الهه نمازیان

Infertility is a biological, psychological, and social disorder, and it deeply affects the various aspects of infertile couple’s life. This study aimed to investigate the effect of infertility counseling on promoting the emotional level of infertile couples.

This randomized controlled clinical trial was done by applying available sampling method. Research questionnaire consisted of demographic characteristics and SCREENIVF for investigating the emotional level of infertile couples. Samples were selected from the infertile couples referred to the governmental infertility center to undergo treatment. The study sample size consisted of 30 couples in the intervention and control groups. Firstly, they were asked to answer the questionnaires as pre-test. Then, group counseling sessions were conducted for couples in the intervention group in 6 sessions/45 minutes. At the end of the last session, two groups filled out questionnaires as post-test. Data were analyzed by SPSS 19. Parametric paired T-test was applied to compare the emotional level of couples, and independent T- Test was run to compare the emotional level of couples in two groups.

The two groups were homogeneous in terms of demographic characteristics. The comparison between the emotional level mean in both groups showed that infertility counseling had no effect on their emotional level (p=0.41).

The results indicated that in order to increase the emotional level of infertile couples, it is better to test other counseling approaches with more sessions.

Hyoscine isone the drugs commonly used to improve effacement and dilatation that its efficacy is still questioned. So, this study was performed with aim to evaluate the effect of intravenous hyoscine in labor process of primiparous women.
The triple-blind clinical trial was performed on 300 primiparous pregnant women with term gestational age referred to Kerman Afzalipour hospital in 2015. Samples were randomly divided into two groups of intervention (received hyoscine) and control (received distilled water as placebo). The intravenous single dose injection was conducted at 4 cm dilation and 30-40% of effacement. Maternal status was recorded every one hour. Data were analyzed by software SPSS (version 17) and t-test, Chi-square, correlation and logistic regression. P Mean length of active phase and second stage of labor was higher in case group than control group and the difference between two groups was statistically significant. Also, the mean changes in effacement 1 and 2 hours after injection was statistically significant. While cervical dilatation 1 and 2 hours after injection was not significantly different between case and control groups. The incidence of transient tachycardia and bradycardia fetal heart rate occurred in 78% of case group and in 12.66% of control group (P Mean length of active phase and second stage of labor was higher in those who received hyoscine than the control group. Also, due to the transient drop in occurrence of fetal heart rate which leads to hasty conclusions about the state of fetus, it is better to perform further studies to provide more accuracy in the use of this drug in labor process.