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INVITRO FERTILIZATION IN LIGHT OF ISLAMIC TEACHINGS

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Reproductively a life gets complete once offspring are produced and where an individual fails to accomplish that task the prognosis is incomplete life cycle. As such every species lives with the objective of given birth to the succeeding generation. Humans, likewise, have the great desire to produce children once they get married after reaching to the reproductive age. Nevertheless, there are many who are unable to do so owing to various physiological, psychological and other reasons. Inability in fertilization of the egg with the sperm is one of the causes which prevent many parents from giving birth to children.

Man, since the times immemorial, has been seeking a cure for the causes of infertility in human species including the cause of inability to fertilize egg. It is the outcome of the untiring efforts of men in this area which has resulted in the development of various techniques and cures which aid people to produce children, those people who normally fail to produce them. Among these methods and techniques In-vitro Fertilization is the one. The increased rate of infertility in married couples makes this technique even more important, in a sense, their only hope.

In-Vitro Fertilization (IVF) is one of the Assisted Reproductive Techniques (ARTs), also called Medical Assisted Conception (MAC). It is a process in which a woman through hormonal manipulation is made to have several simultaneously developing ova. Hormonal ovarian stimulation can be used to treat ovulation or may increase the likelihood of conception in idiopathic infertility by increasing the number of mature oocytes.

 

Ovarian stimulation may also accompany intrauterine insemination. These are needle aspirated at the proper time under ultrasonic guidance. In the lab, sperm is made to fertilize the ova. When they reach the 4-8-cell stage they are transferred into the uterus. The uterus has already been prepared by hormones to be ready for implantation of the transferred eggs. The current success rate of this technique is 20-30%. IVF has many modifications which include Gamete intra-fallopian transfer (GIFT), Intracytoplasmic Sperm Injection (ICSI) and others.

Developing a technique in medical science in the modern times is comparatively easy than to making that technique operational and acceptable to the people. There are various moral, ethical, religious, cultural and social conditions that the techniques must fulfill before it is used on a larger scale. IVF with its various modifications mentioned in the foregoing lines has also been made subject to the scrutiny of fulfilment of these conditions. For Muslims it has been subjected to the Islamic rulings, and laws, and is declared permissible if it satisfies the following conditions.

*First, the IVF must involve a legally and Islamically married couple.

*Second, the sperm must be from the husband, and the eggs from the wife.

•Fourth, the procedure must be conducted by a competent and trustworthy team in order to reduce the chances of failure or mixing of zygotes and pre-embryos of different couples. Further rulings regarding this is that if there is a legal reason for the woman to be exposed to a person other than her husband for treatment, that person should be a Muslim woman if there is one who can do the job; if not found, then a non-Muslim woman; if not found then a trustworthy Muslim doctor; if not found then a non-Muslim doctor.

*It should not be an act of surrogacy which is prohibited in Islam.

*Finally, not more than the appropriate number of fertilized eggs should be transferred to the uterus for many fertilized ova are produced which many centers freeze and use them unethically in other cases of fertilization.

It is permissible to use them for medical research with the consent of the couple and within the appropriate guidelines. However, The International Islamic Fiqh Academy of Organization of Islamic Conferences (OIC-IFA) in 1990 refused the freezing of the pre-embryos as occurrences of mixing of gametes and pre-embryos happened.

Artificial reproduction is not mentioned in the primary sources of Shari’ah. However, when procreation fails, Islam encourages treatment, especially because adoption is not an acceptable solution. Thus, attempts to cure infertility are not only permissible, but also encouraged. The duty of the physician is to help a childless couple to achieve successful fertilization, conception, and delivery of a baby.

All assisted reproductive technologies are permitted in Islam, if the semen source, ovum source, and the incubator (uterus) come from the legally married husband and wife during the span of their marriage. According to Islam, a man’s or woman’s infertility should be accepted if it is beyond cure. That is why assisted reproduction was widely accepted after prestigious scientific and religious bodies and organizations issued guidelines, which were accepted by concerned authorities in different Muslim countries.

