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Resolutions of Iftaa' Board

Resolution No.(152): "Ruling on Tubal Ligation and Aborting some Embryos to Save others"

Date Added : 02-11-2015

 

Resolution No.(152) (17/2010)  by the Board of Iftaa`, Research and Islamic Studies:

"Ruling on Tubal Ligation and Aborting some Embryos to Save others"

Date: 2/9/1431 AH, corresponding to 12/8/2010 AD.

 

 

All perfect praise be to Allah, The Lord of The Worlds; and may his peace and blessings be upon our Prophet Mohammad and upon all his family and companions.

During its ninth session held on the above given date, the Board reviewed the following medical questions:

Question No.(1): A thirty-two-year old female patient, who has two kids, underwent endometrial resection due to recurrent bleeding. Although it is a contraceptive procedure, there is a possibility that a part of the endometrium could remain untouched. Therefore, if an ovum gets stuck in that part, it will lead to many complications, such as the placenta accrete. Thus, is it permissible to carry out tubal ligation for this patient as a contraceptive measure and to prevent the aforementioned complications?

Answer: The Sharia principle established by the evidences from the Noble Quran and the Prophetic Sunnah is that it is forbidden to use any permanent contraceptives that lead to ending one`s offspring. It has been reported by Bukhari and Muslim that the Prophet (PBUH) forbade self castration; therefore, the same rule applies to every means that stops giving birth completely or removes desire, even under the pretext of poverty or unwillingness to have children.

Urgent cases are exempted from the aforementioned rule (forbiddance); therefore, once it has been established by doctors that the pregnancy of a certain woman will jeopardize her life or inflict great damage to her health-only then-there is no harm in conducting tubal ligation.

Accordingly, conducting tubal ligation in the above mentioned case is permissible in order to rescue that woman from an imminent danger in case she became pregnant, as determined by trustworthy doctors.

Question (2): A forty-two-year old female patient who has three boys and two girls, and is thirty three weeks pregnant. She, along with her husband, is willing to undergo tubal ligation while giving birth in case the fetus remained in breech position and can be delivered only through a caesarean. It is worth mentioning that the fetus is inflicted with a congenital condition, which is the smallness of the left ventricle. It is a kind of deformation that usually leads to the death of the fetus after its delivery. She also suffers from general fatigue and high blood pressure. 

Answer: In this case, tubal ligation is impermissible because the pregnancy doesn`t jeopardize  the mother`s life and there are other methods of birth control which are easier, more available and don`t have complications that could lead to ending birth giving, according to the opinion of specialized doctors.

Question (3): A woman got pregnant by undergoing (IVF), or (test-tube-baby). After three months, it turned out that she was pregnant with seven embryos. Is it permissible to abort some of them by a lethal injection so as for others to be saved and delivered naturally?

Answer: If this large number of embryos causes serious complications to the mother or endangers her life or-mostly- aborts all the embryos, then there is no harm in aborting some of them to ward off these dangers. And Allah Knows Best.

 

 

Head of the Iftaa` Board, The Grand Mufti of the Hashemite Kingdom of Jordan, His Grace Sheikh Abdulkareem Al-Khasawneh

Vice Head of the Iftaa` Board, Dr. Ahmad Hilayel

Dr. Yahia Al-Botoosh/ Member

His Eminence, Sheikh Sa`ied Hijjawi/ Member

Dr. Mohammad Khair Al-Essa

Judge Sarrie Attieh

Dr. Abdulrahman Ibbdah/ Member

Dr. Mohammad Oklah/ Member

Dr. Abduln`nassir Abu Al Bass`al/ Member

Dr. Mohammad Al-Khalayleh/ Member

Dr. Mohammad Al-Gharaibeh/ Member

Executive Secretary of the Iftaa` board, Dr. Ahmad Al-Has`sanat

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Summarized Fatawaa

What is the ruling if hemorrhoid blood exits after completing ablution?

If this blood is exiting from outside the anus (due to the hemorrhoid protruding), it does not invalidate ablution, because blood exiting from the body from other than the two orifices does not invalidate ablution. If it exits from the anus (meaning from inside it), it invalidates ablution, and one must perform istinja' from it, wash the area of impurity, and repeat the ablution.
However, if this blood exits continuously such that no time remains sufficient for purification and prayer without it flowing, then it takes the ruling of urinary incontinence (sals al-bawl). One then cleanses from it after the time for each prayer enters, performs ablution immediately thereafter, and performs the obligatory prayer immediately. There is no liability upon him after that if something of it flows, and he may pray as many voluntary prayers as he wishes. If he wants to pray another obligatory prayer, he must cleanse himself and perform ablution. And Allah the Almighty knows best.

What is the ruling on purchasing sacrificial animals and authorizing their slaughter via telephone?

Praise be to Allah, and peace and blessings be upon our Master, the Messenger of Allah.
 
It is preferable for the one offering a sacrifice (udhiyah) to slaughter the animal himself, in adherence to the Sunnah, or to be present at the slaughter if possible.
 
It is valid to authorize a butcher to purchase a sacrificial animal on his behalf and slaughter it, regardless of whether the animal is owned by the butcher or the butcher is acting as an agent in its sale—according to the Hanbali school—provided that the butcher specifically designates and purchases the animal for the person offering the sacrifice before slaughtering it. And Allah Almighty knows best.

What is the ruling on eating or drinking forgetfully during the day in Ramadan or during voluntary fasting?

Whoever eats or drinks forgetfully while fasting, whether in an obligatory or voluntary fast, should continue their fast, for it is Allah who has provided them with food and drink. There is no difference between obligatory and voluntary fasting in this ruling.

What is the ruling of Islamic Law on compensating the patient in case of medical error on the part of the treating physician?

 
All praise is due to Allah, and peace and blessings be upon our master, the Messenger of Allah.
 
The foundational principle is that every mistake issued by a physician that causes harm to another due to his negligence or lack of expertise obligates him to guarantee liability and compensate the harmed party. The Sharia maxim, in this regard, states: "The direct actor is liable."
 
Ibn Qudamah (may Allah have mercy on him) says: "As for if he was skilled but his hand committed an error—such as exceeding the proper limit of incision, cutting in an incorrect site, cutting with an instrument that inflicts excessive pain, or cutting at an unsuitable time—he is liable, because it is destruction (Itlaf) whose liability does not differ between intent and mistake, thus resembling the destruction of property; and because it is a prohibited act, so he guarantees liability for its secondary effects." [Al-Mughni].
 
However, if the physician performed what was necessary in the most complete manner and took all measures of care and caution, but complications occurred that could not be avoided according to specialists, then no liability rests upon him.
 
Shaykh al-Islam Imam al-Nawawi (may Allah have mercy on him) says: "The cupper and the circumciser bear no liability if they have not been negligent, and likewise the veterinarian if he bleeds an animal and it perishes." [Rawdat al-Talibin].
 
Al-Khattabi (may Allah have mercy on him) said: "I know of no disagreement that if the practitioner transgresses and the patient perishes, he is liable. Anyone who undertakes knowledge or practice he does not know is a transgressor; so if perishing arises from his action, he is liable for the blood-money (Diyah) while capital retaliation (Qisas) is dropped from him, because he did not act independently without the patient's permission. And the physician’s offense in the view of the generality of jurists is borne by his agnates ('Aqilah*)."* [Ma'alim al-Sunan].
 
If negligence or transgression is established against the physician, it is necessary to compensate the patient or seek forgiveness from him. And Allah Almighty knows best.

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