>actually uses a coat hanger to abort?
Here's a diagram of a medical procedure called a dilation and curettage used to remove the lining of the uterus. Mentally replace the 'Biopsy Catheter' with your implement of choice. In the scenario you suggest you could replace the speculum with a firm plastic soda bottle with the bottom removed and replace the catheter with a coat hanger. There are better implement choices available, even in the proverbial 'back alley'.