Abortion Procedures

After Tiller

For the past few days, I have received message after message of requests for me to discuss my thoughts on PBS airing the abortion supporting documentary “After Tiller.” I hadn’t decided if it was worth addressing because I truly don’t want to give it any more attention.

As it turns out, I do have a few things worth mentioning. In fact, I watched “After Tiller.” I thought it was very well done. The producers did a great job of captivating the audience quickly. The movie is, as to be expected of Hollywood, sympathetic to the abortion movement. Honestly, if you’re not careful, you could totally forget about that part and find yourself struggling with misguided sympathy. So, that’s my first word of advice.

If you watch this documentary, guard yourself. I don’t discourage anyone from watching it, but you want to be careful not to scandalize yourself or anyone you’re watching it with, so be cautious. I think it’s a good idea to listen to what our opposition is telling the public, and more importantly, what they are telling themselves.

Researching and understanding the mindset of the pro-choice side is a very important part of being a pro-life activist. However, remember what you are watching. The producers do a great job of turning these late term abortion providers into sympathetic heroes, heroes that risk their lives to perform these “lifesaving medical procedures.”

I mean, look what happened to Dr. George Tiller! He was gunned down in his own church by a crazed pro-lifer. They are risking their lives for women. They are threatened, hunted down, and harassed… all because they perform a legal medical procedure. At least that’s the message Hollywood wants you to hear. It’s certainly the message that you will hear if you don’t guard yourself.

You may read this and say, “Well, that’s not going to happen to me.” We are usually moved to changes in our thinking by SMALL messages that we hear over and over again. I was raised pro-life, but progressively changed over a period of time into becoming a pro-choice advocatee because of those small messages I heard.

Those messages were lies, and so is the message this documentary is trying to send to those willing to believe it, to be deceived by it. A lie can easily be disguised as truth. Be careful. Remember that these physicians abort babies. They are not heroes. On that note, here’s my second word of advice.

The reason this documentary was even able to be created was a direct result of the pro-life movement. Yes, you read that correctly. You see, we give them the material. A self-proclaimed pro-life person killed Dr. Tiller.

Self-proclaimed pro-lifers bomb abortion facilities. Self-proclaimed pro-lifers celebrated the deaths of abortionists. Self-proclaimed pro-lifers protested Dr. Tiller’s funeral with signs that said “Tiller rot in hell” and “Thank God Tiller’s dead.” I remember. I saw them with my own eyes.

We do it when we, as pro-lifers, call abortion providers “baby killers” and “murderers.” We do it when we use crazy, inflammatory language like “death chamber” and “slaughter house” when referring to abortion facilities. We make ourselves look weird. We become un-relatable. We fit the stereotype that pro-choicer advocates are SO desperate to stick on all of us.

As pro-life activists, we make it so easy for them to say, “Look. They are ALL like that.” In my mind, those who promote violence against abortion providers are NOT pro-life people. But my opinion doesn’t really matter. It’s all about perception.

We would do well to ask ourselves, “How are we perceived by our opposition?” Are we someone that an abortion minded woman or an abortion worker would trust to help them? Or have we become so verbally aggressive that they wouldn’t come near us? I am thankful every day that I had rational, kind pro-lifers to turn to in my crisis of conscience.

I realize that this can be a sensitive subject for some people. Some pro-lifers just have to hold on to that inflammatory language created by pro-lifers in order to somehow disrespect pro-choicer’s. The truth is, calling an abortion facility escort a “deathscort” is hilarious to them. Calling an abortion facility an “abortuary” cracks them up.

I remember when we were in meetings about the abortion facility we were constructing in Houston. My boss used to laugh and say, “Now remember, this will be the largest abortuary in the Western Hemisphere.” We would all laugh. We have made ourselves look like fools to them because we insist on using this dramatic language.

Maybe some people are okay with that. I am not one of those people. I sincerely hope for the conversion of each of these people. That is my goal. I want them to have conversions on the issue of life and eventually have conversions to Christ. In order to do that, they have to take me seriously when I talk to them. They have to understand that I genuinely care about them. That won’t happen if I’m mocking them.

