It usually includes a combination of vacuum aspiration

Dilation and evacuation (D is done in the second 12 weeks (second trimester) of pregnancy. It usually includes a combination of vacuum aspiration, dilation and curettage (D and the use of surgical instruments (such as forceps).A device called a cervical (osmotic) dilator is often inserted in the cervix before the procedure to help slowly open (dilate) the cervix. Dilating the cervix reduces the risk of any injury to the cervix during the procedure.

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