Aterm Labor with Covid-19 in a Medical, Bioethical and Islamic Perspective
Nasrudin Andi Mappaware (a*), Erlin Syahril (b), Wirawan Harahap (c), Farah Ekawati (c), Syatirah Rizky Ananda (d)

a) Faculty of Medicine / Ibnu Sina YW UMI Hospital / Obstetry and Gynecology Department / Universitas Muslim Indonesia
b) Faculty of Medicine / Ibnu Sina YW UMI Hospital / Radiology Department / Universitas Muslim Indonesia
c) Faculty of Medicine / Ibnu Sina YW UMI Hospital / Bioethics and Professionalism / Universitas Muslim Indonesia
d) Faculty of Medicine / Universitas Muslim Indonesia

Abstract

Objective: Coronavirus disease 2019 (COVID-19) is a disease that is currently endemic to almost all over the world. Knowledge about COVID-19 infection in pregnancy and the fetus is still limited and there are no specific recommendations for handling pregnant women with COVID-19.
Method: Case study
Results: 39 year old woman, with signs of labor, planned to deliver with COVID-19. Management of each pregnant woman is carried out based on the COVID-19 early warning system (EWS) combines with anamnesis, physical examination and supporting examinations (laboratory, radiological/CT-thoracic and Swab/PCR). The patient refused to referred to hospital for handling COVID-19 and refused to go for further examination with Swab (PCR). Making decisions on ethical problems and dilemmas with a medical, bioethical and Islamic approach.
Conclusion: Handling and clinical decision making in cases of pregnancy with COVID-19 with various dilemmas apart from medical considerations requires a bioethical approach and Islamic values.

Keywords: COVID-19; pregnancy; labor; medical; bioethics; Islam

Topic: Maternal, neonatal, and child health