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Ramazan fasting not linked to pre-term births: study

Published Aug 13, 2012 04:12am


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Pregnant women who fasted during the Islamic holy month of Ramazan were no more likely to give birth prematurely than women who didn't observe the fast, but the babies of women who fasted were smaller on average, a Lebanese study has found.

The researchers, whose findings appeared in BJOG: An International Journal of Obstetrics and Gynaecology, found no significant differences in the rate of births before the 37th week of pregnancy among 201 pregnant Beirut women who fasted during the daytime, compared with 201 women who didn't.

“Although results are reassuring as far as there is no increased risk of pre-term delivery, the fact that the mean birth weight was significantly lower in Ramazan-fasted women is alarming,” said study leader Anwar Nassar, a professor of obstetrics and gynecology at the American University of Beirut Medical Center.

During Ramazan, the ninth lunar month of the Islamic calendar, Muslims abstain from eating and drinking during the day. While fasting is compulsory, pregnancy may be “a relative exemption if reasons for maternal/fetal hardship are suspected.”

Nevertheless, many pregnant women ask whether it's all right to fast during Ramazan, Nassar told Reuters Health.

Other studies have looked at fasting during pregnancy, such as in cases of famine or in experiments with calorie restriction, but this is the first in the English literature to look at the effects of Ramazan fasting on pre-term delivery.

For the study, Nassar and his colleagues recruited pregnant women from four medical centers around Beirut in August 2008, matching the characteristics of those who planned on fasting with a comparison group who did not fast.

All the women were in their third trimester during the study period. In 2008, Ramazan took place during September.

Overall, 21 women in each group gave birth before their 37th week of pregnancy, which is considered “pre-term.”

Three fasting women gave birth before their 37th week of pregnancy, compared with one in the non-fasting group, but the researchers say that difference could have been due to chance.

On average, fasting women's babies weighed about 3 kg (around 6.8 lb), compared with the babies of non-fasting women, who averaged 3.2 kg (7 lb).

One possible explanation for the difference is that fasting mothers tended to gain less weight during the Ramazan period, 1.6 kg versus 2.3 kg among non-fasting women.

While the researchers cannot say what a low birth weight could mean for babies later on in life, Nassar noted that it has been linked to heart disease. Other effects of fasting during pregnancy may not be immediate and there could be other consequences as the child grows.

More study is needed, Nassar said. The fasting period in Ramazan can vary considerably, from 10 to 19 hours depending on what time of year the fasting month falls, and in what part of the globe a woman is in.

Moreover, different cultures have different traditions regarding feasting at night to break the fast, so it's hard to generalize about the calorie and nutrition intake of all fasting women during Ramazan.


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Comments (8) Closed

Zunaira Aug 20, 2012 08:48am
My neighbour fasted during pregnancy and underwent normal delivery during ramzan only!
Madhuri Asghar Aug 13, 2012 04:39am
Fasting while pregnant is "Mukru"--Prohibited, Null and void. A sin against the unborn. The option of fasting after birth and waiting two years afterwords is recommended in Islam.
Cyrus Howell Aug 13, 2012 05:35am
In logic, coming to that conclusion is know as "mistaken casual relation." It was a speculative assumption which has been proven false.
Ixion Aug 13, 2012 03:37pm
A study done in 2008 and published now .. something is not right here. Maybe that's the pace in Lebanon. The low mean birth weight can be countered by good antenatal care, i.e., 'nourishing' sahoor and iftar, and plenty of rest in between. This will help both mom and the baby gain healthy weight.
abdul Aug 13, 2012 07:27pm
pregnant women are not supposed to fast!!!
Asma Aug 14, 2012 04:54am
A Lebanese study! Are they internationally known for their medical studies?
Kamran Aug 14, 2012 05:11am
The most authentic study is Quran and it prohibits pregnant women to ramazan fasting, dont try to question Qurans authentic sytem by isolated biased studies.
GhulamNabi Aug 21, 2012 01:05pm
Although Allah has given relaxation to pregnant women not to fast, but I have observed that there is no effect of fasting, My friends wife just ha gone c section after Ramzan. H er every test result was fine. SO I think so there is no major impact of fasting, depending on some other conditions like environment, home conditions etc..