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对不孕夫妇的孕前干预措施。

Preconception interventions in infertile couples.

作者信息

Nekuei Nafisehsadat, Kazemi Ashraf, Hasanzadeh Akbar

机构信息

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan, Iran.

Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Educ Health Promot. 2014 Aug 28;3:101. doi: 10.4103/2277-9531.139683. eCollection 2014.

Abstract

BACKGROUND

Preconception interventions in infertile couples can increase the chance of pregnancy and lower its complications. The success in infertility treatment and achieving a successful pregnancy is of great importance among infertile couples compared to others. This study has tried to investigate necessary preconception interventions before beginning of infertility treatment cycle among infertile couples.

MATERIALS AND METHODS

This is a cross-sectional study of 268 individuals presenting to fertility clinics (Moshtagh and Shahid beheshty) across the city of Isfahan, Iran. Simple sampling method was used. Questionnaire and patients' medical records were used to collect data. Descriptive and analytic statistical methods and SPSS software were used for analysis.

RESULTS

The results showed that the interventions related to diseases treatment and prescription of folic acid before the beginning of infertility treatment were complete for most of the subject (47.06% and 79.9% respectively), but referral for genetics counseling had not been conducted in most of the cases (98.9%). Specific interventions in relation with the infertility treatment before beginning the treatment cycle had been conducted in 50% of the subjects.

CONCLUSION

The results of this study showed a weakness concerning necessary preconception interventions before beginning of infertility treatment cycle in most of the studied subjects. With regard to the effect of preconception interventions on outcome of infertility treatment, and with consideration of high importance of pregnancy success in infertile couples, paying more attention to conduct this manner is necessary.

摘要

背景

对不孕夫妇进行孕前干预可增加怀孕几率并降低并发症风险。与其他夫妇相比,不孕夫妇成功治疗不孕并实现成功妊娠至关重要。本研究旨在调查不孕夫妇在开始不孕治疗周期前必要的孕前干预措施。

材料与方法

这是一项对伊朗伊斯法罕市268名前往生育诊所(莫什塔格和沙希德·贝赫什提诊所)就诊的个体进行的横断面研究。采用简单抽样方法。通过问卷调查和患者病历收集数据。使用描述性和分析性统计方法及SPSS软件进行分析。

结果

结果显示,大多数受试者(分别为47.06%和79.9%)在不孕治疗开始前与疾病治疗及叶酸处方相关的干预措施已完成,但大多数情况下(98.9%)未进行遗传咨询转诊。50%的受试者在治疗周期开始前进行了与不孕治疗相关的特定干预。

结论

本研究结果表明,大多数研究对象在不孕治疗周期开始前必要的孕前干预存在不足。鉴于孕前干预对不孕治疗结果的影响,以及考虑到不孕夫妇成功妊娠的高度重要性,有必要更加重视采取这种方式。

相似文献

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Preconception interventions in infertile couples.对不孕夫妇的孕前干预措施。
J Educ Health Promot. 2014 Aug 28;3:101. doi: 10.4103/2277-9531.139683. eCollection 2014.
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Preconception lifestyle advice for people with subfertility.为生育力低下者提供的孕前生活方式建议。
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Exploration of infertile couples' support requirements: a qualitative study.不孕夫妇支持需求的探索:一项定性研究。
Int J Fertil Steril. 2015 Apr-Jun;9(1):81-92. doi: 10.22074/ijfs.2015.4212. Epub 2015 Apr 21.

本文引用的文献

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[Preconception and contraceptive counselling of women with cardiovascular diseases].[心血管疾病女性的孕前及避孕咨询]
Z Geburtshilfe Neonatol. 2012 Apr;216(2):45-53. doi: 10.1055/s-0032-1308957. Epub 2012 Apr 19.
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The impact of preconceptual diet on the outcome of reproductive treatments.孕前饮食对生殖治疗结局的影响。
Curr Opin Obstet Gynecol. 2012 Jun;24(3):127-31. doi: 10.1097/GCO.0b013e3283530524.
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A preconception care program for women in a college setting.孕前保健计划在高校女性中实施。
MCN Am J Matern Child Nurs. 2012 May-Jun;37(3):164-70; quiz 170-2. doi: 10.1097/NMC.0b013e31824b59c7.
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Treating polycystic ovary syndrome and infertility.治疗多囊卵巢综合征和不孕。
MCN Am J Matern Child Nurs. 2012 Mar-Apr;37(2):116-21. doi: 10.1097/NMC.0b013e31824239ce.
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Estimating the prevalence of infertility in Canada.估算加拿大的不孕不育患病率。
Hum Reprod. 2012 Mar;27(3):738-46. doi: 10.1093/humrep/der465. Epub 2012 Jan 17.

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