Impact of Fasting on Maternal and Fetal Well Being in Comparison with Non-Fasting Mothers

Authors

  • Naima Fayyaz Department of Obstetrics & Gynaecology, Combined Military Hospital (CMH), Lahore, Punjab, Pakistan.
  • Rabia Sajjad Department of Obstetrics & Gynaecology, Combined Military Hospital (CMH), Lahore, Punjab, Pakistan.
  • Sadiqa Batool Naqvi Department of Obstetrics & Gynaecology, Combined Military Hospital (CMH), Lahore, Punjab, Pakistan.
  • M Talha Hameed Nishtar Hospital, Multan, Punjab, Pakistan.
  • Amber Fayyaz Department of Obstetrics & Gynaecology, DHQ Hospital, Bahawalnagar, Punjab, Pakistan.
  • Qudsia Nawaz Department of Obstetrics & Gynaecology, Combined Military Hospital (CMH), Lahore, Punjab, Pakistan.
  • Mounazza Rehman Department of Obstetrics & Gynaecology, Combined Military Hospital (CMH), Lahore, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i7.2067

Keywords:

Fasting, Pregnancy Outcomes, Fetal Development, Anemia in Pregnancy

Abstract

Background: Fasting during pregnancy, particularly during Ramadan, is widely practiced among Muslim women despite religious exemptions. Its impact on maternal and fetal outcomes remains a topic of debate. Objective: to evaluate and contrast the impact of fasting on the health of the mother and fetus during pregnancy with that of women who do not fast. Methods: 120 pregnant women (60 fasting and 60 non-fasting) participated in a qualitative comparison study at a Quetta tertiary care hospital. Maternal and fetal factors were evaluated using clinical records and in-depth interviews. Results: Mothers who fasted had somewhat lower birth weights (3075g vs. 3202g) and greater anemia rates (60% vs. 45%). Fatigue and vertigo were frequent symptoms. There were noticeable nutritional deficits, particularly in water and iron intake. Conclusion: This study found minor yet notable effects of maternal fasting during pregnancy, including reduced birth weight, amniotic fluid, weight gain, and increased fatigue, dizziness, and reduced fetal movements. Most outcomes stayed within normal ranges. Proper monitoring, hydration, and nutrition are essential. Fasting may be safe in low-risk pregnancies with supervision, but individualized risk assessment is crucial.

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References

1. Trepanowski, J. F., & Bloomer, R. J. (2010). The impact of religious fasting on human health. Nutrition Journal, 9(1).

https://doi.org/10.1186/1475-2891-9-57

2. Khoshdel A, Ahmadi M, Farrokhi E. Ramadan fasting and pregnancy outcomes in Iranian women. Iran J Pediatr. 2015;25(1):e1798.

3. Herrera, E. (2000). Metabolic adaptations in pregnancy and their implications for the availability of substrates to the fetus. European Journal of Clinical Nutrition, 54(S1), S47-S51.

https://doi.org/10.1038/sj.ejcn.1600984

4. Savitri AI et al. Ramadan fasting and birth outcomes: a meta-analysis. J Nutr Metab. 2018;2018:1–9.

5. Savitri, A. I., Yadegari, N., Bakker, J., Van Ewijk, R. J., Grobbee, D. E., Painter, R. C., Uiterwaal, C. S., & Roseboom, T. J. (2014). Ramadan fasting and newborn's birth weight in pregnant Muslim women in The Netherlands. British Journal of Nutrition, 112(9), 1503-1509.

https://doi.org/10.1017/s0007114514002219

6. Mubeen, S. M., Mansoor, S., Hussain, A., & Qadir, S. (2012). Perceptions and practices of fasting in Ramadan during pregnancy in Pakistan. Iranian Journal of Nursing and Midwifery Research, 17(7), 467-471.

https://journals.lww.com/jnmr/fulltext/2012/17070/perceptions_and_practices_of_fasting_in_ramadan.1.aspx

7. Ziaee, V., Kihanidoost, Z., Younesian, M., Akhavirad, M. B., Bateni, F., Kazemianfar, Z., & Hantoushzadeh, S. (2010). The effect of Ramadan fasting on outcome of pregnancy. Iranian journal of pediatrics, 20(2), 181.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3446023/

