Philadelphia abortionist Kermit Gosnell, 72, is now facing trial and is charged with eight counts of murder. The trial is now in its fifth week and could last another month.

Gosnell is accused of first-degree murder in the deaths of seven newborns and third-degree murder for the death of one of his patients.

Investigators of his Philadelphia abortion clinic described it as a “house of horrors.”

“My grasp of the English language doesn’t really allow me to fully describe how horrific this clinic was — rotting bodies, fetal remains, the smell of urine throughout, blood-stained,” Philadelphia District Attorney Seth Williams said during the trial, according to CNN.

Below are 58 graphic details that are included in the grand jury report and other media stories about the case as it continues:

The abortions of “really big ones” [illegal late-term abortions] were scheduled for Sunday, when no employees were around. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

Gosnell only allowed his wife, Pearl, to assist him with the “really big ones” – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

One employee testified that on Monday mornings he would find bloody instruments in the sink even though they had all been cleaned before the facility closed on Saturday. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania Most of the time, eight or 10 women were kept in a single room, moaning and groaning in pain. Gosnell’s instructions were to drug them up as much as possible to “quiet them.” – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

One woman patient was left lying in pain after Gosnell tore her cervix and colon after he botched an abortion. Afterwards, at a local hospital, doctors had to remove a foot of the woman’s intestines. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania Gosnell sent a woman patient home with parts of a baby still inside of her. She almost died after contracting a serious infection. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

After delivering babies, patients would have to just sit and wait – sometimes on a toilet for hours – until Gosnell arrived. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania “I would take the woman to the bathroom, they would sit on the toilet and basically the baby would fall out and it would be in the toilet and I would be rubbing her back and trying to calm her down for two, three, four hours until Dr. Gosnell comes,” said one employee – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania One worker testified that a woman had delivered a large baby into the toilet before Gosnell arrived at work for the night. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania One employee said that the baby was moving and looked like it was swimming. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

That’s when an employee reached into the toilet, got the baby out and cut its neck. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania A handyman who cleaned the clinic and bagged its infectious material testified that sometimes patients “miscarried or whatever it was” into the toilet and clogged it. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania “I told the doc I would remove the toilet and lay it on its side, but somebody else would have to clean that out,” the handyman said. – Philadelphia Inquirer Gosnell did not pay his bills in a timely manner, and the disposal provider would not pick up fetal remains on time – sometimes for months. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

Sometimes, according to an employee, fetal remains were left out overnight. “You knew about it the next day when you opened the door … Because you could smell it as soon as you opened the door.” – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania One woman patient, Karnamaya Mongar, a 41-year-old immigrant, died after an abortion in Gosnell’s clinic. - NBC Philadelphia According to testimony, Gosnell administered four doses of anesthesia to Mongar, which caused her skin to turn gray and slowed her breathing. - NBC Philadelphia Gosnell continued to perform the abortion, and once the procedure was over, he started CPR on Mongar and told Williams to call 911. - NBC Philadelphia

The employee said Gosnell told him that he was photographing women from Liberia and other African countries who had undergone clitorodectomies, the surgical removal of the clitoris. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania Gosnell would often show the photographs to an employee and exclaim about the skill of the surgeons who had sewn the women’s labia together, leaving only a small opening to allow menstrual flow. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

Gosnell began an abortion on a 29-week pregnant woman and then refused to take dilators out when the woman changed her mind. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

The woman went to a hospital where it was determined at the hospital that she was 29 weeks pregnant. A few days later, she delivered a premature baby girl. - Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

The baby was treated at Children’s Hospital of Philadelphia and is today a healthy kindergartener. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

Gosnell became a key figure in “the super-coil fiasco” – where he tested a device for simpler, cheaper and less painful abortions in the 1970s. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

The super coil device was basically plastic razors that were formed into a ball coated into a gel, so that they would remain closed. These would be inserted into the woman’s uterus. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

After several hours of body temperature, it would then, the gel would melt and the device would spring open, supposedly cutting up the fetus, and the fetus would be expelled. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania

Fifteen women in their second trimester of pregnancy boarded a bus in Chicago and headed for Philadelphia, where Gosnell had agreed to give them super-coil abortions at his clinic. - Philadelphia Inquirer

Serious complications suffered by nine of the 15 women, including one who needed a hysterectomy. The complications included a punctured uterus, hemorrhaging, infections and retained fetal remains. - Philadelphia Inquirer Gosnell’s super-coil abortions were filmed and later shown on a New York City educational-TV program - Philadelphia Inquirer

Gosnell experimented with a procedure to inject a drug called digoxin into the fetus’s heart while it was in the womb. This was supposed to cause fetal demise in utero. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania Sometimes Gosnell would “crack” the neck after the head was out – when only the baby’s torso was still inside the mother – and then suction the brain matter out. – Report of the Grand Jury XXIII MISC. NO.0009901-2008 in the First Judicial District of Pennsylvania During testimony at his trial, Gosnell “calmly watched and occasionally took notes with a vague hint of a smile on his face from time to time.” – Delaware News Journal