Suhaib Webb – Connecting Fiqh Womens Health

Suhaib Webb
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AI: Summary ©

The speaker discusses the stages of development of anowned egg, including the use of jargon and language to explain their process. They emphasize the importance of being authentic, avoiding sharing experiences, and the use of Enotoxy and ultrasound to measure pregnancy. The speaker also touches on the importance of womb protection, respecting women’s boundaries, and being an reminded of the "has been there" feeling. The importance of men’s ability to handle emotions and the need for men to appreciate their mother is also discussed.

AI: Summary ©

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			I completed my residency in OBGYN at Georgetown
		
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			University Hospital, and now I am a fellow
		
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			in a specialty called pediatric and adolescent gynecology
		
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			at Baylor, in Houston, Texas.
		
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			Those are my qualifications.
		
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			As far as our agreements,
		
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			we will,
		
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			kind of briefly go through these as I
		
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			think everyone should be familiar by now. But
		
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			old friend mentality, meaning just treating everyone like
		
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			an old friend. Break it down. So if
		
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			you use jargon or another language to just
		
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			explain it, in simple terms in English, meaning,
		
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			you know, just appreciate that people will like
		
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			or enjoy things that maybe you're don't you
		
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			know, that you're not into.
		
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			We're all at different places, so everyone's on
		
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			their own journey. Step up, which is my
		
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			favorite one. Meaning, if you don't normally speak
		
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			up, please feel free to speak up and
		
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			step back. So if you're someone who normally
		
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			speaks up, give me, you know, mic to
		
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			somebody else, and then you do you. So
		
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			just be authentic.
		
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			There will be no link sharing,
		
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			in the chat. I assume the best intent
		
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			of people, but acknowledge if something is harmful
		
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			or if something is really off, feel free
		
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			to email me.
		
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			Be present. So if you're able to,
		
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			name yourself with your at least your first
		
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			name,
		
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			show your video if you can, speak from
		
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			your experience.
		
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			No recording,
		
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			from
		
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			the participant side, but the video will be
		
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			recorded and put onto SWISS,
		
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			and then just get comfortable. So settle down,
		
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			light some candles, grab a hot tea,
		
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			and we'll go ahead and get started.
		
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			Alright. So the objectives for today are as
		
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			follows. 1st, we're going to describe the stages
		
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			of development
		
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			of an embryo and a fetus,
		
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			and kind of what the difference between those
		
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			two things are. Correlate the stages of development
		
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			with,
		
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			Quranic and hadith descriptions of the developing human,
		
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			discuss the concept of soulment, meaning the moment
		
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			that the soul enters into the body of
		
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			the fetus,
		
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			and the Islamic principles used to delineate the
		
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			beginning of human life,
		
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			And then understand the thick rulings,
		
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			around vaginal bleeding related to miscarriage and a
		
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			little bit related to postpartum bleeding.
		
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			And then discuss Islamic principles and legal rulings
		
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			around pregnancy terminations, which are,
		
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			another way of saying abortions.
		
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			Any questions about that so far?
		
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			Okay.
		
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			So conception.
		
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			How does an egg need a sperm? So
		
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			the egg
		
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			is released from the ovary. And first, I'll
		
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			just give you a breakdown of what this
		
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			image is. Sorry if it's a little bit
		
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			graphic.
		
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			But imagine that someone is kind of sliced
		
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			in half at the level of the belly
		
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			button and you're looking down into the pelvis.
		
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			So this is the bladder.
		
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			This is the last part of the large
		
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			intestine before the stool comes out. And then
		
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			in between these two structures, you have the
		
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			uterus. Okay?
		
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			And then coming off the uterus are the
		
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			fallopian tubes here that have kind of the
		
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			little springy looking ends,
		
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			and then the ovaries on either side. Okay?
		
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			So every month, there,
		
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			are several
		
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			hundreds of thousands of follicles within the ovaries
		
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			that are developing and one of them eventually
		
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			will become an egg and that egg will
		
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			ovulation is when that egg ruptures from the
		
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			capsule of the ovary and it gets released
		
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			actually into this space behind the uterus. So
		
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			in this diagram, everything is kind of lifted
		
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			up. But imagine that if all this were
		
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			kind of, like, sunk back, these ovaries would
		
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			be tucked under here with the fallopian tube
		
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			surrounding them.
		
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			And actually, the egg gets released into this
		
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			area along with a little bit of fluid.
		
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			And it's from that fluid that either the
		
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			right or the left fallopian tube can pick
		
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			up that egg and these
		
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			fimbriae, which is an I think a Latin
		
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			term for fingers,
		
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			actually scoop up the egg and deposit it
		
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			into the tube itself. Okay? So because that
		
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			egg is just floating in this little puddle
		
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			of fluid, can actually be grabbed from either
		
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			side regardless of whether it ovulates from the
		
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			right or the left ovary.
		
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			And so once the egg gets into the
		
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			tube,
		
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			there needs to actually be firm sperm present
		
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			in the tube at the time of ovulation,
		
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			because the ovum is actually very
		
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			unstable. It is not even a complete cell.
		
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			Right? It only has the genetic material for
		
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			really half of the cell.
		
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			So if sperm are present in the ovary,
		
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			then fertilization happens, And it happens typically within
		
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			an hour of ovulation, so pretty fast.
		
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			And then, eventually,
		
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			what happens
		
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			is that this fertilized egg starts
		
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			going down the fallopian tube. So you start
		
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			off with your ovum, which is half your
		
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			genetic information from your mom, the sperm, which
		
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			is half the genetic information from the dad.
		
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			And when these two combine, they form something
		
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			called a zygote.
		
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			This is initially one cell, and then it
		
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			starts to double. So
		
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			from 1 cell, you get 2 cells. Those
		
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			2 cells will each double to get 4
		
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			cells and then 8 cells. And when you
		
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			get to the 16 cell stage is when
		
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			you have something called the morula.
		
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			That is a Latin term meaning mulberry like,
		
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			kind of describing the shape of it. And
		
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			around day 3 after fertilization, the morula is
		
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			going to enter the uterus. Okay? It's going
		
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			to continue to divide.
		
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			And when it gets to be about 60
		
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			cells,
		
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			it becomes something called a blastocyst.
		
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			What kind of distinguishes the blastocyst
		
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			is that it has this cavity here.
		
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			And so,
		
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			on one side of the cavity, you have
		
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			a group of cells called the inner cell
		
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			mass. These are what are going to go
		
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			on to become
		
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			the developing,
		
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			embryo and then fetus. And then this other
		
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			end of the blastocyst
		
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			is called the trophoblast.
		
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			The name doesn't really matter, but ultimately, this
		
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			becomes the placenta.
		
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			Okay? So around 6 days after fertilization, the
		
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			blastocyst is going to implant into the lining
		
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			of the uterus.
		
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			Does anyone have any questions about those things
		
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			so far?
		
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			Okay.
		
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			So the critical question at this point is,
		
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			how do you calculate the age of a
		
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			pregnancy?
		
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			And what's important to understand is the difference
		
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			between something called an embryologic age versus something
		
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			called a gestational age. And it's very critical
		
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			that you understand, kind of, the difference between
		
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			these two things and how you can maybe
		
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			use one to derive the other in order
		
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			to understand the fick rulings around,
		
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			abortion
		
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			and, of course, when life begins. Right?
		
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			So
		
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			this is a diagram that you've seen if
		
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			you've seen either my 1st or second lecture.
		
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			It's basically a diagram of the menstrual cycle,
		
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			but to includes if a conception were to
		
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			occur.
		
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			So the menstrual cycle
		
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			is based on
		
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			the timing of the period. So day 1
		
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			of the menstrual cycle is gonna be day
		
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			1 of bleeding.
		
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			And so bleeding occurs for the 1st few
		
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			days of the cycle. Eventually, it stops. The
		
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			lining of the uterus starts to build up.
		
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			And then at about the halfway mark for
		
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			a menstrual cycle, so let's say that the
		
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			cycle is 28 days, which is the average,
		
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			ovulation
		
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			would occur. Okay?
		
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			And
		
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			ovulation,
		
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			you can think of in this case as
		
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			being synonymous with fertilization because they happen within
		
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			an hour of each other. Right?
		
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			So
		
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			your embryologic age starts from the moment that
		
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			the sperm meets the egg at the time
		
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			of ovulation, which would be around day 14.
		
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			And in the sacroanct tradition, this is the
		
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			method that's used to describe the development of
		
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			the pregnancy. Okay?
		
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			Your
		
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			gestational age starts from day 1 of the
		
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			last menstrual period. So if you have ever
		
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			been pregnant or if you get pregnant one
		
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			day,
		
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			then when you go to the doctor and
		
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			they tell you the age of the pregnancy,
		
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			what they're giving you is this number
		
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			calculated from day 1 of your period. So,
		
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			this is a method used by OBs to
		
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			track pregnancies.
		
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			So, basically, a simple way to calculate between
		
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			your gestational
		
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			age to the embryologic age is that the
		
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			gestational age equals the embryologic age plus 14
		
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			days. So you have to account for those
		
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			14 days prior to when ovulation occurred, ovulation
		
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			slash conception.
		
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			So,
		
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			basically,
		
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			if
		
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			you think of the day of ovulation
		
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			as day 0, your embryologic age, according to
		
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			the gestational age, you've already been pregnant for
		
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			2 weeks in a sense. Right?
		
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			And so
		
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			if you were to look at the date
		
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			of the Moria implants, for example, we know
		
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			that implants
		
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			6 days after ovulation
		
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			slash fertilization.
		
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			So your embryologic age would be 6 days
		
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			because that's 6 days after conception occurred, but
		
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			the gestational age would actually be 20 days.
		
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			So the pregnancy at this point would be
		
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			considered to be about 2 weeks 3 days.
		
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			Okay?
		
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			So not a very difficult calculation.
		
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			But why is it that providers will use
		
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			the gestational
		
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			age? It's simply because it's easier. It's actually
		
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			really hard to determine the exact date of
		
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			ovulation
		
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			because there isn't, like, a little light bulb
		
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			that goes off or any kind of external
		
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			sign that happens that tells you, hey. I'm
		
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			ovulating.
		
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			Right? And so it would,
		
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			the easiest thing to do is just base
		
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			it off of the period because everyone can
		
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			tell you which day she first started to
		
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			have bleeding. Right?
		
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			Any questions about the difference between these two
		
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			things?
		
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			I have a question.
		
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			So it's about the Who's Sabrina? I'm Sabrina,
		
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			by the way. Oh, Sabrina. Hey. Okay.
		
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			There's a thing called the due date fallacy,
		
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			if I'm not mistaken,
		
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			where,
		
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			the push and pull between birthing,
		
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			women and, their providers when they are being
		
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			pushed for inductions and whatnot.
		
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			And they feel like their body isn't ready
		
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			even though that it's technically early 39 weeks
		
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			14 weeks. And I know, like, the World
		
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			Health
		
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			Organization
		
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			recommends to,
		
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			give birthing,
		
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			moms time up until 42 weeks. That's, like,
		
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			the most that is it because of this
		
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			as well? Like, the whole like, between 40
		
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			to 42 weeks, there's there's this,
		
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			leeway?
		
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			So that's a really interesting question. I guess
		
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			from the perspective of the World Health Organization
		
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			or from, like, any provider who's caring for
		
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			someone with a pregnancy,
		
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			They actually
		
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			never ever ever, excuse me, think of the
		
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			pregnancy in terms of the embryologic age. The
		
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			the data that they're basing or the reason
		
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			why they're making those recommendations is because of
		
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			data that they have on what the outcomes
		
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			are for babies who go to certain gestational
		
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			ages.
		
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			So the gestational age is 240
		
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			days from that first, from the last day
		
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			sorry, from the first day of your last
		
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			period,
		
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			which equals about 40 weeks. And to be
		
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			honest, it's,
		
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			in some ways, it's kind of, like, arbitrary
		
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			whether they were to use an embryologic age
		
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			or gestational age. But, ultimately,
		
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			they stick to 1, which is the gestational
		
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			age. And then they say that babies who,
		
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			who are in utero for more than 2
		
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			weeks beyond their due date have a much
		
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			higher risk of stillbirth. And so that is
		
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			where, that recommendation comes from.
		
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			Oh, I see. Okay. Thank you. Make sense?
		
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			Alright. Yeah. Of course.
		
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			Any anyone else?
		
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			Okay.
		
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			So
		
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			descriptions in the Quran of, conception and embryogenesis
		
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			from Surat Al Mu'min,
		
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			we have,
		
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			and indeed we created man from a draught
		
00:11:41 --> 00:11:43
			of clay, then we made him a drop
		
00:11:43 --> 00:11:44
			in a secured dwelling
		
00:11:45 --> 00:11:45
			place.
		
00:11:46 --> 00:11:47
			So elsewhere in the Quran,
		
00:11:48 --> 00:11:51
			humans are described as being created from dried
		
00:11:51 --> 00:11:54
			clay made of molded mud, a base fluid,
		
00:11:54 --> 00:11:57
			or dried clay like earthen vessels. And then
		
00:11:57 --> 00:11:59
			there are many other references simply to clay.
		
00:12:01 --> 00:12:04
			So the drop here refers to seminal fluid,
		
00:12:04 --> 00:12:06
			and I think that is also what the
		
00:12:06 --> 00:12:07
			base fluid would refer to.
		
00:12:08 --> 00:12:10
			And then the secure dwelling place is the
		
00:12:10 --> 00:12:13
			womb. Okay? And just as an FYI, this
		
00:12:13 --> 00:12:15
			commentary comes from the start the study Quran
		
00:12:15 --> 00:12:16
			if you have it.
		
00:12:19 --> 00:12:21
			And then the rest of the source says,
		
00:12:21 --> 00:12:21
			then,
		
00:12:22 --> 00:12:25
			of the drop, we created a blood clot.
		
00:12:25 --> 00:12:27
			Then of the blood clot, we created a
		
00:12:27 --> 00:12:28
			lump of flesh.
		
00:12:28 --> 00:12:30
			Then of the lump of flesh, we created
		
00:12:30 --> 00:12:33
			bones, and we clothe the bones with flesh.
		
00:12:33 --> 00:12:35
			Then we brought him into being as another
		
00:12:35 --> 00:12:37
			creation. Blessed is God, best of creators.
		
00:12:38 --> 00:12:40
			So in, in these verses,
		
00:12:41 --> 00:12:42
			you have a,
		
00:12:43 --> 00:12:47
			somewhat vivid description of what the development is
		
00:12:47 --> 00:12:49
			like within the uterus. You go from a
		
00:12:49 --> 00:12:52
			blood clot to a lump of flesh
		
00:12:52 --> 00:12:54
			to a lump of flesh with bones,
		
00:12:56 --> 00:12:59
			and then eventually brought into a being as
		
00:12:59 --> 00:13:01
			another creation, so becoming a human.
		
00:13:02 --> 00:13:05
			So this verse is paired with the following
		
00:13:05 --> 00:13:07
			hadith, and from it scholars extrapolate the age
		
00:13:07 --> 00:13:08
			of ensoulment.
		
