Fatwa no. 18751 All praise be to Allah Alone, and peace and blessings be upon the last Prophet.The Permanent Committee for Scholarly Research and Ifta' has read the letter sent to His Eminence the Mufty (Islamic scholar qualified to issue legal opinions) from His Excellence/ Assistant, Chief Justice of `Asir courts with number 1843 on 7/4/1417 A.H. That was forwarded to the General Secretariat of the Council of Senior Scholars with no. 1959 on 11/4/1417 A.H. His Eminence was inquiring about the following:I hereby forward to Your Eminence the letter by the Manager of Abha Maternity Hospital and Healthcare Center with number 2188 on 7/4/1417 A.H. including the condition of a patient (F.M.S.Q). The medical committee decided the incapability of her becoming pregnant in the future and decided to abort her pregnancy by tying off the fallopian tubes, and the approval of both the wife and her husband was acquired. However, due to the complexity of preventing (Part No. 21; Page No. 461) pregnancy, I am submitting the issue before you for further study.Please look into this case and provide us with the correct opinion.Following is the medical report:Name of the patient: (F.M.S.Q)Age: 33 yearsNationality: SaudiGender: FemaleRecord no.: (..)Address: Abha Patient's complaint and the history of disease: The woman has been referred to Abha Maternity Hospital by the cardiac specialist at `Asir Central Hospital. The clinical examination indicates that: She suffers from cardiac depression and mitral valve leakage to the extent that she cannot sleep except over three pillows. She has been pregnant for about 40 days, and she has been transferred to Abha Hospital because her condition does not tolerate pregnancy. In addition, she takes Warfarin tablets, which may affect the formation of the embryo during the first phases of pregnancy and cause some deformities.Diagnosis: (Part No. 21; Page No. 462) After acquiring the approval of the authorized judge, being informed of the husband's desire to abort the fetus, and receiving the cardiac consultant's report stating that the patient's condition does not allow pregnancy and the husband agreeing that it is too dangerous to operate in this condition, the local medical committee recommends tying off the Fallopian Tubes along with terminating the pregnancy Member Member Member Approved by / Abha Maternity Hospital Manager