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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

Open Access 01-12-2020 | Infertility | Research article

The effectiveness of a collaborative infertility counseling (CIC) on pregnancy outcome in women undergoing in vitro fertilization: a randomized trial

Authors: Mahboobeh Rasoulzadeh Bidgoli, Robab Latifnejad Roudsari, Ali Montazeri

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

The optimal objective of infertility treatments is to increase pregnancy rate. The aim of this study was to assess the effectiveness of a collaborative counseling program on pregnancy rate in women undergoing in vitro treatment.

Methods

This was a parallel group randomized trial on a sample of 60 women attending to an infertility research center affiliated to Mashhad University of Medical Sciences for fertility treatment. Women were randomly assigned to an intervention or a control group. Then, a five-session program offered to the intervention group while the control group received nothing expect the usual care. The primary outcome for the study was positive pregnancy test at the end of study. Statistical analyses including independent samples t-test were performed to explore the data.

Results

The outcome analysis showed that there were no significant differences in pregnancy rate between the intervention and the control groups (P = 0.298). Also, there were no significant differences in follicle and embryo numbers between two groups. However, a significant difference was observed between two groups in terms of oocyte numbers where the intervention group had more oocyte (P = 0.014).

Conclusion

Overall the findings indicated that the collaborative infertility counseling did not improve treatment success in infertile women undergoing in vitro fertilization.