00:13:08 --> 00:13:10
			So in this hadith, it says, your creation
		
00:13:10 --> 00:13:12
			is such that you are brought together in
		
00:13:12 --> 00:13:14
			your mother's belly for 40 nights. Then you
		
00:13:14 --> 00:13:16
			are a blood clot for the same duration,
		
00:13:16 --> 00:13:18
			40 nights, then a lump of flesh of
		
00:13:18 --> 00:13:20
			the same duration, 40 nights.
		
00:13:20 --> 00:13:22
			And then god sends an angel,
		
00:13:22 --> 00:13:25
			who is given commands regarding 4 things unless
		
00:13:25 --> 00:13:27
			he writes down one's provision, one's deeds, one's
		
00:13:27 --> 00:13:29
			lifespan, and whether one will be wretched or
		
00:13:29 --> 00:13:30
			joyous. Okay?
		
00:13:31 --> 00:13:33
			So let's break that down.
		
00:13:33 --> 00:13:36
			In that hadith, it says that for 40
		
00:13:36 --> 00:13:38
			days, you're a blood drop,
		
00:13:39 --> 00:13:40
			or sorry, a drop.
		
00:13:41 --> 00:13:43
			A drop of seminal food, for example.
		
00:13:43 --> 00:13:46
			And then for another 40 days, a blood
		
00:13:46 --> 00:13:48
			clot, another 40 days, a lump of flesh.
		
00:13:49 --> 00:13:51
			And then after that 40 day period ends,
		
00:13:51 --> 00:13:53
			so at the 120 day mark,
		
00:13:53 --> 00:13:56
			everything about what happens for the rest of
		
00:13:56 --> 00:13:58
			your life is written. And so that,
		
00:13:59 --> 00:14:02
			would be, is considered the time of ensoulment,
		
00:14:02 --> 00:14:04
			meaning the time that the soul enters the
		
00:14:04 --> 00:14:05
			body.
		
00:14:06 --> 00:14:09
			But remember that this is the embryonic age.
		
00:14:09 --> 00:14:10
			This is not the age that's designed by
		
00:14:10 --> 00:14:12
			a provider. So you can't,
		
00:14:12 --> 00:14:14
			use these numbers. You have to use your
		
00:14:14 --> 00:14:15
			conversion.
		
00:14:16 --> 00:14:18
			So by 120 days, scholars from all schools
		
00:14:18 --> 00:14:22
			unanimously agree that installment has taken place. Okay?
		
00:14:22 --> 00:14:25
			So in gestational age, what would that be?
		
00:14:25 --> 00:14:28
			So from 0 to 7 weeks 5 days,
		
00:14:28 --> 00:14:30
			it would be a drop
		
00:14:30 --> 00:14:31
			from
		
00:14:32 --> 00:14:34
			7 weeks until 13 weeks and 3 days
		
00:14:34 --> 00:14:37
			of blood clot. And then at 19 weeks
		
00:14:37 --> 00:14:38
			and one day,
		
00:14:39 --> 00:14:39
			after
		
00:14:40 --> 00:14:42
			that becomes a lump of flesh, and then
		
00:14:42 --> 00:14:44
			this is the point at which ensoulment occurs.
		
00:14:44 --> 00:14:46
			And so now we wanna know what is
		
00:14:46 --> 00:14:47
			the embryo actually doing at these points of
		
00:14:47 --> 00:14:49
			development? What do we know medically
		
00:14:49 --> 00:14:51
			about what happens at each of these points?
		
00:14:52 --> 00:14:55
			Does anyone have any questions about, like, these
		
00:14:55 --> 00:14:57
			conversions or what, like, these number cutoffs mean?
		
00:15:00 --> 00:15:01
			Okay.
		
00:15:04 --> 00:15:07
			So trimesters are calculated based on gestational age,
		
00:15:07 --> 00:15:10
			nonembryologic age. And as we said, the human
		
00:15:10 --> 00:15:11
			gestation is 40 weeks long.
		
00:15:12 --> 00:15:14
			So the first trimester goes from the 1st
		
00:15:14 --> 00:15:17
			day of last menstrual period until, 13 weeks
		
00:15:17 --> 00:15:19
			6 days, basically, you know, until about 14
		
00:15:19 --> 00:15:20
			weeks.
		
00:15:20 --> 00:15:24
			The pregnancy is an embryo from 5 to
		
00:15:24 --> 00:15:24
			10 weeks,
		
00:15:25 --> 00:15:27
			and is, considered a fetus from 11 weeks
		
00:15:27 --> 00:15:28
			onward.
		
00:15:29 --> 00:15:31
			And we'll talk about the difference between these
		
00:15:31 --> 00:15:32
			2.
		
00:15:32 --> 00:15:35
			And the 2nd trimester starts at 14 weeks.
		
00:15:35 --> 00:15:37
			And then it's during the 2nd trimester that
		
00:15:37 --> 00:15:39
			you pass the 19 week and one day
		
00:15:39 --> 00:15:41
			mark. And this is the time that scholars
		
00:15:41 --> 00:15:43
			agree that installment has occurred. And then the
		
00:15:43 --> 00:15:46
			3rd trimester would be 28 weeks until delivery.
		
00:15:47 --> 00:15:47
			Okay?
		
00:15:50 --> 00:15:53
			So gestational age milestones. So at around week
		
00:15:53 --> 00:15:55
			4, the pregnancy is the size of a
		
00:15:55 --> 00:15:55
			pinhead.
		
00:15:56 --> 00:15:58
			And then by week 5, the pregnancy is
		
00:15:58 --> 00:16:00
			considered an embryo. The brain, spine, and heart
		
00:16:00 --> 00:16:02
			are beginning to form.
		
00:16:02 --> 00:16:04
			And this is the critical period that birth
		
00:16:04 --> 00:16:06
			defects can occur. And most of these defects
		
00:16:06 --> 00:16:08
			actually have no known cause. Okay?
		
00:16:10 --> 00:16:12
			But this is also the earliest that the
		
00:16:12 --> 00:16:14
			pregnancy could be seen on an ultrasound.
		
00:16:14 --> 00:16:15
			So if you look at this week 5
		
00:16:15 --> 00:16:16
			ultrasound,
		
00:16:16 --> 00:16:19
			what this is generally showing is this structure
		
00:16:20 --> 00:16:21
			are you guys able to see my mouse?
		
00:16:24 --> 00:16:27
			Yep. Oh, yeah. Awesome. So this structure is
		
00:16:27 --> 00:16:28
			the uterus.
		
00:16:28 --> 00:16:30
			This kind of
		
00:16:30 --> 00:16:31
			slightly brighter colored,
		
00:16:32 --> 00:16:34
			you know, more white area is the lining
		
00:16:34 --> 00:16:36
			of the uterus. And then here's the pregnancy
		
00:16:36 --> 00:16:38
			implanted. And all you can see,
		
00:16:39 --> 00:16:39
			is
		
00:16:40 --> 00:16:42
			what we call the gestational sac, and you
		
00:16:42 --> 00:16:44
			can't really see any of the other structures
		
00:16:44 --> 00:16:44
			within it.
		
00:16:45 --> 00:16:47
			And then by week 6, the pregnancy grows
		
00:16:47 --> 00:16:49
			to the size of a dime, and this
		
00:16:49 --> 00:16:51
			is the earliest that a fetal heartbeat can
		
00:16:51 --> 00:16:52
			be detectable.
		
00:16:52 --> 00:16:54
			And at this point, you can actually measure
		
00:16:54 --> 00:16:55
			the size of the fetus,
		
00:16:56 --> 00:16:58
			based on the crown rump length. So going
		
00:16:58 --> 00:16:59
			from the tip of the head to the
		
00:16:59 --> 00:17:01
			spine. So if you look here, now our
		
00:17:01 --> 00:17:04
			gestational sac is much bigger. It's this entire
		
00:17:04 --> 00:17:06
			black area. This is the yolk sac,
		
00:17:07 --> 00:17:09
			from which the embryo is actually driving its
		
00:17:09 --> 00:17:12
			nutrients until the placenta is more developed. And
		
00:17:12 --> 00:17:14
			then this is the developing human.
		
00:17:15 --> 00:17:17
			And what they're measuring here, the CRL or
		
00:17:17 --> 00:17:19
			the crown rump length, just going from the
		
00:17:19 --> 00:17:20
			tip of the head into the base of
		
00:17:20 --> 00:17:21
			the spine.
		
00:17:21 --> 00:17:22
			Okay? So
		
00:17:23 --> 00:17:23
			the pregnancy,
		
00:17:24 --> 00:17:27
			the the day of the last period alone
		
00:17:27 --> 00:17:27
			is usually
		
00:17:28 --> 00:17:29
			the day of last period is not usually
		
00:17:29 --> 00:17:32
			used alone to determine the the timing of
		
00:17:32 --> 00:17:34
			the pregnancy. They'll combine that with the crown
		
00:17:34 --> 00:17:37
			rump length and see depending on,
		
00:17:38 --> 00:17:40
			if they're close enough together, then we'll go
		
00:17:40 --> 00:17:42
			based on the last period. Or if they're
		
00:17:42 --> 00:17:43
			too far off and we have, you know,
		
00:17:43 --> 00:17:45
			different number cutoffs depending on the gestational age,
		
00:17:45 --> 00:17:45
			then
		
00:17:46 --> 00:17:48
			redate the pregnancy based on what they see
		
00:17:48 --> 00:17:49
			on ultrasound.
		
00:17:50 --> 00:17:52
			Also because some women's periods are irregular,
		
00:17:53 --> 00:17:55
			So the time in the last period may
		
00:17:55 --> 00:17:57
			not always be reflective of how old the
		
00:17:57 --> 00:17:58
			pregnancy is.
		
00:18:00 --> 00:18:02
			By week 7, the pregnancy becomes the size
		
00:18:02 --> 00:18:04
			of a nickel. And then this is where
		
00:18:04 --> 00:18:06
			we hit those 1st 40 days.
		
00:18:07 --> 00:18:10
			That's described in the hadith. So it's the
		
00:18:10 --> 00:18:12
			1st 40 days embryologic age, which corresponds to
		
00:18:12 --> 00:18:14
			7 weeks, 5 days gestational age.
		
00:18:15 --> 00:18:18
			And so the pregnancy is no longer considered
		
00:18:18 --> 00:18:19
			a blood clot and has now become a
		
00:18:19 --> 00:18:21
			lump of flesh. Okay?
		
00:18:21 --> 00:18:23
			By week 8, the pregnancy is the size
		
00:18:23 --> 00:18:24
			of a quarter.
		
00:18:26 --> 00:18:28
			And then by week 10, the embryonic tail
		
00:18:28 --> 00:18:29
			disappears,
		
00:18:29 --> 00:18:31
			and that is when the pregnancy becomes the
		
00:18:31 --> 00:18:31
			fetus.
		
00:18:33 --> 00:18:34
			So the every
		
00:18:35 --> 00:18:35
			human,
		
00:18:36 --> 00:18:38
			while it's developing in the uterus will initially
		
00:18:38 --> 00:18:41
			have this tail, and then eventually the tail,
		
00:18:41 --> 00:18:44
			just is, kind of broken down.
		
00:18:45 --> 00:18:47
			And it's at that point that the pregnancy
		
00:18:47 --> 00:18:49
			becomes a fetus, and, also, it is at
		
00:18:49 --> 00:18:52
			this point that the pregnancy is now discernible
		
00:18:52 --> 00:18:53
			as a human.
		
00:18:54 --> 00:18:56
			So fingerprints are being formed and the pregnancy
		
00:18:56 --> 00:18:58
			is about 1 inch long. So this is
		
00:18:58 --> 00:18:59
			an ultrasound
		
00:18:59 --> 00:19:01
			of, a 10 week old fetus.
		
00:19:02 --> 00:19:04
			By week 11, the fetus can open its
		
00:19:04 --> 00:19:06
			mouth and swallow. And then by week 12,
		
00:19:07 --> 00:19:09
			the uterus has burned up that it can
		
00:19:09 --> 00:19:11
			be actually felt through the abdomen just above
		
00:19:11 --> 00:19:13
			the level of the pubic bone. Okay?
		
00:19:17 --> 00:19:19
			So week 13 is really interesting.
		
00:19:19 --> 00:19:21
			We no longer use the crown ramp length
		
00:19:21 --> 00:19:23
			to measure the fetus. At this point, we
		
00:19:23 --> 00:19:25
			can actually use something that we call fetal
		
00:19:25 --> 00:19:25
			biometry,
		
00:19:26 --> 00:19:29
			meaning that we take measurements from the hard
		
00:19:29 --> 00:19:30
			bony structures.
		
00:19:31 --> 00:19:33
			So we would measure both the circumference of
		
00:19:33 --> 00:19:35
			the head as well as the diameter of
		
00:19:35 --> 00:19:38
			the head or the skull rather. So imagine
		
00:19:38 --> 00:19:41
			that we were measuring the circumference here and
		
00:19:41 --> 00:19:43
			also the diameter of the skull.
		
00:19:44 --> 00:19:47
			And then we also measure the circumference of
		
00:19:47 --> 00:19:50
			the abdomen, way around this way, and then
		
00:19:50 --> 00:19:52
			the length of the femur, which is the
		
00:19:52 --> 00:19:53
			long load of the thigh.
		
00:19:54 --> 00:19:55
			And all of these structures become evident. And
		
00:19:55 --> 00:19:58
			now if the pregnancy hasn't already been dated,
		
00:19:58 --> 00:20:00
			these are the different measurements that your provider
		
00:20:00 --> 00:20:02
			would obtain in order to help date the
		
00:20:02 --> 00:20:03
			pregnancy.
		
00:20:03 --> 00:20:06
			This corresponds with the second 40 day period
		
00:20:06 --> 00:20:08
			that's describing the head east. Now we're at
		
00:20:08 --> 00:20:11
			the 80 days or 13 weeks 3 days
		
00:20:11 --> 00:20:13
			gestational age where,
		
00:20:14 --> 00:20:16
			the fetus is no longer a lump of
		
00:20:16 --> 00:20:18
			flesh, but now a lump with bones.
		
00:20:18 --> 00:20:19
			And, SubhanAllah,
		
00:20:19 --> 00:20:20
			that's exactly
		
00:20:20 --> 00:20:22
			what we're doing as providers is now we're
		
00:20:22 --> 00:20:24
			actually using the bones
		
00:20:24 --> 00:20:25
			to measure,
		
00:20:26 --> 00:20:28
			the fetus. It was really fascinating.
		
00:20:30 --> 00:20:33
			So in week 14 is when the 2nd
		
00:20:33 --> 00:20:36
			trimester begins. The fetus is now 3 inches
		
00:20:36 --> 00:20:37
			long, and then the external
		
00:20:38 --> 00:20:40
			can be seen on ultrasound at this point.
		
00:20:40 --> 00:20:40
			You can determine,
		
00:20:41 --> 00:20:42
			if it's a boy or a girl.
		
00:20:43 --> 00:20:45
			Week 15, the fetus is 6 and a
		
00:20:45 --> 00:20:47
			half inches long and now weighs 4 ounces
		
00:20:47 --> 00:20:49
			or about the size of the deck of
		
00:20:49 --> 00:20:49
			cards.
		
