This study was done to document the feasibility of intra-amniotic digoxin administration for inducing fetal demise prior to medical abortion beyond 20 weeks of gestational age. Additionally, this study aimed to demonstrate that this skill could be transferred to obstetrics and gynecology residents.

49 women received intra-amniotic digoxin during the study period. The success rate of intra-amniotic digoxin in this study was 95.9%. Thirty-seven procedures were performed by obstetrics and gynecology residents and 12 were performed by family planning faculties. No other serious maternal complications were observed.

This study concludes that it is feasible for obstetrics and gynecology trainees in Ethiopia to learn how to safely administer intra-amniotic digoxin to induce fetal demise for induced medical terminations.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial IGO License (CC BY-NC 3.0 IGO), which permits use, distribution, and reproduction for non-commercial purposes in any medium provided the original work is properly cited. In any reproduction of this article, there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL.

Reference: https://srh.bmj.com/content/46/4/308