Fatwa Analysis Between National And International Fatwa Institutions On Low Molecular Weight Heparin (LMWH) As Thromboprophylaxis During Pregnancy Following Covid-19 Diagnosis

Authors

  • Zizi Azlinda Mohd Yusof Lecturer
  • Nur Zaireena Zainal Senior Medical Lecturer, Obstetrics And Gynaecology Specialist
  • Irwan Mohd Subri Professor

Keywords:

Venous Thromboembolism, Low Molecular Heparin, Fatwa

Abstract

Blood clotting or Venous Thromboembolism (VTE) during pregnancy following Covid-19 infections can lead to catastrophic event. The hypercoagulable state of pregnancy is increased following Covid-19 inflammatory reaction leading to extensive use of Low Molecular Heparin (LMWH). This paper aims to analyse the methodologies used in imposing fatwa or legal rule (ḥukm) upon LMWH issue due to its porcine origin. Thromboprophylaxis with LMWH is permissible for critical (ḍarūrah) condition in VTE events as commonly agreed by majority Muslim scholars. However, with the increasing maternal mortality and morbidity due to VTE following recent Covid-19 pandemic in Malaysia, a dire need of an emergency buffer to contemplate the description of ḍarūrah and its level of severity. LMWH has been used widely as thromboprophylaxis and treatment among pregnant women especially in Covid-19 related coagulopathy. However, does LMWH allowed only when the women are at risk determined as ḍarūrah as mentioned by Islamic institutions around the world? The sighah term in ḍarūrah as imposed in the fatwa by Islamic institutions at national and international level with regards to the above mentioned based on document review method. This study concludes that prompt action should be taken by Islamic Institutions to respond on the use of thromboprophylaxis with LMWH upon pregnant women with Covid-19 infection by addressing the issue of hifz al-nafs in determining the minimum level ḍarūrah known as tenacious ḥājah (need) and maximum level of ḍarūrah. Thus, signifies the proficiency of Muslim scholars in current contemporary issues. 

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Author Biographies

Zizi Azlinda Mohd Yusof, Lecturer

Faculty of Syariah and Law (FSU), Islamic Science University of Malaysia (USIM)

Nur Zaireena Zainal, Senior Medical Lecturer, Obstetrics And Gynaecology Specialist

Faculty of Medicine and Health Sciences, Islamic Science University of Malaysia (USIM)

Irwan Mohd Subri, Professor

Director, Institute of Fatwa and Halal (IFFAH); Professor, Faculty of Syariah and Law (FSU), Islamic Science University of Malaysia (USIM); Secretary, Akademi Fiqh Islami Malaysia (AFHAM)

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Published

2022-09-18

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Mohd Yusof, Z. A., Zainal, N. Z., & Mohd Subri, I. . (2022). Fatwa Analysis Between National And International Fatwa Institutions On Low Molecular Weight Heparin (LMWH) As Thromboprophylaxis During Pregnancy Following Covid-19 Diagnosis. Al-Qanatir: International Journal of Islamic Studies, 27(2), 228–245. Retrieved from https://www.al-qanatir.com/aq/article/view/550

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