Please understand that this doesn’t mean that I EVER water down the truth. If you follow me on Facebook, you know that is true. Nonetheless, I believe that when we speak truth, we must do so with charity, compassion, and benevolence. Otherwise, we become a clanging gong.

An important question to ask ourselves is, “Who are we doing this for?” Are we prolife because it makes us feel good? Are we pro-life because it’s a box we can check off? Are we pro-life because we like running pro-choice advocates into the ground and mocking them? Are we prolife because we are all about being right and winning an argument?

I hope not. I hope we are pro-life because we genuinely care about women, men, families, and babies. I hope we are pro-life because we believe that women deserve better than abortion. Being prolife is not about being right. It’s not about winning an argument. Win an argument, lose a soul.

Christ died so that each of us could live the life He sacrificed for us, a life of holiness, of love, of mercy... He died so that all of us could have eternal life. He died for His enemies too, many of them converted with His prayers and love unending mercy on mankind. He is our example to live by in how to live our lives and to help others live theirs.

You can call someone a “baby killer” all day long. That will only repel them. It definitely won’t bring about a fruitful conversation. I didn’t think I was killing babies when I worked at Planned Parenthood. I didn’t think those terms related to me at all. I was blind. I didn’t see the truth that you see. It was far more effective to reach out to me with genuine care over name calling.

I admit that I’ve only been a pro-lifer for four and a half years, but I have been a student of this debate for 12 and a half years. I’m no expert on all things pro-life, but I know what worked for me, a person who was ENTRENCHED in the abortion lifestyle.

I also know what has worked for the 122 other former abortion facility workers who have come through our ministry, And Then There Were None. None of them decided to leave because someone called them names. Not one of them left because people yelled at them and told them that they were going to hell.

I remember once when someone was attempting to criticize me and they said, “Good grief, Abby. It’s like you think that if we love these baby killers enough, they will convert.” Yes, that’s kind of exactly what I believe.

Before I close, I want to make sure that you don’t fall for the misguided sympathy that these producers of this documentary are trying to guilt you into. I will, once again, describe a third trimester abortion below.

Since the ban on Partial Birth Abortion, abortionists have come up with a different method, and believe it or not, a more dangerous method.

When a woman comes in for a late term abortion, her cervix is dilated through the administration of one out of two medications called misoprostol (Cytotec) and Pitocin and/or Laminaria/Lamicel insertion. Laminaria is made up of sterilized seaweed that looks like tiny tampons. Lamicel is similar, but made up of a synthetic material.

The Misoprostol is taken by mouth prior to surgery and may take several hours to take effect. Misoprostol is a medication administered to relax the cervix muscle so that the surgeon can easily dilate it. Pitocin is also sometimes used to help with this process and is administered intravenously (IV).

If Laminaria or Lamicel is necessary to complete dilation, they must be inserted into the patient’s cervix by the physician prior to the abortion procedure. The Laminaria/Lamicel acts as a sponge by absorbing the moisture in the patient’s vagina, and expanding to gently open the cervix.

Laminaria/Lamicel and Misoprostol will be administered on day one. The physician on day one  will also administer a medication called Digoxin, which is injected into the amniotic fluid. The fetus will then drink in the Digoxin and will overdose in the womb. It can take up to 48 hours for death to occur. During this time, the mother may feel her child struggling to live inside of her womb.

On day two or three, the physician will perform the surgical abortion after the cervix dilation is complete—this may take several hours or overnight. The doctor will remove the Laminaria, if applicable, and insert a speculum into the vagina, and remove the unborn child using vacuum aspiration (suction), forceps, and curettes. The surgical procedure takes approximately 10 – 25 minutes. After the procedure, the mother is taken into the recovery room, where nurses will monitor her for approximately 45 minutes.

Now, that you have read that, remember that these abortionists are misguided. They are sinners, just like you and me. They are also REDEEMABLE. They are not our enemy. Our enemy is the sin of abortion. These lost souls are our brothers and sisters in Christ, should they choose to convert.

