Fetal Development: Trimester 2

Abortion Methods: Trimester 2

--Medical Methods

Methods of Abortion Introduction

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Dilation and Evacuation (D&E)

The major method for surgical abortion during the second trimester is Dilation and Evacuation (D&E). It is typically preformed after the 13th month (5) and requires the dilation or the cervix followed by the evacuation of the uterus.
Dilation of the cervix can be done in a simple manner by a synthetic dilator or a natural one. Dilapan, a synthetic dilator, ensures sterility and is easy to insert and remove, while Laminaria is seaweed and a natural dilator. It is important to estimate the gestation age to know how much the cervix needs to be dilated. If further dilation is necessary mechanical dilators can be used as needed.
After dilation is complete, a vacuum cannula is used to fully evacuate the fetus and the placenta.(5)
This procedure is relatively quick and uncomplicated. The advantages of the D&E method are: relatively little bleeding (as opposed to the extent of bleeding associated with medical methods), the patient does not have to undergo the trauma of labor, and the successfulness of the procedure is apparent immediately after it is finished. The D&E is cheaper than a medical abortion and is deemed safer before 18 weeks gestation.(6)