These guidelines included a Fatwa from Dar El Iftaa, Cairo (1980) and a Fatwa from the Islamic Fiqh Council, Makkah (1984), the Islamic Organization for Medical Sciences (IOMS) in Kuwait (1983), the Fatwa of International Islamic Fiqh Academy in 1986, and the International Islamic Centre for Population Studies and Research, al. Azhar University.

These guidelines are followed by most Muslims.

Another form of ART is surrogacy. There are two types of surrogacy, partial and complete. In partial surrogacy, a couple will solicit or commission a woman to be artificially impregnated by the “husband” semen. The surrogate will then carry the pregnancy to term, and upon birth, give the baby away to the soliciting couple. In this case, the child will have the rearing father as the biological father, a rearing mother, and a biological birth mother.

In a complete surrogacy, the commissioning couple will undergo IVF. The embryo produced by IVF is transferred then to a surrogate woman. The surrogate gives the baby to the soliciting/rearing couple at birth. In this case, the biological parents are the rearing couple, and the surrogate is the birth mother.

The Fatwa of the Islamic Fiqh council of Makkah in 1984 allowed surrogacy by replacing the embryos inside the uterus of the second wife of the same husband who provided the spermatozoa. In 1985, the council withdrew its approval of surrogacy.

Cryopreservation and the use of preserved gametes and pre-embryos is another related issue which has been dealt thoroughly by the Islamic scholars, and schools. In medical terms, cryopreservation is the freezing and storage of gametes, zygotes, or pre-embryos. Essentially, cryopreservation is used for patients who have been diagnosed as having a disease where treatment from the disease may result in infertility but is it also used for the purposes which are not ethically, and by Islamic rulings, acceptable like donating them to other couples.

Cryopreservation in itself entails no infringement of the Islamic law, but scholars have cautioned that the frozen embryos are the exclusive property of the couple who produced the gametes, and may be transferred only to the same wife in a successive cycle, restrictively during the duration of the marriage contract.

Storing the husband’s sperm for the purpose of impregnating the wife in the event of his death is illegal. Under Islamic law, death terminates the marriage contract, and the widowed wife is free to remarry after the mandatory waiting period (al-’Iddah). The cryopreserved sperm or pre-embryo of an ex-husband in case of divorce should not be used either, as divorce equally renders the union void, legally.

Cryopreservation of gametes or gonads before exposure to radiotherapy or chemotherapy or for social reasons is allowed. These gametes or gonads can be used for conception later on by their owner. The cryopreserved gonads can be re-implanted after the end of chemotherapy or radiotherapy, based on the request of the owner of the gonads.

According to favourable Islamic viewpoint that for every disease there is a cure and so is the case with the diseases and deformities in reproductive system and mechanism. And, as Islam, encourages procreation every possible step should be initiated, and every technique adopted, cure these deformities, disorders and diseases, including the inability to fertilized normally.

In this respect stress has been found to be reducing fertility. Research has shown that stress in women due to any cause disrupts the hormonal communication between the brain, the pituitary, and the ovary, interfering with both the maturation of an egg and the ovulation process. Thus the stress can affect fertility, and cause fertility, both by the altered regulation of pituitary hormones and from the abnormal nervous-system influences on the ovaries and fallopian tubes.

In case of man, both physical and emotional stress is known to affect the fertility. Sperm counts, motility, and structure are altered under stress. Problems such as impotence and difficulties with ejaculation are often caused by the emotional distress in men.

So by going the famous dictum of prevention is better than cure, emphasis should be laid upon the ways which prevent the chances of normal fertilization, Stress free life could go a long way in that direction. And in case the preventions fails to yield the desired ends, IVF can safely be resorted to. Shari’ah permits that if the conditions mentioned above are met.

Recent research has shown that suffering from involuntary childlessness may be nearly equally distributed between women and men, but men have more difficulty in communicating this emotional crisis. The psychological impact of infertility is a complex, integral part of the condition which must be taken into account by all treatment services associated with assisted reproduction.

