Health Beliefs and Breastfeeding Practices During Ramadan Fasting

Objective: To determine the health beliefs and breast feeding practices among lactating women during Ramadan fasting. Study Design: Descriptive cross sectional Setting and duration: This was a hospital based study conducted from July to September 2017 at Department of Obstetrics & Gynaecology Isra University, Karachi Campus. Methods: Total 279 lactating mothers were included in the study after taking informed consent. Pre designed questionnaire were used for interview and collection of data which was based on close ended questions. Data was collected in post Ramadan period from all lactating mothers whoever fasted during Ramadan. Results: Total 279 women were enrolled in the study after informed consent. Among 279 women, 166 (59.50%) found uneducated and housewives 274 (98.2%). 82.2% mothers were fasting. 162 (58.1%) mothers felt difficulty to fast during lactation. Mothers believed weakness occurs due to poor nutrition. During fasting, thirst /Hunger and weakness (31.5% & 37% respectively) were the most common concerns reported. 76% of total mothers were aware about religious relaxation that they are allowed to "repay their fasting debt" after breastfeeding, by fasting and by giving fidya. Conclusion: It is conclude that Ramadan fasting is common in breastfeeding mothers and practice of fasting was mainly affected by feeling of weakness and dehydration. Healthcare providers need to understand and respect the beliefs, practices and should provide culturally appropriate care and encourage taking appropriate diet with adequate calories.