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As one practitioner noted, "Classic D&E is accomplished by dismembering the fetus inside the uterus with instruments and removing the pieces through an adequately dilated cervix."<ref name="Haskell"/> He also noted that at and beyond 20 weeks of gestation, most abortionists found the fetal tissues too tough to easily tear apart. Thus, methods were developed to kill the fetus in-utero a day or more prior to dismemberment, so as to allow autolysis or softening of the fetal tissues. This method, however, also carried a risk of infection.<ref name="Haskell"/>

As one practitioner noted, "Classic D&E is accomplished by dismembering the fetus inside the uterus with instruments and removing the pieces through an adequately dilated cervix."<ref name="Haskell"/> He also noted that at and beyond 20 weeks of gestation, most abortionists found the fetal tissues too tough to easily tear apart. Thus, methods were developed to kill the fetus in-utero a day or more prior to dismemberment, so as to allow autolysis or softening of the fetal tissues. This method, however, also carried a risk of infection.<ref name="Haskell"/>

[[California]] [[abortionist]] [[James McMahon]] is credited with resolving the difficulty, around 1983, by developing what he called "intrauterine cranial decompression", involving extensive dilation of the cervix to extract the fetus feet-first, then kill it just before completing the delivery by removing the [[brain]] with a suction cannula.<ref>Tumulty, K.: "[http://www.time.com/time/nation/article/0,8599,1613078,00.html The Abortion Ruling: An Isolated Win?]" ''Time'', April 20, 2007</ref> Ohio abortionist Martin Haskell indicated that he stumbled across the method himself independently of McMahon:

[[California]] [[abortionist]] [[James McMahon]] is credited with resolving the difficulty, around 1983, by developing what he called "intrauterine cranial decompression", involving extensive dilation of the cervix to extract the fetus feet-first, then kill it just before completing the delivery by removing the [[brain]] with a suction cannula.<ref>Tumulty, K.: "[http://www.time.com/time/nation/article/0,8599,1613078,00.html The Abortion Ruling: An Isolated Win?]" ''Time'', April 20, 2007</ref> [[Ohio]] abortionist [[Martin Haskell]] indicated that he stumbled across the method himself independently of McMahon:

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