Effect of Ramadan Fasting during Pregnancy on Neonatal Birth Weight

Document Type: Research Paper

Authors

1 Obstetrics Department, Kashan University of medical sciences, Kashan, I.R. Iran

2 Department of health promotion, school of health (Campus), Iran University of Medical Sciences ,Tehran, Iran

Abstract

Introduction: Muslims fast from sunrise to sunset during Ramadan, the 9th lunar month. The duration of fasting varies from 13 to 18 hrs per day. Fasting individuals abstain from drinking liquids and eating foods. Manypregnant women and gynecologists are concerned about the possible complicationsassociated with fasting and effects on fetal health. The aim of this study was to determine the effect of Ramadan fasting on neonatalbirth weight. Methods: The current historical cohort study was performed on pregnant women attending maternity hospitals in Kashan in 2008. Twofasting and non-fasting groups were compared. Multiple pregnancies and gestational age less than 37 weeks were considered as the exclusion criteria. In fasting and non-fasting groups, age, parity, gestational age, body mass index (BMI), mother's occupation, prenatal care attendance and intended or unintended pregnancy were matched. For the statistical analysis of the data, covariance analysis and SPSS v16.0 were used. Results: In this study, 293 cases were evaluated among whom 31.7% did notfast. In the two groups, the mean age, gestational age, parity and weight gain during pregnancy were not significantly different. The mean birth weight was 3338 g (±498 g) and 3343 g (± 339 g) in fasting and non-fasting groups respectively. The results showed that the mean birth weight of the neonates in fasting and non-fasting groups was not significantly different (p=0. 931). Conclusion: The results of this study indicated that there is no significant relationship between the neonatal birth weight and maternal fasting during pregnancy. Therefore we declare thatfasting for pregnant women who receive prenatal care has no effects on neonatal birth weight.

Keywords


  1.  Mogahy A. Fasting Sentences. Tehran: Shafagh Publication; 1378[text in Persian]
  2. VahidZiaee, MD, ZarintajKihanidoost, MD, MasoudYounesian, MD, Mohammad-BagherAkhavirad, MD,5 FarzadBateni, MD, Zahra Kazemianfar, MD, and SedighehHantoushzadeh, MD,The Effect of Ramadan Fasting on Outcome of Pregnancy .J Res Med Sci. 2011 February; 16(2): 165–169.
  3. Maryam Moradi: The effect of Ramadan fasting on fetal growth and Doppler indices of pregnancy .J Res Med Sci. 2011 February; 16(2): 165–169.
  4. Larijani B, Sanjari M, Zahedi F, Bradar R, Amini M, Rahimi I. The effect of Ramadan fasting on blood sugar in adults. Iran J Diabetes Lipid Disord 2002 spring and summer; 1(2): 149-152[text in persian]
  5. Haas, Elson. M. “Nutritional Program for Fasting”. 10/26/03. http://www.heqlthy.net/templates/article.asp?PageType=article7ID=2009
  6. Sadeghpoor. The effectinness of fasting on mother and fetus.Thetournal of shahidbeheshty university of medical sciences  2001; 37: 33-37[text in persian]
  7. Behrman RE, Klieyman RW, Jenson H, Nelson textbook of pediatrics 19thedition, saunder. Philadelphia. 2010; 520-55
  8. Rahbar N, Ghorbani R, KhazraieA.Effect of fasting  on some biochemical parameters of  Blood, urine and weight of fetus in the fasting pregnant. Zahedan J Res Med Sci 2006 Autumn; 7(3):171-177[text in persian].
  9. Cunigham FG, Machdonald PC, Gant NF, et al, williams obstetrics, 23th edition, USA: Appleton, lange, 2010 
  10. Ananth, CV, platt, Reexaming the directs of gestational age, fetal growth and material smoking on neonatal mortality, BMC pregnancy and childbirth. 2004; 4:22
  11. Azizi F. Islamic fasting and health. Ann NutrMetab. 2010; 56(4):273-82
  12. ShahgheibiSh, Ghadery E, Pauladi A, et al. Effects of fasting during the third trimester of pregnancy on neonatal growth indices. Ann Alquds Med. 2005; 1(2):58–62.
  13. Cross JH, Eminson J, Wharton BA. Ramadan and birth weight at full term in asianmoslem pregnant women in birmingham. Arch Dis Child 1999 oct; 65(10): 1053-6
  14. RahimiSherbaf F, Valdan M; The relationship between fasting in first trimester and neonatal weight .Thejournal of tehranfacultyofmedicine 2005;5(63): 380-385
  15. Joosoph J, Abuy, Yu SL. "A survey of fastig during pregnancy.singaporemedy, Med J.  2004 Dec; 45 (12): 583-6.
  16. Arab M, Nasrollahi SH. I nterrelation of ramadan fasting and birth weight. medical journal of islamic academy of sciences 2001 ;14(3): 89-93
  17. Salleh H. Ramadan fasting among pregnant women in malaysia and its association to health outcomes.Malays J Repord Health1989 jun; 7(1):69-83
  18. Kavehmanesh Z, Abolghasemi H. Maternal Ramadan Fasitng and neonatal heatlh.J perinatal, 2004 Dec 24 (12): 748-50[text in persian]