Ramadan Observance during Pregnancy in Germany: a Challenge for Prenatal Care.

Introduction: Fasting during Ramadan while pregnant has been shown to have long-term negative effects on the offspring's physical and cognitive health. Even though most Muslims do not believe pregnant women are obligated to fast during Ramadan, fasting rates of up to 87% have been reported for pregnant women. No data exists to date about Ramadan adherence and behavior in Germany.