Nekuei Nafisehsadat, Kazemi Ashraf, Hasanzadeh Akbar
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.
J Educ Health Promot. 2014 Aug 28;3:101. doi: 10.4103/2277-9531.139683. eCollection 2014.
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.
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.
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.
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.
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。
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。
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。
