Effect of Ramadan fasting on amniotic fluid index in last month of pregnancy

Khalaf, Mohamed; Tammam, Abdelaziz E.; Ibrahem, Ibrahem; Habib, Dina M.; Abdellah, Mohamad S.; Bahlol, Mostafa; Khairy, Mohammed; Saman, Ali M. El

doi:10.1016/j.mefs.2014.04.001

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Several studies showed that prenatal exposure to Ramadan fasting may result in lower birth weight, increased risk of hyperemesis gravidarum, urinary tract infections, and reduction in fetal breathing movements [ 2 – 5 ]. By contrast, many other studies showed no effect of fasting on intrauterine growth, birth weight, birth-time indices, and amniotic fluid index [ 6 ]. It has been suggested that fasting during pregnancy may also have long-term implications for the health of offspring, possibly through fetal programing [ 7 ].…”

Section: Introductionmentioning

confidence: 96%

Predictors of Ramadan fasting during pregnancy

Bilsen¹,

Savitri²,

Amelia³

et al. 2016

JEGH

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Although the health effects of Ramadan fasting during pregnancy are still unclear, it is important to identify the predictors and motivational factors involved in women's decision to observe the fast. We investigated these factors in a cross sectional study of 187 pregnant Muslim women who attended antenatal care visits in the Budi Kemuliaan Hospital, Jakarta, Indonesia. The odds of adherence to fasting were reduced by 4% for every week increase in gestational age during Ramadan [odds ratio (OR) 0.96; 95% confidence interval (CI) 0.92, 1.00; p=0.06] and increased by 10% for every one unit increase of women's prepregnancy body mass index (BMI) (OR 1.10; 95% CI 0.99, 1.23; p=0.08). Nonparticipation was associated with opposition from husbands (OR 0.34; 95% CI 0.14, 0.82; p=0.02) and with women's fear of possible adverse effects of fasting on their own or the baby's health (OR 0.47; 95% CI 0.22, 1.01; p=0.05 and OR 0.43; 95% CI 0.21, 0.89; p=0.02, respectively), although they were attenuated in multivariable analysis. Neither age, income, education, employment, parity, experience of morning sickness, nor fasting during pregnancy outside of Ramadan determined fasting during pregnancy. Linear regression analysis within women who fasted showed that the number of days fasted were inversely associated with women's gestational age, fear of possible adverse effects of fasting on their own or the fetal health, and with opposition from husbands. In conclusion, earlier gestational age during Ramadan, husband's opinion and possibly higher prepregnancy BMI, influence women's adherence to Ramadan fasting during pregnancy. Fear of adverse health effects of Ramadan fasting is common in both fasting and non-fasting pregnant women.

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Section: Introductionmentioning

confidence: 96%

Predictors of Ramadan fasting during pregnancy

Bilsen¹,

Savitri²,

Amelia³

et al. 2016

JEGH

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“…Three articles showed that Ramadan fasting in the second trimester was associated with a lower amniotic fluid index in pregnant women [ 51 , 52 , 70 ], although only one article showed statistical significance [ 70 ]. However, three other studies showed that Ramadan fasting in the third trimester was associated with a higher amniotic fluid index [ 59 , 72 , 73 ]. Most previous studies showed that Ramadan fasting was not associated with Doppler flow indices [ 51 , 52 , 58 , 59 , 61 , 77 ] or fetal growth [ 51 , 52 , 59 , 61 , 70 , 71 , 72 , 77 ] (see Table 6 ).…”

Section: Resultsmentioning

confidence: 99%

Chrononutrition during Pregnancy and Its Association with Maternal and Offspring Outcomes: A Systematic Review and Meta-Analysis of Ramadan and Non-Ramadan Studies

2023

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Much evidence suggests that food intakes and eating patterns are major determinants of the phase of peripheral circadian clocks, and desynchronization between them is thought to contribute to the development of metabolic disorders. However, much remains to be understood about how different dimensions of chrononutrition during pregnancy affect pregnant women’s and their offspring’s health outcomes. Therefore, we systematically reviewed and integrated all emerging evidence on chrononutrition during pregnancy (including meal skipping, meal frequency, night eating, and (Ramadan) fasting) and their relationships with maternal and offspring outcomes. The results suggest that meal skipping and night eating during pregnancy were generally associated with adverse pregnancy and birth outcomes, whereas no strong conclusion could be reached for meal frequency. In our meta-analysis, Ramadan fasting did not seem to be related with birth weight or gestational age at birth, but evidence for other mother–offspring outcomes was inconsistent. To further elucidate the effect of chrononutrition factors on maternal and offspring health outcomes, larger and well-conducted prospective cohort and interventional studies are needed. In addition, information on covariates such as physical activity, sleep, diet quality and quantity, fasting days, fasting period per day, and trimester exposure should also be collected and considered during analysis.

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“…[5][6][7] Many studies showed that fasting has no effect on intrauterine growth, birth weight, birth-time indices, and amniotic fluid index. 8 In contrast to this results of several studies showed that fasting during pregnancy increases the risk of low birth weight, increased incidence of ketosis and ketonuria, vomiting, diarrhea, and dizziness 10 and reduced fetal breathing movements. 9,11 Fasting during pregnancy has also been associated with increased frequencies of gestational diabetes, induced labor, cesarean delivery, and neonatal admission to the intensive care unit.…”

Section: Introductionmentioning

confidence: 87%

Knowledge, attitude and practices of Ramadan fasting on health and disease among pregnant Muslim women in urban health centre of a medical college

Muntazeem

Rao

Kusum

2019

Int J Community Med Public Health

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Background: Fasting during the holy month of Ramadan entails abstinence from food, water, smoking and drugs from dawn to sunset. In Islamic religious rule fasting during Ramadan is not mandatory if there is any contraindication such as illness, old age, pregnancy, etc. Many studies have shown that most Muslim women choose to fast during pregnancy because of a sense of religious duty, familial support, positive views on fasting and difficulty in completing the missed fasts at another time.Methods: A cross sectional study was conducted on 124 pregnant Muslim women attending urban health centre for antenatal care during the month of Ramadan at Davanagere city. Data was entered in the Microsoft Excel and presented in the form of frequencies.Results: In this study majority of pregnant women believed that fasting during pregnancy is harmful to mother as well as child. Overall, 80.6% of pregnant women did not observed fasting during pregnancy.Conclusions: In this study majority of the pregnant women did not observed fasting during the month of Ramadan. Health education should be given to all pregnant women and family members regarding adverse effect of fasting on mother and child health.

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Effect of Ramadan fasting on amniotic fluid index in last month of pregnancy

Cited by 6 publications

References 6 publications

Predictors of Ramadan fasting during pregnancy

Predictors of Ramadan fasting during pregnancy

Chrononutrition during Pregnancy and Its Association with Maternal and Offspring Outcomes: A Systematic Review and Meta-Analysis of Ramadan and Non-Ramadan Studies

Knowledge, attitude and practices of Ramadan fasting on health and disease among pregnant Muslim women in urban health centre of a medical college

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