Fasting advice for mothers-to-be

Dubai: Fasting during pregnancy should be done only after a thorough consultation with a medical practitioner, said maternity specialists.

In light of several studies that offer conflicting reports on the effects of fasting on the mother and unborn child, specialists advise caution.

Some studies suggest that fasting could put the health of the unborn child at risk. A study from Columbia University, US, in particular proposes that mothers-to-be who are fasting are likely to have smaller babies.

According to the tenets of Islam, fasting is one of the five pillars, however expectant mothers are exempt.

Dr Anne Philip, consultant obstetrician and gynaecologist at Mediclinic City Hospital told Gulf News that she had several fasting pregnant patients while working in Saudi Arabia.

“Some of my patients would come dehydrated, requiring intravenous fluids. So I advise pregnant women to listen to their body and ensure that the baby’s movement is normal. The fierce heat and long hours can make it difficult so a patient should try for one or two days before continuing the fast.”

Speaking to Gulf News, Dr Keya R. Shivadey, specialist gynaecologist, Aster Plus Medical Centre, Business Bay Clinic, Dubai, said that fasting may have an adverse effect on either the mother or child, especially in the first and last trimesters.

“If the woman feels healthy and has the strength she can fast provided she has been given the go-ahead by her doctor. Fasting is not encouraged in the first trimester because the baby needs regular nutrients to grow or in the last during which the risk of complications is higher.

“In general, some of the factors that may cause complications from fasting include gestational diabetes, anaemia or multiple pregnancies,” she said.

She added that fasting can cause headaches, fatigue, dizzy spells and acidity so an expecting woman should watch out for these symptoms.

“If fasting, blood sugar level should be consistent.”

Dr Kamini Naik of the Sharjah Baby Friendly Emirate Campaign (SBFEC), which aims to implement baby-friendly standards in the emirate, told Gulf News pregnant women and lactating mothers should choose balanced, healthy meals.

“The quantity and quality of food are important. A variety of food such as nuts, fresh fruit and vegetables should be consumed with adequate amounts of dairy, meat, seafood, rice and bread,” said Dr Naik, Joint Director-Technical Lead Implementation of the campaign.

“The most essential consideration is to have plenty of water and fresh fruit juices, not tea, coffee or aerated drinks. Fresh coconut water is a rich source of energy as well,” she added.