The procedure of termination of pregnancy in the case of fetal abnormalities has instigated much debate on the aspects of medical and ethical needs as well as shariah (Islamic law). The discussion has led to confusion in deciding whether to perform a TOP. This article aims to analyze those aspects by considering the level of fetus abnormalities to propose a pregnancy termination model to harmonize the emerging conflicts in the aspects mentioned. fetA qualitative approach was adopted, employing document analysis and semi-structured interviews with medical practitioners in obstetrics and gynaecology. The findings have shown that the ruling for termination of pregnancy due to the fetal anomaly is decided based on the types of abnormalities, fetal lifespan, and threats to maternal life. The model for termination of pregnancy management due to fetal abnormalities indicates that a threat to maternal life becomes the core element determining the decision to terminate a pregnancy or vice versa. Forms of abnormalities and fetal lifespan are also considered, demonstrating harmony between medical, ethical, and legal aspects.