Title:Comparison of Midwifery Consultation and Fluoxetine on IVF Outcomes in Depressed Infertile Women: A Clinical Trial Research Study
Volume: 17
Issue: 2
Author(s): Sedigheh Keshavarz, Bahar Morshed-Behbahani, Mohammad Ebrahim Parsanezhad and Marzieh Akbarzadeh*
Affiliation:
- Department of Midwifery, Maternal-Fetal Medicine Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz,Iran
Keywords:
Infertility, depression, Fluoxetine, midwifery, consultation, IVF.
Abstract:
Background: A lot of research has been done to improve the treatment of infertility and
increase the quality and effectiveness of performance.
Objective: In this randomized clinical trial study (IRCT2014031116911N2), we compared the effect
of Fluoxetine and midwifery consultation on infertile women suffering from depression and the
focus of the study was on the results of In-Vitro Fertilization (IVF) treatment.
Methods: 90 infertile women who suffered from mild to moderate depression according to the Beck
Inventory and had undergone IVF treatment were selected and randomly divided into 3 groups. The
control group, the second group, were treated with Fluoxetine 20 mg, and the third group received 6
sessions of midwifery consultation and then the outcomes were reviewed. The amount of cortisol in
the women’s sera was measured in three stages and the level of depression and anxiety was measured
in two stages.
Results: The pregnancy rate in the midwifery consultation group (n=13) was about two times as
high as that in the fluoxetine group (n=7) and three times as high as that in the control group (n=4);
there was a statistically significant difference among the groups (P=0.016); as to the abortions occurring
in each group (P>0.05).
Conclusion: Providing the people undergoing IVF treatment with emotional and mental support
will increase their chances of pregnancy and this kind of support will be helpful for the patients if it
is given in the form of midwifery consultation.
