Here is a break down of a D&E
D&E usually takes 30 minutes. It is usually done in a hospital but does not require an overnight stay. It can also be done at a clinic where doctors are specially trained to perform abortion. During a D&E procedure, your doctor will:
- Give you a first dose of to prevent infection.
- Position you on the exam table in the same position used for a , with your feet on stirrups while lying on your back.
- Insert a into the vagina.
- Clean the vagina and cervix with an antiseptic solution.
- Give you a pain medicine injection in the cervical area (paracervical block) along with a . If the procedure is done in an operating room, you could receive a spinal anesthesia injection into the fluid around the spinal cord. This numbs the area between your legs. Or your doctor may use , which makes you unconscious.
- Grasp the cervix with an instrument to hold the uterus in place.
- Dilate the cervical canal with probes of increasing size. An abortion in the second 12 weeks will need the cervix to be dilated more than required for a vacuum aspiration.
- Pass a hollow tube (cannula) into the uterus. The cannula is attached by tubing to a bottle and a pump that provides a gentle vacuum to remove tissue in the uterus. Some cramping is felt during the rest of the procedure.
- Pass a grasping instrument (forceps) into the uterus to grasp larger pieces of tissue. This is more likely in pregnancies of 16 weeks or more and is done before the uterine lining is scraped with a curette.
- Use a curved instrument (curette) to gently scrape the lining of the uterus and remove tissue in the uterus.
- Use suction. This may be done as a final step to make sure the uterine contents are completely removed.
- Give you a medicine to reduce the amount of bleeding from the procedure.
The uterine tissue removed during the D&E is examined to make sure that all of the tissue was removed and the procedure is complete.
"Dilation and Evacuation (D&E) | CS Mott Children's Hospital | Michigan Medicine"
What they are calling "tissue" and "uterine tissue" or "contents" is the baby.
They grab arms, legs, et....with forceps and pull them out piece by piece. Yes they pull them apart while they are still alive.
I DO have a video of this being done from both an ultrasound view AND the "doctors" view. You can watch this.