Fasting Ramadan During Pregnancy

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    Fasting Ramadan During

    PregnancyRahma Said AL-Mabsali

    Deputy Head Midwife05/07/ 2010

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    Introduction

    Pregnant women in Oman have limited

    opportunities to access evidence based health

    information about pregnancy and what to

    expect during the antenatal period and the

    birthing of their baby. Some women fear

    harming their health and their babies' health

    due to fasting Ramadan during pregnancy.

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    Holy Month of Ramadan

    Ramadan is the ninth month on the Islamic calendarand fasting is one of the five fundamental obligationof Muslims.

    Muslims fast during the month of Ramadan from thesunshine to sunset.

    Fasting includes avoidance of drinking fluids andeating foods .

    The duration of fasting depends on the exact time ofsunrise and sunset but is usually between 13-18 hrsper day.

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    Holy Month of Ramadan

    Every healthy Muslim adult responsible for

    achieving this obligation

    Some time people are permitted to break their

    fasting during Ramadan e.g. Children, Elderly,

    Sick person , Traveler, Pregnant Postpartum,

    women and breast feeding women who are

    worried about their health and their babies.

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    The weather during Ramadan

    The weather during Ramadan is another factor

    for women not to fast during summer the

    fasting time would be longer during the day

    and hot weather compared with Ramadan

    during winter were there are less fasting hours

    and cooler.

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    Literature Review

    Researchers found that there was no relation

    between fasting and birth weight in any

    trimester and fasting during pregnancy did not

    decreased mean birth weight for newborn

    babies. ( Arab & Nasrollahi, 2001)

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    Literature Review

    Researchers conducted a cohort study and 539 mother

    were involved, 284 were fasting and 255 did not fast

    Ramadan during pregnancy.

    They found that most of the fasting women had goodweight and healthier and this was related to their

    ability to fast during Ramadan than the non fasting

    mothers who were slim and concerned about there

    health .( Kevehmnesh & Abolghasemi,2004)

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    Literature Review

    Researchers found that all women reported

    awareness about fasting Ramadan in Islam is for

    every healthy adult men and women

    Most women were aware that they were allowed therepay their fasting days or month.

    Some women had the perception that fasting had

    harmful effect on pregnancy 11%.

    77% of women successfully completed at least 20

    days of Ramadan.

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    Literature Review

    Researchers found that :

    Fasting Ramadan during pregnancy did not lead toany effect on maternal and fetal health or fetal

    development in a group of women were less/ or 20weeks of gestation.

    Fasting did not lead to ketonemia or ketonuria .

    There were no changes in mothers weight during

    fasting especially with healthy eating and healthy dietand no effect on newborns birth weight.

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    Literature Review

    The researchers recommended :

    The doctors to take part of educating and counselingthe mothers about Ramadan

    To respect and to be sensitive to the mothers wishesto fulfill their religious needs.

    To ensure that medical condition during pregnancyand medications would not be affected by Fasting.

    Encourage the women to discuss the fasting issues

    with the doctors and allow them to make an informedchoice to fast or not.

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    Healthy Eating during Ramadan

    During the Suhoor (the predawn time before starting to fast)the mothers have to:

    Try not to skip this meal to keep your energy level up duringthe day.

    A moderate meal that includes high fiber and complexcarbohydrates (grains) as the body takes longer to break thesedown and absorb this food.

    Drink plenty of water between Iftar and Suhoor to preventdehydration.

    Include fresh fruits and vegetables.

    Limit intake of sweets and deserts that

    will fill the pregnant womean up.

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    Healthy Eating during Ramadan

    To start Iftar (the time to break the day's

    fast) try to take:

    Three dates and juice, to bring your blood sugar level

    back to normal.

    Semi-skimmed milk

    Several well balanced meals with salad.

    Include protein like chicken, meat or fish, lentils,chickpeas or beans.

    Fresh fruits and vegetables.

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    Healthy Eating during Ramadan

    Reduce eating high-fat meals that will fill upthe stomach and produces poor nutrients andmay cause indigestion.

    Prying during ramadan is act as exercise afterbreaking the fast which will help in digestionprocess

    After dinner, relax for a while and

    get up and move around.

    H k f i i

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    How to make fasting in pregnancy

    easier?

    Try to be calm and avoid stressful situations. Rest as much as possible and sleep early at night

    during Ramadan.

    Try to fast one or two days, to see if you can cope

    with fasting. Ask other women in your family for tips and

    suggestions about how to cope during pregnancy andfasting.

    Avoid excessive heat as you can become dehydratedquickly.

    Try not to walk long distances or carry any heavyitem.

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    When to break the fast during

    pregnancy?

    When the woman feels dizziness, heart palpitation,headaches, fever or blurred vision.

    A reduction of the fetal movements especially during

    the last stage of pregnancy. When the woman is very thirsty or the urine becomes

    dark and strong smelling, these are signs ofdehydration.

    If the woman has nausea or vomiting ,not putting onweight or losing weight.

    Break fast and consult your doctor immediately.

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    Conclusion

    Fasting is a physical and spiritual experiencerequiring a great deal of preparation. Themothercan decide whether she will be able to

    fast or not, as she is the only one to make thisdecision. If she feels strong enough to fast andcope with it she may do so. If she is not,Islamic law provides her with permission not

    to fast on the condition that the missed daysare made up later.

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    THANK YOU