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in this video we will discuss d and e abortions otherwise known as dilation and evacuation abortions please be advised that this video contains graphic content this is the second trimester surgical abortion usually done between 13 and 24 weeks this type of abortion usually takes two to three days from start to finish by this point the child can feel pain first somewhere between 24 and 48 hours before the abortion procedure the abortionist inserts something called laminaria into the cervix laminaria is a sterilized seaweed that absorbs water and swells enlarging the cervix this is necessary because the baby is so big at this point when the abortionist deems that the mother's body is ready he gives her anesthesia to block the pain he then inserts a weighted speculum inside her vagina to open the cervix so that he has access to the uterus he must use a weighted speculum because the baby is so large if the opening of the cervix is not large enough for the baby to pass through the abortioni