Let this be a reminder to pray for their conversion with increased fervor. If you don’t believe that these abortionists featured in “After Tiller” can experience a conversion, then you don’t know the same God I do. The God I serve is in the business of miracles.

Action item: Since PBS is paid for with our tax dollars and they are showing this on their “Point of View” program, then it only makes sense that they would show the opposing point of view related to “After Tiller.” We are asking that they show the awesome pro-life film “40” as part of their programming.

After all, PBS certainly doesn’t want to appear that they are being biased, right? Here’s what you do. Go to the PBS petition to broadcast the pro-life of the debate, and sign the petition. I also strongly encourage you to go to PBS’s website to let them know what you think of this decision. Make your voice heard.

This is precisely how a late abortion is performed: now, tell me about the ‘right to choose’

I realize this post will not be pleasant to read, but I feel it is necessary, especially if we are to fight this battle with facts. I find that most people, on both sides of this debate, don’t actually know how abortion procedures are performed. Showing someone a picture is one thing, but actually describing the process, in detail, of what happens to the woman and her baby during these hours seems to really have an impact on even those who claim to support abortion.

Ever since the ban on partial-birth abortion, abortionists have come up with a different method. Believe it or not, it’s an even more dangerous method. There are currently fewer than 10 physicians in the country that will perform a late abortion procedure.  Out of that small handful, most stop performing abortions at 32 weeks. There is one abortionist, Dr. Warren Hern in Boulder, Colorado, who performs them up until birth.

The following description is of an abortion generally performed after 19 weeks gestation. I have worked firsthand with several of these late abortion providers and know many women who have undergone this procedure.

Let me start by saying that this is not an open door to condemn these women who have chosen a late-term abortion. We need to pray for them to find true healing so that they can move past the regret that they feel after making this decision. It should also not be an opportunity to condemn the physicians who perform this procedure or the other abortion clinic workers who may participate.

Just as I have personally experienced, all people are capable of conversion. We need to pray for their conversion and pray that they will reach out to pro-lifers who will help them make that transition, but we need to make ourselves available to them when that moment comes. Otherwise, if we stand to condemn them they will not reach out to us for help.

For more information about how you can reach out to abortion workers, please visit And Then There Were None.

After a woman comes in for a late-term abortion, her cervix is dilated through the administration of one of two medications, Misoprostol (Cytotec) and Pitocin and/or Laminaria/Lamicel insertion. Laminaria are made of sterilized seaweed and look like tiny tampons. Lamicel are similar, but made of a synthetic material. The Misoprostol is taken orally prior to surgery and may take several hours to work. Misoprostol is a medication administered to relax the cervical muscle so that the surgeon can dilate it easily. Pitocin is also sometimes used to help with this process and is administered through an I.V.

If Laminaria or Lamicel is necessary to complete dilation, they must be inserted into the patient’s cervix by the physician prior to the abortion procedure. The Laminaria/Lamicel act like sponges by absorbing the moisture in the patient’s vagina and expanding to open the cervix.

Laminaria/Lamicel and Misoprostol will be administered on day one. Also, on day one, the physician will also administer a medication called Digoxin. This medication will be injected into the amniotic fluid. The fetus will then drink in the Digoxin and will overdose in the womb. It can take up to 48 hours for death to occur. During this time, the mother may feel her child struggling as he/she dies in her womb.


When the woman leaves the abortion facility on the first day, she is sent home with a “delivery kit” just in case she goes into labor at the hotel. This kit includes towels, scissors to cut the umbilical cord, and a biohazard waste bag that she could put her baby and placenta in.

It doesn’t happen very often, but there is always a chance that she could deliver the baby early. In this case, she is instructed not to go to the emergency room. She is told to call the abortion clinics on-call nurse who will come to the hotel and assist her during the delivery.