Trial registration

IRCT201110267915N1. Registered 2014.07.25-Retrospectively registered (http://​en.​irct.​ir/​trial/​8359).
Literature
1.
2.
Berek JS. Berek & Novaks Gynecology. 14th ed. New York: Wolters and Cluwer; 2012.
3.
Vahidy S, Ardalan A, Kazem M. The survey of prevalence of primary infertility in Iran 83-84. J Reprod Infertil. 2007;3(9):243–51 [In Persian].
4.
Rayan KJ, Berkowits RS, Dunif A. Kistner's Gynecology & Women’s health. 7th ed. New Yourk: Mosby; 1999.
5.
Balen AH. Infertility in practice. 3rd ed. London: Informa health care; 2008. p. 1-4.CrossRef
6.
Schanz S, Reimer T, Eichner M, Hautzinger M, Hafner HM, Fierlbeck G. Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study. Fertil Steril. 2011;96(2):416–21.CrossRef
7.
Peterson BD, Newton CR, Rosen KH, Skaggs G. Gender differences in how men and women who are referred for IVF cope with infertility stress. Hum Reprod. 2006;21(9):2443.CrossRef
8.
Pasch LA, Dunkel-Schetter C, Christensen A. Differences between husbands' and wives' approach to infertility affect marital communication and adjustment. Fertil Steril. 2002;77(6):1241–7.CrossRef
9.
Wilson A, Weedin E, Carter A, White D, Hansen KR, Craig LB. Does infertility treatment affect marital satisfaction? A Pilot Study. Fertil Steril. 2014;2(101):e8–9.CrossRef
10.
Tao P, Coates R, Maycock B. Investigating marital relationship in infertility: a systematic review of quantitative studies. J Reprod Infertil. 2012;13(2):71–80.PubMedPubMedCentral
11.
Li J, Long L, Liu Y, He W, Li M. Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women participated to first in vitro fertilization treatment. Behav Resear Therap. 2016;77:96–104.CrossRef
12.
Ramezanzadeh F, Noorbala A, Afzali M, Abedinia N, Rahimi A, Shariet M, et al. Effectiveness of psychiatric and counseling interventions on fertility rate in infertile couples. Tehran Univ Med J. 2007;65(8):57–63 [In Persian].
13.
Hashemieh C, Samani LN, Taghinejad H. Assessment of anxiety in pregnancy following assisted reproductive technology (ART) and associated infertility factors in women commencing treatment. Iran Red Crescent Med J. 2013;15(12):e14465.CrossRef
14.
Morshed-Behbahani B, Mossalanejad L, Shahsavari S, Dastpak M. The experiences of infertile women on assistant reproductive treatments: a phenomenological study. Iran Red Crescent Med J. 2012;14(6):382–3.PubMedPubMedCentral
15.
Campagne DM. Should fertilization treatment starts with reducing stress? Hum Reprod. 2006;21(7):1651–8.CrossRef
16.
Csemiczky G, LandGgren B, Collins A. The influence of stress and state anxiety on the outcome of IVF treatment: psychological and endocrinological assessment of Swedish women entering IVF treatment. Acta Obstet Gynecol Scand. 2000;79(2):113–8.CrossRef
17.
Valiani MAS, Ahmadi SM, Pahlavanzade S. The effects of relaxation on outcome treatment in infertile women. Complement Med. 2014;4(2):845–53 [In Persian].
18.
Gürhan N, Akyüz A, Atici D, Kisa S. Association of depression and anxiety with oocyte and sperm numbers and pregnancy outcomes during in vitro fertilization treatment. Psychol Rep. 2009;104(3):796–806.CrossRef
19.
Latifnejad Roudsari R, Allan HT. Women’s experiences and preferences in relation to infertility counselling: a multifaith dialogue. Inter J Fertil Steril. 2011;5(3):158–67.
20.
Boivin J, Gameiro S. Evolution of psychology and counseling in infertility. Fertil Steril. 2015;104(2):251–9.CrossRef
21.
Latifnejad Roudsari R, Rasoulzadeh Bidgoly M, Mousavifar N, Modarres GM. The effect of collaborative counseling on perceived infertility-related stress in infertile women undergoing IVF. Iran J Obstet Gynecol Infertil. 2011;14(4):22–31 [In Persian].
22.
Rasoulzadeh Bidgoli M, Latifnejad RR. The effect of the collaborative infertility counseling model on coping strategies in infertile women undergoing in vitro fertilization: a randomized controlled trial. Int J Wom Heal Reprod Sci. 2018;6(1):47–54.CrossRef
23.
Latifnejad Roudsari R, Rasoulzadeh BM. The effect of collaborative infertility counseling on marital satisfaction in infertile women undergoing in vitro fertilization: a randomized controlled trial. Nur Midwif Stud. 2017;6(2):e36723.
24.
Anderheim L, Holter H, Bergh C, Möller A. Extended encounters with midwives at the first IVF cycle: a controlled trial. Reprod BioMed Online. 2007;14(3):279–87.CrossRef
25.
Vizheh M, Pakgohar M, Babaei G, Ramezanzadeh F. Effect of counseling on quality of marital relationship of infertile couples: a randomized, controlled trial (RCT) study. Arch Gynecol Obstet. 2013;287(3):583–9.
26.
Boivin J. A review of psychosocial intervention in infertility. Soc Sci Med. 2003;57(12):2325–41.CrossRef
27.
Tüzer V, Tuncel A, Göka S, Doğan Bulut S, Yüksel FV, Atan A, et al. Marital adjustment and emotional symptoms in infertile couples: gender differences. Turk J Med Sci. 2010;40(2):229–37.
28.
Khodakarami N, Hashemi S, Seddigh S, Hamdiyeh M,  Taheripanah R. Life experience with infertility; a phenomenological study. J Reprod Infertil. 2010;4(10):287–97 [In Persian].
29.
Maleki-Saghooni N, Amirian M, Sadeghi R, Latifnejad RR. Effectiveness of infertility counseling on pregnancy rate in infertile patients undergoing assisted reproductive technologies: a systematic review and meta-analysis. Int J Reprod Biomed. 2017;15(7):391–402.CrossRef
30.
Kelsey JL, Whittemore AS, Evans AS, Thompson WD. Methods in observational epidemiology. 2nd ed. New York: Oxford University Press; 1996.
31.
Covington SN, Adamson GD. The collaborative reproductive healthcare model is a patient-centred approach to medical and psychosocial care. In: Covington SN, Fertility SG, Maryland R, editors. Fertility counseling: clinical guide and case studies. London: Cambridge University Press; 2015. p. 1–10.
32.
Boivin J, Griffiths E, Venetis C. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ. 2011;342:d223.CrossRef
33.
Hämmerli K, Znoj H, Barth J. The efficacy of psychological interventions for infertile patients: a meta-analysis examining mental health and pregnancy rate. Hum Reprod Update. 2009;15(3):279–95.CrossRef
34.
Kapfhamer JD, Strawn EY, Eastwood D, Szabo A. Pregnancy rate in women with primary infertility based on self reported stress level at the time of initial infertility consultation with a reproductive specialist. Fertil Steril. 2013;100(3):S413.CrossRef
35.
Hashemi S, Simbar M, Ramezani-Tehrani F, Shams J, Majd HA. Anxiety and success of in vitro fertilization. Europ J Obstet Gynecol Reprod Bio. 2012;164(1):60–4.CrossRef
Metadata
Title
The effectiveness of a collaborative infertility counseling (CIC) on pregnancy outcome in women undergoing in vitro fertilization: a randomized trial
Authors
Mahboobeh Rasoulzadeh Bidgoli
Robab Latifnejad Roudsari
Ali Montazeri
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-03417-6

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