title: Preconception risk assessment of infertile couples.
abstract: BACKGROUND
  With regard to the importance of preconception conditions in maternal health and fertility, preconception risk assessment makes treatment trends and pregnancy outcome more successful among infertile couples. This study has tried to investigate preconception risk assessment in infertile couples.
  
  
  METHODS
  This is a descriptive analytical survey conducted on 268 subjects, selected by convenient sampling, referring to Isfahan infertility centers (Iran). The data were collected by questionnaires through interview and clients' medical records. Pre-pregnancy risk assessment including history taking (personal, familial, medical, medications, menstruation, and pregnancy), exams (physical, genital, and vital signs), and routine test requests (routine, cervix, infections, and biochemical tests) was performed in the present study.
  
  
  RESULTS
  The results showed that the lowest percentage of taking a complete history was for personal history (0.4%) and the highest was for history of menstruation (100%). The lowest percentage of complete exam was for physical exam (3.4%) and the highest for genital exam (100%). With regard to laboratory assessment, the highest percentage was for routine tests (36.6%) and the lowest was for infection tests (0.4%).
  
  
  CONCLUSIONS
  Based o the results of the present study, most of the risk assessment components are poorly assessed in infertile couples. With regard to the importance of infertility treatment, spending high costs and time on that, and existence of high-risk individuals as well as treatment failures, health providers should essentially pay special attention to preconception risk assessment in infertile couples in order to enhance the chance of success and promote treatment outcome.
authors: Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Nafisehsadat
authors: N
authors: Nekuei
authors: Ashraf
authors: A
authors: Kazemi
authors: Soheila
authors: S
authors: Ehsanpur
authors: Nastaran Mohammad Ali
authors: NM
authors: Beigi
keywords: Infertility; Iran; preconception care; risk assessment
references: Fertil Steril. 2010 May 1;93(7):2285-90
references: 19217093
references: Front Biosci (Elite Ed). 2011 Jun 01;3:843-55
references: 21622096
references: J Endocrinol Invest. 2009 Feb;32(2):98-101
references: 19411803
references: Minerva Ginecol. 2008 Feb;60(1):39-51
references: 18277351
references: MCN Am J Matern Child Nurs. 2010 May-Jun;35(3):172
references: 20453595
references: Womens Health (Lond). 2010 Jul;6(4):517-24
references: 20597616
references: Am J Clin Nutr. 2007 Jan;85(1):231-7
references: 17209201
references: Hum Reprod Update. 2007 May-Jun;13(3):209-23
references: 17208948
references: Fertil Steril. 2009 Dec;92(6):1803-10
references: 19632675
references: Obstet Gynecol Surv. 2004 Feb;59(2):108-17
references: 14752299
references: Indian J Biochem Biophys. 2010 Feb;47(1):38-43
references: 21086753
references: Expert Rev Neurother. 2009 Dec;9(12):1803-14
references: 19951139
references: Rheumatology (Oxford). 2007 Nov;46(11):1634-40
references: 17623748
references: Fertil Steril. 2006 Mar;85(3):679-88
references: 16500338
references: J Perinatol. 2010 May;30(5):305-10
references: 19776751
references: Ned Tijdschr Geneeskd. 2006 Jun 17;150(24):1326-30
references: 16808362
references: J Obstet Gynaecol. 2010;30(8):774-83
references: 21126112
references: Rev Obstet Gynecol. 2010 Summer;3(3):92-100
references: 21364860
references: Reprod Biomed Online. 2006 May;12(5):569-78
references: 16790100
references: Neurology. 2006 Mar 28;66(6 Suppl 3):S23-8
references: 16567738
references: Int J Gynaecol Obstet. 2011 Jan;112(1):15-7
references: 20961542
references: J Midwifery Womens Health. 2010 Nov-Dec;55(6):502-11
references: 20974412
references: Fertil Steril. 2008 Sep;90(3):613-8
references: 17980878
references: Scand J Work Environ Health. 2009 May;35(3):233-40
references: 19377833
references: J Occup Med Toxicol. 2010 Aug 19;5:24
references: 20723211
references: Neurology. 2010 Oct 12;75(15):1351-5
references: 20938026
references: J Womens Health (Larchmt). 2011 Jun;20(6):853-61
references: 21510806
references: Genet Couns. 2010;21(2):169-82
references: 20681217
references: Rev Bras Ginecol Obstet. 2008 May;30(5):261-7
references: 19142502
references: Womens Health (Lond). 2009 Nov;5(6):701-7
references: 19863473