Role of Porcine Base Anticoagulant during Pregnancy and Puerperium as Prophylaxis Treatment in Venous Thromboembolism (VTE): Shariah Views and Perspectives
Irwan Mohd Subri1, Zizi Azlinda Mohd Yusof2, Nur Zaireena Zainal3, Azman Ab Rahman4, Mohd Nasir Abdul Majid5, Nadeeya ‘Ayn Umaisara Mohamad Nor6
1Irwan Mohd Subri, Faculty of Shariah and Laws, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
2Zizi Azlinda Mohd Yusof, Faculty of Shariah and Laws, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
3Nur Zaireena Zainal, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
4Azman Ab Rahman, Faculty of Shariah and Laws, UniversitI Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
5Mohd Nasir Abdul Majid, Faculty of Shariah and Laws, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
6Nadeeya ‘Ayn Umaisara Mohamad Nor, Faculty of Medicine and Health sciences, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia.
Manuscript received on 11 October 2019 | Revised Manuscript received on 20 October 2019 | Manuscript Published on 02 November 2019 | PP: 567-574 | Volume-8 Issue-2S11 September 2019 | Retrieval Number: B10880982S1119/2019©BEIESP | DOI: 10.35940/ijrte.B1088.0982S1119
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Physiological changes in pregnancy makes the pregnancy a hypercoagulable state. Recent Malaysian maternal mortality enquiry in 2016-2017 statistic revealed that the principal cause of maternal death is caused by venous thromboembolism (VTE) particularly pulmonary Embolism (PE). Low Molecular Weight Heparin (LMWH) is the treatment of choice in pregnancy due to its efficacy, effectiveness and safety profile which is superior then other anticoagulants. Unfortunately, LMWH is porcine base anticoagulant which creates a huge hesitancy and dilemma amongst Muslim medical practitioners. Perplexity especially in preventive treatment as the national fatwa issued permissible usage only in life threatening necessity. The objective of this study is to evaluate the principals in shariah towards mothers at risk of VTE during pregnancy and puerperium whom will be prescribed porcine base anticoagulant as prophylaxis. Utilizing textual content analysis in this qualitative research, the outcome will clarify the feasibility by al-zikr or ahl al-khibrah in porcine based medication as VTE prophylaxis treatment. This study aimed to purpose a new perspective in delineating the dilemma among Muslim practitioner.
Keywords: Anticoagulant, Prophylaxis, Low Molecular Weight Heparin (LMWH), Muslim, Venous Thromboembolism (VTE).
Scope of the Article: Bio-Science and Bio-Technology