00:20:52 --> 00:20:55
			And then week 19, we reach that the
		
00:20:55 --> 00:20:56
			end of that third
		
00:20:58 --> 00:21:00
			described 40 day period. So this would be
		
00:21:00 --> 00:21:03
			the 120 days or 19 weeks of one
		
00:21:03 --> 00:21:04
			day gestational age,
		
00:21:05 --> 00:21:07
			where the Quran says that this is no
		
00:21:07 --> 00:21:09
			longer just a lump with bones. It's now
		
00:21:09 --> 00:21:11
			a lump of with bones covered with flesh,
		
00:21:11 --> 00:21:13
			and this is when ensoulment occurs.
		
00:21:13 --> 00:21:16
			So around this time, we typically do it
		
00:21:16 --> 00:21:17
			around 20 weeks, certainly. It can be done
		
00:21:17 --> 00:21:19
			at around 19 weeks. Your provider is gonna
		
00:21:19 --> 00:21:21
			recommend an anatomy ultrasound
		
00:21:22 --> 00:21:25
			to evaluate for fetal anomalies just to make
		
00:21:25 --> 00:21:27
			sure that all the anatomy looks normal. And
		
00:21:27 --> 00:21:28
			I included these
		
00:21:29 --> 00:21:30
			ultrasounds
		
00:21:30 --> 00:21:32
			to show you the
		
00:21:32 --> 00:21:34
			level of depth at which the we can
		
00:21:34 --> 00:21:35
			actually detect
		
00:21:36 --> 00:21:38
			every structure in the fetus just like you
		
00:21:38 --> 00:21:39
			would be able to see it, for example,
		
00:21:39 --> 00:21:41
			on an MRI in an adult human. Right?
		
00:21:42 --> 00:21:44
			So this is the brain. We can see
		
00:21:44 --> 00:21:46
			structures like the thalamus, the hippocampus.
		
00:21:49 --> 00:21:50
			This is the an ultrasound
		
00:21:51 --> 00:21:53
			detailing different portions of the heart. So we
		
00:21:53 --> 00:21:57
			can see the extending aorta, the pulmonary artery,
		
00:21:58 --> 00:21:59
			the aorta as it comes down in the
		
00:21:59 --> 00:22:00
			descending aorta.
		
00:22:02 --> 00:22:04
			And then here, this is, an ultrasound
		
00:22:05 --> 00:22:07
			showing you the liver, the gallbladder.
		
00:22:08 --> 00:22:10
			It's kind of cut off, but the stomach
		
00:22:10 --> 00:22:10
			would be just,
		
00:22:12 --> 00:22:13
			underneath here.
		
00:22:14 --> 00:22:14
			So
		
00:22:15 --> 00:22:18
			even as the Quran describes that it is
		
00:22:19 --> 00:22:19
			the
		
00:22:20 --> 00:22:22
			fetus is now covered with flesh, then that
		
00:22:22 --> 00:22:24
			is also the time at which we actually
		
00:22:24 --> 00:22:26
			look at all of the fleshy structures
		
00:22:27 --> 00:22:29
			within the fetus in order to check for
		
00:22:29 --> 00:22:30
			any kind of anomaly,
		
00:22:31 --> 00:22:33
			in the stage of development. And it lines
		
00:22:33 --> 00:22:34
			up like Supanalog,
		
00:22:35 --> 00:22:36
			like, basically, exactly. Right?
		
00:22:37 --> 00:22:38
			It's really interesting.
		
00:22:40 --> 00:22:42
			So week 21, the fetus can suck, grasp,
		
00:22:42 --> 00:22:43
			and have hiccups.
		
00:22:43 --> 00:22:45
			And at week 22, it's now 11 inches
		
00:22:45 --> 00:22:47
			long and weighs around 1 pound.
		
00:22:49 --> 00:22:52
			So the question is, well, if installment occurs
		
00:22:52 --> 00:22:54
			at 19 weeks, then is it possible for
		
00:22:54 --> 00:22:56
			a fetus to survive if it's born at
		
00:22:56 --> 00:22:58
			19 weeks? Let's say someone goes into preterm
		
00:22:58 --> 00:23:00
			labor for whatever reason
		
00:23:00 --> 00:23:03
			survive, and the answer is no.
		
00:23:04 --> 00:23:05
			And,
		
00:23:06 --> 00:23:07
			the age of viability
		
00:23:08 --> 00:23:10
			refers to the age at which the fetus
		
00:23:10 --> 00:23:12
			could survive outside the womb. And to be
		
00:23:12 --> 00:23:15
			honest, it's actually partially dependent on a NICU's
		
00:23:15 --> 00:23:15
			capabilities.
		
00:23:15 --> 00:23:17
			So a NICU,
		
00:23:17 --> 00:23:19
			you know, in a first world country where
		
00:23:19 --> 00:23:20
			you have,
		
00:23:20 --> 00:23:21
			like,
		
00:23:21 --> 00:23:23
			all kinds of access to medicine
		
00:23:23 --> 00:23:24
			is going to be able
		
00:23:25 --> 00:23:26
			to keep a fetus alive if it's born
		
00:23:26 --> 00:23:28
			early better than one in which there aren't
		
00:23:28 --> 00:23:30
			as many resources. Right?
		
00:23:31 --> 00:23:32
			So typically,
		
00:23:32 --> 00:23:35
			we refer to the age of viability
		
00:23:35 --> 00:23:39
			as 24 weeks. As the NICU's capabilities have
		
00:23:39 --> 00:23:41
			improved in the United States at least,
		
00:23:43 --> 00:23:45
			we're actually able to say that 23 weeks
		
00:23:45 --> 00:23:46
			is periviable.
		
00:23:46 --> 00:23:49
			So at 23 weeks, the survivability of the
		
00:23:49 --> 00:23:52
			fetus is about 33%, meaning about 1 in
		
00:23:52 --> 00:23:52
			3
		
00:23:53 --> 00:23:56
			babies born at 23 weeks will survive.
		
00:23:56 --> 00:23:58
			And then that number drastically
		
00:23:58 --> 00:23:59
			jumps to 65%
		
00:24:00 --> 00:24:03
			at 24 weeks. What's the reason for that?
		
00:24:04 --> 00:24:05
			That's because the,
		
00:24:06 --> 00:24:08
			surface area of the lung significantly
		
00:24:08 --> 00:24:11
			expands, and the fetus is able to exchange
		
00:24:11 --> 00:24:12
			oxygen in slugs.
		
00:24:12 --> 00:24:14
			So even though at 19 weeks, we're able
		
00:24:14 --> 00:24:16
			to see all those organs and see that
		
00:24:16 --> 00:24:17
			they're fully formed
		
00:24:17 --> 00:24:19
			and, you know, theoretically should be functional,
		
00:24:20 --> 00:24:21
			the issue is that
		
00:24:21 --> 00:24:22
			the the lungs
		
00:24:23 --> 00:24:25
			just aren't able to exchange oxygen. The fetus
		
00:24:25 --> 00:24:28
			cannot breathe very easily on its own. Okay?
		
00:24:29 --> 00:24:31
			But every week that the fetus stays in
		
00:24:31 --> 00:24:32
			utero,
		
00:24:33 --> 00:24:33
			helps
		
00:24:34 --> 00:24:35
			to increase the survivability
		
00:24:36 --> 00:24:38
			until eventually you get to 32 weeks when
		
00:24:38 --> 00:24:39
			that number approaches 100.
		
00:24:40 --> 00:24:43
			And at 32 weeks, the fetus' lungs not
		
00:24:43 --> 00:24:45
			only have expanded in surface area, but it's
		
00:24:45 --> 00:24:46
			able to produce enough of,
		
00:24:48 --> 00:24:48
			a,
		
00:24:51 --> 00:24:53
			of a substance called surfactant
		
00:24:53 --> 00:24:55
			to actually prevent the lungs from collapsing. So
		
00:24:55 --> 00:24:57
			not only is there enough space for the
		
00:24:57 --> 00:24:59
			oxygen to exchange the lungs stay inflated.
		
00:25:01 --> 00:25:03
			Just to put into context what the, you
		
00:25:03 --> 00:25:05
			know, what what is the meaning of the
		
00:25:05 --> 00:25:08
			viability because it's not exclusively about, you know,
		
00:25:08 --> 00:25:09
			whether the baby's alive or not, but is
		
00:25:09 --> 00:25:11
			this baby actually going to be able to,
		
00:25:11 --> 00:25:12
			like, fully function?
		
00:25:14 --> 00:25:16
			So at 23 year weeks,
		
00:25:16 --> 00:25:20
			unfortunately, only 2% of fetuses, sir, not only
		
00:25:20 --> 00:25:22
			survive, but also have no further deficits.
		
00:25:23 --> 00:25:26
			And then that number slowly starts to increase
		
00:25:26 --> 00:25:28
			as, the fetus is able to develop more
		
00:25:28 --> 00:25:29
			in utero.
		
00:25:29 --> 00:25:32
			What do we mean by major deficits? So
		
00:25:32 --> 00:25:35
			there are certain issues that happen with premature
		
00:25:35 --> 00:25:36
			infants.
		
00:25:37 --> 00:25:39
			One of these things can be strokes. Another
		
00:25:39 --> 00:25:41
			can be that the retina
		
00:25:42 --> 00:25:43
			is not fully developed, so they developed something
		
00:25:43 --> 00:25:44
			called retinopathy
		
00:25:45 --> 00:25:47
			prematurity where they can't see fully.
		
00:25:47 --> 00:25:50
			They can develop infections and get sepsis.
		
00:25:51 --> 00:25:52
			And then a really serious,
		
00:25:52 --> 00:25:55
			form of that would be something called necrotizing
		
00:25:55 --> 00:25:55
			enterocolitis
		
00:25:56 --> 00:25:58
			where basically they have a really bad
		
00:25:59 --> 00:26:02
			bacterial infection of the GI tract. Okay. So
		
00:26:02 --> 00:26:04
			sorry. I'm trying not to be very bleak,
		
00:26:04 --> 00:26:06
			but I just want people to have, an
		
00:26:06 --> 00:26:09
			understanding of kind of, like, what exactly is
		
00:26:09 --> 00:26:11
			happening, what these milestones mean.
		
00:26:13 --> 00:26:15
			But then when you enter the 3rd trimester,
		
00:26:15 --> 00:26:17
			then you get to week 34.
		
00:26:17 --> 00:26:19
			The fetus is about 18 inches and weighs
		
00:26:19 --> 00:26:20
			£5.
		
00:26:20 --> 00:26:22
			And this is typically the early stage at
		
00:26:22 --> 00:26:24
			which a pregnancy might be delivered due to
		
00:26:24 --> 00:26:25
			severe pregnancy complications.
		
00:26:26 --> 00:26:27
			So,
		
00:26:28 --> 00:26:30
			that could be something like,
		
00:26:30 --> 00:26:32
			really severe preeclampsia
		
00:26:32 --> 00:26:34
			would probably be one of the more common
		
00:26:34 --> 00:26:36
			reasons why we deliver women early.
		
00:26:37 --> 00:26:39
			And, certainly, there are a number of reasons
		
00:26:39 --> 00:26:41
			why a baby might be delivered early, either
		
00:26:41 --> 00:26:42
			because of the health of the mother or
		
00:26:42 --> 00:26:45
			because the the thought is that the baby
		
00:26:45 --> 00:26:47
			might actually survive better outside of the womb
		
00:26:47 --> 00:26:49
			than inside. So, for example, if someone's water
		
00:26:49 --> 00:26:51
			bag of water were to break early,
		
00:26:52 --> 00:26:54
			if it were to break at 34 weeks,
		
00:26:54 --> 00:26:56
			at that point, it's actually considered safer to
		
00:26:56 --> 00:26:59
			deliver the baby than to risk,
		
00:26:59 --> 00:27:01
			getting an infection in utero
		
00:27:01 --> 00:27:03
			and trying to keep the pregnancy inside the
		
00:27:03 --> 00:27:04
			uterus longer.
		
00:27:05 --> 00:27:06
			At week 37,
		
00:27:07 --> 00:27:09
			that's 3 weeks before the due date, it's
		
00:27:09 --> 00:27:10
			no longer considered preterm.
		
00:27:11 --> 00:27:12
			At 39 weeks,
		
00:27:12 --> 00:27:14
			the infant is full term,
		
00:27:14 --> 00:27:17
			for anyone who wants to be delivered just
		
00:27:17 --> 00:27:19
			as an elective delivery, meaning that for whatever
		
00:27:19 --> 00:27:21
			reason, they just either don't wanna be pregnant
		
00:27:21 --> 00:27:23
			anymore or the timing kind of works out
		
00:27:23 --> 00:27:25
			better in their lives. 39 weeks or a
		
00:27:25 --> 00:27:26
			week before your due date would be the
		
00:27:26 --> 00:27:28
			early stage that,
		
00:27:28 --> 00:27:30
			you can just opt for delivery, either a
		
00:27:30 --> 00:27:32
			vaginal delivery or a c section depending on
		
00:27:32 --> 00:27:33
			the circumstance.
		
00:27:34 --> 00:27:36
			At week 40, this is the due date
		
00:27:36 --> 00:27:38
			that's given to the patient. It's calculated based
		
00:27:38 --> 00:27:39
			on the last period, like we said.
		
00:27:40 --> 00:27:43
			And then week 41 is post term. So,
		
00:27:43 --> 00:27:46
			as Sabrina had mentioned earlier, we really start
		
00:27:46 --> 00:27:46
			to recommend,
		
00:27:47 --> 00:27:50
			at 41 weeks. And if delivery doesn't occur
		
00:27:50 --> 00:27:52
			at 41 weeks, then we recommend field monitoring,
		
00:27:52 --> 00:27:55
			meaning that the patient has to come back
		
00:27:55 --> 00:27:57
			to the OB clinic routinely,
		
00:27:58 --> 00:28:00
			usually a couple of times a week
		
00:28:00 --> 00:28:02
			just to make sure that the fetus is
		
00:28:02 --> 00:28:04
			still doing okay. And then certainly by 42
		
00:28:04 --> 00:28:06
			weeks, the recommendation is to be delivered.
		
00:28:07 --> 00:28:09
			Does anyone have any questions about any of
		
00:28:09 --> 00:28:11
			that so far? This is kind of a
		
00:28:11 --> 00:28:12
			summary slide,
		
00:28:13 --> 00:28:15
			in case anyone wants to screenshot it, but
		
00:28:15 --> 00:28:18
			just has the most important dates, up top
		
00:28:18 --> 00:28:20
			or kind of outlined.
		
00:28:20 --> 00:28:22
			But any questions, thoughts?
		
00:28:24 --> 00:28:25
			I wanna ask,
		
00:28:25 --> 00:28:26
			Yeah.
		
00:28:26 --> 00:28:28
			When do moms get, and and,
		
00:28:29 --> 00:28:31
			I guess, what what's the risk and also
		
00:28:31 --> 00:28:34
			benefits of, steroid shots, I think, to, mature
		
00:28:34 --> 00:28:37
			the baby's lungs in the womb? Like, how
		
00:28:37 --> 00:28:38
			how can you tell if someone's gonna go
		
00:28:38 --> 00:28:39
			into preterm labor?
		
