Editing Abortion (section)

===Labor induction abortion===
In places lacking the necessary medical skill for dilation and extraction, or when preferred by practitioners, an abortion can be induced by first [[Labor induction|inducing labor]] and then [[Late termination of pregnancy#Methods|inducing fetal demise]] if necessary.<ref name=GLOWM_Late>{{cite journal| last = Borgatta | first= Lynn |journal=Global Library of Women's Medicine| date=December 2014 |volume=GLOWM.10444| doi=10.3843/GLOWM.10444| url=http://www.glowm.com/section_view/heading/Labor%20Induction%20Termination%20of%20Pregnancy/item/443| access-date=25 September 2015| title=Labor Induction Termination of Pregnancy| url-status=live| archive-url=https://web.archive.org/web/20150924082507/http://www.glowm.com/section_view/heading/Labor%20Induction%20Termination%20of%20Pregnancy/item/443| archive-date=24 September 2015| url-access=subscription}}</ref> This is sometimes called "induced miscarriage". This procedure may be performed from 13 weeks gestation to the third trimester. Although it is very uncommon in the United States, more than 80% of induced abortions throughout the second trimester are labor-induced abortions in Sweden and other nearby countries.<ref name=Labor_Induced_Abortion>{{cite journal | last1 = Borgatta | first1= Lynn  |first2 =Nathalie |last2 =Kapp| title = Clinical guidelines. Labor induction abortion in the second trimester | journal = Contraception | volume = 84 | issue = 1 | pages = 4–18 | date = July 2011 | pmid = 21664506 | doi = 10.1016/j.contraception.2011.02.005 | url = http://www.contraceptionjournal.org/article/S0010-7824(11)00057-6/pdf | access-date = 25 September 2015 | url-status = live | quote = 10. What is the effect of feticide on labor induction abortion outcome? Deliberately causing demise of the fetus before labor induction abortion is performed primarily to avoid transient fetal survival after expulsion; this approach may be for the comfort of both the woman and the staff, to avoid futile resuscitation efforts. Some providers allege that feticide also facilitates delivery, although little data support this claim. Transient fetal survival is very unlikely after intraamniotic installation of saline or urea, which are directly feticidal. Transient survival with misoprostol for labor induction abortion at greater than 18 weeks ranges from 0% to 50% and has been observed in up to 13% of abortions performed with high-dose oxytocin. Factors associated with a higher likelihood of transient fetal survival with labor induction abortion include increasing gestational age, decreasing abortion interval and the use of nonfeticidal inductive agents such as the PGE1 analogues. | archive-url = https://web.archive.org/web/20200606205318/https://www.contraceptionjournal.org/article/S0010-7824(11)00057-6/pdf | archive-date = 6 June 2020 | doi-access = free }}</ref>

Only limited data are available comparing labor-induced abortion with the dilation and extraction method.<ref name=Labor_Induced_Abortion/> Unlike D&E, labor-induced abortions after 18 weeks may be complicated by the occurrence of brief fetal survival, which may be legally characterized as live birth. For this reason, labor-induced abortion is legally risky in the United States.<ref name=Labor_Induced_Abortion/><ref name=NAF_2015_Policy>{{cite book| title=2015 Clinical Policy Guidelines| publisher=National Abortion Federation| date=2015| url=http://prochoice.org/wp-content/uploads/2015_NAF_CPGs.pdf| access-date=30 October 2015| quote=Policy Statement: Medical induction abortion is a safe and effective method for termination of pregnancies beyond the first trimester when performed by trained clinicians in medical offices, freestanding clinics, ambulatory surgery centers, and hospitals. Feticidal agents may be particularly important when issues of viability arise.| url-status=live| archive-url=https://web.archive.org/web/20150812220053/http://prochoice.org/wp-content/uploads/2015_NAF_CPGs.pdf| archive-date=12 August 2015}}</ref>