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Second Trimester Surgical Abortion

Also known as In-Clinic or Surgical Abortion

12-24 weeks from last period

After about 14 weeks of pregnancy, an advanced D& E will be performed. It takes longer and may require more than one visit. D&E involves preparation of the cervix with dilators or medications to safely achieve dilation adequate for passage of forceps into the uterine cavity to remove the fetal parts. Cervical preparation may be done over hours or several days, depending on gestational age and the type of clinic. This may be done with dried seaweed sticks (laminaria) which are placed into the cervix and expand, thereby opening the cervix. An antibiotic will be given to prevent infection. To avoid the banned “Partial Birth Abortion” procedure, Doctors may give an injection of digoxin or potassium chloride to stop the fetal heartbeat and ensure fetal demise prior to delivery. The fetal parts are removed with a combination of suction and forceps.

Labor induction method is used if the doctor determines that the age of the fetus is late in the second trimester. Labor induction usually requires a longer stay and is not performed in a clinic setting. Medicine will be given to induce labor.

Risks and Complications

D & E

  •  Incomplete abortion with retained tissue
  •  Heavy bleeding
  • Reactions to anesthesia
  • Infection
  • Organ damage

Labor Induction

Labor Induction abortion carries the highest risk for problems, such as infection and heavy bleeding, stroke and high blood pressure. When medicines are used to start labor, the risk of rupture of the womb is greater than during normal childbirth.

Other immediate medical risks may include

  • Pelvic infection
  • Incomplete abortion
  • Blood clots in the uterus
  • Heavy bleeding
  • Cut or torn cervix
  • Perforation of the wall of the uterus
  • Anesthesia-related complications

If the labor induction method is used, there is a small chance that a fetus could live for a short period of time.

For more information on Second Trimester Abortions and other pregnancy and sexual health concerns check out http://americanpregnancy.org/unplanned-pregnancy/surgical-abortions/

Our appointments are confidential.  Every year we help hundreds of women facing unplanned pregnancies, and understand the importance of privacy.

We’re here for you. Call North Care Women’s Clinic at 215-855-2424 to schedule an appointment to get your questions answered.

MORE ABORTION EDUCATION

The Abortion Pill

First Trimester Abortion

Second Trimester Abortion

PA Abortion Law

References: 
1.  The American College of Obstetricians and Gynecologists. (February 2013). Pregnancy Choices: Raising the Baby, Adoption and Abortion. Retrieved from http://www.acog.org/~/media/For%20Patients/faq168.pdf.
2.  Department of Health and Hospitals. (N.d) Methods and Medical Risks. Retrieved from http://dhh.louisiana.gov/index.cfm/page/1036.
3.  Breborowicz, GH. (January 7, 2001) Limits of Fetal Liability and its Enhancements. US National Library of Medicine. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11753511.
4.  Templeton, Allan and Grimes, David. (December 2011) A Request for Abortion. The New England Journal of Medicine. December 8, 2011. Web. January 25, 2015. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMcp1103639.  Diedrich, Justin and Drey, Eleanor (January 2010). Induction of Fetal Demise Before Abortion. Society of Family Planning. Retrieved from http://www.societyfp.org/_documents/resources/InductionofFetalDemise.pdf
5. The American College of Obstetricians and Gynecologists. (October 2011). Special Procedures: Induced Abortion. Retrieved from http://www.acog.org/~/media/For%20Patients/faq043.pdf
6. Jackson, RA. (March 2001). Digoxin to facilitate late second trimester abortion: a randomized, masked, placebo-controlled trial. US National Library of Medicine. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11239659
7. Jackson, RA. (March 2001). Digoxin to facilitate late second trimester abortion: a randomized, masked, placebo-controlled trial. US National Library of Medicine. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11239659
8. Marshall, Sarah. (August 2012). Women’s Health: Dilation and Evacuation for Abortion.” Retrieved from http://www.webmd.com/women/dilation-and-evacuation-de-for-abortion
9. Perry, Rachel and Harwood, Bryna, (November 1, 2013). Options for Second Trimester Termination.” Contemporary OB/GYN. Retrieved from http://contemporaryobgyn.modernmedicine.com/contemporary-obgyn/content/tags/abortion/options-second-trimester-termination
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