Predictors of Ramadan fasting during pregnancy

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Religious Studies

Background:

• Ramadan fasting during pregnancy presents potential health considerations.
• Understanding adherence factors is crucial for maternal and infant well-being.

Purpose of the Study:

• To identify predictors and motivational factors influencing pregnant Muslim women's decision to fast during Ramadan.
• To explore associations between adherence and demographic/health characteristics.

Main Methods:

• Cross-sectional study of 187 pregnant women in Jakarta, Indonesia.
• Investigated adherence to Ramadan fasting using logistic and linear regression analyses.
• Assessed factors including gestational age, prepregnancy BMI, spousal opposition, and health fears.

Main Results:

• Adherence to fasting decreased with increasing gestational age and was associated with higher prepregnancy BMI.
• Husband's opposition and fear of adverse health effects significantly reduced fasting participation.
• Fear of adverse effects was prevalent among both fasting and non-fasting pregnant women.

Conclusions:

• Gestational age, husband's opinion, and prepregnancy BMI are key influences on Ramadan fasting adherence in pregnancy.
• Maternal and fetal health concerns are significant deterrents to fasting.
• Further research is needed to clarify health effects and inform counseling.