A second 'house of horrors' abortion clinic is being investigated in Texas, just days after Dr Kermit Gosnell was found guilty of murdering newborns at his Philadelphia termination center.
Dr. Douglas Karpen, seen here in court, is accused of killing babies aborted in their third trimester
Other times the fetus was so big he would have to pull it out of the womb in pieces, Karpen's ex-assistant, Deborah Edge, said in an Operation Rescue video, which has prompted a criminal investigation into the doctor.
'Sometimes he couldn't get the fetus out... he would yank pieces – piece by piece – when they were oversize,' Edge explained.
'And I'm talking about the whole floor dirty. I'm talking about me drenched in blood.'
WARNING - Disturbing language