Sexkitten

No, no, my apologies - I forgot to quote the text, that was for Mike -
perhaps you could explain the procedure to him though. I will say to
you though I appreciate intelligent discussion despite differences of
opinion - (read Mike's posts - he doesn't seem to understand what IDX
involves)

I suggested perhaps he would believe you since your political views are
similar.

osprey <noneedtoknow@mail.com> wrote:

Mike Painter wrote:

Don wrote:

Mike Painter wrote:

Here's a fun thought: How come so many of the "extreme left" are
marching up an down the streets with their signs protesting the
brutual slaying of Americans and Iraqi's during the war and just a
few years earlier these same people were out at the streets
protesting the ban on partial birth abortion (you know the one
where they extract the legs of the fetus, stab a pair of scissors
through the skull and aspirate out the brain..)

No, actually I don't. The term itself was made up by an
anti-abortion non medical person and the percentages of IDX or D&E
is about .17% of all abortions. This includes the removal of dead
fetuses as the result of miscarriages and is the most probable
reason for the action.

Apparently you know little about medicine? I'll give you that IDX is
more of a layman term so let me point you in the right direction. The
medical term is "intrauterine cranial decompression?"

I know about the medicine. I was denying the made up name. IDX and D&E are
medical terms in common use, the laymans term is the one you use.

Yet the term Partial Birth Abortion can be found in medical
dictionaries...go figure.

Cite one, *****.

Is the fetus partially born before the execution takes place?
Answer: Yes

***** Heishman is lying.

========================================================================
Dilation and Extraction for Late Second Trimester Abortion
Presented at the National Abortion Federation Risk Management Seminar,

September 13, 1992
(BY MARTIN HASKELL, M.D.)

------------------------------------------------------------------------

Introduction
The surgical method described in this paper differs from classic D&E in
that it does not rely upon dismemberment to remove the fetus. Nor are
inductions or infusions used to expel the intact fetus.

Rather, the surgeon grasps and removes a nearly intact fetus through an
adequately dilated cervix. The author has coined the term Dilation and
Extraction or D&X to distinguish it from dismemberment-type D&E's.

This procedure can be performed in a properly equipped physician's
office under local anesthesia. It can be used successfully in patients
20-26 weeks in pregnancy.

The author has performed over 700 of these procedures with a low rate of
complications.

Background D&E evolved as an alternative to induction or instillation
methods for second trimester abortion in the mid 1970's. This happened
in part because of lack of hospital facilities allowing second trimester
abortions in some geographic areas, in part because surgeons needed a
`right now' solution to complete

suction abortions inadvertently started in the second trimester and in
part to provide a means of early second trimester abortion to avoid
necessary delays for instillation methods. 1

The North Carolina Conference in 1978 established D&E as the preferred
method for early second trimester abortions in the U.S. 2 , 3 , 4

Footnotes at end of article.

Classic D&E is accomplished by dismembering the fetus inside the uterus
with instruments and removing the pieces through an adequately dilated
cervix. 5

However, most surgeons find dismemberment at twenty weeks and beyond to
be difficult due to the toughness of fetal tissues at this stage of
development.

Consequently, most late second trimester abortions are performed by an
induction method. 6 , 7 , 8

Two techniques of late second trimester D&E's have been described at
previous NAF meetings. The first relies on sterile urea intra-amniotic
infusion to cause fetal demise and lysis (or softening) of fetal tissues
prior to surgery. 9

The second technique is to rupture the membranes 24 hours prior to
surgery and cut the umbilical cord. Fetal death and ensuing autolysis
soften the tissues. There are attendant risks of infection with this
method.

In summary, approaches to late second trimester D&E's rely upon some
means to induce early fetal demise to soften the fetal tissues making
dismemberment easier.

Patient Selection the author routinely performs this procedure on all
patients 20 through 24 weeks LMP with certain exceptions. The author
performs the procedure on selected patients 25 through 26 weeks LMP.

The author refers for induction patients falling into the following
categories: previous C-section over 22 weeks; obese patients (more than
20 pounds over large frame ideal weight); twin pregnancy over 21 weeks;
patients 26 weeks and over.

Description of Dilation and Extraction Method
Dilation and extraction

described as follows: dilation; more dilation; real-time ultrasound
visualization; version (as needed); intact extraction; fetal skull
decompression; removal; clean-up; recovery.

Day 1--Dilation

The patient is evaluated with an ultrasound, hemoglobin and Rh. Hadlock
scales are used to interpret all ultrasound measurements.

In the operating room, the cervix is prepped, anesthetized and dilated
to 9-11 mm. Five, six or seven large Dilapan hydroscopic dilators are
placed in the cervix. The patient goes home or to a motel overnight.

Day 2--Dilation

The patient returns to the operating room where the previous day's
Dilapan are removed. The cervix is scrubbed and anesthetized. Between 15
and 25 Dilapan are placed in the cervical canal. The patient returns
home or to a motel overnight.

Day 3--The Operation

The patient returns to the operating room where the previous day's
Dilapan are removed. The surgical assistant administers 10 IU Pitocin
intramuscularly. The cervix is scrubbed, anesthetized and grasped with a
tenaculum. The membranes are ruptured, if they are not already.

The surgical assistant places an ultrasound probe on the patient's
abdomen and scans the fetus, locating the lower extremities. This scan
provides the surgeon information about the orientation of the fetus and
approximate location of the lower extremities. The transducer is then
held in position over the lower extremities.

The surgeon introduces a large grasping forcep,

Hern, through the vaginal and cervical canals into the corpus of the
uterus. Based upon his knowledge of fetal orientation, he moves the tip
of the instrument carefully towards the fetal lower extremities. When
the instrument appears on the sonogram screen, the surgeon is able to
open and close its jaws to firmly and reliably grasp a lower extremity.
The surgeon then applies firm traction to the instrument causing a
version of the fetus (if necessary) and pulls the extremity into the
vagina.

By observing the movement of the lower extremity and version of the
fetus on the ultrasound screen, the surgeon is assured that his
instrument has not inappropriately grasped a maternal structure.

With a lower extremity in the vagina, the surgeon uses his fingers to
deliver the opposite lower extremity, then the torso, the shoulders and
the upper extremities.