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Intact dilation and extraction
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== Indications == As with non-intact D&E or labor induction in the second trimester, the purpose of D&E is to end a pregnancy by removing the fetus and placenta. Patients who have a fetus diagnosed with severe [[congenital anomalies]] may prefer an intact procedure to allow for viewing of the remains, grieving, and achieving [[Closure (psychology)|closure]].<ref name="naf" /><ref name=":02">{{cite book|title=Danforth's Obstetrics and Gynecology|last=Gibbs|first=Ronald S.|publisher=Lippincott Williams and Wilkins|year=2008|isbn=978-0-7817-6937-2}}</ref> In cases where an autopsy has been requested, an intact procedure allows for a more complete examination of the body. An intact D&E is also used in abortions to minimize the passage of instruments into the uterus, reducing the risk of trauma. It also reduces the risk of cervical lacerations that may be caused by the removal of bony parts from the uterus and the risk of retention of fetal parts in the uterus such as brain matter and tissue.<ref name="naf" />
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