Dilation and Evacuation (D&E)

Most second trimester abortions (13 weeks to 22 weeks) are done by dilation and evacuation. Before this procedure, the doctor will prepare the cervix by stretching and softening it, and it might take more than one visit. This is done to avoid tearing of the cervix. Most women will experience some pain with this procedure and you may be given pain medicine beforehand. Your doctor will discuss your options, and any risks, for anesthesia.

At the beginning of the procedure, the doctor will remove the fluid surrounding the baby will be removed with a suction device placed into the uterus. The baby and placenta are removed from the uterus using surgical instruments. After 14 weeks, the baby may, placenta and other parts may be removed piece by piece. The procedure ends with a suction device being inserted into the uterus to remove any remaining fetal tissue.

Possible complications include:

  • Death, in rare cases
  • Cervical laceration
  • Hemorrhaging (heavy bleeding) and possible blood transfusions or surgery to stop the bleeding
  • Perforation of the uterus (a hole in the uterus).
  • Failure to remove all parts of the baby and other tissue, including the placenta, may require a follow-up surgical procedure.
  • Injury to the bowel or bladder, if there is a perforation of the uterus
  • Abdominal incision and operation to correct injury
  • Increased risk of infertility (the inability to have a baby) may result if complications occur with the procedure
  • Increased risk of infertility
  • Embolism

If you are unsure about having an abortion please contact us and we can offer you a free pregnancy test, ultrasound, and options counseling.

If you are experiencing a medical emergency please call 9-1-1.


We promise to provide free, confidential, and compassionate care for no cost.

You do not need insurance to receive our free services. Our services include pregnancy tests, individual support, resource help, and community and medical referrals at no cost. We are a confidential center. We do not require parental consent or insurance.

What Are People Saying About Heart of Texas Pregnancy Resource Center?

My experience with Heart of Texas has been amazing. It's incredible how big the hearts are of all the people who work there or volunteer there have. To me, they are like angels because since day one back in 2018 when I took a pregnancy test with them, they have been by my side and want to help as long as I ask for it! They have been a huge help with praying for me & my son, and helping me with clothes & diapers for my son. I appreciate everything they have done for me and my son. I'm thankful that I have a place to go to like the Heart of Texas. I can go for help and not feel uncomfortable or embarrassed because they make you feel like family. They really make you feel loved and cared for. I can't express how blessed I am to have found these wonderful people.
~ Jovanni
Heart of Texas has been a great blessing and more so in this difficult time. They have provided us with necessary resources for my family such as wipes diapers and clothes. The classes they offer are also a great help because I learn how to be a better mom and how to raise my children better. With the heart of texas, it has been easier to cope with such a difficult time that we are living in, God bless each volunteer who always serves us with a smile and kindness and make us feel part of their family. thank you Heart of Texas.
~ Magali
I love volunteering at the Heart of Texas because I can see how they care about woman and their families.
~ Ann