Late Abortions (after 12 weeks)
There are several methods that can be employed in later abortions. All of them are rarely used today for various reasons: They carry considerable risks for the health of the mother, they pose the ethical questions related to abortion in a much more dramatic form, and in many countries they are subject to legal restrictions or even completely illegal. Still, for the sake of information, the best known of these methods are mentioned here.Hysterotomy
Hysterotomy can be described as a miniature Caesarean section. Fetus and placenta are removed through an incision in the abdomen. This is major surgery requiring hospitalization for several days. A woman who has had a hysterotomy (not to be confused with a hysterectomy, or removal of the uterus) can become pregnant again, but usually needs a Caesarean section every time she wants to give birth.
Prostaglandin Injection
The hormone prostaglandin is injected into the amniotic fluid. The hormone causes uterine contractions, and the dead fetus is expelled.
Saline Injection
This method, also known as "salting out," consists of replacing some of the amniotic fluid with salt water. This is done by inserting a long, hollow needle through the abdomen into the amniotic sac inside the uterus. The salt water kills the fetus. The uterus starts contracting usually within the next two days, resulting in the delivery of the dead fetus.
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