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

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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 ḍarūrahand 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 ḍarūrahas mentioned by Islamic institutions around the world? The sighah term in ḍarūrahas imposed in the fatwa by Islamic institutions at national and international level with regards to the above mentioned based on document review method. Thisstudy concludesthat 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 ḍarūrahknown as tenacious ḥājah(need) and maximum level of ḍarūrah. Thus, signifies the proficiency of Muslim scholars in current contemporary issues.

Description

Vol. 27 No. 2 (Page:228–245)

Keywords

Venous Thromboembolism,Low Molecular Heparin, Fatwa

Citation

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://al-qanatir.com/aq/article/view/550