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7/31/2019 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