00:28:40 --> 00:28:41
			Oh my gosh. That is such a great
		
00:28:41 --> 00:28:42
			question.
		
00:28:42 --> 00:28:43
			So, Supanella,
		
00:28:44 --> 00:28:44
			we actually
		
00:28:46 --> 00:28:47
			as much
		
00:28:47 --> 00:28:49
			as we've done research
		
00:28:49 --> 00:28:52
			and, you know, as, like, we have all
		
00:28:52 --> 00:28:55
			these incredible medical technologies, we are still actually
		
00:28:55 --> 00:28:56
			so, so bad at predicting,
		
00:28:57 --> 00:28:58
			like, preterm
		
00:28:58 --> 00:28:58
			deliveries
		
00:28:59 --> 00:28:59
			or,
		
00:29:00 --> 00:29:02
			whether or not someone is, like, truly going
		
00:29:02 --> 00:29:04
			into labor or if they're just having preterm
		
00:29:04 --> 00:29:05
			contractions.
		
00:29:07 --> 00:29:09
			And I think part of that is because
		
00:29:09 --> 00:29:11
			it's really hard to do ethical studies on
		
00:29:11 --> 00:29:13
			pregnant people. And certainly, no one's gonna consent,
		
00:29:13 --> 00:29:15
			for example, to, like, getting a biopsy of
		
00:29:15 --> 00:29:15
			their uterus,
		
00:29:16 --> 00:29:17
			like, while they're pregnant or, you know, while
		
00:29:17 --> 00:29:19
			they're going through a really difficult time in
		
00:29:19 --> 00:29:21
			their lives if they're, you know, having a
		
00:29:21 --> 00:29:23
			preterm delivery and that sort of thing. But
		
00:29:23 --> 00:29:24
			I also think that,
		
00:29:26 --> 00:29:26
			there's just
		
00:29:27 --> 00:29:27
			so much,
		
00:29:29 --> 00:29:30
			of this that just can't be controlled, and
		
00:29:30 --> 00:29:32
			it's really just in God's hands. But as
		
00:29:32 --> 00:29:34
			far as for the steroid shot,
		
00:29:36 --> 00:29:38
			we typically recommend it around the age of
		
00:29:38 --> 00:29:41
			viability. So most people would recommend it if,
		
00:29:41 --> 00:29:43
			for example, your bag of water breaks at
		
00:29:43 --> 00:29:46
			24 weeks, certainly, then the steroid shot is
		
00:29:46 --> 00:29:47
			gonna be recommended.
		
00:29:48 --> 00:29:50
			And or if someone is having preterm
		
00:29:51 --> 00:29:53
			contractions and there's some concern that they may
		
00:29:53 --> 00:29:55
			deliver within the next 48 hours, then they
		
00:29:55 --> 00:29:57
			would be given steroid shots. The reason why
		
00:29:57 --> 00:29:59
			we don't do it earlier than 23 or
		
00:29:59 --> 00:30:01
			24 weeks is because
		
00:30:02 --> 00:30:05
			if the baby has such a low chance
		
00:30:05 --> 00:30:07
			of survival before that, that it's not really,
		
00:30:10 --> 00:30:11
			I don't know how to say this. It's
		
00:30:11 --> 00:30:13
			just there's there's really no added benefit in
		
00:30:13 --> 00:30:15
			getting a steroid shot. But the steroid shot
		
00:30:15 --> 00:30:17
			can be given up until,
		
00:30:17 --> 00:30:20
			36 weeks 6 days. As,
		
00:30:20 --> 00:30:22
			I said on the last slide, 37 weeks
		
00:30:22 --> 00:30:24
			means you're no longer preterm. So if you're
		
00:30:24 --> 00:30:25
			preterm,
		
00:30:25 --> 00:30:28
			you're eligible for it. And in certain instances,
		
00:30:28 --> 00:30:30
			you're even eligible for it twice. Like, let's
		
00:30:30 --> 00:30:31
			say, there is one point where they thought
		
00:30:31 --> 00:30:33
			you might go into preterm labor and they
		
00:30:33 --> 00:30:34
			gave you the shot.
		
00:30:35 --> 00:30:36
			Then depending on how much time has gone
		
00:30:36 --> 00:30:38
			by and the timing of the first shot,
		
00:30:38 --> 00:30:39
			then you may even be eligible for a
		
00:30:39 --> 00:30:41
			second shot if they think you're if you
		
00:30:41 --> 00:30:42
			didn't go into labor the first time, but
		
00:30:42 --> 00:30:44
			they think you might be going into labor
		
00:30:44 --> 00:30:47
			the second time. Or if if there is
		
00:30:47 --> 00:30:50
			an intention to deliver the baby prematurely because,
		
00:30:50 --> 00:30:53
			you know, let's say mom was diagnosed with
		
00:30:53 --> 00:30:56
			a cancer and needs chemotherapy, and we really
		
00:30:56 --> 00:30:58
			need to deliver the baby so that she
		
00:30:58 --> 00:31:00
			can expedite getting chemotherapy, for example.
		
00:31:00 --> 00:31:01
			Then,
		
00:31:01 --> 00:31:03
			if they know that they're going to be
		
00:31:03 --> 00:31:05
			planning a delivery within the next couple of
		
00:31:05 --> 00:31:07
			days, then they'll provide the shots as well.
		
00:31:07 --> 00:31:09
			And what Sabrina is referring to is a
		
00:31:09 --> 00:31:11
			steroid shot that is given to the mom
		
00:31:11 --> 00:31:13
			that actually helps
		
00:31:13 --> 00:31:16
			the baby's lungs mature a little bit faster,
		
00:31:16 --> 00:31:17
			so that they have a better shot at
		
00:31:17 --> 00:31:19
			being able to breathe once they're delivered.
		
00:31:20 --> 00:31:21
			That's a really good question.
		
00:31:22 --> 00:31:24
			Did I answer it for you?
		
00:31:27 --> 00:31:28
			Yes. Thank you.
		
00:31:29 --> 00:31:30
			Anyone else?
		
00:31:34 --> 00:31:35
			Okay.
		
00:31:37 --> 00:31:40
			So let's talk a little bit about miscarriages.
		
00:31:40 --> 00:31:43
			So miscarriage is a pregnancy loss that happens
		
00:31:43 --> 00:31:44
			in the 1st trimester
		
00:31:44 --> 00:31:47
			or, it's often defined as less than 13
		
00:31:47 --> 00:31:50
			weeks gestational age. It is actually very common.
		
00:31:50 --> 00:31:51
			So occurs
		
00:31:52 --> 00:31:55
			some places will say 10% of clinically recognized
		
00:31:55 --> 00:31:58
			pregnancies, meaning pregnancies that, you know, OBGYN
		
00:31:58 --> 00:32:00
			confirmed, you know, with a pregnancy on an
		
00:32:00 --> 00:32:02
			ultrasound, let's say. But they we really think
		
00:32:02 --> 00:32:04
			it's actually up to 1 in 4 pregnancies.
		
00:32:04 --> 00:32:06
			So imagine, like, back in the day when
		
00:32:06 --> 00:32:08
			people were having, like, 8 or 10 kids,
		
00:32:08 --> 00:32:10
			then they were they probably had 1 or
		
00:32:10 --> 00:32:12
			2 miscarriages, like, in the mix of those.
		
00:32:12 --> 00:32:12
			Okay?
		
00:32:14 --> 00:32:16
			So 50% of miscarriages are due to fetal
		
00:32:16 --> 00:32:17
			chromosomal
		
00:32:17 --> 00:32:18
			abnormalities.
		
00:32:18 --> 00:32:19
			So what does that mean?
		
00:32:19 --> 00:32:22
			We have this diagram here that shows oogenesis
		
00:32:22 --> 00:32:25
			refers to how an egg is made. And
		
00:32:25 --> 00:32:26
			essentially, you have,
		
00:32:27 --> 00:32:29
			your human genetic data that has to duplicate
		
00:32:30 --> 00:32:33
			and then separate and then separate again. And
		
00:32:33 --> 00:32:35
			so at some point in this process, typically
		
00:32:35 --> 00:32:37
			at the point where they're trying to separate
		
00:32:37 --> 00:32:38
			out, they
		
00:32:38 --> 00:32:41
			these chromosomes don't divide out the way that
		
00:32:41 --> 00:32:42
			they should be. So imagine
		
00:32:43 --> 00:32:43
			if this,
		
00:32:44 --> 00:32:46
			cell had 2
		
00:32:46 --> 00:32:49
			blue chromosomes or if it was missing and
		
00:32:49 --> 00:32:51
			only had one red one, for example.
		
00:32:51 --> 00:32:53
			And so these happen randomly.
		
00:32:53 --> 00:32:56
			There's nothing that anyone can do to, you
		
00:32:56 --> 00:32:58
			know, a medicine you can take to prevent
		
00:32:58 --> 00:32:59
			it or something you can do to encourage
		
00:32:59 --> 00:33:02
			them to divide the right way. Okay? It
		
00:33:02 --> 00:33:05
			just occurs randomly. And 50% of miscarriages are
		
00:33:05 --> 00:33:07
			just because these don't have the proper amounts
		
00:33:07 --> 00:33:08
			of genetic material
		
00:33:09 --> 00:33:10
			in the ovum.
		
00:33:11 --> 00:33:14
			As far as recurrent miscarriages, meaning 2 concert
		
00:33:15 --> 00:33:18
			consecutive miscarriages, so 2 in a row are
		
00:33:18 --> 00:33:20
			relatively rare, about 1 in 5 percent of
		
00:33:20 --> 00:33:20
			women.
		
00:33:21 --> 00:33:23
			So 85% of women will have a normal
		
00:33:23 --> 00:33:26
			pregnancy following 1 miscarriage, and 75% of women
		
00:33:26 --> 00:33:28
			will have a normal pregnancy following 2 or
		
00:33:28 --> 00:33:29
			more miscarriages.
		
00:33:29 --> 00:33:31
			So I think one thing that we don't
		
00:33:31 --> 00:33:34
			talk a lot about in the Muslim community
		
00:33:34 --> 00:33:36
			is or really probably in any community
		
00:33:37 --> 00:33:39
			is miscarriage. I think a lot of women
		
00:33:39 --> 00:33:41
			feel they may feel that they've kind of
		
00:33:41 --> 00:33:43
			failed as a woman or they have anxiety
		
00:33:43 --> 00:33:44
			about whether or not they can have a
		
00:33:44 --> 00:33:46
			normal pregnancy again in the future.
		
00:33:47 --> 00:33:49
			And I think because people don't talk about
		
00:33:49 --> 00:33:51
			it so much, we really don't realize how
		
00:33:51 --> 00:33:52
			common it is.
		
00:33:53 --> 00:33:55
			And, you know, having one miscarriage doesn't mean
		
00:33:55 --> 00:33:57
			that you can never get pregnant again or
		
00:33:57 --> 00:34:00
			that you would need infertility services to get
		
00:34:00 --> 00:34:01
			pregnant. It's actually
		
00:34:01 --> 00:34:04
			the your best chance of getting pregnant is
		
00:34:04 --> 00:34:06
			to start trying again immediately after the first
		
00:34:06 --> 00:34:07
			miscarriage.
		
00:34:08 --> 00:34:11
			But does anyone have any questions, thoughts, like,
		
00:34:11 --> 00:34:12
			personal stories?
		
00:34:13 --> 00:34:13
			Anything
		
00:34:14 --> 00:34:16
			they wanna point out about this before we
		
00:34:16 --> 00:34:17
			move on?
		
00:34:20 --> 00:34:23
			I miscarried at 9 weeks for my first
		
00:34:23 --> 00:34:23
			pregnancy.
		
00:34:24 --> 00:34:25
			And,
		
00:34:25 --> 00:34:27
			it was, thanks to me passing
		
00:34:28 --> 00:34:28
			that,
		
00:34:30 --> 00:34:32
			I I'm I'm actually is it a fetus?
		
00:34:32 --> 00:34:34
			Is it, like, at at at 9 weeks?
		
00:34:35 --> 00:34:37
			At 9 weeks, it's still an embryo.
		
00:34:37 --> 00:34:39
			Okay. So really good question.
		
00:34:39 --> 00:34:40
			Yeah. Yeah. Yeah.
		
00:34:41 --> 00:34:43
			The the embryo and also the lump of
		
00:34:43 --> 00:34:45
			flesh that came with it. I'm not sure
		
00:34:45 --> 00:34:47
			exactly. Yeah. Yeah. So,
		
00:34:47 --> 00:34:50
			it was thanks to those crampings that I,
		
00:34:52 --> 00:34:55
			prepared for birth, you know, for, with my
		
00:34:55 --> 00:34:55
			second
		
00:34:56 --> 00:34:58
			pregnancy. Yeah. Because it was the same, you
		
00:34:58 --> 00:35:00
			know, contraction. It was the same, you know,
		
00:35:01 --> 00:35:03
			kind of pain. Yeah. Yeah. So I don't
		
00:35:03 --> 00:35:05
			know. That was Wow. Yeah. I think. But,
		
00:35:06 --> 00:35:09
			how how of how soon after miscarriage, can
		
00:35:09 --> 00:35:10
			you try again?
		
00:35:11 --> 00:35:14
			Like, some providers, like, after 3 months.
		
00:35:16 --> 00:35:19
			Most doctors will wanna just make sure that
		
00:35:19 --> 00:35:19
			your,
		
00:35:20 --> 00:35:23
			beta HCG, your Parkinson's hormone level drops back
		
00:35:23 --> 00:35:25
			down to 0, and some people don't even
		
00:35:25 --> 00:35:26
			care to do that.
		
00:35:26 --> 00:35:28
			As long as there is no concern that
		
00:35:28 --> 00:35:29
			you had an ectopic pregnancy,
		
00:35:30 --> 00:35:33
			for example, like a pregnancy that implanted somewhere
		
00:35:33 --> 00:35:35
			where it shouldn't have been, there's really you
		
00:35:35 --> 00:35:36
			can start trying to get immediately.
		
00:35:37 --> 00:35:39
			Really, like, no medical reason why you would
		
00:35:39 --> 00:35:40
			need to wait.
		
00:35:43 --> 00:35:45
			Just as long as you're not bleeding anymore,
		
00:35:45 --> 00:35:45
			certainly.
		
00:35:46 --> 00:35:46
			But otherwise,
		
00:35:47 --> 00:35:50
			if you're no longer bleeding and there's,
		
00:35:51 --> 00:35:53
			like and and the pregnancy was known to
		
00:35:53 --> 00:35:54
			have been in the uterus to begin with
		
00:35:54 --> 00:35:56
			or that they don't see anything in the
		
00:35:56 --> 00:35:58
			uterus anymore like an on ultrasound, then it's
		
00:35:58 --> 00:35:59
			okay to go ahead and start.
		
00:36:01 --> 00:36:02
			That's a really good question.
		
00:36:05 --> 00:36:06
			Anyone else?
		
