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It is permissible for a pregnant woman not to fast if she fears some harm which she thinks will most likely affect her and/or her baby. Praise be to Allah. This question covers three topics: 1-The ruling on a pregnant woman breaking her fast in Ramadan. 2-How a miscarriage in Ramadan affects a woman’s fast. Pregnant Muslim women may be religiously exempt from fasting during the Islamic month of Ramadan, especially if there is concern for undue hardship or harm to maternal or fetal health. However, several studies demonstrate that most women still choose to fast during pregnancy and avoid discussing fasting with their providers. Is it better Islamically for a pregnant Muslim woman to fast or not fast in the month of Ramadan?. Summary of answer A pregnant Muslim woman is obliged to fast unless she fears for herself or for her baby, in which case it is permissible for her not to fast. According to Islamic teachings, pregnant and nursing women can refrain from fasting if it poses a health risk or exacerbates any preexisting conditions, similar to the allowances made for those who are sick. When you are pregnant, you may take an exception or rukhsah and not fast. So, if you can, the default is to fast. And if you think it’s hard to fast pregnant in the summer, try fasting in the summer while you’re nursing and with a baby around (which is where you’ll be in Ramadan one year from now!). Ramadan fasting during pregnancy has also been linked to other adverse health outcomes in the long term, although neonatal health is not impacted. Similarly, another review investigated the effects of fasting during Ramadan on foetal health and identified evidence of low birth weight if pregnant mothers fasted during the third trimester and Fasting during the holy month of Ramadan is one of the five pillars of Islam and is a deeply spiritual act of worship that brings Muslims closer to Allah (SWT). However, while fasting is obligatory for all healthy adult Muslims, Islam provides exceptions for certain individuals based on their circumstances. Based on Islamic teachings, fasting is generally obligatory for pregnant women unless there is a valid concern for their health or that of their fetus. Scholars agree that if a pregnant woman fears harm, she may break her fast but is required to make it up later. One of the most frequently asked questions is can a pregnant woman fast in the month of Ramadan. The answer depends on various factors, including religious guidelines, medical considerations, and the well-being of both the mother and the baby. Islam provides flexibility for pregnant women when it comes to fasting. The Quran states: However, some pregnant Muslim women decide to fast during Ramadan. This is a very personal decision and will depend on your own circumstances such as the stage of pregnancy, how you are feeling and if you have experienced any problems so far in your pregnancy. dations to Muslim pregnant patients considering fasting (Box 1). Literature review process A literature review was conducted for studies published between 2000 and 2022 via Harvard Hollis and PubMed using the terms “fasting and pregnancy,” “Ramadan and pregnancy,”“fasting Ramadan during pregnancy,”“effect of The impact of fasting during pregnancy may depend on the overall health of the mother, the stage of pregnancy and the time of year Ramadan occurs. More research is needed to fully understand what impact fasting may have on the health and development of the baby and what that may mean for the child’s health in later life. In Islam, fasting in the month of Ramadan is an obligatory and essential practice carried out by Muslims all over the world.[1 The routine of Ramadan fasting obligates abstinence from all food and liquid items from the crack of dawn until sunset, spread over a period of 1 month. As the Islamic calendar is shorter than the solar calendar 1 a questionnaire is used to evaluate nutritional intake/number of fasting days during Ramadan or when Islamic pregnant women during Ramadan were compared to Islamic pregnant women outside of the Ramadan period and there was at least controlled for seasonality (e.g., in relation to vitamin D status or infectious diseases) Ramadan is one of the five pillars of Islam, during which fasting is obligatory for all healthy individuals. Although pregnant women are exempt from this Islamic law, the majority nevertheless It is important to honour pregnant Muslim women's wishes if they choose to fast throughout or intermittently during Ramadan, but they should seek advice from a health professional before deciding whether to fast or not. The British Islamic Medical Association advises pregnant women with uncomplicated pregnancy and well-controlled medical Ramadan fasting rules. When it comes to rules and guidelines for fasting during Ramadan, the Prophet Muhammad (peace be upon him) has clearly defined them for Muslims to follow. According to the Sunnah, while fasting, Muslims must refrain from eating and drinking from dawn to dusk, and sexual activity, as these actions invalidate the fast. “If a pregnant woman fears for herself or her foetus because of fasting in Ramadan, she may break the fast and she only has to make up for the missed fasts. In this regard she is like one who is sick and is unable to fast or fears that fasting will harm him. Allah says (interpretation of the meaning): Pregnant Muslim women may be religiously exempt from fasting during the Islamic month of Ramadan, especially if there is concern for undue hardship or harm to maternal or fetal health. However, several studies demonstrate that most women still choose to fast during pregnancy and avoid discussing fasting with their providers. A targeted literature review of published studies on fasting during The Prophet (peace and blessings of Allah be upon him) said: “Allah has relieved the traveller of the obligation of fasting and half of the prayer, and He has relieved the pregnant woman and nursing mother of the obligation of fasting.” (Narrated by al-Tirmidhi, 715; Ibn Majah, 1667; classed as sahih by al-Albani in Sahih al-Tirmidhi, 575
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