Abstract

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health.

Objective: This study aimed to assess the effect of relationship enrichment training to improve the marital satisfaction of infertile couples.

Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemiyeh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group about the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05.

Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02).

Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples.

Keywords: Clinical trial, education, enrichment, infertility, satisfaction, spouses.

Graphical Abstract