Finally, Islam is a flexible religion, adaptable to the necessities of life, and what is unethical in one situation may become ethical in another situation or at another time. Islam enjoins the purity of genes and heredity to avoid mixing of genes. It deems that each child should relate to a known father and mother. Adoption is not allowed and so if IVF is the way out to find cure to one’s infertility it can safely be resorted to, subject to the fulfilment of the guidelines of the Shari’ah. Rest Allah knows the best.

Author can be reached at:saimahabeeb786@gmail.com


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Opinion

A prayer for our times

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By Rajeev Bhargava

As all of us ordinary citizens recovered from the carnage in Pulwama, and wondered how the government would respond to this latest instance of cross-border terrorism, one television channel showed us poignant images of grieving relatives of the fallen soldiers. While a few, driven by moral hatred for the perpetrators, were understandably crying for revenge, others, even at this moment of utmost suffering, spoke of the futility of retaliation. “It would only bring similar suffering to fellow humans,” said one widow from the rural hinterland. Hers was a cry for peace, not for vengeful violence. “War can only be the last resort, after everything else has failed,” she wisely counselled.

Yes, war is sometimes necessary, especially in self-defence. But one doesn’t have to be an unconditional pacifist to acknowledge the misfortunes it begets or to decry war mongering. Nor is readiness to go to war the only indicator of patriotism. True, patriots must be prepared to die in defence of their ‘patria’, their mother or fatherland. But one is not any less a patriot if one strives for everyone in his country living peacefully, happily, flourishing, leading life to its fullness. Fighting the daily challenges faced by their countrymen, seeking to improve their lot, always loving them and their habitat, and expressing this love in word or deed as the occasion demands is the everyday vocation of a patriot.

 

 A country at war is different. War is disruptive, and because it is lethal and involves human sacrifice, a patriot must eschew any bravado about it. This is particularly expected from contemporary leaders, patriots who never themselves go to war; quite unlike the past where the ruler who declared war was expected to always lead from the front on the battlefield. After all, it is our Army officers and jawans who die, not the ones who call for and support war. Our rulers move about with elaborate security to protect their own lives. If they don’t allow others to play with their lives, they must ensure that no one plays with the life of their countrymen, most of all our soldiers. Decisions on war must then be taken responsibly, without haste, not for spectacular effect or as tactical ploys in a game.

The inner workings of the human mind are mysterious, however. For it is not these thoughts that crossed my mind when I saw those moving images on television. This reasoning is retrospective; thoughts that have occurred to me now, post-facto. At that time, a strange melange of emotions — feelings of grief, despair, shame, nostalgia — curdled up and then suddenly, from nowhere, the lyrics of an immortal song by Sahir Ludhianvi, set to tune by Jaidev and sung melodiously by Lata Mangeshkar in the 1961 Dev Anand classic Hum Dono, came unbidden to mind: “Maangon ka sindoor na chhutey, maa behenon ki aas naa tootey (may no one be widowed; may no mother or sister lose hope of their loved one returning).”

In the film, these lines are part of a prayer for peace led by the wife and mother of a Major of the Indian Army missing in action — a prayer not only that their own loved one returns home safe but that no wife, mother or sister may lose loved ones in war. Death in war is an interruption, an anomaly. It takes away from us young, active, lively persons who have not yet lived their full life. When a soldier dies in the prime of life, he leaves many tasks unfinished, many relationships incomplete, millions of desires unfulfilled. And according to popular belief, when a person at the height of his powers meets a bloody, violent, untimely end, his prana or atman remains in limbo, trapped in no man’s land; it leaves the body without reaching wherever it is meant to go and keeps hovering around us. May this never happen to anyone, says the poet. “Deh bina bhatke na praan (may the spirit not abruptly detach from the body and wander restlessly).”