00:36:08 --> 00:36:10
			No questions right now, but this is all
		
00:36:10 --> 00:36:13
			very, very helpful. Thank you. Yeah. Of course.
		
00:36:14 --> 00:36:15
			Okay. So let's,
		
00:36:16 --> 00:36:19
			this is, another description in the Quran of
		
00:36:19 --> 00:36:22
			conception embryo genesis. So this is, in sorts
		
00:36:22 --> 00:36:24
			of Hajj. It says, oh, mankind, if you
		
00:36:24 --> 00:36:26
			are in doubt concerning the resurrection, remember,
		
00:36:27 --> 00:36:28
			we created you from dust, then from a
		
00:36:28 --> 00:36:30
			drop, then from a blood clot, then from
		
00:36:30 --> 00:36:33
			a lump of flesh formed and unformed
		
00:36:33 --> 00:36:35
			that we may make clear for you and
		
00:36:35 --> 00:36:36
			would cause what we will to remain in
		
00:36:36 --> 00:36:39
			the wounds for eternal pointed. Then we bring
		
00:36:39 --> 00:36:41
			you 4,000 infant that, then that you may
		
00:36:41 --> 00:36:42
			reach maturity.
		
00:36:43 --> 00:36:44
			And
		
00:36:44 --> 00:36:44
			so,
		
00:36:45 --> 00:36:48
			the drop here again refers to *, which
		
00:36:48 --> 00:36:50
			is also mentioned in other parts of the
		
00:36:50 --> 00:36:50
			Quran,
		
00:36:51 --> 00:36:53
			such as the references to base fluid.
		
00:36:54 --> 00:36:57
			And the lump of flesh formed and unformed
		
00:36:58 --> 00:37:00
			is generally thought to mean that after the
		
00:37:00 --> 00:37:02
			blood clot settles in the womb, so when
		
00:37:02 --> 00:37:03
			the morula implants,
		
00:37:04 --> 00:37:07
			some pregnancies come to term, while others miscarry
		
00:37:07 --> 00:37:09
			before producing fully formed human beings.
		
00:37:10 --> 00:37:12
			So not only is it about
		
00:37:13 --> 00:37:15
			the, you know, the fact that the pregnancy
		
00:37:15 --> 00:37:17
			can be described as formed and unformed,
		
00:37:17 --> 00:37:20
			but also in combination with this next line,
		
00:37:20 --> 00:37:22
			we cause what we will to remain in
		
00:37:22 --> 00:37:24
			the wounds for a term appointed, meaning that
		
00:37:24 --> 00:37:26
			some pregnancies will come to a term and
		
00:37:26 --> 00:37:28
			some won't. And this
		
00:37:28 --> 00:37:31
			is purely up to Allah. And, there's
		
00:37:31 --> 00:37:32
			actually
		
00:37:33 --> 00:37:33
			virtually,
		
00:37:35 --> 00:37:35
			like,
		
00:37:36 --> 00:37:39
			there's really not much that your provider can
		
00:37:39 --> 00:37:39
			do
		
00:37:40 --> 00:37:42
			if if the pregnancy is going to miscarry.
		
00:37:42 --> 00:37:44
			There isn't, like, a magic medicine that you
		
00:37:44 --> 00:37:46
			can take. And they even do studies on,
		
00:37:47 --> 00:37:49
			for example, women who are going into preterm
		
00:37:49 --> 00:37:51
			labor. If there are certain medications we can
		
00:37:51 --> 00:37:53
			give them to stop the contractions
		
00:37:53 --> 00:37:55
			and even medicines that have been shown to
		
00:37:55 --> 00:37:56
			stop the contractions
		
00:37:57 --> 00:38:00
			cannot actually stop labor. If if it is
		
00:38:00 --> 00:38:01
			meant to be, it is meant to be,
		
00:38:01 --> 00:38:03
			subhanallah, and it's something that, like, as human
		
00:38:03 --> 00:38:05
			beings, like, as advanced as our technology and
		
00:38:05 --> 00:38:08
			our medicine is, we we have not found
		
00:38:08 --> 00:38:10
			a way to be able to change that.
		
00:38:11 --> 00:38:12
			And I just think it's
		
00:38:12 --> 00:38:15
			it's actually so reassuring to see in the
		
00:38:15 --> 00:38:15
			Quran
		
00:38:16 --> 00:38:16
			this recognition
		
00:38:17 --> 00:38:20
			of, like, something that can actually be, like,
		
00:38:20 --> 00:38:21
			a big tragedy for a person or for
		
00:38:21 --> 00:38:23
			a couple or a family. We'd like to
		
00:38:23 --> 00:38:26
			have miscarried, but it's actually recognized as as
		
00:38:26 --> 00:38:28
			something that happened in the Quran and that
		
00:38:28 --> 00:38:30
			it it's in Allah's control alone.
		
00:38:31 --> 00:38:33
			No. I I actually really like this verse
		
00:38:33 --> 00:38:34
			for that reason.
		
00:38:34 --> 00:38:36
			Does anyone have any thoughts about this?
		
00:38:45 --> 00:38:46
			Okay.
		
00:38:51 --> 00:38:53
			So FICC rulings on miscarriage. I'm gonna do
		
00:38:53 --> 00:38:55
			a little terminology refresher. If you've seen my
		
00:38:55 --> 00:38:58
			first lecture, then you've heard more detail about
		
00:38:58 --> 00:39:01
			these words. But menstrual bleeding
		
00:39:01 --> 00:39:03
			is for the thick vaginal bleeding that is
		
00:39:03 --> 00:39:05
			between 3 to 10 days long and occurs
		
00:39:05 --> 00:39:07
			around the time that you would expect your
		
00:39:07 --> 00:39:08
			period to occur.
		
00:39:08 --> 00:39:11
			Lopia is bleeding through the * after delivering
		
00:39:11 --> 00:39:12
			a baby.
		
00:39:12 --> 00:39:14
			For the thick, it can last up to
		
00:39:14 --> 00:39:16
			40 days. And, actually, as OBGYNs,
		
00:39:17 --> 00:39:19
			we tell patients after they deliver, 6 weeks
		
00:39:19 --> 00:39:21
			after delivery, you may continue to have bleeding.
		
00:39:22 --> 00:39:25
			And 6 weeks is 42 days. So it's
		
00:39:25 --> 00:39:27
			virtually the same as as what's recognized,
		
00:39:28 --> 00:39:29
			by the Fick Scholars.
		
00:39:29 --> 00:39:32
			If Tejada is vaginal bleeding, that does not
		
00:39:32 --> 00:39:34
			meet criteria for either rectal bleeding or lochia.
		
00:39:34 --> 00:39:36
			That's kind of really simple way of putting
		
00:39:36 --> 00:39:37
			it.
		
00:39:38 --> 00:39:40
			So any kind of vaginal bleeding that's not
		
00:39:40 --> 00:39:42
			either of those first two. So if a
		
00:39:42 --> 00:39:44
			miscarried fetus shows any human features,
		
00:39:45 --> 00:39:46
			for example, fingers,
		
00:39:47 --> 00:39:50
			hand, hair, then the bleeding is considered lochia,
		
00:39:51 --> 00:39:53
			and you would treat it like postpartum bleeding,
		
00:39:53 --> 00:39:54
			meaning that you can expect it to last
		
00:39:55 --> 00:39:57
			up to 40 days, and then you wouldn't
		
00:39:57 --> 00:39:59
			perform your prayers for those 40 days.
		
00:40:00 --> 00:40:02
			And that typically occurs at
		
00:40:02 --> 00:40:04
			10 weeks. Gestational age is when you start
		
00:40:04 --> 00:40:06
			to see those human features, because that's the
		
00:40:06 --> 00:40:08
			time where it's no longer an embryo and
		
00:40:08 --> 00:40:09
			now a fetus.
		
00:40:09 --> 00:40:12
			But bleeding after a miscarried embryo, I. E.
		
00:40:12 --> 00:40:14
			The stage before any discernible
		
00:40:15 --> 00:40:16
			human features is not lochia,
		
00:40:17 --> 00:40:19
			And then you would treat it as menstrual
		
00:40:19 --> 00:40:19
			bleeding,
		
00:40:20 --> 00:40:21
			which means that you would expect it to
		
00:40:21 --> 00:40:23
			not last more than 10 days.
		
00:40:24 --> 00:40:26
			It may, in some instances, also be istejada.
		
00:40:26 --> 00:40:28
			There's, like, a big asterisk there.
		
00:40:29 --> 00:40:30
			There are a lot there's a lot of
		
00:40:30 --> 00:40:32
			information that you would need to know as
		
00:40:32 --> 00:40:34
			far as what your last period was before
		
00:40:34 --> 00:40:36
			that and the duration of bleeding, that sort
		
00:40:36 --> 00:40:37
			of thing. So,
		
00:40:38 --> 00:40:39
			it it's
		
00:40:40 --> 00:40:40
			the
		
00:40:41 --> 00:40:42
			the simple way of putting it is that
		
00:40:42 --> 00:40:44
			it you can either treat as menstrual bleeding
		
00:40:44 --> 00:40:45
			or Estejada, but you would,
		
00:40:46 --> 00:40:47
			need to you would need to know some
		
00:40:47 --> 00:40:49
			of the other facts surrounding the part the
		
00:40:49 --> 00:40:50
			bleeding,
		
00:40:50 --> 00:40:52
			in order to call it that. But the
		
00:40:52 --> 00:40:54
			big thing is that it's not lochia
		
00:40:54 --> 00:40:55
			either way.
		
00:40:56 --> 00:40:57
			Any questions?
		
00:41:00 --> 00:41:01
			Okay.
		
00:41:02 --> 00:41:05
			So the FICC rulings on miscarriage. So a
		
00:41:05 --> 00:41:06
			miscarried fetus, meaning,
		
00:41:07 --> 00:41:09
			a pregnancy that has human features is named,
		
00:41:09 --> 00:41:11
			it's washed, it's wrapped in a clean cloth,
		
00:41:11 --> 00:41:13
			but it's not shrouded, meaning that it's not
		
00:41:13 --> 00:41:16
			dressed for burial. And then it's buried, but
		
00:41:16 --> 00:41:17
			it is not prayed for
		
00:41:18 --> 00:41:19
			prayed over.
		
00:41:19 --> 00:41:21
			So and then you would also take the
		
00:41:21 --> 00:41:23
			placenta umbilical cord and the amniotic sac,
		
00:41:24 --> 00:41:26
			and wrap those in cloth and bury those
		
00:41:26 --> 00:41:26
			as well.
		
00:41:29 --> 00:41:31
			An embryo that has no discernible human features,
		
00:41:31 --> 00:41:34
			there is no need to observe any religious
		
00:41:34 --> 00:41:36
			liturgy. So you don't need to,
		
00:41:36 --> 00:41:38
			treat it the same way that you would
		
00:41:38 --> 00:41:40
			treat a miscarried fetus. Okay?
		
00:41:41 --> 00:41:42
			Any questions about that?
		
00:41:48 --> 00:41:49
			Okay.
		
00:41:51 --> 00:41:53
			So how is,
		
00:41:53 --> 00:41:54
			abortion,
		
00:41:55 --> 00:41:58
			like, approached in Islam? So the debate over
		
00:41:58 --> 00:42:00
			abortion as a whole begins with the discussion
		
00:42:00 --> 00:42:01
			of when life begins.
		
00:42:02 --> 00:42:04
			So we talked about the significance of the
		
00:42:04 --> 00:42:06
			120 days and that being the time that
		
00:42:06 --> 00:42:07
			ensoulment occurs.
		
00:42:08 --> 00:42:10
			But there are some scholars that say that
		
00:42:10 --> 00:42:13
			actually they divide it up based on whether
		
00:42:13 --> 00:42:15
			it's before the 40 days or before the
		
00:42:15 --> 00:42:18
			120 day mark. So during the 1st 40
		
00:42:18 --> 00:42:20
			days, meaning that 7 weeks 5 days just
		
00:42:20 --> 00:42:21
			gestational age,
		
00:42:22 --> 00:42:24
			the majority of scholars would permit abortion for
		
00:42:24 --> 00:42:27
			what they call legitimate reasons, meaning that,
		
00:42:28 --> 00:42:30
			the person feels that they're either physically or
		
00:42:30 --> 00:42:33
			mentally unable to raise a child. So, for
		
00:42:33 --> 00:42:33
			example,
		
00:42:34 --> 00:42:36
			that could be someone who,
		
00:42:39 --> 00:42:40
			maybe is, you know,
		
00:42:41 --> 00:42:42
			much older and doesn't think that they could
		
00:42:42 --> 00:42:45
			get pregnant and they already had a few
		
00:42:45 --> 00:42:47
			kids, let's say, and they just don't feel
		
00:42:47 --> 00:42:48
			that they would be able to,
		
00:42:49 --> 00:42:50
			you know, put in the amount of care
		
00:42:50 --> 00:42:52
			that maybe a newborn would need or keep
		
00:42:52 --> 00:42:54
			up with, like, a toddler used as an
		
00:42:54 --> 00:42:54
			example.
		
00:42:56 --> 00:42:57
			But fear of poverty
		
00:42:57 --> 00:43:02
			does not qualify as verse in the Quran,
		
00:43:03 --> 00:43:08
			that says, do not kill your children for
		
00:43:08 --> 00:43:10
			this verse in the Quran,
		
00:43:10 --> 00:43:12
			that says, do not kill your children for
		
00:43:12 --> 00:43:13
			fear of poverty.
		
00:43:14 --> 00:43:16
			We provide for you and for them. And
		
00:43:17 --> 00:43:19
			I wanna focus on this first for a
		
00:43:19 --> 00:43:19
			moment
		
00:43:20 --> 00:43:22
			because I just find it really fascinating
		
00:43:22 --> 00:43:24
			that the word that's used,
		
00:43:24 --> 00:43:27
			is often translated as property but if you
		
00:43:27 --> 00:43:29
			look the word in Arabic is imlaq
		
00:43:30 --> 00:43:31
			and it's actually
		
00:43:32 --> 00:43:33
			the fear of losing
		
00:43:34 --> 00:43:35
			material wealth.
		
00:43:35 --> 00:43:35
			Okay?
		
00:43:36 --> 00:43:38
			So this isn't a verse that's
		
00:43:39 --> 00:43:40
			necessarily designated towards
		
00:43:41 --> 00:43:44
			poor people or people who have less means
		
00:43:44 --> 00:43:44
			to say,
		
00:43:45 --> 00:43:46
			oh, you know, just because
		
00:43:47 --> 00:43:48
			I mean, certainly,
		
00:43:48 --> 00:43:50
			as we said, if
		
00:43:52 --> 00:43:55
			you shouldn't have you shouldn't necessarily say that
		
00:43:55 --> 00:43:57
			you don't have enough needs to take care
		
00:43:57 --> 00:43:59
			of a child. But, actually, this you can
		
00:43:59 --> 00:44:01
			think of it as being directed towards
		
00:44:02 --> 00:44:04
			someone who actually is of a lot of
		
00:44:04 --> 00:44:06
			wealth, who has a lot of wealth, and
		
00:44:06 --> 00:44:07
			still says,
		
00:44:07 --> 00:44:10
			well, I don't know because children are expensive,
		
00:44:10 --> 00:44:12
			and I saved all this money, and I'm
		
00:44:12 --> 00:44:14
			gonna spend all this money on this kid.
		
