Karva Chauth 2025: How pregnant women can observe the fast safely, say experts

Karva Chauth, which is being observed on October 10th this year, has always been more than just a ritual. It’s a symbol of love, strength, and devotion, a day when women fast for the well-being of their partners. But when an expecting mother wishes to observe this age-old tradition, the question becomes much deeper: should fasting be continued during pregnancy, or is it safer to modify the ritual?
This is where the guidance of medical experts becomes vital. Gynecologists point out that while the emotion behind the fast is beautiful, the body’s needs during pregnancy are completely different. Here’s all we need to know about what doctors have to say about this delicate balance between faith and health.

For many expecting mothers, Karva Chauth carries an emotional weight. It’s not just about abstaining from food and water; it’s about feeling spiritually connected to the partner and celebrating the bond of love.

However, pregnancy changes the equation entirely. The body is already working double time, nurturing both the mother and the baby. This means every meal, every sip of water, and every hour of rest plays a role in maintaining the baby’s growth and health.

That’s why fasting, even if done with devotion, must be approached with mindfulness and care rather than strict abstinence.

Going without food or water for long hours can have a stronger impact on a pregnant body than a regular one.

Dr Aruna Kalra, Director, Obstetrics and Gynaecology, and Robotic Surgeon at CK Birla Hospital, Gurgaon, explains that long hours without hydration can trigger a series of complications. “Dehydration, urinary infections, acidity, weakness, and even preterm contractions can occur if strict fasting is practiced during pregnancy,” she warns.

This happens because pregnancy naturally lowers blood pressure and affects metabolism. When combined with fasting, it can lead to dizziness, fatigue, or low blood sugar, all of which can interfere with fetal nourishment.

For those who wish to honour the festival without compromising health, doctors suggest following a Satvik-style fast, similar to Navratri meals. Dr Kalra recommends foods that maintain hydration and energy levels while respecting the spiritual essence of the day.

- A mindful Karva Chauth fast could include:
- Aloo or beetroot chaat for quick energy
- Banana shake, coconut water, or lassi for hydration
- Paneer, curd, and milk for protein and calcium
- Fruits, saboodana, and singhara atta dishes for balanced nutrition

Such options help sustain energy levels and prevent weakness while keeping the traditional sentiment intact.

Dr Archana Dhawan Bajaj, Gynaecologist and IVF Expert at Nurture, believes fasting during pregnancy should never be a one-size-fits-all decision. “Pregnant women have higher nutritional needs to support both their own health and the baby’s growth,” she explains. “Extended fasting can lead to dehydration, low blood sugar, and nutrient deficiencies, which may affect fetal development.”

She further adds that fasting may be considered in some cases but only under close medical supervision. If hydration, meal timing, and monitoring are handled carefully, partial fasting might be possible, yet it must always be guided by a doctor’s advice.

Pregnancy is nature’s way of teaching mindfulness. The body gives clear signals, thirst, fatigue, nausea, or dizziness, all of which indicate that something isn’t right. Ignoring these can stress both the mother and the baby.

As per Dr Pratibha Singhal, Senior Director – Obstetrics & Gynaecology,
Max Super Speciality Hospital, Noida, "Fasting during pregnancy, particularly for religious or cultural observances such as Karva Chauth and Ramadan requires careful consideration. Pregnancy increases metabolic and nutritional demands, and extended abstinence from food or water may risk maternal dehydration, hypoglycaemia, and nutrient deficiency, potentially affecting placental blood flow and foetal well-being. Periods of prolonged fasting can result in dizziness, fatigue, electrolyte imbalance, and in severe instances, uterine contractions. Medical experts caution that maternal dehydration may reduce uteroplacental perfusion, while hypoglycaemia can alter foetal energy supply."
She added, "It is advised to avoid absolute 'nirjala' fasts. Modified fasting, with fluid and fruit intake, nutrient-dense meals during non-fasting hours and medical supervision, is safer. Women should avoid exertion, maintain hydration and seek immediate medical attention if dizziness, contractions, or reduced foetal movements occur. "

The modern perspective towards Karva Chauth fasting is slowly changing. Many families today understand that health and faith can coexist beautifully. Lighting a diya, offering prayers, and sharing a meal after sunset, all can be done without risking well-being.

Experts emphasize that celebration should never come at the cost of health. The love behind the ritual shines brightest when it’s accompanied by wisdom and care.

So, for an expecting mother, the day can still hold meaning, through gentle rituals, mindful meals, and gratitude for the life growing within. After all, what could be more divine than nurturing two hearts at once?

The information provided in this article is for general awareness and should not replace professional medical advice. Pregnant women should always consult their gynecologist before deciding to fast or make any dietary changes during pregnancy.