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Fetus development begins with a single cell which grows into a body of over one hundred trillion cells. The process of reproduction requires male sperm to fertilize the female egg. Millions of sperm race to achieve this task and each one of them has a unique genetic combination. Twenty-three chromosomes from the female and an equal number from the male combine to form an x shape. Later, two of the x shaped chromosomes join and different genes move between the partners. Later, gastrulation occurs in the lining of the uterus. The different types of genes in a cell lead to the various organs that form inside the body like blood vessels and the brain. Cells communicate through chemical messages to identify the region where they are supposed to form an organ. The four chambers of the fetal heart form after four weeks. The fetus has its first heartbeat on the sixth week, but the parents can only hear it after the eighth week.
During the first six to sixteen weeks, abortion practitioners use suction aspiration to perform the process. They insert a cannula to a suction device and then draw the fetus out of the placenta; this procedure requires ten to fifteen minutes. Practitioners use dilation and evacuation after sixteen weeks of gestation. They insert a synthetic dilator into the cervix one day before the procedure. Once fetal death happens, they remove it from the body. Later they use a curette and even forceps to remove residual fetal tissue from the woman's body. The procedure takes fifteen to thirty minutes. Professionals perform dilation and extraction after 21 weeks of gestation. They destroy the fetus' cerebral material and then pull it out of the body using its limbs. The method used by people during the process depends on state law.