8. Moradi, M. (2011). The effect of Ramadan fasting on fetal growth and Doppler indices of pregnancy. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 16(2), 165.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3214298/

9. Sakar, M. N., Gultekin, H., Demir, B., Bakir, V. L., Balsak, D., Vuruskan, E., Acar, H., Yucel, O., & Yayla, M. (2014). Ramadan fasting and pregnancy: Implications for fetal development in summer season. Journal of Perinatal Medicine, 43(3), 319-323.

https://doi.org/10.1515/jpm-2013-0289

10. KARATEKE, A. (2015). The effect of Ramadan fasting on fetal development. Pakistan Journal of Medical Sciences, 31(6).

https://doi.org/10.12669/pjms.316.8562

11. Awwad, J., Usta, I., Succar, J., Musallam, K., Ghazeeri, G., & Nassar, A. (2012). The effect of maternal fasting during Ramadan on preterm delivery: a prospective cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 119(11), 1379–1386.

https://doi.org/10.1111/j.1471-0528.2012.03438.x

12. Arab, M., & Nasrollahi, S. (2001). Interrelation of Ramadan fasting and birth weight. Med J Islamic Academy Sci, 14(3), 91-5.

https://jag.journalagent.com/ias/pdfs/IAS_14_3_91_95.pdf

13. Glazier, J. D., Hayes, D. J. L., Hussain, S., D’Souza, S. W., Whitcombe, J., Heazell, A. E. P., & Ashton, N. (2018). The effect of Ramadan fasting during pregnancy on perinatal outcomes: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 18(1).

https://doi.org/10.1186/s12884-018-2048-y

14. Joosoph, J., Abu, J., & Yu, S. L. (2004). A survey of fasting during pregnancy. PubMed, 45(12), 583–586.

15. Azizi, F. (2010). Islamic fasting and health. Annals of Nutrition and Metabolism, 56(4), 273-282.

https://doi.org/10.1159/000295848

16. Bakhit M, Ahmed MA, Al-Mazrou YY. Effects of Ramadan fasting on pregnancy outcome. J Perinatol. 2010;30(3):186–189.

17. Ozturk M, Yildirim G, Deren S. Ramadan fasting and pregnancy: effects on fetal development. Ginekol Pol. 2015;86(4):265–270.

18. Glazier, J. D., Hayes, D. J., Hussain, S., D’Souza, S. W., Whitcombe, J., Heazell, A. E., & Ashton, N. (2018). The effect of Ramadan fasting during pregnancy on perinatal outcomes: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 18(1).

https://doi.org/10.1186/s12884-018-2048-y

19. Mirghani HM, Weerasinghe SD, Ezimokhai M. The effect of maternal fasting on fetal activity and Doppler indices. J Perinatol. 2006;26(1):27–31.

20. Mumtaz Z, Salway S, Bhatti A, McIntyre L. Why do pregnant women fast during Ramadan? A qualitative study. BMC Pregnancy Childbirth. 2012;12:71.

21. Van Ewijk, R. (2011). Long-term health effects on the next generation of Ramadan fasting during pregnancy. Journal of Health Economics, 30(6), 1246-1260.

https://doi.org/10.1016/j.jhealeco.2011.07.014

22. Royal college of obstetricians and gynaecologists (RCOG). (2018). The Grants Register 2018, 629-631.

https://doi.org/10.1007/978-1-349-94186-5_985

23. Albar MA. Islamic ethics and guidelines for fasting. Saudi Med J. 2014;35(6):579–586.

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Published

2025-07-15

How to Cite

Fayyaz, N., Sajjad, R., Naqvi, S. B., Hameed, M. T., Fayyaz, A., Nawaz, Q., & Rehman, M. (2025). Impact of Fasting on Maternal and Fetal Well Being in Comparison with Non-Fasting Mothers. Indus Journal of Bioscience Research, 3(7), 679-683. https://doi.org/10.70749/ijbr.v3i7.2067