Two new changes came into play for abortionists willing to do late abortions.
The first was the popularization of Jim McMahon's "intrauterine cranial
decompression" abortions by Martin Haskell. The second was the budding
market for fetus parts.
McMahon's method arose to answer a number of issues. First, in later
abortions, the bony fetus parts could injure the mother and cause such
horriffic complications as disseminated intravascular coagulopathy (DIC).
DIC would happen when the mother's body noticed fetal tissue in the bloodstream
and tried to dissolve it by releasing blood thinners. Because the woman's
blood would no longer clot, she was very likely to bleed to death from
even minor lacerations. Although killing the baby the day before reduced
the amount of force needed to dismember the baby, the abortionist was still
removing fairly hard and sharp bony parts. Removing the fetus entact would
reduce this problem considerably. The other problem was the risk of infection
when the fetus was killed the day before the procedure. Yes, it softened
the tissues, but it was essentially a rotting process, which aside from
being esthetically nasty was an invitation to infection. Removing the baby
entact eliminated the need to kill it prior to the procedure.
Entact extraction also solved the problem of what to do with parents
who wanted to see the aborted baby (for whatever reason). This was a touchy
subject when the baby had to be reassembled like a macabre jigsaw puzzle.
National Abortion Federation members, discussing the issue, indicated that
they reassembled the baby then covered it with a towel. They would then
lift the towel just over the head, or the legs, to show the parents parts
rather than a dismemebered mess. Entact extraction simplified this matter
-- all the practitioner had to do was stuff the head with gauze or cotton
to round it out, and he had a very presentable fetus to show to the parents.
This process of viewing the fetus was most common in eugenics abortions,
in which a fetus was being targeted for death because it was believed to
be handicapped or sickly.
The second change that altered the landscape of late abortion was the
growing market
for fetal tissues for experiments and medical uses. Such experiments
and medical uses required fresh tissue. The popular method of killing the
baby the day before the abortion would deliver rotted tissue -- not useful
for experiments. Likewise, dismembering a live baby tended to crush and
mangle tissues. And, of course, saline abortions would provide a virtually
pickled corpse, again, not useful for medical experiments. Entact extraction,
on the other hand, provides a fresh
(sometimes even live) specimin.
Since the only parents who usually wanted to see and hold the baby were
those who had aborted sickly or otherwise imperfect children, the typical
elective late abortion fetuses were immediately available for processing.
Selling the fetuses also solved an additional problem -- how to dispose
of the bodies. Burning them, having them hauled off for incineration, and
grinding them up and flushing them down the toilet or garbage
disposal all had their drawbacks and expenses. Some facilities took
to dumping
or stockpiling
fetuses, which could lead to embarrassment if the fetuses were discovered.
These two parallel developments -- entact extraction and a market for
fetuses -- would prove to be an almost irrestible temptation for many abortionists.