Dilation and Evacuation

Dilation and evacuation is a surgical procedure that usually occurs between 12 and 24 weeks’ gestation. In most cases, 24 hours prior to the abortion procedure, the abortion provider will begin dilation of the cervix. The cervix must be opened wider than that required in a D&C or Suction Aspiration to allow entry of forceps. Forceps are the surgical instrument resembling pliers with teeth used to grab and extract the contents of the pregnancy. Intravenous sedation or general anesthesia may be required. The final step is usually suctioning to make sure the contents of the uterus are completely removed. The fetal remains are then examined to ensure everything was removed, and that the abortion was complete.

Side effects and potential risks of dilation and evacuation include:

  • Cramping, nausea and prolonged bleeding
  • Damage to uterine lining or cervix
  • Perforation of the uterus
  • Infection
  • Blood clots


Dilation and Extraction

The dilation and extraction procedure is typically used after 21 weeks’ gestation. This procedure is also known as D & X, Intact D & X, Intrauterine Cranial Decompression and Partial Birth Abortion. With this type of abortion, the cervix is typically dilated two days before the actual procedure. You will be instructed as to when to return to the clinic to complete the abortion. At that time, the fetus will be rotated and forceps will be used to grasp and pull the legs, shoulders, and arms through the birth canal. A small incision is then made at the base of the skull to allow a suction catheter inside. The catheter removes the cerebral material until the skull collapses. The fetus is then completely removed.
NOTE: Partial Birth Abortion is currently banned in the United States.

Side effects and potential risks of dilation and extraction include:

The side effects are the same as with the dilation and evacuation procedure. However, there is an increased chance of emotional problems due to the reality of a more advanced fetal development.

Please note that we do not offer, recommend or refer for abortions or abortifacients. We are, however, committed to offering accurate information about abortion procedures and risks. Make your free and confidential appointment at one of our four Jacksonville-area locations today.


Abortion Cost

The cost of an abortion depends upon several factors, including but not limited to: gestational age, insurance and other available funding. Abortion pricing in Florida ranges between $350 and $3500.

Health plans offered in the Florida health exchange under the Affordable Care Act can only cover abortion if a woman’s life is endangered, or in cases of rape or incest, unless individuals purchase an optional rider at an additional cost. Public funding is available for abortion only in cases of life endangerment, rape or incest.


References: https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida