Dr. Faiza Umar's Gynae, Obstetrics & Fertility Clinic

18/01/2024

★★★★★ · Obstetrician-gynecologist

20/10/2023

14/04/2023

Sarrah Shahawy, MD MPH
Leen Al Kassab, AB
Abbas Rattani, MD MBE

"Pregnant Muslim women may be religiously exempt from fasting during the Islamic month of Ramadan, especially if there is concern for undue hardship or harm to maternal or fetal health. However, several studies demonstrate that most women still choose to fast during pregnancy and avoid discussing fasting with their providers. A targeted literature review of published studies on fasting during Ramadan and pregnancy/maternal and fetal outcomes was performed. We generally found little to no clinically significant effect of fasting on neonatal birthweight or preterm delivery. Conflicting data exist on fasting and mode of delivery. Fasting during Ramadan has been mainly associated with signs and symptoms of maternal fatigue and dehydration, with a minimal decrease in weight gain. There is conflicting data regarding the association with gestational diabetes mellitus and insufficient data on maternal hypertension. Fasting may affect some antenatal fetal testing indices—including non-stress tests, lower amniotic fluid levels, and lower biophysical profile scores. Current literature on the long-term effects of fasting on offspring suggests possible adverse effects, but more data is required. The quality of evidence was negatively impacted by the variation in defining “fasting during Ramadan” in pregnancy; study size and design; and potential confounders. Therefore, in counseling patients, obstetricians should be prepared to discuss the nuances in the existing data while demonstrating cultural and religious awareness and sensitivity to foster a trusting relationship between patient and provider. We provide a framework for obstetricians and other prenatal care providers to aid in that effort and supplemental materials to encourage patients to seek clinical advice on fasting. Providers should engage patients in a shared decision-making process and offer them a nuanced review of the evidence (including limitations) and individualized recommendations based on clinical experience and patient history. Finally, should certain patients choose to fast while pregnant, providers should offer medical recommendations, closer observation, and support to reduce harm and hardship while fasting."

06/10/2022

A miscarriage is the loss of a pregnancy during the first 23 weeks.
The main sign of a miscarriage is vaginal bleeding, which may be followed by cramping and pain in your lower abdomen. But bear in mind that light vaginal bleeding is relatively common during the first trimester (first 3 months) of pregnancy and does not necessarily mean you're having a miscarriage.

30/09/2022

Women with the following conditions or pregnancy complications should not exercise during pregnancy:
-Certain types of heart and lung diseases
-Cerclage
-Being pregnant with twins or triplets (or more) with risk factors for preterm labor
-Placenta previa after 26 weeks of pregnancy
-Preterm labor during this pregnancy or ruptured membranes (your water has broken)
-Preeclampsia or pregnancy-induced high blood pressure
-Severe anemia

17/09/2022

13/08/2022

Uterine fibroids are a common type of noncancerous tumor that can grow in and on your uterus. Not all fibroids cause symptoms, but when they do, symptoms can include heavy menstrual bleeding, back pain, frequent urination and pain during in*******se.

Small fibroids often don’t need treatment, but larger fibroids can be treated with medications or surgery.

20/07/2022

The reported prevalence of infertility in Pakistan is approximately 22% with 4% primary and 18% secondary infertility.
causes can include an ovulation disorder, uterine fibroids, damaged fallopian tubes, endometriosis, medications or other health issues. In addition, factors such as smoking, obesity and malnutrition can also affect your chances of conception.

Contact us for treatment options including medical, surgical and assisted conception techniques such as IUI.

Monday to Saturday: 5 PM to 9 PM
03334468950
DR. FAIZA UMAR
MBBS,FCPS

20/07/2022