Abortionist Henry Morgentaler on the danger of perforating the uterus during an abortion:
“What happens during dilatation is that the doctor tries to widen the diameter of the cervical canal leading to the uterine cavity by pushing metal dilators through it. As he does this he encounters muscular resistance. A very thin dilator might pass through the cervical canal easily; however, as they progressively increase in thickness, the resistance of the muscles holding the cervix closed increases correspondingly. The doctor overcomes this resistance by steady pressure until it gives way and the dilator slips into the uterine cavity. Occasionally, the resistance gives way suddenly and the dilator is then propelled into the uterus with a force which might bring it in too far, thus perforating the uterine wall. In pregnancy, the uterine wall softens considerably and thins out in certain places; if the dilator hits a weakened spot, it might go through it. If the doctor is unaware of this, and often he has no way of knowing, he will pursue the dilatation which will then enlarge the perforation.
When the opening necessary for the abortion has attained the appropriate diameter, the doctor will try to evacuate the uterus but may find that no material is forthcoming because his instruments, instead of being in the uterine cavity, are elsewhere, usually in the abdominal cavity. If the aspiration cannula or sharp curette is used, it may damage the small intestine or rupture a major blood vessel with immediate shock a likely occurrence. Major surgery is then needed to repair the damaged abdominal organs.”
Henry Morgentaler Abortion and Contraception (New York: Beaufort Books, Inc., 1982) 73 – 74Share on Facebook