On day two or three (depending on how quickly the baby dies), the physician will perform the surgical abortion after dilation of the cervix is complete — this may take several hours or overnight. The doctor will remove the Laminaria (if applicable), insert a speculum into the vagina, and remove the unborn child using vacuum aspiration (suction), forceps, and curettes.

The woman is usually sedated so that she is unconscious during the actual abortion. The nurses and technicians will physically push on her belly to help the physician pull the pieces of the baby out. The surgical procedure takes approximately 10 – 25 minutes.

After surgery, the mother is taken into the recovery room where nurses will monitor her for approximately 45 minutes. She is sent home with several medications including anti-nausea medication, narcotics for pain relief, at least two different antibiotics, a medication that will contract the uterus to stop bleeding, and anything else the physician deems necessary.

The woman is not required to follow up with the physician. She is asked to follow up with a different physician in her area. If she has complications, the abortion facility will in almost all cases refer her to the emergency room.

The Guttmacher Institute states that approximately 13,000 babies die this torturous death. Most abortion supporters will argue that these babies have terminal illnesses anyway, so this is a better option. However, increasing numbers of former abortion clinic workers are coming forward and stating that the majority of these babies aborted were perfectly healthy with no illnesses.

I personally have medical records from several women who now regret their decision to have a late-term abortion. The “medical” reason stated for their abortions was the same, “patient is not prepared for a child.” Last I checked, being unprepared for the birth of a child is not a medical condition. Unfortunately, this is the result of bills being passed that include a “health of the mother exception.” The “health” of the mother is entirely subjective and can be determined by the abortion staff.

All abortion is heinous. As difficult as it is to endure the details of abortion, we as pro-lifers know that all babies have equal humanity, regardless of their age. We must fight to save all of them.

**The original article was published by LifeSiteNews.com. Any reproduction or quotation from this article must give appropriate credit and sourcing to their website. 

Miscarriage Management

At Planned Parenthood, we had many protocols.  Protocols on billing, customer service, client donations, medical services, counseling, et cetera. You name it, we had a protocol for it. It was my job as clinic director to know all of them, and I did. None of the protocols were terribly interesting. None of them, except one.

Buried at the back of this daunting folder of protocols, there was one that wasn’t often talked about. However, we needed it to exist and we needed to know it, just in case.

The protocol I’m referring to was simply called “Miscarriage Management.” This was preparation for when abortion would made illegal. What would all of these women do if they couldn’t walk into a Planned Parenthood for an elective abortion? We had an answer for that written in this three-page protocol.

We would instruct women to take medications and/or vitamins to end their pregnancy. Some of those on the list included Vitamin C, Black or Blue Cohosh, or Misoprostol bought online. We would instruct them on the amount they needed to ingest in order to terminate their pregnancy.

We would give them warning signs. These signs would help them to decide whether they needed to go directly to the emergency room. If everything went as planned, they would be instructed to come to our facility for an ultrasound to confirm fetal demise and an MVA (Manual Vacuum Aspiration). This would not technically be considered an abortion since the death of the child had happened outside of our facility.

Of course, there would also be a fee for this “miscarriage management” service. You certainly didn’t think they would do this out of the kindness of their hearts, did you?

I want you to really mull this over in your mind. Abortion supporters are CONSTANTLY talking about “unsafe abortion.”  They are ALWAYS waving around those ridiculous coat hangers. They are seriously advocating for and willing to coach women on how to carry out an unsafe abortion on their own?

They could talk to these women about other options. Heck, maybe Planned Parenthood could actually become a center that provided prenatal care and adoption services. They could begin giving out material assistance to women in need, but no.

Instead, they would rather, simply stated, help women harm themselves. Why? Is it that they “care” so much for women? I think not. This is simply a way for them to keep their abortion dollars coming in, even if abortion were to become legally obsolete.

If this is carried out, abortion supporters will be right. Women will be dying from 'illegal abortions.' Not because of the pro-life movement, but because of their own so-called "women's rights" movement in which they're actually causing women's death.

“Miscarriage management,” we could also call it, “How to help women carry out an illegal abortion.” I'm guessing that with the closing of all of these abortion centers and so many states with only one abortion clinic, Planned Parenthood is dusting off this protocol.

