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Journal - International Society for the History of Islamic Medicine

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<strong>Islamic</strong> Medical Ethics in Assisted Conception*<br />

Farouk MAHMOUD*<br />

* FRCOG, FRANZCOG, FRCS (E), Consultant Obstetrician, Gynaecologist and IVF Specialist, University Hospital,<br />

Coventry & Warwck., U.K.<br />

e-mail: drfaroukmahmoud@hotmail.com<br />

Introduction<br />

Islam, <strong>the</strong> empire <strong>of</strong> religion, spread its faith<br />

across <strong>the</strong> globe and bequea<strong>the</strong>d to <strong>the</strong> world, a rich<br />

intellectual heritage, fashioned, sculpted and imbued<br />

with an <strong>Islamic</strong> mould, from <strong>the</strong> origins <strong>of</strong> Greek,<br />

Persian and Indian heritage.<br />

<strong>Islamic</strong> medicine being eclectic, chooses <strong>the</strong> best<br />

<strong>of</strong> available medical technology, compatible with <strong>the</strong><br />

spirit <strong>of</strong> <strong>the</strong> Sharia and <strong>the</strong> <strong>Islamic</strong> community.<br />

Medical ethics in Islam may be defined as <strong>the</strong> practice<br />

<strong>of</strong> medicine keeping within <strong>the</strong> ethos <strong>of</strong> Islam,<br />

satisfying both, <strong>the</strong> criteria <strong>of</strong> autonomy, beneficence,<br />

non-maleficence and justice and <strong>the</strong> principles<br />

and precepts <strong>of</strong> Islam.<br />

Assisted methods <strong>of</strong> conception do provide solace<br />

and hope <strong>for</strong> <strong>the</strong> barren couples but <strong>the</strong>y also pose<br />

special problems from a religious perspective. Islam<br />

transcends ethnic, religious and cultural barriers and<br />

all Muslims by <strong>the</strong>ir definition, submit to Allah’s will<br />

and <strong>the</strong>re<strong>for</strong>e to <strong>the</strong> Qur’an and <strong>the</strong> Sunna <strong>of</strong> <strong>the</strong><br />

Prophet. Their actions are governed by <strong>the</strong> Sharia and<br />

this applies equally to methods <strong>of</strong> assisted conception<br />

<strong>the</strong>y would choose. The Qur’an is immutable and so<br />

are <strong>the</strong> au<strong>the</strong>ntic religious Sunna but <strong>Islamic</strong> jurists<br />

(Mujtahidun) are empowered to resort to Ijma (consensus),<br />

Qiyas (analogical reasoning), Istihsan (juris-<br />

Summary<br />

A brief history <strong>of</strong> Islam and <strong>Islamic</strong> jurisprudence (Fiqh) is outlined with an overview <strong>of</strong> <strong>the</strong> evolution <strong>of</strong> <strong>Islamic</strong> medicine.<br />

<strong>Islamic</strong> medical care is conceptualized within <strong>the</strong> framework <strong>of</strong> <strong>Islamic</strong> medicine and <strong>Islamic</strong> medical ethics; medicines, techniques<br />

and technologies <strong>of</strong> assisted conception are scrutinised <strong>for</strong> compatibility with <strong>the</strong> guidelines <strong>of</strong> <strong>the</strong> Sharia. This article is mainly centred<br />

on assisted conception, and <strong>the</strong> areas where <strong>the</strong>se methods pose problems and conflict with <strong>Islamic</strong> thought and <strong>the</strong> Sharia, are<br />

discussed with an emphasis on how Muslims could derive benefit from modern technologies and yet not contravene <strong>the</strong> principles <strong>of</strong><br />

Islam. The article concludes with glimpses into <strong>the</strong> future and examines <strong>the</strong> <strong>Islamic</strong> viewpoint on technologies, mainly reproductive<br />

techniques, in <strong>the</strong> horizon but yet to enter <strong>the</strong> realm <strong>of</strong> medical practice such as <strong>the</strong>rapeutic cloning, gene <strong>the</strong>rapy and stem cell technologies.<br />

Key Words; <strong>Islamic</strong> Medical Care, <strong>Islamic</strong> <strong>Medicine</strong>, <strong>Islamic</strong> Medical Ethics, Reproductive <strong>Medicine</strong>, Assisted Conception.<br />

tic preference), Istislah (public or community benefit)<br />

and Urf (custom), where <strong>the</strong> Qur’an and Hadith<br />

do not provide a solution. At present, controversial<br />

issues related to reproductive medicine are referred to<br />

<strong>Islamic</strong> jurists, Fuqaha and Muftis <strong>for</strong> a fatwa and<br />

more recently <strong>the</strong>se issues are addressed by Fiqh<br />

academies composed <strong>of</strong> <strong>Islamic</strong> scholars, doctors,<br />

lawyers, scientists and o<strong>the</strong>r persons with expertise in<br />

different fields.<br />

To appreciate <strong>Islamic</strong> medical ethics in reproductive<br />

medicine, one has to be cognisant with <strong>the</strong> background<br />

<strong>of</strong> Islam and <strong>the</strong> evolution <strong>of</strong> <strong>Islamic</strong> jurisprudence<br />

and <strong>the</strong>se have been described, albeit briefly,<br />

followed by <strong>the</strong> methods <strong>of</strong> assisted <strong>of</strong> conception<br />

with an integrated syn<strong>the</strong>sis with <strong>Islamic</strong> values.<br />

Islam - A Historic Background<br />

Islam, <strong>the</strong> youngest <strong>of</strong> <strong>the</strong> religions <strong>of</strong> <strong>the</strong><br />

Abrahamic faiths, was promulgated by Prophet<br />

Muhammad (saws) in 610 C.E., who preached <strong>the</strong><br />

new religion in <strong>the</strong> Arabian peninsula. The subsequent<br />

blossoming and expansion <strong>of</strong> Islam has been<br />

hailed as unprecedented and unparalled. In <strong>the</strong> wake<br />

<strong>of</strong> <strong>the</strong>se new conquests, came power, wealth and<br />

affluence and while <strong>the</strong> rulers basked in <strong>the</strong> extravagance<br />

and splendour <strong>of</strong> <strong>the</strong> new empire and promoted<br />

aes<strong>the</strong>tically beautiful architecture, <strong>the</strong>re emerged<br />

38 JISHIM 2004, 3

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