But this mellifluous song is more than a comforting prayer for peace. It subtly points fingers at those who injudiciously push us into war, at the economically strong and politically powerful who bring war upon us for their own benefit, to serve their own nefarious purpose. “O saare jag ke rakhawaale, nirbal ko bal dene waale, balwaanon ko de de gyaan (jnana) (you, who watch over the entire universe, you who empower the weak, may you also grant wisdom to the mighty).”

Jnana here refers not simply to knowledge, but to wisdom, moral insight, indeed to conscience. May the rulers rule with a conscience! May they be able to distinguish right conduct from wrong. Really, only such people should guide us when we are faced with the dilemma of whether or not to undertake morally retributive action.

And this is not all. The prayer then becomes a plea that we all be endowed with sanmati — to put our intelligence to good use, to have sound judgments, that all have a conscience. Why? Because unsound judgments, faulty moral reasoning and suspension of good sense are not the lot of leaders alone but also of those who support them and legitimise their actions. It is after all we, ordinary folks, who are swayed by war hysteria. Those without good sense get the leaders they deserve. May the gift of sanmati be bestowed on us. For only people with sanmati can rein in leaders who have lost all sense of good and bad, right and wrong.

But who is this prayer addressed to? “Allah tero naam, Ishwar tero naam (You, whose name is both Allah and Ishwar). In this, his masterstroke, Sahir invokes not only Gandhi, but an entire, centuries-old religio-philosophical legacy of the subcontinent in which all traditions are believed to share the same semantic universe that enables the god of one religion to be translated into the god of another. This is inclusive monotheism at its best, where god is one but referred to in different traditions by different names. And so, the prayer is addressed to Allah, Ishwar, and implicitly to the god of every religion.

With men spewing venom, not satisfied with fighting a war with their own fellow countrymen, itching to go to war with others, nothing (empathy, reason, dialogue) seems to work. Helpless spectators, no longer in control of their collective life, in sight of a looming disaster on the horizon, often break into a prayer. What else can those stripped of agency do but hope that somehow good sense may prevail, that all of us be delivered from the collective insanity that shows no sign of loosening its grip? Thus, those who believe in one god, invoke him; those who believe in gods and goddesses, invoke them; and those who believe in neither, hope for some good fortune to fall in their lap! This is why this is a prayer for our times: we offer this prayer to you, Allah to some, Ishwar to others, that you miraculously bring an end to needless killings, wisdom and conscience to the rich and powerful, and peace and good sense to everyone.

(Courtesy: The Hindu)

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The ‘Clash of Civilisations’ Thesis Stalks the World

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By Ram Puniyani

The horrific massacre in Christchurch on March 15 has shaken the world. The killer, Brenton Harrison Tarrant, is an Australian citizen. Nearly 50 people died in the attack in which Tarrant attacked two mosques. Those killed include nine from India.

Tarrant had fixed a camera on his head so as to live stream the massacre. The Christchurch terrorist was consumed by intense racism and hatred of Muslims. He posted a long statement online, a “manifesto” of “white nationalism” before undertaking the dastardly act.

 

New Zealand Prime Minster Jacinda Ardern, who at 38 years of age is among the youngest heads of government in the world, was the first to term the shootings an act of terrorism. Arden declared that the victims, many of whom may be migrants or refugees, “are us”, and the shooter “is not”. The overriding theme of the Prime Minister’s statements was that her country represents “diversity, compassion and refuge”.

The Pope in a touching speech said, “In these days, in addition to the pain of wars and conflicts that do not cease to afflict humanity, there have been the victims of the horrible attack against two mosques in Christchurch, New Zealand… I am close to our Muslim brothers and all that community… ”

As in India, the phobia of Islam and Muslims is founded on the narrow version of history. This phobia against Muslims around the world gained momentum after the 9/11 Twin Towers attack in New York.

This phobia has by now constructed its own History, selective and distorted, that centres around Muslim invaders and their alleged crimes in the medieval past. This History generates endless accusations. It singles out and exaggerates, holding a large and diverse group of people collectively responsible for these acts.

