Ramadan fasting experience of pregnant women with gestational diabetes mellitus in Oman

ABSTRACT Background: Gestational diabetes mellitus (GDM) affects >50% of pregnancies in many Arab countries. However, few studies have explored the impact of Ramadan fasting on pregnant women with GDM and no such study has been conducted in Oman. Therefore, this is the first study in Oman which aimed to examine the experience of pregnant women with GDM during Ramadan fasting. Methods: This study employed a rigorous qualitative design, guided by a constructivist grounded theory approach. Semi-structured interviews were conducted with women with GDM in the North Batinah Governorate of Oman at four primary health-care institutions. Purposive and theoretical sampling was utilized. Results: The experiences of 20 women were discussed during the interviews. Two main themes, “encouraging experiences” and “worrying experiences” emerged from the constant comparative analysis. Encouraging experiences included belief, family influence, embarrassment, sharing spiritual moments, and coping approaches. Worrying experiences included health problems, fear of harming babies, and advice from health-care professionals. This led to the development of the core category “Finding A Balance,” which means that women with GDM who fasted and did not fast during Ramadan were attempting to maintain their blood sugar to avoid harming themselves and their fetus. Conclusion: The insights gained from understanding the experiences of pregnant women with GDM are crucial as they guide the development of the best approaches to health education and supportive programs for pregnant women with GDM. Pregnant women with GDM who wish to fast should be informed about the potential risks associated with fasting during pregnancy.