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RU-486 (Mifepristone) | Suction Aspiration
Dilation and Curettage (D & C) | Dilation and Evacuation (D & E)   Prostaglandin | Dilation and Extraction (D & X)

Dilation and Extraction (D & X)

This procedure, commonly referred to as "partial-birth" abortion, is also used in mid- and late-term pregnancies (from 4-9 months).

First, ultrasound is used to identify how the fetus is facing in the womb. Then, forceps are inserted through the cervical canal into the uterus and used to pull the fetus feet first and face down (breech position). The body is then pulled out of the birth canal, except for the head which is too large to pass through the cervix. While the fetus is still alive, surgical scissors are inserted into the base of the skull and spread to enlarge the wound. A suction catheter is then inserted into the skull and the brain is removed. Finally, the skull collapses allowing the fetus to pass completely through the cervix.