Hossain Nazli, Samuel Mahwish, Mughal Saba, Shafique Kashif
Nazli Hossain, FCPS, MBE. Department of Obstetrics & Gynecology Unit II, Dow Medical College & Ruth Pfau KM Civil Hospital, Karachi, Pakistan.
Mahwish Samuel, MBBS. Resident Trainee, Holy Family Hospital, Karachi, Pakistan.
Pak J Med Sci. 2021 Sep-Oct;37(5):1262-1267. doi: 10.12669/pjms.37.5.4109.
To see perception and knowledge of women about Ramadan fasting and maternal effects of fasting.
The study design was prospective, case-controlled. This study was conducted at Holy Family Hospital from 1 May 2020 to July 2020. Pregnant women with spontaneous conception and singleton pregnancies, who fasted for seven or more days, were cases, and those who did not fast were taken as controls. Questionnaire was filled regarding perception of women about maternal fasting. Primary maternal outcomes included preterm delivery, pregnancy induced hypertension, and gestational diabetes mellitus. The analysis was conducted using Statistical Package for Social Sciences version 16.0.
A total of 215 women were included in the study, 123 women fasted, and 92 women did not fast. Only 2.8% of women knew that fasting is forbidden in pregnancy. Sixty five percent of women reported weakness as the main reason for not fasting. The rate of gestational diabetes, pregnancy induced hypertension and preterm delivery was higher among women who fasted (17% vs 14%, 7% vs 2%, 9% vs 9%) respectively, compared to non-fasting women, but were not found statistically significant. There was no difference in anthropometric measurements of newborn, among both groups.
Ramadan fasting does not affect maternal outcomes during pregnancy.
了解女性对斋月禁食的认知以及禁食对孕妇的影响。
本研究设计为前瞻性病例对照研究。于2020年5月1日至2020年7月在圣家医院开展。自然受孕且为单胎妊娠、禁食7天及以上的孕妇为病例组,未禁食的孕妇为对照组。就女性对孕期禁食的认知填写问卷。主要孕产妇结局包括早产、妊娠期高血压和妊娠期糖尿病。使用社会科学统计软件包第16.0版进行分析。
本研究共纳入215名女性,其中123名女性禁食,92名女性未禁食。只有2.8%的女性知道孕期禁食是被禁止的。65%的女性表示虚弱是不禁食的主要原因。与未禁食女性相比,禁食女性的妊娠期糖尿病、妊娠期高血压和早产发生率分别更高(分别为17%对14%、7%对2%、9%对9%),但差异无统计学意义。两组新生儿的人体测量指标无差异。
斋月禁食不影响孕期的孕产妇结局。