00:44:15 --> 00:44:18
			And supanullah, what you actually see and practice
		
00:44:18 --> 00:44:20
			in the real world
		
00:44:20 --> 00:44:23
			is that it's often people who have no
		
00:44:23 --> 00:44:25
			means or countries that, let's say, on the
		
00:44:25 --> 00:44:27
			GDP level are actually very poor, who have
		
00:44:27 --> 00:44:30
			a lot of kids and appreciate kids and
		
00:44:30 --> 00:44:32
			see kids as a blessing and have no,
		
00:44:32 --> 00:44:32
			like,
		
00:44:33 --> 00:44:36
			financial qualms with, you know, like, the finances
		
00:44:36 --> 00:44:38
			were never an issue or never something that
		
00:44:38 --> 00:44:41
			they thought about or necessarily made them wanna
		
00:44:41 --> 00:44:43
			not have kids. But then you actually see
		
00:44:43 --> 00:44:45
			people from the richest countries in the world
		
00:44:45 --> 00:44:46
			with the highest GPs
		
00:44:47 --> 00:44:49
			with, you know, individuals with the highest income
		
00:44:49 --> 00:44:51
			who say, oh, I don't know if I
		
00:44:51 --> 00:44:53
			can really afford a kid.
		
00:44:53 --> 00:44:55
			So I'm not trying to call out any,
		
00:44:55 --> 00:44:57
			you know, one individual. But but when you
		
00:44:57 --> 00:44:59
			look at it on in a global way,
		
00:44:59 --> 00:45:02
			you actually see that that's what happens is
		
00:45:02 --> 00:45:03
			that it's actually that people
		
00:45:04 --> 00:45:07
			will will choose not to have kids either
		
00:45:07 --> 00:45:09
			through, you know, the use of lifelong birth
		
00:45:09 --> 00:45:10
			control or through the use of of of
		
00:45:10 --> 00:45:11
			abortion
		
00:45:11 --> 00:45:12
			to not have a kid,
		
00:45:13 --> 00:45:16
			Whereas people who don't come from countries that
		
00:45:16 --> 00:45:18
			have a lot of means, that's never something
		
00:45:18 --> 00:45:19
			that factors in
		
00:45:20 --> 00:45:22
			to their decision to have a kid. Does
		
00:45:22 --> 00:45:24
			anyone have any thoughts about that?
		
00:45:29 --> 00:45:29
			Okay.
		
00:45:32 --> 00:45:36
			So many contemporary scholars will offer spiritual counsel
		
00:45:36 --> 00:45:37
			to those considering,
		
00:45:37 --> 00:45:39
			a pre 40 day abortion.
		
00:45:39 --> 00:45:41
			And so the way that counseling typically
		
00:45:42 --> 00:45:44
			goes is that they encourage
		
00:45:45 --> 00:45:48
			the couple to continue with the pregnancy unless
		
00:45:48 --> 00:45:50
			there's already a known danger to the mother
		
00:45:50 --> 00:45:51
			or the fetus. But, of course, they still
		
00:45:51 --> 00:45:54
			leave the door open to those who may
		
00:45:54 --> 00:45:54
			choose otherwise.
		
00:45:55 --> 00:45:57
			So what would be like a danger to
		
00:45:57 --> 00:45:58
			the mother or fetus?
		
00:45:58 --> 00:46:01
			Let's say this is someone who has already
		
00:46:01 --> 00:46:03
			had 5 c sections, and each c section
		
00:46:04 --> 00:46:04
			gets
		
00:46:05 --> 00:46:07
			considerably more complicated than the previous one just
		
00:46:07 --> 00:46:09
			because of the scarring and you're, you know,
		
00:46:09 --> 00:46:11
			continuing to operate on this organ over and
		
00:46:11 --> 00:46:12
			over again, the uterus.
		
00:46:13 --> 00:46:15
			So in that case, it may be wise
		
00:46:16 --> 00:46:16
			to,
		
00:46:17 --> 00:46:19
			just end that pregnancy at this point.
		
00:46:19 --> 00:46:21
			And as you already know that there's a
		
00:46:21 --> 00:46:22
			potential risk to the mother's life.
		
00:46:24 --> 00:46:26
			So this is a quote from, doctor Hadzner
		
00:46:26 --> 00:46:29
			Hej. She's a PhD in comparative FICC and
		
00:46:29 --> 00:46:31
			is also a board certified pediatrician. And so
		
00:46:31 --> 00:46:33
			he said that abortion in the 1st 48
		
00:46:33 --> 00:46:36
			days, a pregnancy upon mutual agreement of both
		
00:46:36 --> 00:46:39
			parents is permissible for a legitimate cause, such
		
00:46:39 --> 00:46:40
			as the woman's fear of not having the
		
00:46:40 --> 00:46:43
			capacity to raise a newborn. Now having said
		
00:46:43 --> 00:46:45
			that, it's always preferable to avoid that. And
		
00:46:45 --> 00:46:46
			if one relies on a less help and
		
00:46:46 --> 00:46:48
			puts his or her trust in him, he
		
00:46:48 --> 00:46:50
			will not let them down.
		
00:46:51 --> 00:46:53
			So certainly, there's there's a lot of uncertainty
		
00:46:53 --> 00:46:54
			that goes,
		
00:46:54 --> 00:46:56
			with having a pregnancy.
		
00:46:56 --> 00:46:56
			But,
		
00:46:57 --> 00:46:59
			in general, the Islamic stances
		
00:47:00 --> 00:47:03
			generally that it's encouraged and that there really
		
00:47:03 --> 00:47:05
			should be a legitimate reason, and certainly that's
		
00:47:05 --> 00:47:07
			concerned on a case by case basis. And
		
00:47:07 --> 00:47:10
			there's always the opportunity to speak with scholars
		
00:47:10 --> 00:47:12
			to determine whether or not, you know, your
		
00:47:12 --> 00:47:14
			your fear or your hesitation
		
00:47:14 --> 00:47:17
			is legitimate. Right? So long it's not a
		
00:47:17 --> 00:47:18
			fear of poverty.
		
00:47:18 --> 00:47:21
			But then after those 7 weeks and,
		
00:47:22 --> 00:47:23
			those 7 weeks,
		
00:47:23 --> 00:47:27
			the abortion can be permitted up until 120
		
00:47:27 --> 00:47:27
			days
		
00:47:28 --> 00:47:30
			when a pressing need is present. So an
		
00:47:30 --> 00:47:34
			extreme fetal deformity that's incompatible with life or,
		
00:47:34 --> 00:47:35
			for example, in the case of * or
		
00:47:35 --> 00:47:37
			* or maybe it's not,
		
00:47:37 --> 00:47:39
			you know, realize that the person is pregnant
		
00:47:39 --> 00:47:40
			until later.
		
00:47:40 --> 00:47:44
			So as we had discussed before, it's around,
		
00:47:44 --> 00:47:45
			you know, that 19, 20 weeks
		
00:47:46 --> 00:47:46
			that,
		
00:47:47 --> 00:47:49
			the anatomy ultrasound is performed when
		
00:47:50 --> 00:47:53
			they the provider can see if there are
		
00:47:53 --> 00:47:56
			any extreme deformities that are noted, and the
		
00:47:56 --> 00:47:58
			patient can be counseled as far as, you
		
00:47:58 --> 00:48:00
			know, how likely is it that,
		
00:48:01 --> 00:48:01
			this
		
00:48:02 --> 00:48:04
			baby would survive outside of the womb.
		
00:48:05 --> 00:48:07
			You know, for example, there are, some fetuses
		
00:48:07 --> 00:48:11
			that they just don't develop kidneys. Otherwise, structurally
		
00:48:12 --> 00:48:14
			fine, but just no kidneys. And in such
		
00:48:14 --> 00:48:14
			a case,
		
00:48:15 --> 00:48:17
			the pregnancy can survive to full term
		
00:48:19 --> 00:48:22
			because it's reliant on the placenta and mom's
		
00:48:22 --> 00:48:24
			system to kind of get rid of toxins
		
00:48:24 --> 00:48:27
			that the kidneys would normally do, but that
		
00:48:27 --> 00:48:30
			that baby would not survive very long outside
		
00:48:30 --> 00:48:32
			of the womb. And in such a case,
		
00:48:32 --> 00:48:34
			it may be better to
		
00:48:35 --> 00:48:37
			end the pregnancy early than
		
00:48:37 --> 00:48:39
			to go all the way to full term,
		
00:48:39 --> 00:48:41
			which can be sort of associated with greater
		
00:48:41 --> 00:48:44
			blood loss and more complications for mom to
		
00:48:44 --> 00:48:45
			go through with the delivery,
		
00:48:46 --> 00:48:47
			you know, much later in the pregnancy when
		
00:48:47 --> 00:48:49
			it's known that the baby will not survive
		
00:48:49 --> 00:48:52
			for very long. And, certainly, every phenotypal anomaly
		
00:48:52 --> 00:48:54
			is different and the person should be counselled
		
00:48:54 --> 00:48:56
			as far as like reasonable expectations for what
		
00:48:56 --> 00:48:58
			could happen after the pregnancy.
		
00:49:00 --> 00:49:03
			So by 120 days from conception, the scholars
		
00:49:03 --> 00:49:05
			of all schools unanimously agree that installment has
		
00:49:05 --> 00:49:06
			taken place
		
00:49:06 --> 00:49:07
			and
		
00:49:08 --> 00:49:11
			aborting the pregnancy would be forbidden after those
		
00:49:11 --> 00:49:13
			120 days as the embryo is now fully
		
00:49:13 --> 00:49:14
			sanctified human life.
		
00:49:16 --> 00:49:18
			This language is taken from
		
00:49:18 --> 00:49:20
			the Okene Institute article.
		
00:49:21 --> 00:49:23
			So if you want more details around those
		
00:49:23 --> 00:49:26
			things, then certainly feel free to look into
		
00:49:26 --> 00:49:27
			that, and I included the link to that
		
00:49:27 --> 00:49:29
			in this course syllabus.
		
00:49:30 --> 00:49:32
			But, of course, the exception
		
00:49:33 --> 00:49:33
			to terminating a pregnancy
		
00:49:34 --> 00:49:37
			after that 120 days would be if there
		
00:49:37 --> 00:49:38
			is
		
00:49:38 --> 00:49:40
			a danger to the mother's life. And,
		
00:49:42 --> 00:49:46
			so the logic behind this is a legal
		
00:49:46 --> 00:49:49
			maxim in Islamic law that says that certainty
		
00:49:50 --> 00:49:52
			should not be overridden by doubt. So in
		
00:49:52 --> 00:49:54
			other words, the potential life of the infant
		
00:49:54 --> 00:49:56
			should not threaten a stable life, that of
		
00:49:56 --> 00:49:59
			the mother. So the the mother's survivability
		
00:50:00 --> 00:50:01
			is much more predictable.
		
00:50:01 --> 00:50:03
			She, you know, has been alive as a
		
00:50:03 --> 00:50:04
			healthy human, whereas,
		
00:50:05 --> 00:50:07
			the infant, as we talked about in our
		
00:50:07 --> 00:50:08
			session of viability,
		
00:50:08 --> 00:50:10
			you know, may or may not make it.
		
00:50:10 --> 00:50:12
			And certainly, even infants that are born full
		
00:50:12 --> 00:50:13
			term, you know, for whatever reason,
		
00:50:14 --> 00:50:16
			can die early from things such as SIDS.
		
00:50:16 --> 00:50:17
			You know?
		
00:50:18 --> 00:50:20
			So you take you prioritize
		
00:50:21 --> 00:50:23
			the mother's life because it is more certain
		
00:50:23 --> 00:50:25
			than that of the infant.
		
00:50:25 --> 00:50:28
			Jurists also support this from another angle saying
		
00:50:28 --> 00:50:30
			that the mother is the origin of the
		
00:50:30 --> 00:50:32
			infant. So even if they have equal possibility
		
00:50:32 --> 00:50:34
			of surviving, as long as the fetus is
		
00:50:34 --> 00:50:36
			part of her and dependent on her, you
		
00:50:36 --> 00:50:37
			can't cut the roots to the branch.
		
00:50:39 --> 00:50:40
			So
		
00:50:41 --> 00:50:41
			the,
		
00:50:43 --> 00:50:44
			yeah, so those are the two angles. Any
		
00:50:44 --> 00:50:46
			questions about that?
		
00:50:47 --> 00:50:48
			This is even,
		
00:50:48 --> 00:50:50
			if, let's say, the mother has specifically,
		
00:50:51 --> 00:50:53
			willed that, please save my child and, you
		
00:50:53 --> 00:50:54
			know, like,
		
00:50:55 --> 00:50:57
			even if I die, just save my child.
		
00:50:57 --> 00:50:59
			In Islam, that is not allowed, I guess.
		
00:51:02 --> 00:51:04
			Yeah. That's a really good question because, I
		
00:51:04 --> 00:51:07
			mean, presumably, the mother has people in her
		
00:51:07 --> 00:51:09
			life who know her, presumably has
		
00:51:10 --> 00:51:13
			maybe even already had children who are reliant
		
00:51:13 --> 00:51:13
			on her.
		
00:51:15 --> 00:51:17
			That's a that's a really interesting question.
		
00:51:17 --> 00:51:18
			But I
		
00:51:19 --> 00:51:21
			This is a very motherly instinct. Right? Like,
		
00:51:21 --> 00:51:23
			I mean, she's already carried this this baby
		
00:51:23 --> 00:51:25
			for so long and you know?
		
00:51:25 --> 00:51:26
			Yeah.
		
00:51:26 --> 00:51:28
			Yeah. That's a really good
		
00:51:29 --> 00:51:29
			question.
		
00:51:30 --> 00:51:31
			I
		
00:51:31 --> 00:51:33
			I can let me let me do a
		
00:51:33 --> 00:51:35
			little bit more digging and say, like, what
		
00:51:35 --> 00:51:36
			can you as an individual say I want
		
00:51:36 --> 00:51:38
			to, like, support the life of the baby
		
00:51:38 --> 00:51:40
			over my own life. That that wasn't something
		
00:51:40 --> 00:51:42
			that had occurred to me. So I'll look
		
00:51:42 --> 00:51:43
			into it, and thank you for bringing that
		
00:51:43 --> 00:51:44
			up.
		
00:51:46 --> 00:51:47
			Anything else?
		
00:51:48 --> 00:51:49
			Okay.
		
00:51:51 --> 00:51:53
			So this is just a summary slide,
		
00:51:54 --> 00:51:55
			saying that before 40 days, generally,
		
00:51:56 --> 00:51:58
			there should be a legitimate reason.
		
