It may be done with:

• Local anaesthetic (to numb the cervix, the neck of the womb)
• Conscious sedation (you are awake, but may feel less anxiety and pain)
• Deep sedation or general anaesthetic (you are asleep)

Cervical preparation is usually given before surgical abortion at all gestations, either a few hours or 1–2 days before. This is to start the unnatural opening of the mother's cervix. Normally it only opens during the birthing process.

It is done in different ways including one or more of the following: medications to be taken and matchstick-sized rods put into the cervix (absorbent dilators that swell - hydrogel or laminaria/seaweed).

Usually, an ultrasound scan is performed to confirm the baby's age and position.

Usually weeks 5–14.

Medical tools are used to force the cervix more open.** 

A narrow tube (cannula) is then inserted into the womb, and attached to a vacuum source (manual or electric). The force of the suction rapidly tears the baby apart, passing through the tube into a collection container. 

Manual vacuum abortions use large syringe-like instruments, though the suction is more gentle, the death is often slower for the baby.

The tissue must be examined to make sure that the placenta and all the baby's body parts are accounted for.***

Usually weeks 15–24.

Medical tools are used to force the cervix more open. (If needed this includes a series of metal rods - dilators - that increase in thickness.)

The amniotic fluid surrounding the baby is drained or a suction tube inserted into the womb to remove it (which the baby is too large to fit through).

The abortionist dismembers and decapitates the baby using a Sopher clamp. This is a metal instrument with rows of 'teeth' used to grab, twist and pull the baby's arms and legs, along with the intestines, spine, heart and lungs.

The head is crushed with forceps if it is too big to be removed intact, and a suction tube removes any remaining parts.

Then all the baby’s parts are reassembled with the placenta to make sure nothing is left behind to cause an infection.***

If you are 23 weeks pregnant or more, a lethal injection into the baby stops their heartbeat before the rest of the procedure takes place. See Induction abortion page.

Physical complications include:

• Heavy bleeding and haemorrhage 
• Infection and sepsis 
• Injury to the womb or cervix (perforation or laceration) 

Emotional potential risks include:

• Sadness and depression
• Anxiety, anger and guilt
• Emotional numbing
• Anniversary grief
• Nightmares or flashbacks of the abortion
• Increased risk of alcohol and drug abuse
• Relationship problems
• Suicidal thoughts

Whether immediately or years after an abortion, many speak of deep emotional pain. See FAQ for more information.