A Narrative Review on Fasting of Pregnant Women in the Holy Month of Ramadan

Document Type: Review Article

Authors

1 Surgical Technology student, School of Nursing and Midwifery,Kashan University of Medical Sciences, Kashan,I.R.IRAN

2 General Surgery Specialist, Medical School, Kashan University of Medical Science,Kashan,I.R.IRAN.

Abstract

One of the basic rituals of Islam is fasting during Ramadan. In this month, all able-bodied Muslims abstain from food, fluids, smoking, and oral medications from sunrise to sunset. According to the Quran, if fasting poses major health risks to individuals, fasting during this holy month is not allowed. This study aimed to evaluate the effects of fasting on maternal and fetal health. Therefore, we investigated studies in three different areas, including fetal growth and development, intrauterine and early-life conditions, and laboratory findings. According to the results, fasting had no significant effect on pregnant and healthy women. However, further studies should be conducted in this area in order to obtain more comprehensive and accurate results. Furthermore, it is suggested that healthy pregnant women be monitored by physicians during fasting.

Keywords


  1. Bajaj S, Khan A, Fathima FN, Jaleel MA, Sheikh A, Azad Ka and et al: South Asian consensus statement on women's health and Ramadan. Indian J Endocrinol Metab. 2012, 16 (4): 508-511.
  2. Holy Qur'an-AL-BAQARA(2):185
  3. Mubeen SM, Mansoor S, Hussain A, Qadir S. Perceptions and practices of fasting in Ramadan during pregnancy in Pakistan. Iranian Journal of Nursing and Midwifery Research. 2012;17(7):467-471.
  4. Joosoph J, Abu J, Yu SL. A survey of fasting during pregnancy; Singapore Med J. 2004;45(12):583–586.
  5. Karateke A, Kaplanoglu M, Avci F, Keskin Kurt R, Baloglu A; The effect of Ramadan fasting on fetal development Pak J Med Sci. 2015 Nov-Dec; 31(6): 1295–1299.
  6. Jürges, Hendrik, Ramadan fasting, sex-ratio at birth, and birth weight: No effects on Muslim infants born in Germany. 2015;Economics Letters, Elsevier, vol. 137, pages 13-16.
  7. Kavehmanesh Z, Abolghasemi H;Maternal Ramadan fasting and neonatal health. J Perinatol. 2004 Dec;24(12):748-50.
  8. Cross JH, Eminson J, Wharton BA;Ramadan and birth weight at full term in Asian Moslem pregnant women in Birmingham. Arch Dis Child. 1990 Oct;65(10 Spec No):1053-6.
  9. Sarafraz N, Kafaei Atrian M, Abbaszadeh F, Bagheri A. Effect of Ramadan Fasting during Pregnancy on Neonatal Birth Weight. J Fasting Health. 2014; 2(1):37-40.
  10. Ozturk E, Balat O, Ugur MG, Yazıcıoglu C, Pence S, Erel Ö, and et al;Effect of Ramadan fasting on maternal oxidative stress during the second trimester: a preliminary study. J Obstet Gynaecol Res. 2011 Jul;37(7):729-33.
  11. Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G;The effect of Ramadan fasting on maternal serum lipids, cortisol levels and fetal development. Arch Gynecol Obstet. 2009;279(2):119–123.
  12. Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G; Effect of fasting during Ramadan on fetal development and maternal health. J Obstet Gynaecol Res. 2008 Aug;34(4):494-8.
  13. Boskabadi H, Mehdizadeh A, Alboumiri Z. Effect of the Number of Ramadan Fasting Days on Maternal and Neonatal Outcomes. J Fasting Health. 2014; 2(2): 84-89.
  14. Naderi T, Kamyabi Z. Determination of final height increase in fasting and non-fasting pregnant women during Ramadan. Saudi Med J. 2004;25(6):809–10.
  15. Seckin KD, Yeral MI, Karslı MF, Gultekin IB; Effect of maternal fasting for religious beliefs on fetal sonographic findings and neonatal outcomes. Int J Gynaecol Obstet. 2014 Aug;126(2):123-5.
  16. Moradi M; The effect of Ramadan fasting on fetal growth and Doppler indices of pregnancy. J Res Med Sci. 2011;16:165–9.
  17. Makvandi S, Nematy M, Karimi L. Effects of Ramadan Fasting on Neonatal Anthropometric Measurements in the Third Trimester of Pregnancy. J Fasting Health. 2013; 1(2):53-57.
  18. Salleh H; Ramadan fasting among pregnant women in Muar district, Malaysia and its association to health outcomes. Malays J Reprod Health. 1989;7(1):69–83.
  19. Rahman M, Rashid M, Basher S, Sultana S, Nomani MZ; Improved serum HDL cholesterol profile among Bangladeshi male students during Ramadan fasting. East Mediterr Health J. 2004;10(1-2):131–7.
  20. Mazidi M, Rezaie P, Nematy M. The Effects of Ramadan Fasting on Growth Parameters: A Narrative Review. J Fasting Health. 2014; 2(1): 41-44.
  21. Ziaee V, Kihanidoost Z, Younesian M, Akhavirad MB, Bateni F, Kazemianfar Z, and et al ;The Effect of Ramadan Fasting on Outcome of Pregnancy; Iran J Pediatr. 2010 Jun; 20(2): 181–186.
  22. Osol G, Mandala M; Maternal uterine vascular remodeling during pregnancy. Physiology (Bethesda) 2009;24:58–71.
  23. Ziaee V, Razaei M, Ahmadinejad Z, Shaikh H, Yousefi R, Yarmohammadi L, et al; The changes of metabolic profile and weight during Ramadan fasting. Singapore Med J. 2006;47(5):409–414.
  24. Mirghani HM, Salem M, Weerasinghe SD; Effect of maternal fasting on uterine arterial blood flow. J Obstet Gynaecol Res. 2007;33(2):151–154.
  25. Prentice AM, Prentice A, Lamb WH, Lunn PG, Austin S; Metabolic consequences of fasting during Ramadan in pregnant and lactating women. Hum Nutr Clin Nutr. 1983;37(4):283–294.
  26. Hizli D, Yilmaz SS, Onaran Y, Kafali H, Danişman N, Mollamahmutoğlu L;Impact of maternal fasting during Ramadan on fetal Doppler parameters, maternal lipid levels and neonatal outcomes. J Matern Fetal Neonatal Med. 2012 Jul;25(7):975-7.
  27. Awwad J, Usta IM, Succar J, Musallam KM, Ghazeeri G, Nassar AH; The effect of maternal fasting during Ramadan on preterm delivery: A prospective cohort study. BJOG. 2012;119:1379–86.
  28. Khoshdel A,  Kheiri S,  Nasiri J, Ahmari Tehran H,  Heidarian  E; The effect of Ramadan fasting on serum leptin, neuropeptide Y and insulin in pregnant women ; 2014;Med J Islam Repub Iran. 28: 92.
  29. Ismail NA, Olaide Raji H, Abd Wahab N, Mustafa N, Kamaruddin NA;Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan. Abdul Jamil M. Iran J Med Sci. 2011 Dec;36(4):254.
  30. Khoshdel A, Kheiri S, Nasiri J, Mobasheri M. The Effect of Ramadan Fasting on Biochemical Substances Relating to the Renal and Bone Function of Fasting Pregnant Women, 2011-2012. J Fasting Health. 2013; 1(2): 79-84.