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العنوان
The Effect of 3rd trimester Ramdan fasting on Obestetric outcome /
المؤلف
Abd Elshafi, Ahmed Khalil.
هيئة الاعداد
باحث / Ahmed Khalil Abd Elshafi
مشرف / Mohammed Abdallah El Maraghi
مشرف / Ayman Abd Elkader Mohammed
تاريخ النشر
2016.
عدد الصفحات
126 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics & Gynecology
الفهرس
Only 14 pages are availabe for public view

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from 126

Abstract

Many pregnant Muslim women fast during Ramadan since fasting during Ramadan is one of the five pillars of Islam and is a central part of Muslim culture, many women may fear a loss of connection with their communities or would feel guilty if they did not observe Ramadan. Each year, about 400 million out of 1 billion Muslims do this duty. Such tasks like eating, drinking, and smoking are forbidden from sunrise until sunset. Fasting during pregnancy has been always considered as a debatable condition.
There have been many studies on metabolic changes and different aspects of human health during and after Ramadan .but there have been few studies on the effect of fasting on pregnancy outcome and there are also some controversies in the findings of different studies.
Prospective Comparative Cohort Study include 159 patient pregnant at third trimester were performing there ANC at EL-Demerdash outpatient clinic during the Holy month of Ramadan (from 18th June To 16th July 2015).
All patients were conducted to our study to find the answers of many women who ask if fasting affect her baby or not?
The patients were recorded out patients during Ramadan then followed during the holy month then grouped into three groups A, B, C regarding fasting state
A- Non fasting group
B- Partially fasting group
C- Totally fasting group
All mothers within the age range of 20 – 35 years. 3rd trimester pregnancy (starting from 28 weeks) which is going to be calculated according to the date of the last menstrual period & confirmed by ultrasonography, Normal healthy women with average body mass index (BMI) and Women included have no medical disorder.
Women who fulfilled the eligibility criteria are going to be subjected to complete history taking, General examination, and Ultrasound fetal biometry every 2-3 weeks till delivery and assess fetal weight after delivery.
The results of our study show that the mean neonatal weight 2786 ± 492, 2883 ± 400 and 2900 ± 486 In group A, group B and group C. Regarding the primary outcome measures there was no significant association between neonatal weight and fasting during Ramadan (P=0.391). Comparison of neonatal weight indices in mothers with different numbers of fasting days shows that there was no significant relationship between these parameters and number of fasting days.
Also it showed there is now no significant association between fasting and mode of delivery (p-value= 0.561). As it showed there is no significant effect of fasting on neonatal outcome, As LBW 12 (22.6%), 8 (15.1%) and 10 (18.9%) in group A, group B and group C. RDS were 8 (15.1%), 7 (13.2%) and 8 (15.1%) in group A, group B and group C. Neonatal Sepsis 1 (1.9%), 0 (0.0%) and 0 (0.0%) in group A, group B and group C. NICU admission were 11 (20.8%), 10 (18.9%) and 7 (13.2%).