saline
  8. Prostaglandins
  9. Hysterotomy
  10. Partial-Birth Abortion
Suction Aspiration or Vacuum Curettage or Vacuum Aspiration
  • surgical, first trimester
  • used in 90% of first trimester abortions
  • powerful suction tube with sharp, cutting edge is inserted into the womb through dilated cervix. Dismembers body of the developing baby and tears placenta from wall of uterus, sucking blood, amniotic fluid, placental tissue and fetal parts into a bottle.
  • uterus can be punctured, causing hemorrhage and infection.


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Dilation and Curettage (not to be confused with routine D & C.)
  • usually done before 12 weeks
  • cervix dilated to permit insertion of loop shaped steel knife.
  • body of baby cut into pieces and removed
  • placenta scraped off the uterine wall
  • blood loss likely

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Chemical Abortions

Why an abortion pill? Surgical abortion is increasingly unpopular with women, doctors and the American public. It’s intimidating, mechanical, invasive and abrupt. Doctors who do surgical abortions are considered pariahs (social outcasts) among other doctors.

  • The changing image of abortion - REPACKAGING!
  • RU 486 - The “magic pill” that makes the baby “go away”.
    the unpregnancy pill
  • smaller babies - easier targets. The pictures of developing fetus damages the pro-abortionists cause. Smaller, less developed babies are an easier sell
  • Methotrexate - originally designed as an anti-cancer drug was accidentally found to abort babies.
  • Planned Parenthood is very involved in the marketing of this abortion pill.
  • Increases the pressure on the woman - increases the responsibility, woman takes the pills herself, therefore there is no one else to blame but herself.
  • Price is the same or more than a chemical abortion.

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RU 486 - French Abortion Pill
  • uses 2 powerful synthetic hormones - mifepristone and misoprostal
  • chemically induces abortions in women 5 - 9 weeks pregnant
  • procedure requires at least 3 trips to abortion facility

first - after physical exam, patient swallows pills (if she has no contra-indications -“red flags” - smoking, asthma, diabetes, high blood-pressure, obesity.) RU486 blocks action of progesterone, the natural hormone vital to maintaining the rich, nutrient lining of the uterus. The developing baby starves as lining disintegrates. 90% of women suffer abdominal pain enough to warrant a pain killer, nausea, vomiting and diarrhea.

second - 36-48 hours later, woman is given a dose of artificial prostaglandins, usually misoprostol, which initiates uterine contractions and forces embryonic baby to be expelled from the uterus. Woman feels pain, sweaty and nauseous.

Most women abort during the 4 hour waiting period at the clinic, but 30% abort at home, work, on bus and as many as 5 days later. Excessive bleeding occurs - 4x the average blood loss compared to a surgical abortion. The bleeding lasts 1-2 weeks and some women have bled for as long as 2 months. One in 20 women need a special drug to stop bleeding.

third - 2 weeks later determines whether abortion has occurred or a surgical procedure is necessary. (5-10%).

There are serious, well-documented side-effects - prolonged (up to 44 days) bleeding; nausea; vomiting; pain. One woman died in France, several suffered heart attacks. One woman lost half her blood. Long term effects not known.

Could affect future pregnancies, inducing miscarriages and causing malformations in later children.

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Similar to RU486, administered by intra-muscular injection instead of pill.

Originally designed to attack fast-growing cells - such as cancers, by neutralizing the B vitamin folic acid necessary for cell division. Methotrexate attacks the fast growing cells of the trophoblast as well - the tissue surrounding the embryo that eventually turns into the placenta.

The trophoblast functions as “life support” system for the developing child, drawing oxygen and nutrients from mother’s blood supply and disposing of carbon dioxide and waste products, also produces HCG hormone which signals to continue production of progesterone necessary to prevent breakdown of uterine lining and loss of pregnancy.

Methotrexate initiates disintegration of that environment. Deprived of food, oxygen and fluids the baby dies. 3-7 days later - a suppository of misoprostal (same prostaglandin used in RU 486) is inserted into woman’s vagina to trigger expulsion of baby from uterus.

Sometimes this occurs within the next few hours, but often a second dose of prostaglandin is required, could take as long as several weeks. 1 in 25 still pregnant are given surgical abortions.

Even doctors who support abortion are reluctant to prescribe methotrexate for abortion because of high toxicity and unpredictable side-effects.

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Dilation and Evacuation
  • surgical, 2nd trimester
  • used up to 24 weeks, similar to D&C
  • The difference is that forceps with sharp metal jaws are used to grasp parts of the baby, which are torn away until the entire body is removed from womb. The baby’s skull is hard bone by now and must be crushed, bleeding may be profuse.
  • This procedure is traumatic for doctors and nurses.

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  • salt poisoning, 2nd and 3rd trimesters
  • his technique is used after 16 weeks, when enough fluid has accumulated in the amniotic sac surrounding the baby.

A needle is inserted through the mother’s abdomen and a cup of amniotic fluid is withdrawn and replaced with a solution of concentrated salt. The baby breathes in, swallowing the salt and is poisoned. It causes painful burning of the skin, usually after an hour the child dies. The mother goes into labor 33-35 hours later. Seizures, coma or death may result if saline is inadvertently injected into a woman’s vascular system.

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  • usually assist in the birthing process. Injected prematurely into the amniotic sac induces violent labor and birth of baby too young to survive.
  • Often salt or another toxin is first injected to insure a dead baby.

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  • similar to cesarean section.
  • incision is made in abdomen and uterus and baby, placenta and amniotic sac is removed
  • “complication” of a live birth is a significant risk with this method, many abortionists prefer the more effective partial-birth abortion

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Partial-Birth Abortion

With the legalization of abortion throughout the entire nine months of pregnancy, one problem arose with a late-term abortion and that was the delivery of a live baby. The partial-birth abortion procedure was devised to solve that problem. This procedure eliminates the possibility of baby surviving.

  • the baby is turned around so that he is delivered feet first
  • the baby’s leg is pulled out into the birth canal
  • the abortionist delivers the baby’s entire body, except the head.
  • the abortionist jams scissors into the baby’s skull. The scissors are then opened to enlarge the hole
  • the scissors are removed and a suction catheter is inserted. The child’s brains are sucked out. The baby is then “evacuated.”


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