It is tragic that Tarrant’s hateful note is being supported by those who believe in this notion of politics and history. Again, taking revenge for the past is one of the dimensions of the agenda governing these ideologues: “To take revenge on the invaders for the hundreds of thousands of deaths caused by foreign invaders in European lands throughout history.”

Again, the radicalisation of the likes of Tarrant is due to the rabid propaganda current in the Western media – and many places besides – where Muslims are constantly presented in a negative light. Many newspapers and media groups – owned by a few – like the Daily Mail in the UK and Fox News in the USA have taken the lead in spreading negative perceptions against Muslims.

Such propaganda, along with many anti-immigrant and xenophobic websites, is spreading hatred against Muslims which in turn is the foundation of the attacks on Muslims. Muslims are also being demonised in terms familiar from anti-Semitism, portraying them as less than trustworthy, lesser citizens and inferior humans or not humans at all.

Many such biases and myths are prevalent in India also. In the Western mode of propaganda Muslims are now being portrayed as people whose wearing of the hijab is sufficient proof that they are against the norms of the West – against the US Constitution, for example. Similarities with prevalent perceptions in India!

One recalls the Norwegian Christian terrorist Anders Behring Breivik at this point of time. In a carefully planned attack in 2011, Brevik killed 69 youth with a machine gun and other assault weapons. He also had issued a manifesto, in which he said his primary goal was to remove Muslims from Europe.

Breivik also called for cooperation between Jewish groups in Israel, Buddhists in China, and Hindu nationalist groups in India to contain Islam. He wrote, “It is essential that the European and Indian resistance movements learn from each other and cooperate as much as possible. Our goals are more or less identical.”

We must note, that there are strong parallels between Tarrant’s and Breivik’s manifestos and the ideology of Hindu nationalism, or Hindutva, on the question of the nature of Islam: Muslims and coexistence with Muslims. Much like rightwing parties in the European mainstream, the BJP in India does condemn the violence for name’s sake, but participates in spreading the underlying ideology which is based on Islam-phobia.

Worldwide, this despicable politics is in a way the outcome of the ‘clash of civilisations’ thesis propounded by Samuel Huntington. At the end of the Cold War, with the collapse of Soviet Russia, Francis Fukuyama stated that now Western liberal democracy would be the final form of political system.

Building on this, Huntington stated that now the primary conflict would be around civilisations and cultures. Nation-states would remain the most powerful actors in world affairs, but the principal conflicts of global politics would occur between nations and groups belonging to different ‘civilisations’.

“The fault lines between civilizations will be the battle lines of the future.” As per this manifesto Western civilisation is faced with a challenge from backward Islamic civilisation, providing the basis for the American policy of attack on many Muslim-majority countries like Afghanistan, Libya, Iraq, Iran among others.

To counter this thesis the United Nations undertook the initiative for an ‘Alliance of Civilisations’ when Kofi Annan was Secretary-General. The high-level committee he appointed gave a report which argues that all the progress in the world has been due to the alliances between different cultures and civilisations.

Today we are facing times where American politics of ‘control over oil wells’ led to the formations like Al Qaeda and the Islamic State. After the 9/11 attacks perpetrated by men whom the US government formerly supported and armed, the US media popularised the phrase ‘Islamic terrorism’. What we are witnessing today is the fallout of this policy, which was pursued simply to control oil wealth.

The Islam-Muslim phobia this generated, in the West and elsewhere, has led in due course to White Nationalism. Like other forms of majoritarianism and violence, this needs to be countered ideologically, by demonstrating the inherent tendency of alliance between diverse cultures found throughout human history in the world.

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The Sikh Empire’s Expedition to Balakot

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By Ananth Karthikeyan

A few weeks ago, the Indian Air Force’s Balakot air strike using French-built Mirage-2000s bought India and Pakistan to the brink of war, and perhaps changed the regional dynamics forever. Balakot has a history which has been a subject of much interest in the past few days: it was the site of the end of Syed Ahmad Barelvi’s jihad at the hands of the Sikh Empire. Today we look at this history and another curious fact – this was not the first time that French weaponry has been wielded against Islamist fanatics in this region.

