12-24 Weeks after LMP

Dilation & Evacuation

During your second trimester the abortion method most commonly used is dilation and evacuation (D&E). In this procedure the doctor will dilate your cervix and then use forceps to remove the fetus or fetal parts. He/she may also suction the fetus or fetal parts by vacuum aspiration. The afterbirth is also usually removed by vacuum aspiration.

Labor Induction

If the age of the fetus is determined to be late in the second trimester the doctor may choose to perform the abortion by labor induction. Labor is started by injecting medicines into the sac of fluid that surrounds the fetus or by injecting medicines through the woman's bloodstream. It may be necessary for the doctor to open the cervix and suction the uterus as described with the D&E method. With labor induction, the doctor may inject medicine into the fetus prior to performing the abortion to terminate it to avoid any chance of the fetus being delivered alive.

Risks and Side Effects:

Fetal Development (13-24 weeks after LMP)

If you are already in your 2nd trimester, everything that the fetus needs to become an adult person has already been developed. It will continue to grow and mature inside your uterus until it is ready to be born. Let's look at what has formed already:

In the 2nd trimester these systems will continue to mature and grow into place as the fetus also increases in length and weight. In addition the following will take place:


1. Pennsylvania Department of Health. "Abortion Making A Decision." Commonwealth of Pennsylvania.

2. American Pregnancy Association. Possible Physical Side Effects. Available at: http://americanpregnancy.org/unplannedpregnancy/possiblesideeffects.html. Accessed September 30, 2013.

3. American Pregnancy Association. Abortion Emotional Side Effects. Available at: http://americanpregnancy.org/unplannedpregnancy/abortionemotionaleffects.html. Accessed September 24, 2013.

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