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.

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