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Fasting during Ramadan has been mainly associated with signs and symptoms of maternal fatigue and dehydration, with a minimal decrease in weight gain. There is conflicting data regarding the association with gestational diabetes mellitus and insufficient data on maternal hypertension. 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!). The aim of this systematic review was to determine whether Ramadan fasting by pregnant women affects perinatal outcomes. Primary outcomes investigated were perinatal mortality, preterm birth and small for gestational age (SGA) infants. Fasting during Ramadan has been mainly associated with signs and symptoms of maternal fatigue and dehydration, with a minimal decrease in weight gain. There is conflicting data regarding the association with gestational diabetes mellitus and insufficient data on maternal hypertension. The Islamic rulings for exemption from fasting during the month of Ramadan for menstruating, breast feeding and pregnant women are very clear. Yet, a number of women continue to observe fasting during the holy month. A targeted literature review of published studies on fasting during Ramadan and pregnancy or maternal and fetal outcomes was performed. We generally found little to no clinically significant effect of fasting on neonatal birthweight or preterm delivery. Although pregnant women are exempt from this Islamic law, the majority nevertheless choose to fast. This review aims to identify the effects of Ramadan fasting on the offspring of Muslim mothers, particularly on fetal growth, birth indices, cognitive effects and long-term effects. Ramadan fasting does not adversely affect birth weight although there is insufficient evidence regarding potential effects on other perinatal outcomes. Further studies are needed to accurately determine whether Ramadan fasting is associated with adverse maternal or neonatal outcome. However, the association between Ramadan during pregnancy and offspring health along the life course has not been fully established. Objective and rationale: Fetal programming research indicates that prenatal exposures, particularly during early pregnancy, can cause long-term structural and physiological changes that adversely affect offspring There is some evidence to suggest that pregnant women who fast during Ramadan may have smaller placentas and/or babies with slightly lower birth weights, compared to women who do not fast. Of the 13 reviews included, three were systematic reviews with meta-analysis, 17, 21, 22 six were systematic reviews without meta-analysis, 23-28 and the remaining four were narrative reviews. 29-32 Among the six systematic reviews without meta-analysis, four summarized the evidence for the impact of Ramadan fasting during pregnancy on What is the islamic ruling for Ramadan fasting in pregnancy? Ramadan is considered as a blessed month in the Islamic calendar when Muslims are expected to take part in daily fasts for an entire month. Although fasting during Ramadan is expected for all Muslims, some people are not required to fast. This includes the elderly, Over time, Ramadan may be observed during hotter months in some regions, and in others, it may occur during cooler or even winter months. Find out when Ramadan is expected to start and end by visiting our Ramadan timetable here. What not to do during Ramadan. Ramadan is observed to fulfil the fourth pillar of Islam. A part of the literature on the health implications of Ramadan during pregnancy mainly finds associations among those for whom Ramadan during pregnancy occurs in early pregnancy . Our finding that fasting rates are highest in the first pregnancy trimester might partly explain these previous findings, as some studies use intent-to-treat designs She was weak and anemic last time when she was pregnant. She had miscarried by the end of Ramadan when she was 12 weeks pregnant. What is the ruling about her missed fasting during Ramadan? Does she have to complete them before next Ramadan? Can she fast normally when she finds that she is pregnant? She always insists on fasting during pregnancy. Background Ramadan during pregnancy is associated with adverse offspring health outcomes. Recent evidence from Europe indicates that maternal diet during non-fasting hours might alleviate these effects. This study describes fasting, diet, and sleep habits among pregnant Muslims in Kaduna, Nigeria, and assesses impacts on neonatal health in this setting. Methods Between July 2023 and February But fasting in Ramadan during pregnancy can be a challenging decision and brings with it many questions. In this article we’ll go over some of these questions and look at all the implications of Ramadan and pregnancy fasting. Is it safe to fast in Ramadan during pregnancy? Most people are first aware of their baby moving when they are 18-20 weeks pregnant. If this is your first pregnancy, you may not feel until you are more than 20 weeks pregnant. If you’ve been pregnant before, you may feel movements as early as 16 weeks. Read more about your baby’s movements here. Breastfeeding and fasting Of the 13 reviews included, three were systematic reviews with meta-analysis, 17, 21, 22 six were systematic reviews without meta-analysis, 23-28 and the remaining four were narrative reviews. 29-32 Among the six systematic reviews without meta-analysis, four summarized the evidence for the impact of Ramadan fasting during pregnancy on 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
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