00:51:58 --> 00:51:59
			Before 120
		
00:52:00 --> 00:52:02
			days in certain instances with pressing need. And
		
00:52:02 --> 00:52:05
			after 1 to 1 120 days,
		
00:52:05 --> 00:52:06
			it should,
		
00:52:06 --> 00:52:09
			pregnancy termination should be done to,
		
00:52:10 --> 00:52:11
			save the life of the mother.
		
00:52:12 --> 00:52:13
			But, of course,
		
00:52:13 --> 00:52:17
			in Islamic thoughts, there is preference to use
		
00:52:17 --> 00:52:19
			contraception to prevent an unwanted pregnancy than to
		
00:52:19 --> 00:52:22
			rely on abortion to remedy a problematic outcome.
		
00:52:22 --> 00:52:24
			And so this as we talked about,
		
00:52:25 --> 00:52:26
			in our last lecture on contraception,
		
00:52:27 --> 00:52:30
			one of the reasons why contraception is allowed
		
00:52:30 --> 00:52:32
			because you would rather prevent a pregnancy than
		
00:52:32 --> 00:52:33
			to have it make to make a really
		
00:52:33 --> 00:52:35
			difficult decision about whether or not to continue.
		
00:52:37 --> 00:52:39
			Something that is, like, potentially on its way
		
00:52:39 --> 00:52:39
			to becoming,
		
00:52:40 --> 00:52:41
			a fully sanctified life.
		
00:52:43 --> 00:52:44
			Okay.
		
00:52:47 --> 00:52:49
			So how is abortion performed in the United
		
00:52:49 --> 00:52:53
			States? It depends on how far along the
		
00:52:53 --> 00:52:55
			parenthesis. So I've divided it roughly into 1st
		
00:52:55 --> 00:52:57
			trimester and second trimester.
		
00:52:57 --> 00:53:00
			But in the first try basically, for either
		
00:53:00 --> 00:53:01
			trimester, you have two options. Either,
		
00:53:02 --> 00:53:05
			a medical option, meaning given being given medicines,
		
00:53:05 --> 00:53:07
			or a surgical option, meaning that the provider
		
00:53:07 --> 00:53:09
			actually goes into the uterus and extracts the
		
00:53:09 --> 00:53:10
			pregnancy.
		
00:53:11 --> 00:53:12
			As far as for the 1st trimester,
		
00:53:12 --> 00:53:14
			typically, it's 2 medications that are given, one
		
00:53:14 --> 00:53:16
			that's taken orally and then one that's placed
		
00:53:16 --> 00:53:17
			vaginally.
		
00:53:17 --> 00:53:19
			These can be taken at home. Okay? And
		
00:53:19 --> 00:53:21
			then the pregnancy can be passed at home.
		
00:53:21 --> 00:53:23
			So this, is an option that people may
		
00:53:23 --> 00:53:25
			choose if they just want greater privacy or
		
00:53:25 --> 00:53:27
			if they want to experience the loss of
		
00:53:27 --> 00:53:28
			the pregnancy at home.
		
00:53:29 --> 00:53:31
			And it can be done safely up to
		
00:53:31 --> 00:53:34
			between 10 11 weeks gestational age. It's FDA
		
00:53:34 --> 00:53:35
			approved for 10 weeks, but
		
00:53:36 --> 00:53:38
			centers like planned parenthood have evidence that it
		
00:53:38 --> 00:53:40
			can be safe up to 11 weeks.
		
00:53:40 --> 00:53:42
			And then as far as for a surgical
		
00:53:42 --> 00:53:45
			option, it's a procedure called a suction b
		
00:53:45 --> 00:53:45
			and c,
		
00:53:46 --> 00:53:48
			d standing for dilation, meaning dilating the cervix,
		
00:53:48 --> 00:53:49
			and c standing
		
00:53:50 --> 00:53:53
			for curitage, meaning taking an instrument to remove
		
00:53:53 --> 00:53:55
			the contents of the uterus.
		
00:53:55 --> 00:53:57
			So this would have to be performed in
		
00:53:57 --> 00:53:57
			a clinic.
		
00:53:59 --> 00:54:00
			There are some clinics that have,
		
00:54:02 --> 00:54:03
			certain levels of anesthesia
		
00:54:04 --> 00:54:06
			approval, and so they're able to perform it
		
00:54:06 --> 00:54:08
			in a clinic setting. And, certainly,
		
00:54:08 --> 00:54:10
			a clinic life plan parenthood, for example, would
		
00:54:10 --> 00:54:11
			be able to provide that.
		
00:54:12 --> 00:54:14
			And these can be performed up to about
		
00:54:14 --> 00:54:16
			14 weeks gestational age.
		
00:54:17 --> 00:54:19
			And then as the patient moves into the
		
00:54:19 --> 00:54:20
			2nd trimester,
		
00:54:21 --> 00:54:21
			then
		
00:54:21 --> 00:54:23
			for the certainly,
		
00:54:23 --> 00:54:24
			the procedure,
		
00:54:24 --> 00:54:27
			becomes a little bit more complicated. There's greater
		
00:54:27 --> 00:54:29
			risk involved, particularly risk of infection and risk
		
00:54:29 --> 00:54:31
			of hemorrhage or risk of,
		
00:54:32 --> 00:54:34
			a retained placenta, for example, because now the
		
00:54:34 --> 00:54:36
			structures have gotten so much bigger.
		
00:54:37 --> 00:54:39
			So in order to undergo kind of a
		
00:54:39 --> 00:54:40
			medical abortion or,
		
00:54:41 --> 00:54:42
			really, it's it can be thought of as,
		
00:54:42 --> 00:54:44
			like, an induction of labor at this point
		
00:54:44 --> 00:54:45
			would be either,
		
00:54:46 --> 00:54:48
			multiple there there are many different ways that
		
00:54:48 --> 00:54:50
			it can be performed in the 2nd trimester
		
00:54:50 --> 00:54:52
			either through a series of medications that are
		
00:54:52 --> 00:54:54
			given in the * or with IV Pitocin.
		
00:54:54 --> 00:54:56
			So anyone who's gone through labor may have
		
00:54:56 --> 00:54:59
			actually had Pitocin given to them
		
00:54:59 --> 00:55:01
			and then for their normal pregnancy in order
		
00:55:01 --> 00:55:02
			for it to be delivered. And you can
		
00:55:02 --> 00:55:03
			do that even with,
		
00:55:04 --> 00:55:06
			people who need to deliver the pregnancy earlier.
		
00:55:07 --> 00:55:08
			So these can be given over,
		
00:55:09 --> 00:55:11
			the course of 24 to 48 hours, and
		
00:55:11 --> 00:55:12
			they require hospitalization,
		
00:55:12 --> 00:55:14
			again, because of the risk involved.
		
00:55:16 --> 00:55:18
			And then some individuals may offer a d
		
00:55:18 --> 00:55:21
			and e, that's dilation. So, again, dilating the
		
00:55:21 --> 00:55:22
			cervix and evacuation.
		
00:55:24 --> 00:55:25
			It just
		
00:55:25 --> 00:55:27
			it refers to,
		
00:55:28 --> 00:55:29
			kind of a greater amount of tissue that
		
00:55:29 --> 00:55:31
			needs to be extracted as opposed to the
		
00:55:31 --> 00:55:32
			curettage.
		
00:55:32 --> 00:55:35
			And so because, again, the risk involved, these
		
00:55:35 --> 00:55:37
			need to be performed in either a surgery
		
00:55:37 --> 00:55:38
			center or a hospital,
		
00:55:39 --> 00:55:40
			a place where
		
00:55:40 --> 00:55:42
			if, god forbid, something were to happen where
		
00:55:42 --> 00:55:44
			a blood transfusion would be needed,
		
00:55:45 --> 00:55:47
			eminently, you know, that everything would be available.
		
00:55:48 --> 00:55:52
			Okay? So these are not just ways that
		
00:55:52 --> 00:55:53
			we treat
		
00:55:53 --> 00:55:55
			people who want an elective,
		
00:55:56 --> 00:55:56
			kind of abortion,
		
00:55:57 --> 00:56:00
			But even for women who have a retained
		
00:56:00 --> 00:56:02
			miscarriage, meaning that the pregnancy passed in the
		
00:56:02 --> 00:56:05
			uterus, but contractions never came or maybe they
		
00:56:05 --> 00:56:08
			only partially evacuated the pregnancy and a part
		
00:56:08 --> 00:56:10
			of it still remains in the uterus, then
		
00:56:10 --> 00:56:11
			certainly they can opt for either
		
00:56:12 --> 00:56:13
			of these two options.
		
00:56:15 --> 00:56:16
			And as far as for the 2nd trimester,
		
00:56:17 --> 00:56:19
			certainly, these are also, methods that are used
		
00:56:19 --> 00:56:21
			for someone who has a late fetal demise,
		
00:56:21 --> 00:56:23
			meaning a demise in the 2nd trimester where
		
00:56:24 --> 00:56:25
			the baby has already passed and now needs
		
00:56:25 --> 00:56:26
			to be delivered.
		
00:56:28 --> 00:56:29
			So
		
00:56:30 --> 00:56:32
			as far as kind of statistics on abortion,
		
00:56:32 --> 00:56:34
			this is data from 2,008,
		
00:56:34 --> 00:56:35
			but 1,200,000
		
00:56:35 --> 00:56:36
			abortions,
		
00:56:36 --> 00:56:38
			occurred in the US that year,
		
00:56:39 --> 00:56:40
			for a population of about 300,000,000.
		
00:56:41 --> 00:56:44
			And 30% of US women report having an
		
00:56:44 --> 00:56:46
			abortion by age 45, so almost a 3rd.
		
00:56:47 --> 00:56:50
			But 2nd trimester abortions are actually relatively rare.
		
00:56:50 --> 00:56:51
			Only about 10%
		
00:56:51 --> 00:56:54
			occur after 13 weeks gestational age.
		
00:56:55 --> 00:56:55
			And
		
00:56:56 --> 00:56:57
			98.7%
		
00:56:58 --> 00:56:58
			of abortions
		
00:56:59 --> 00:57:00
			in the US are performed,
		
00:57:01 --> 00:57:03
			at 20 weeks or earlier. And this is
		
00:57:03 --> 00:57:05
			actually relatively in line with the 19 week
		
00:57:05 --> 00:57:06
			one day cutoff in Islam.
		
00:57:07 --> 00:57:09
			So I just thought that was really interesting.
		
00:57:09 --> 00:57:10
			Certainly, you know,
		
00:57:11 --> 00:57:13
			medical providers in the US aren't trying to
		
00:57:13 --> 00:57:15
			be in alignment with, like, what's
		
00:57:16 --> 00:57:18
			kind of, like, proposed in Islam. But I
		
00:57:18 --> 00:57:19
			just thought it was really fascinating that,
		
00:57:20 --> 00:57:23
			even in a place where abortions are,
		
00:57:24 --> 00:57:24
			kind of offered
		
00:57:25 --> 00:57:27
			in, I guess, in a more secular way,
		
00:57:28 --> 00:57:30
			still don't seem to perform them later than
		
00:57:30 --> 00:57:33
			Islamically would think that the soul enters the
		
00:57:33 --> 00:57:33
			fetus.
		
00:57:35 --> 00:57:38
			Any questions, concerns, thoughts about any of this?
		
00:57:44 --> 00:57:45
			Okay.
		
00:57:46 --> 00:57:48
			So these last few slides, we're going to
		
00:57:48 --> 00:57:50
			focus on kind of descriptions of the of
		
00:57:50 --> 00:57:51
			the womb,
		
00:57:52 --> 00:57:52
			in Islam.
		
00:57:53 --> 00:57:55
			So Muslim jurists have always viewed the fetus
		
00:57:55 --> 00:57:57
			as the precious origin of human life, and
		
00:57:57 --> 00:57:58
			certainly it is.
		
00:57:59 --> 00:58:00
			And the womb
		
00:58:00 --> 00:58:03
			is perceived as a fragile vessel that carries
		
00:58:03 --> 00:58:06
			a unique human soul and hence deserves safeguarding
		
00:58:06 --> 00:58:08
			and crippled treatment. Okay?
		
00:58:11 --> 00:58:12
			So there's a hadith
		
00:58:12 --> 00:58:13
			that says,
		
00:58:13 --> 00:58:16
			that God says, I am Allah and I
		
00:58:16 --> 00:58:18
			am Ar Rahman, the most merciful,
		
00:58:18 --> 00:58:21
			who created the or the womb. So whoever
		
00:58:21 --> 00:58:22
			stays connected with it,
		
00:58:23 --> 00:58:25
			I will connect into my mercy, and whoever
		
00:58:25 --> 00:58:26
			severs ties with it, I will disconnect him
		
00:58:26 --> 00:58:27
			from my mercy.
		
00:58:28 --> 00:58:31
			I wanna focus more on, like, the language
		
00:58:31 --> 00:58:34
			that's used here. There's a distinct
		
00:58:34 --> 00:58:35
			linguistic
		
00:58:35 --> 00:58:38
			connection that's being made between the name of
		
00:58:38 --> 00:58:41
			Allah Ar Rahman, the most merciful,
		
00:58:41 --> 00:58:43
			and the Rahm l'awoon. So clearly,
		
00:58:43 --> 00:58:44
			these two words
		
00:58:45 --> 00:58:48
			are derived from the word for mercy. So
		
00:58:48 --> 00:58:49
			womb, even,
		
00:58:49 --> 00:58:52
			in the Arabic language is considered a mercy.
		
00:58:53 --> 00:58:54
			Either you can think of it as a
		
00:58:54 --> 00:58:56
			mercy, like, for women to mankind.
		
00:58:57 --> 00:58:59
			And I just think it's so beautiful that
		
00:58:59 --> 00:59:01
			this is the one structure
		
00:59:01 --> 00:59:03
			in the human body
		
00:59:03 --> 00:59:03
			that
		
00:59:04 --> 00:59:07
			almost shares a name with one of the
		
00:59:07 --> 00:59:10
			most beautiful attributes of Allah, one of the
		
00:59:10 --> 00:59:12
			most frequently used names of Allah. And there's
		
00:59:12 --> 00:59:15
			a direct connection there, which I think speaks
		
00:59:15 --> 00:59:15
			to
		
00:59:16 --> 00:59:17
			what a high status
		
00:59:18 --> 00:59:21
			the womb has in the eyes, of God
		
00:59:21 --> 00:59:24
			and, like, through that we as Muslims should
		
00:59:24 --> 00:59:25
			have when we view it.
		
00:59:28 --> 00:59:29
			I also,
		
00:59:30 --> 00:59:33
			like this story that we had mentioned earlier
		
00:59:33 --> 00:59:34
			from sort
		
00:59:34 --> 00:59:36
			these verses from sort of what we knew
		
00:59:36 --> 00:59:37
			that says,
		
00:59:37 --> 00:59:39
			and indeed we created man from a jot
		
00:59:39 --> 00:59:41
			of clay, and then we made him a
		
00:59:41 --> 00:59:43
			drop in a secure dwelling place.
		
00:59:43 --> 00:59:46
			And I just I just find that description
		
00:59:46 --> 00:59:49
			to be so beautiful. It almost makes me
		
00:59:49 --> 00:59:52
			tearful in a way that, like, this is
		
00:59:52 --> 00:59:55
			that this is how the womb is described
		
00:59:55 --> 00:59:57
			as a secure dwelling place. It's like
		
00:59:58 --> 01:00:00
			it's it's cozy.
		
