University of California obgyn Sadra Goldsmith:
“The gynecologist is aware of being the active agent in a D&E procedure [because he/she] is the one who is crushing and dismembering the fetus.”
“MD Shun 16th Week D&E as Reminder of Destroyed Fetus” Medical Tribune January 25, 1978, p 9
This is a diagram of the procedure she is talking about:
