Fatigue is one of the most common symptoms experienced during pregnancy while fasting. Its intensity can vary depending on hormonal changes, nutritional status, sleep quality, and overall maternal health. During Ramadan, changes in meal schedules, hydration patterns, and sleep routines can further affect energy levels in some pregnant women.
Dr. Peter Nawar, a specialist in obstetrics and gynecology at Medcare Women & Children Hospital in Dubai, explains the signs of fatigue during pregnancy and how to manage them safely during Ramadan.
Why Fatigue Occurs During Pregnancy
Increased effort to support fetal growth
The body works harder to support the developing baby. Blood volume increases, the heart pumps more efficiently, and metabolic demands rise to meet both maternal and fetal needs. These physiological changes can cause varying degrees of fatigue.
Changes in meal timing
Altered meal times and reduced fluid intake during fasting can temporarily lower energy levels. Fatigue may present as constant tiredness, reduced activity, difficulty concentrating, headaches, dizziness, shortness of breath during exertion, increased need for rest, and mood swings. Severe or prolonged fatigue should prompt consultation with a healthcare provider.
Common sleep disturbances
Fatigue may be more noticeable in the first trimester as the body adjusts to early pregnancy changes and in the third trimester due to increased body weight and sleep disruption. Anemia, poor hydration, inadequate nutrition, or insufficient rest can further worsen fatigue.
Hormonal changes
Elevated progesterone levels contribute to sleepiness and lethargy, particularly in the first trimester.
Guidelines for Safely Managing Fatigue During Ramadan
1. Prioritize hydration
Drink fluids gradually and regularly between Iftar and Suhoor, with water as the main source. Avoid excessive caffeine, which can increase fluid loss and disrupt sleep.
2. Do not skip Suhoor
Suhoor is essential for sustaining energy during fasting hours. Include complex carbohydrates (whole grains), protein sources (eggs, dairy, legumes), healthy fats, fiber, and sufficient fluids to maintain stable energy levels.
3. Break the fast gradually
Begin Iftar with light foods and fluids to allow the body to adjust. Avoid overeating, which can lead to lethargy and digestive discomfort. Balanced meals with vegetables, protein, and complex carbs help maintain sustained energy.
4. Monitor iron levels
Iron-deficiency anemia is a common cause of fatigue. Continue prescribed prenatal supplements and attend routine blood tests to detect deficiencies early.
5. Ensure adequate rest
Fasting can disrupt sleep due to late-night meals and early Suhoor. Organize sleep as much as possible, take short naps during the day if needed, and avoid overexertion. Even brief rest periods can improve overall energy.
6. Adjust physical activity
Limit strenuous activities, especially during fasting hours. Light exercise such as gentle walking after Iftar may be beneficial, as long as it is comfortable and approved by a healthcare provider.
Individual Assessment is Essential
Not all pregnant women are medically advised to fast. Decisions depend on trimester, anemia status, blood sugar stability, blood pressure, fetal growth, and overall health. A healthcare provider should evaluate all these factors before giving personalized recommendations.
Regular Medical Follow-Up
Do not skip prenatal visits during Ramadan. Women with conditions such as gestational diabetes, high blood pressure, anemia, or high-risk pregnancies need closer supervision to ensure maternal and fetal safety.
Psychological and Emotional Support
Fatigue can also affect mood and emotional well-being. Seek family support, delegate physically demanding tasks, maintain a calm daily routine, and manage stress and time effectively to promote overall wellness.
Key Takeaways
Fatigue is common in pregnancy and can be affected by fasting during Ramadan.
Some women may fast safely with medical supervision; others may be advised not to fast.
Consult a healthcare provider before fasting and seek immediate care if severe or concerning symptoms appear.
Balanced nutrition, adequate hydration, proper rest, and regular medical follow-up are crucial for a healthy and safe pregnancy during Ramadan.
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