Abortion

On the first day of the process, Tiller kills the baby by injecting a drug called Digoxin into its heart. Tiller guides a long needle through the mother's abdomen into the baby's beating heart.

Tiller claims the baby feels no pain, but he doesn't explain how the heart drug Digoxin can accomplish this.
Also on the first day, Tiller inserts laminaria into the woman's cervix.
Laminaria are thin sticks of seaweed material that absorb moisture and expand. The process dilates (opens) the cervix for the abortion. Tiller will replace the laminaria each day using more sticks each time. This process can take several days.
Several women who have told their abortion stories say the laminaria is very painful. Some say they still experience pain years after their abortions. "Jeanne"said, "I have permanent cervical scarring from the laminaria that will cause me pain the rest of my life." "Jessica" said, "I have had nothing but problems with my female parts. I have had cervical dysplasia, which is bad cells in your cervix that require many painful treatments." "LaDonna" described the pain as Tiller and his staff inserted the laminaria, "I had this horrible pain in my cervix that to this day I can't explain (to this day I still experience that pain from time to time)."
After the baby is dead and the cervix is fully dilated, Tiller delivers the dead baby while the mother is under twilight anesthesia. He uses Versed and Nubain for anesthesia. Misoprostol and Oxytocin are used to induce labor. Misoprostol (Cytotec) is an ulcer medication that is not labeled for use in abortions. Tiller uses this medication "off label."
Up to ten women at a time will be in a communal "labor and delivery" area with only a curtain to separate them.
The whole process takes several days... usually starting on a Tuesday and ending on a Thursday or a Friday. During this time, the mother often stays at a motel. In a video he made, Tiller admits that sometimes a dead baby is born at the motel:
"Probably the last frequently asked question is, "Have we ever had a delivery at the hotel or away from the center?" and the answer to that is "Yes, we have." Since our process is not allowed in any hospital, we occasionally have a delivery away from the center or at the hotel. The good news about that is that in over 10,000 deliveries, we have never had an admission to the hospital or a major complication because we had a delivery away from the center. We sort of conceptualize this as nature taking charge of the process and rushing ahead of the schedule of the doctors, nurses, and their patients. We will agree that it's uncomfortable, it's awkward, it's scary, and it's inconvenient. But the good news is, we have never had a major complication because we had a delivery away from the center or at the hotel."
He also mentions this in the consent form that the woman must sign.
After the dead babies are born, the woman is given the option to cuddle her dead baby and have their picture taken together. This is just one of the many "stillborn activities" that Tiller offers to the mother.
The next day, the woman receives a check-up examination and then is sent home.