A qualitative study of digoxin injection before dilation and evacuation

Area of Science:

• Reproductive Health
• Patient Experience Research
• Pharmacology

Background:

• Digoxin is sometimes used prior to dilation and evacuation (D&E) procedures.
• Understanding patient experiences with this intervention is crucial for improving care.

Purpose of the Study:

• To qualitatively explore patients' experiences with digoxin used before D&E.
• To assess patient understanding of digoxin's purpose and effects in this context.

Main Methods:

• Grounded theory analysis of 20 semi-structured interviews with women post-D&E.
• Interviews focused on physical, emotional experiences, and understanding of digoxin's role.
• Thematic saturation guided recruitment cessation.

Main Results:

• Participants reported polarized and nuanced experiences with digoxin.
• Key themes included physical/emotional discomfort, varied understanding of purpose, and reassurance.
• Most experienced negative effects, but some noted positive aspects alongside negative ones.

Conclusions:

• Patient experiences with pre-D&E digoxin are complex, with mixed physical and emotional responses.
• Clarity regarding digoxin's action was high, but its specific purpose was often unclear.
• Healthcare providers should address patient preferences and enhance understanding of digoxin's use.