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Ramadan Fasting: Perception and maternal outcomes during Pregnancy
Nazli Hossain1, Mahwish Samuel2, Saba Mughal3
1Nazli Hossain, FCPS, MBE. Department of Obstetrics & Gynecology Unit II, Dow Medical College & Ruth Pfau KM Civil Hospital, Karachi, Pakistan.
Ramadan fasting during pregnancy did not significantly impact maternal outcomes like gestational diabetes or preterm birth. Knowledge about fasting contraindications in pregnancy remains low among women.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Religious Studies
Background:
- Limited understanding exists regarding pregnant women's perceptions and knowledge of Ramadan fasting.
- Investigating the maternal effects of fasting during pregnancy is crucial for maternal and fetal well-being.
Purpose of the Study:
- To assess pregnant women's knowledge and perceptions of Ramadan fasting.
- To evaluate the maternal effects of Ramadan fasting during pregnancy.
Main Methods:
- A prospective, case-controlled study was conducted with 215 pregnant women.
- Cases fasted for Ramadan (≥7 days), while controls did not fast.
- Data collected via questionnaire on perceptions and maternal outcomes (preterm delivery, pregnancy-induced hypertension, gestational diabetes mellitus).
Main Results:
- Only 2.8% of women knew fasting is contraindicated in pregnancy.
- Higher rates of gestational diabetes (17% vs 14%), pregnancy-induced hypertension (7% vs 2%), and preterm delivery (9% vs 9%) were observed in fasting vs. non-fasting groups, but not statistically significant.
- No significant differences were found in newborn anthropometric measurements between the groups.
Conclusions:
- Ramadan fasting does not appear to adversely affect key maternal outcomes during pregnancy.
- Improved education is needed regarding fasting guidelines for pregnant women.
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