Issues which "may frankly be too dangerous for pro-choice movements to acknowledge"

At the Abortioneers blog, one abortion clinic worker post the entirety of a journal article (with the exception of references) focusing on second-trimester abortions and why some abortionists don't perform them. It is written by a female abortionist who is extremely direct and the article includes a number of personal stories relating to abortion. She talks about "the personal and psychological aspects" of performing second trimester abortions, the "visual and visceral dimensions of second trimester abortion," the "violence inherent in abortion, especially apparent in the second trimester" and "legitimate ethical and moral issues providers may have with second trimester abortion, as distinct from first trimester abortion."

I would strongly suggest you read the whole thing. Here are some excerpts:

When I was a little over 18 weeks pregnant with my now pre-school child, I did a second trimester abortion for a patient who was also a little over 18 weeks pregnant. As I reviewed her chart I realised that I was more interested than usual in seeing the fetal parts when I was done, since they would so closely resemble those of my own fetus. I went about doing the procedure as usual, removed the laminaria I had placed earlier and confirmed I had adequate dilation. I used electrical suction to remove the amniotic fluid, picked up my forceps and began to remove the fetus in parts, as I always did. I felt lucky that this one was already in the breech position – it would make grasping small parts (legs and arms) a little easier. With my first pass of the forceps, I grasped an extremity and began to pull it down. I could see a small foot hanging from the teeth of my forceps. With a quick tug, I separated the leg. Precisely at that moment, I felt a kick – a fluttery “thump, thump” in my own uterus. It was one of the first times I felt fetal movement. There was a leg and foot in my forceps, and a “thump, thump” in my abdomen. Instantly, tears were streaming from my eyes – without me – meaning my conscious brain - even being aware of what was going on. I felt as if my response had come entirely from my body, bypassing my usual cognitive processing completely. A message seemed to travel from my hand and my uterus to my tear ducts. It was an overwhelming feeling – a brutally visceral response – heartfelt and unmediated by my training or my feminist pro-choice politics. It was one of the more raw moments in my life. Doing second trimester abortions did not get easier after my pregnancy; in fact, dealing with little infant parts of my born baby only made dealing with dismembered fetal parts sadder......

Currently, the violence and, frankly, the gruesomeness of abortion is owned only by those who would like to see abortion (at any time in pregnancy) disappear, by those who stand outside clinics and in front of sports arenas holding placards with pictures of fetal parts and partially dismembered fetal bodies. The pro-choice movement has not owned or owned up to the reality of the fetus, or the reality of fetal parts. Since the common anti-abortion stance is that the fetus has a right to life, those who support abortion access necessarily deny such a right. However, in doing so, the fetus is usually neglected entirely, becomes unimportant, nothing. Instead of acknowledging what is on the placards, abortion rights activists may say in response to them that they are fake pictures or that abortions don't really look like that. However, to a doctor and clinic team involved in second trimester abortion, they very well may. Of course, acknowledging the violence of abortion risks admitting that the stereotypes that anti-abortion forces hold of us are true – that we are butchers, etc.