I just pull down with the forceps and, you know, see what part you have, and see if you can get more of that part out. If you get more of the part out, you twist to try to get more tissue out. If that doesn't happen, then you pull hard enough that it will disarticulate at that point or break off at that point.
Dr. William Fitzhugh, abortionist, in sworn testimony in Carhart vs. Ashcroft, Lincoln, NE, March 30, 2004.