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夏季禁食对孕期羊水的影响。

The Influence of Fasting in Summer on Amniotic Fluid During Pregnancy.

作者信息

Altunkeser Ayşegül, Körez Muslu Kazım

机构信息

Department of Radiology, Konya Education and Research Hospital, Konya, Turkey.

Department of Statistics, Faculty of Science, Selcuk University, Konya, Turkey.

出版信息

J Clin Imaging Sci. 2016 May 26;6:21. doi: 10.4103/2156-7514.183041. eCollection 2016.

DOI:10.4103/2156-7514.183041
PMID:27313975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4901837/
Abstract

OBJECTIVES

Ramadan is a holy month in which eating and drinking are forbidden from dawn to sunset. In this study, we investigated using ultrasonography (USG) whether fasting in summer (as occurred in Ramadan 2014) had an influence on the volume of amniotic fluid during pregnancy.

MATERIALS AND METHODS

The study included 119 pregnant women in total who were admitted to our department with a request of obstetric USG between June 28, 2014, and July 27, 2014. The fasting group included 61 pregnant women and the control group of 58 pregnant women. In our study, all the fasting pregnant women had Sahur (predawn meal eaten before starting fasting) and Iftar (the evening meal for fast-breaking) every day, regularly. The women in the control group did not fast. In addition to amniotic fluid index and fetal biometric measurements during Ramadan, amniotic fluid volume was measured ultrasonographically throughout pregnancy. All ultrasound examinations were performed at least 8 h after Sahur during Ramadan. Chi-square test was utilized to compare the measurements of amniotic fluid volume, and Mann-Whitney U-test was utilized to analyze the differences in fetal growth data. Moreover, difference was considered statistically significant when the P value was <0.05.

RESULTS

The mean age was 25.7 years in the fasting group and 25.8 years in the control group. Other characteristics and mean gestational weeks of the two groups were similar. Ultrasonographically, there was no significant difference between two groups in respect to amniotic fluid amount during pregnancy (P = 0.7). There was no significant difference with regard to fetal growth parameters either (P > 0.05).

CONCLUSION

In pregnant women who had regular predawn and fast-breaking meals, fasting in summer did not elicit alteration in the amount of amniotic fluid throughout pregnancy.

摘要

目的

斋月是一个神圣的月份,在此期间从黎明到日落禁食禁饮。在本研究中,我们使用超声检查(USG)来调查夏季禁食(如2014年斋月期间)是否会对孕期羊水量产生影响。

材料与方法

本研究共纳入119名因产科超声检查需求于2014年6月28日至2014年7月27日入住我科的孕妇。禁食组包括61名孕妇,对照组有58名孕妇。在我们的研究中,所有禁食的孕妇每天都规律地进食封斋饭(禁食开始前吃的黎明前餐)和开斋饭(破斋的晚餐)。对照组的女性不禁食。除了在斋月期间测量羊水指数和胎儿生物测量数据外,在整个孕期还通过超声测量羊水量。所有超声检查均在斋月期间封斋饭后至少8小时进行。采用卡方检验比较羊水量的测量值,采用曼-惠特尼U检验分析胎儿生长数据的差异。此外,当P值<0.05时,差异被认为具有统计学意义。

结果

禁食组的平均年龄为25.7岁,对照组为25.8岁。两组的其他特征和平均孕周相似。超声检查显示,两组在孕期羊水量方面无显著差异(P = 0.7)。胎儿生长参数方面也无显著差异(P > 0.05)。

结论

对于有规律黎明前餐和破斋餐的孕妇,夏季禁食不会引起整个孕期羊水量的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb4/4901837/9186e1d7d8c4/JCIS-6-21-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb4/4901837/56fbebf4bcd1/JCIS-6-21-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb4/4901837/9186e1d7d8c4/JCIS-6-21-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb4/4901837/56fbebf4bcd1/JCIS-6-21-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb4/4901837/9186e1d7d8c4/JCIS-6-21-g007.jpg

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本文引用的文献

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J Pregnancy. 2015;2015:319204. doi: 10.1155/2015/319204. Epub 2015 Jan 15.
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Reproducibility of measuring amniotic fluid index and single deepest vertical pool throughout gestation.
Prenat Diagn. 2015 May;35(5):434-9. doi: 10.1002/pd.4504. Epub 2015 Mar 28.
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Ramadan fasting and pregnancy: implications for fetal development in summer season.斋月禁食与怀孕:对夏季胎儿发育的影响
J Perinat Med. 2015 May;43(3):319-23. doi: 10.1515/jpm-2013-0289.
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Effect of maternal fasting for religious beliefs on fetal sonographic findings and neonatal outcomes.
Int J Gynaecol Obstet. 2014 Aug;126(2):123-5. doi: 10.1016/j.ijgo.2014.02.018. Epub 2014 Apr 18.
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Amniotic fluid index.羊水指数
Neonatal Netw. 2013 Jan-Feb;32(1):46-9. doi: 10.1891/0730-0832.32.1.46.
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The effect of ramadan fasting on outcome of pregnancy.斋月禁食对妊娠结局的影响。
Iran J Pediatr. 2010 Jun;20(2):181-6.
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The effect of Ramadan fasting on fetal growth and Doppler indices of pregnancy.斋月禁食对胎儿生长及妊娠多普勒指数的影响。
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Effect of fasting during Ramadan on fetal development and maternal health.斋月禁食对胎儿发育及母体健康的影响。
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Amniotic fluid index versus single deepest vertical pocket as a screening test for preventing adverse pregnancy outcome.羊水指数与单一最深垂直羊水池作为预防不良妊娠结局的筛查试验
Cochrane Database Syst Rev. 2008 Jul 16;2008(3):CD006593. doi: 10.1002/14651858.CD006593.pub2.
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