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Providing evidence-based guidance to pregnant Muslim patients on the effect of fasting during Ramadan on maternal and fetal outcomes is becoming increasingly relevant as the US Muslim population grows. 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. Data on adherence to Ramadan fasting during pregnancy and demographics were self-reported by pregnant women, and the outcome of the newborn was retrieved from medical records after delivery. Based on the current literature, there is little evidence suggesting that maternal fasting during pregnancy reduces the gestational age at birth or increase the risk of PTB. There is also little evidence that Ramadan fasting during pregnancy reduces birth weight or increases the risk of LBW. The findings underscore the potential utility of intermittent fasting regimens as a therapeutic approach for addressing menstruation irregularities and infertility in women with obesity and PCOS, and pregnant women should remain cognizant of potential risks associated with intermittent fasting practices. The first question asked women if they had fasted during Ramadan in their pregnancy this year; response options were (fully- full 29 day period), yes (partly- any but not the total 29 day period) or not fasting and secondly asked pregnant women how many days they had fasted. There is no sufficient evidence that Ramadan fasting during pregnancy may increase the risk of delivery by cesarean section, gestational diabetes, or the risk of pre-eclampsia. Ramadan fasting and pregnancy: an evidence-based guide for the obstetrician - 02/06/23 Doi : 10.1016/j.ajog.2023.03.023 Sarrah Shahawy, MD, MPH a , b , Leen Al Kassab, AB b , ⁎ , Abbas Rattani, MD, MBE c This systematic review could be used as a guide for future pilot studies across different regions to look at the effects of RF on fetal health and to provide reassurance and advice to pregnant mothers who wish to practise fasting and safely avoid any adverse outcomes. Providing evidence-based guidance to pregnant Muslim patients on the effect of fasting during Ramadan on maternal and fetal outcomes is becoming increasingly relevant as the US Muslim population grows. 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 Ramadan fasting and pregnancy: an evidence-based guide for the obstetrician Sarrah Shahawy, MD, MPH; Leen Al Kassab, AB; Abbas Rattani, MD, MBE Introduction Fasting during the lunar month of Ramadan is among the core rituals of Islam. Muslims are encouraged to observe Ramadan for spiritual rejuve-nation through fasting, prayer, charity, 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 fasting on fetus,” and “effect of fasting on maternal health.” Recently published studies were prioritized. The quality of evidence was negatively impacted by the variation in defining "fasting during Ramadan" in pregnancy, study size and design, and potential confounders. Therefore, in counseling patients, obstetricians should be prepared to discuss the nuances in the existing data while demonstrating cultural and religious awareness and sensitivity None of the reviews reported evidence regarding the impacts of fasting during pregnancy on rare but clinically significant pregnancy and birth outcomes such as stillbirth, miscarriage, congenital anomalies, or neonatal deaths. Conclusion. There is little evidence that Ramadan fasting during pregnancy can negatively impact pregnancy and birth The finding that dietary intake during Ramadan potentially moderates the fasting-birthweight association is of high relevance to pregnant Muslims who wish to fast and their healthcare professionals, since dietary choices outside of fasting hours are often relatively easily modifiable. This is the fi Ramadan fasting and pregnancy: an evidence-based guide for the obstetrician Shahawy, S.; Al Kassab, L.; Rattani, A. American Journal of Obstetrics and Gynecology 228(6): 689-695 This website requires cookies, and the limited processing of your personal data in order to function. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. “#Ramadan Fasting and #Pregnancy: An Evidence-Based Guide for the Obstetrician @acog @MySMFM @ranzcog @SOGCorg @RCObsGyn” The quality of evidence was negatively impacted by the variation in defining "fasting during Ramadan" in pregnancy, study size and design, and potential confounders. Therefore, in counseling patients, obstetricians should be prepared to discuss the nuances in the existing data while demonstrating cultural and religious awareness and sensitivity
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