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Home > Intact dilation and extraction


 

Intact dilation and extraction is an abortion technique in which the patient's cervix is dilated and fetus extracted in substantially one piece. The term "dilation and extraction" or "D&X" was coined in 1992 by Dr. Martin Haskell , who developed the procedure as an alternative to dilation and evacuation or D&E (see below). Slightly later, the term "intact dilation and evacuation" was proposed by Dr. James McMahon. The term "intact D&X" was later settled upon by combining elements of both proposals.

1 Circumstances in which the procedure is performed

Intact D&X procedures are extremely rare, carried out in roughly 0.2% (two-tenths of one percent) of all abortions in the USA. They are performed during the third trimester of pregnancy for various reasons, such as:

Some of the fetuses which fall into this category have developed hydrocephalus. Approximately 1 in 2,000 fetuses develop hydrocephalus while in the womb; this is about 5,000 a year in the United States. The defect is not usually discovered until late in the second trimester of pregnancy. If a fetus develops hydrocephalus, the head may expand to a size of up to 250% of the radius of a normal newborn skull, making it impossible for it to pass through the cervix. In such a case, the physician may elect to perform an intact D&X procedure by draining off the fluid from the brain area, collapsing the fetal skull and withdrawing the dead fetus. A caesarian section delivery would allow the safe delivery of a hydrocephalic fetus, but with increased risks to the mother, in comparison to an intact D&X procedure.

In the 2 to 3 day procedure, the cervix is dilated. The fetus is delivered feet-first. The surgeon inserts a sharp object into the back of the fetus' head, and inserts a vacuum tube through which the brains and its fluids are extracted. The head of the fetus contracts at this point and allows the fetus to be more easily removed from the uterusThe uterus or womb is the major female reproductive organ of most mammals, including humans. One end called the cervix, opens into the vagina, and the wider end, called the body of uterus, is connected on both sides with the Fallopian tubes. It comes in a. The fetus can then be removed with less damage to the woman. The technique was pioneered by Dr. Martin Haskell in 1992.

Intact D&X procedures are not performed during the first trimester, because there are better ways to perform abortions. There is no need to follow such a procedure because the fetus' head is quite small at this stage of gestation and can be quite easily removed from the woman's uterus.

2 Legal and political situation in the United States

2.1 About the terminology

This procedure is referred to as " partial-birth abortionThe term partial-birth abortion is a controversial term used primarily by abortion opponents in the United States to refer to abortions in which the fetus or fetuses enter the vaginal (birth) canal (called a "delivery") in the course of the procedure." in the media and among pro-life groups. In the medical field intact dilation and extraction is sometimes referred to as a D&X procedure (not to be confused with D&E procedure ( dilation and evacuation .)



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