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<nowiki>[D&E abortions up to 24 weeks]</nowiki> were very tough. Sometimes it was a 45-minute operation. I noticed that some of the later D&Es were very, very easy. So I asked myself why can't they all happen this way. You see the easy ones would have a foot length presentation, you'd reach up and grab the foot of the fetus, pull the fetus down and the head would hang up and then you would collapse the head and take it out. It was easy. At first, I would reach around trying to identify a lower extremity blindly with the tip of my instrument. I'd get it right about 30-50 percent of the time. Then I said, "Well gee, if I just put the ultrasound up there I could see it all and I wouldn't have to feel around for it." I did that and sure enough, I found it 99 percent of the time. Kind of serendipity.<ref>"http://www.nrlc.org/abortion/fetal_pain/Haskell%20Cincinnati%20Medicine.pdf", ''Cincinnati Medicine'', Fall 1993</ref>

<nowiki>[D&E abortions up to 24 weeks]</nowiki> were very tough. Sometimes it was a 45-minute operation. I noticed that some of the later D&Es were very, very easy. So I asked myself why can't they all happen this way. You see the easy ones would have a foot length presentation, you'd reach up and grab the foot of the fetus, pull the fetus down and the head would hang up and then you would collapse the head and take it out. It was easy. At first, I would reach around trying to identify a lower extremity blindly with the tip of my instrument. I'd get it right about 30-50 percent of the time. Then I said, "Well gee, if I just put the ultrasound up there I could see it all and I wouldn't have to feel around for it." I did that and sure enough, I found it 99 percent of the time. Kind of serendipity.<ref>"https://www.nrlc.org/abortion/fetal_pain/Haskell%20Cincinnati%20Medicine.pdf", ''Cincinnati Medicine'', Fall 1993</ref>

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[[File:Lilpba5.jpg|thumb|200px| Partial birth abortion: Suctioning the brain out and collapsing the skull]]

[[File:Lilpba5.jpg|thumb|200px| Partial birth abortion: Suctioning the brain out and collapsing the skull]]

The technique gained popularity after Haskell presented a paper about his refinement of the technique, which he was now calling dilation and extraction or D&X, at the 1992 [[National Abortion Federation]] (NAF) Risk Management Seminar in Dallas, Texas.<ref>[http://www.nrlc.org/abortion/pba/pbafact1.html Johnson, D.: "What is partial-birth abortion, and what is the Partial-Birth Abortion Ban Act (HR 1833)?", National Right to Life]</ref>

The technique gained popularity after Haskell presented a paper about his refinement of the technique, which he was now calling dilation and extraction or D&X, at the 1992 [[National Abortion Federation]] (NAF) Risk Management Seminar in Dallas, Texas.<ref>[https://www.nrlc.org/abortion/pba/pbafact1.html Johnson, D.: "What is partial-birth abortion, and what is the Partial-Birth Abortion Ban Act (HR 1833)?", National Right to Life]</ref>

==Controversy==

==Controversy==