However, women deserve better than abortion, whether it’s legal or illegal.

Texas Sized Victory!

I never thought I would get such a huge blessing on Halloween, but I did. We found out on October 31st that all four parts of the Texas Pro-Life Omnibus Bill will be placed into effect as planned.

Here are the components:

1. Any physician committing abortion must have privileges at a hospital within a 30 mile radius of where they practice. Began November 1, 2013.

2. The RU-486 abortion procedure (medical abortion) must be provided by FDA guidelines. Began November 1, 2013.

3. Abortions after 20 weeks gestation are no longer legal. Began October 29, 2013.

4. Any facility providing abortions must be licensed as an Ambulatory Surgical Center. Begins September 1, 2014.

All of these regulations just make sense. If a physician is not able to get hospital privileges, then I probably don't want him performing surgery on me. It's really that simple.

I've never had surgery where my physician would not be able to treat me if complications arose. However, that is precisely what women are subjected to when they have an abortion. They usually don't even know the name of the doctor that performed the abortion.

If, by chance, they do learn the doctor’s name, he/she won't be the one to care for her if she ends up at the hospital anyway. Now, that is what you call poor patient care. The RU-486 changes will include more visits to the actual physician who will give you the abortion medication. What a lofty idea!! To be able to meet and speak with the physician who will be giving you medication that could potentially kill you, and will, most definitely, kill your unborn child. Wow. What a concept.

I will only say one thing about the 20 week ban. If you can't decide whether or not you want to have an abortion in FIVE months, then you need counseling, not an abortion. And, don't give me some ridiculous line like, "But, what if the baby is diagnosed with Down's Syndrome or some other syndrome that deems them imperfect?" Excuse me, but those "imperfect" children have the exact same value that anyone else has. They don't deserve to die.

The last part of the bill is really the most detrimental to the abortion industry. This is the portion that will shut down all, except for 6, abortion clinics in the state. It's not ready to go into effect until next year. All I can say that is that September 1, 2014 is going to be a HUGE day of celebration.

This section of the bill will be the part that most significantly reduces the number of abortions performed in Texas. Requiring a facility that performs surgery to be licensed as an Ambulatory Surgical Center is not a crazy idea. It's actually a very logical and practical idea, also increasing the safety standards for women.

There are MANY abortion facilities in Texas that would not be able to accommodate emergency personnel if they were called. They would not be able to fit a gurney into the hallways or rooms. They may not even be able to fit through the front door. This is a major safety issue. This portion of the bill will rectify that issue.

There are CURRENT abortion clinics that have window AC units in the rooms where abortions are performed. It’s supposed to be a sterile environment. So, under these new regulations, that will no longer be allowed. Facilities will be required to have hospital grade HVAC systems to ensure sterility. Other requirements include life-saving equipment, elevators that can be used during emergencies (you know, so they can safely transport patients), increased reporting to the state, and additional medical staff.

These regulations shouldn’t come as a surprise because this should be standard procedure for any provider offering surgical services. Thankfully, this will now be the standard for abortion facilities across the state.

Will these regulations cost the abortion industry money? Yes, they will. However, it’s a billion dollar industry, so that shouldn't be a problem. And, of COURSE these facilities would want to meet these higher standards because certainly their first priority is the safety of their patients, right? Wrong.

The abortion industry has been kicking and screaming like my toddler for the past few months. But, on Halloween, they officially lost. Now, that doesn't mean their tantrum is over. It does mean, though, that their little fits of rage will fall on deaf ears.

In the end, we won, so did babies, mothers, and families. Can I call this a victory? Well, in the last three months, we have seen 7 Planned Parenthood facilities close such as Burleson, Corsicana, Bryan (abortion providing), Lufkin, Huntsville, Midland (abortion providing) and San Angelo (abortion providing). As of November 1st, we have seen an additional 16 abortion facilities cease to commit abortions. From 42 clinics to 19 in three months... Yeah, I'll call that a win.