If this procedure is so controversial, then why was it developed in the first place?
The further along a pregnancy is, the more complicated — and the more controversial — the procedures are for aborting it. Abortions performed after the 20th week of pregnancy typically require that the fetus be dismembered inside the womb so it can be removed without damaging the pregnant woman's cervix. Some gynecologists consider such methods, known as "dilation and evacuation," less than ideal because they can involve substantial blood loss and may increase the risk of lacerating the cervix, potentially undermining the woman's ability to bear children in the future.
Two abortion physicians, one in Ohio and one in California, independently developed variations on the method by extracting the fetus intact. The Ohio physician, Martin Haskell, called his method "dilation and extraction," or D&X. It involved dilating the woman's cervix, then pulling the fetus through it feet first until only the head remained inside. Using scissors or another sharp instrument, the head was then punctured, and the skull compressed, so it, too, could fit through the dilated cervix.
Haskell has said that he devised his D&X procedure because he wanted to find a way to perform second-trimester abortions without an overnight hospital stay, because local hospitals did not permit most abortions after 18 weeks.