Maharaja Ranjit Singh (r. 1801-1839) was aware of the superiority of Europeans in technology and modern methods of war. He sought to close this gap by importing talent and building an indigenous capability. Ranjit Singh welcomed experienced scientists, engineers, mercenaries and officers from European nations to ensure that his kingdom could withstand any threat. Besides, the Afghan kingdom, the Pathan tribes and jihadis were threatening his western borders. French know-how became a major element in the defence of his realm. After Napoleon lost in Waterloo (June 1815) thousands of French and allied European soldiers were dismissed: the governments of Europe, including the new government of France, distrusted those who served under Napoleon. A few settled into civilian life, but most could not: fighting was all they knew, and they did not wish to waste the skills they honed fighting in three continents. Many offered their services to Asian kings who wished to modernize their backward militaries.

 

At this juncture, Ranjit Singh accepted talented Napoleonic officers such as Jean-Francois Allard, Jean-Baptiste Ventura, Paolo Avitabile, and Claude Auguste Court into his service. Besides such officers, there were chemists, doctors, engineers and soldiers of American, German, Italian, Polish and Irish extraction also. Many foreigners were given plum roles in the Empire. Claude Auguste Court was a product of the Ecole Polytechnique in Paris and apparently knew the science of artillery. Paolo Avitabile also had considerable experience as an artillery officer. Court and Avitabile, along with the Sikh leader Lehna Singh Majithia (who possessed great skill in engineering), overhauled the Sikh artillery. They established the training program for the gunners. Court re-organized the artillery command structure and established arsenals and magazines on European lines. The existing weapon foundries and workshops (established by Ranjit Singh and Mian Qadir Baksh in 1807) were rebuilt with French know-how to manufacture a variety of high-quality guns and artillery. Ranjit Singh soon possessed a formidable artillery of about 500 pieces, including mobile horse-drawn artillery. Court was bestowed large cash awards and titles when he introduced his new shells, fuses and commenced full-scale production.

The meteoric rise of the Sikhs and the decline of the Muslim kingdoms of India had agitated many Islamic fundamentalists. The most influential of them was the popular preacher Syed Ahmed Barelvi, who hailed from present-day Rae Bareilly. In 1825, thousands of his followers from the Gangetic Plains took up his call for jihad against infidel powers and followed him to Khyber Pakhtunkhwa. Barelvi’s Jihad was supported by many Afghan chiefs, who were usually suspicious of all outsiders. Barelvi was able to field nearly 100,000 Mujahideen and launched a five-year guerilla war against the Sikh Empire.

However, Barelvi’s orthodox interpretation of scriptures and stern disregard of Afghan tribal traditions soon led to many Afghans leaving his cause. Barelvi suffered a crushing defeat in a battle with the Sikhs near Nowshera in March 1827. Later some Afghan tribes turned on Barelvi and massacred hundreds of his followers in Peshawar in November 1830. Barelvi and his loyalists now decided to move out and try their luck in Kashmir. However, a Sikh army led by Sher Singh surrounded the Mujahideen at a mountain fort in Balakot and annihilated them in May 1831.

Ranjit Singh’s French guns and artillery were widely used in such battles in the turbulent North West frontier. Artillery and firearms which performed reliably enabled the Sikhs to prevail against great odds. Perhaps even more critical was the discipline instilled in the new infantry battalions by the European officers. Officers such as Ventura and Court also led campaigns into the North West frontier. However, after Ranjit Singh died, neither their weapons nor their courage could save the Sikhs from civil war and treachery. During this chaos, the surviving Europeans returned to their homelands. Soon the British defeated the Sikhs and the Afghans also took back some of their lands.

The Khyber Pakhtunkhwa region is still turbulent, and weapons from many nations are still used here in the name of pacification, anti-terror and innumerable internal conflicts. History is repeating in strange ways and there are irony and dark humour in the shadow of the mushroom cloud. India’s French Mirages are the latest entrants in this theatre — let us hope it is not a destabilising element.

(dnaindia.com)

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