01:00:00 --> 01:00:02
			It's sweet. It's endearing.
		
01:00:03 --> 01:00:04
			It's just
		
01:00:05 --> 01:00:06
			it's just
		
01:00:07 --> 01:00:08
			it is, you know,
		
01:00:10 --> 01:00:12
			like the place where you probably felt safest
		
01:00:12 --> 01:00:13
			in your entire life, Panalog.
		
01:00:14 --> 01:00:16
			Does anyone have any thoughts about
		
01:00:17 --> 01:00:18
			these words or these,
		
01:00:20 --> 01:00:21
			the, you know, these verses?
		
01:00:25 --> 01:00:27
			Okay. So I have a few more.
		
01:00:29 --> 01:00:30
			So
		
01:00:30 --> 01:00:31
			there
		
01:00:31 --> 01:00:33
			these two verses from,
		
01:00:34 --> 01:00:36
			chapter 35 in the Quran and then chapter
		
01:00:36 --> 01:00:37
			41
		
01:00:38 --> 01:00:39
			have almost identical language.
		
01:00:41 --> 01:00:43
			So this first one says God created you
		
01:00:43 --> 01:00:44
			from dust and from a drop, and he
		
01:00:44 --> 01:00:48
			made you pairs, and no female bears or
		
01:00:48 --> 01:00:50
			brings forth save with his knowledge.
		
01:00:50 --> 01:00:52
			And none who grows old grows old, nor
		
01:00:52 --> 01:00:54
			has ought lessened of his life, but that
		
01:00:54 --> 01:00:55
			it is in a book truly that is
		
01:00:55 --> 01:00:56
			easy for God.
		
01:00:57 --> 01:01:00
			And similarly here, we, it says, unto him
		
01:01:00 --> 01:01:02
			is knowledge of the hour referred.
		
01:01:02 --> 01:01:05
			No fruits come forth from their sheaths,
		
01:01:05 --> 01:01:08
			nor does any female bear or bring forth,
		
01:01:08 --> 01:01:10
			saved by his knowledge. And on the day
		
01:01:10 --> 01:01:12
			when he will call unto them, where are
		
01:01:12 --> 01:01:13
			my partners, they will sing,
		
01:01:14 --> 01:01:15
			that none among us bears witness.
		
01:01:16 --> 01:01:16
			So here,
		
01:01:17 --> 01:01:19
			are 2 surahs that are referencing
		
01:01:21 --> 01:01:22
			the fact that
		
01:01:23 --> 01:01:25
			Allah above all knows
		
01:01:26 --> 01:01:29
			when conception occurs or it doesn't occur. And
		
01:01:29 --> 01:01:30
			as we mentioned earlier,
		
01:01:30 --> 01:01:32
			you know, the Quran talks about the pregnancy
		
01:01:33 --> 01:01:36
			in terms of embryologic age, whereas physicians and
		
01:01:36 --> 01:01:38
			humans talk about the pregnancy in terms of
		
01:01:38 --> 01:01:41
			gestational age. And the reason being that as
		
01:01:41 --> 01:01:43
			human beings, we don't really know when ovulation
		
01:01:43 --> 01:01:46
			occurs. And even when we date these pregnancies,
		
01:01:46 --> 01:01:48
			we're doing it based on this external sign.
		
01:01:48 --> 01:01:51
			But ovulation can occur at any point from
		
01:01:51 --> 01:01:53
			when the last period is. Right? Like, even
		
01:01:53 --> 01:01:55
			months later for people who have really irregular
		
01:01:55 --> 01:01:56
			periods.
		
01:01:56 --> 01:01:57
			So
		
01:01:57 --> 01:02:00
			it just it goes back to this idea
		
01:02:00 --> 01:02:01
			that, like,
		
01:02:01 --> 01:02:03
			even the woman who ovulates doesn't know when
		
01:02:03 --> 01:02:05
			she's ovulating. But Allah
		
01:02:06 --> 01:02:08
			has knowledge of this. Okay?
		
01:02:10 --> 01:02:11
			So
		
01:02:11 --> 01:02:13
			pairing that with this next Surah,
		
01:02:14 --> 01:02:16
			it says that God knows that which every
		
01:02:16 --> 01:02:19
			female bears, how wounds diminish, and how they
		
01:02:19 --> 01:02:19
			increase.
		
01:02:20 --> 01:02:22
			Everything with him is according to a measure,
		
01:02:22 --> 01:02:25
			knower of the unseen and the seen, the
		
01:02:25 --> 01:02:26
			great, the exalted.
		
01:02:26 --> 01:02:26
			Okay.
		
01:02:27 --> 01:02:29
			So the first part of this verse, I
		
01:02:29 --> 01:02:31
			think, is beautiful because it talks about how
		
01:02:31 --> 01:02:33
			wounds diminish and how they increase.
		
01:02:34 --> 01:02:36
			I think this can be seen in a
		
01:02:36 --> 01:02:37
			couple of ways.
		
01:02:37 --> 01:02:38
			One way is that
		
01:02:39 --> 01:02:42
			the uterus can grow from less than the
		
01:02:42 --> 01:02:43
			size of your fist
		
01:02:43 --> 01:02:46
			up to an organ that reaches up to
		
01:02:46 --> 01:02:49
			just underneath your rib cage. So the womb
		
01:02:49 --> 01:02:51
			itself has when it's fully pregnant,
		
01:02:52 --> 01:02:52
			has
		
01:02:53 --> 01:02:56
			enough blood flow that the entire circulation of
		
01:02:56 --> 01:02:58
			blood in a person's body goes through the
		
01:02:58 --> 01:03:00
			uterus within 10 minutes
		
01:03:00 --> 01:03:02
			when someone is full term.
		
01:03:02 --> 01:03:05
			Imagine how large of a structure this is
		
01:03:05 --> 01:03:05
			and
		
01:03:06 --> 01:03:07
			that it can accommodate
		
01:03:08 --> 01:03:08
			so much
		
01:03:09 --> 01:03:12
			of the entire human body's capacity for blood.
		
01:03:12 --> 01:03:14
			And then after delivery, it just shrinks back
		
01:03:14 --> 01:03:15
			down.
		
01:03:15 --> 01:03:18
			No other organ in the human body undergoes
		
01:03:18 --> 01:03:19
			this kind of transformation
		
01:03:20 --> 01:03:22
			or undergoes it so many times in life
		
01:03:22 --> 01:03:24
			depending on how often the person gets pregnant
		
01:03:24 --> 01:03:26
			even if they miscarry or if they have
		
01:03:26 --> 01:03:28
			a full term or, you know, preterm pregnancy.
		
01:03:29 --> 01:03:31
			So first, it's it just is,
		
01:03:32 --> 01:03:36
			it shows you the amount of respect that
		
01:03:36 --> 01:03:38
			the womb kind of commands because no other
		
01:03:38 --> 01:03:41
			organ can do what it does and transform
		
01:03:41 --> 01:03:42
			the way that it does.
		
01:03:42 --> 01:03:44
			I think another way that this can also
		
01:03:44 --> 01:03:46
			be thought of is that, you know, how
		
01:03:46 --> 01:03:48
			women diminish and how they increase. I think
		
01:03:48 --> 01:03:50
			some interpretations of that, it's also maybe a
		
01:03:50 --> 01:03:51
			reference to
		
01:03:52 --> 01:03:52
			how,
		
01:03:52 --> 01:03:55
			how women can miscarry, which again is another
		
01:03:55 --> 01:03:57
			reassurance from Allah that
		
01:03:57 --> 01:03:59
			underlining that this is actually really common,
		
01:04:00 --> 01:04:02
			and that it it's within his control.
		
01:04:03 --> 01:04:04
			That's the first thing that I really like
		
01:04:04 --> 01:04:05
			about this.
		
01:04:06 --> 01:04:09
			And then the next part is going back
		
01:04:09 --> 01:04:10
			to this idea that Allah is the knower
		
01:04:10 --> 01:04:12
			of the unseen and the seen.
		
01:04:12 --> 01:04:14
			And in Arabic
		
01:04:15 --> 01:04:17
			and excuse me because my Arabic is not
		
01:04:17 --> 01:04:18
			very good. But it's.
		
01:04:22 --> 01:04:24
			He knows the unseen, and the word for
		
01:04:24 --> 01:04:25
			unseen is
		
01:04:25 --> 01:04:27
			in this instance. Okay?
		
01:04:28 --> 01:04:28
			And then
		
01:04:29 --> 01:04:31
			I think of this, and I pair it
		
01:04:31 --> 01:04:32
			with this other,
		
01:04:33 --> 01:04:35
			verse in the Quran, which is actually a
		
01:04:35 --> 01:04:35
			really
		
01:04:37 --> 01:04:39
			I don't know if controversial is the right
		
01:04:39 --> 01:04:40
			word for it, but,
		
01:04:41 --> 01:04:42
			it's a verse that I think people talk
		
01:04:42 --> 01:04:44
			a lot and reflect a lot about. And
		
01:04:44 --> 01:04:46
			I found so many interpretations
		
01:04:46 --> 01:04:49
			and even just so many translations for this
		
01:04:49 --> 01:04:49
			verse.
		
01:04:50 --> 01:04:51
			But I put the full verse here.
		
01:04:52 --> 01:04:54
			So it's from Surat Al Nisa. It says
		
01:04:54 --> 01:04:56
			that men are the caretakers of women as
		
01:04:56 --> 01:04:58
			men have been provisioned by Allah over women
		
01:04:58 --> 01:05:00
			and tasked with supporting them financially.
		
01:05:00 --> 01:05:04
			And righteous women are devoutly obedient and, one
		
01:05:04 --> 01:05:05
			alone, protective
		
01:05:05 --> 01:05:08
			of what Allah has entrusted them with.
		
01:05:10 --> 01:05:11
			And so
		
01:05:12 --> 01:05:14
			the this part in yellow that I've highlighted
		
01:05:14 --> 01:05:17
			corresponds to this portion in yellow.
		
01:05:17 --> 01:05:19
			So the part that says that
		
01:05:20 --> 01:05:23
			they are protective of what Allah has entrusted
		
01:05:23 --> 01:05:24
			them with. They
		
01:05:24 --> 01:05:25
			are They
		
01:05:28 --> 01:05:29
			are
		
01:05:30 --> 01:05:33
			protective or preservers of the unseen.
		
01:05:34 --> 01:05:36
			And it's interesting because in the translation,
		
01:05:36 --> 01:05:38
			there isn't actually the words unseen unseen used
		
01:05:38 --> 01:05:40
			here, but it's actually the same
		
01:05:40 --> 01:05:42
			word that we saw,
		
01:05:43 --> 01:05:43
			here previously
		
01:05:44 --> 01:05:46
			in this in in these verses that are
		
01:05:46 --> 01:05:48
			directly talking about the womb.
		
01:05:50 --> 01:05:52
			Right? So to me, this is saying that
		
01:05:52 --> 01:05:53
			women
		
01:05:53 --> 01:05:54
			are
		
01:05:54 --> 01:05:57
			protective of this unseen thing.
		
01:05:57 --> 01:05:58
			And
		
01:05:58 --> 01:06:00
			what is it that's unseen? It's not just
		
01:06:00 --> 01:06:01
			the
		
01:06:01 --> 01:06:02
			conception
		
01:06:02 --> 01:06:03
			that's unseen,
		
01:06:03 --> 01:06:05
			but it's also the ensoulment.
		
01:06:06 --> 01:06:07
			SubhanAllah.
		
01:06:07 --> 01:06:09
			This is the organ
		
01:06:10 --> 01:06:11
			that which connects
		
01:06:12 --> 01:06:13
			the earth to the heavens.
		
01:06:14 --> 01:06:15
			Allah creates a soul,
		
01:06:16 --> 01:06:20
			and he imparts it into a woman's womb.
		
01:06:21 --> 01:06:23
			And I just think that that is so
		
01:06:23 --> 01:06:24
			incredible
		
01:06:24 --> 01:06:26
			that our bodies have the capability
		
01:06:27 --> 01:06:29
			to do something like that. That our uterus
		
01:06:29 --> 01:06:32
			is actually directly connected to Allah
		
01:06:32 --> 01:06:34
			and and responsible for the
		
01:06:35 --> 01:06:37
			for for housing
		
01:06:37 --> 01:06:40
			this unborn life for we are entrusted by
		
01:06:40 --> 01:06:42
			God to protect
		
01:06:43 --> 01:06:46
			this like, the womb itself, to protect the
		
01:06:46 --> 01:06:48
			pregnancy, to protect, like, the soul that enters
		
01:06:48 --> 01:06:51
			it. It just it is such, like, an
		
01:06:51 --> 01:06:51
			incredible
		
01:06:53 --> 01:06:56
			responsibility and an incredible privilege that we're given
		
01:06:56 --> 01:06:58
			because we're born with this this organ
		
01:06:59 --> 01:07:02
			that that only half of humanity has.
		
01:07:03 --> 01:07:05
			So that's the way that I interpret this.
		
01:07:06 --> 01:07:08
			Does anyone have any thoughts about this or
		
01:07:08 --> 01:07:11
			about other verses or just about anything that
		
01:07:11 --> 01:07:12
			we've talked about so far?
		
01:07:13 --> 01:07:14
			Some really profound
		
01:07:15 --> 01:07:17
			reflection. I really appreciate you,
		
01:07:18 --> 01:07:20
			like, expanding on that. I think I'm I'm
		
01:07:20 --> 01:07:20
			really
		
01:07:21 --> 01:07:24
			enjoying and appreciating the number of verses that
		
01:07:24 --> 01:07:25
			are being highlighted here
		
01:07:26 --> 01:07:28
			and the many the many themes that we're
		
01:07:28 --> 01:07:28
			seeing
		
01:07:29 --> 01:07:29
			or even
		
01:07:31 --> 01:07:31
			phrases
		
01:07:32 --> 01:07:34
			and specific words that are repeated,
		
01:07:35 --> 01:07:36
			and the ones that are that are new
		
01:07:36 --> 01:07:38
			or unique to certain verses.
		
01:07:39 --> 01:07:39
			Mhmm.
		
01:07:40 --> 01:07:41
			Absolutely.
		
01:07:41 --> 01:07:43
			I just I just think it's so incredible.
		
01:07:43 --> 01:07:46
			And it's actually like this the the substance
		
01:07:46 --> 01:07:48
			of this lecture are what made me want
		
01:07:48 --> 01:07:50
			to make this course.
		
01:07:51 --> 01:07:53
			Because I it just gives me chills every
		
01:07:53 --> 01:07:53
			time.
		
01:07:54 --> 01:07:56
			I just and it's so,
		
01:07:57 --> 01:07:59
			like, tragic to me that
		
01:07:59 --> 01:08:00
			in
		
01:08:01 --> 01:08:03
			in, you know, what's kind of called, like,
		
01:08:03 --> 01:08:06
			western feminism or Mhmm.
		
01:08:07 --> 01:08:09
			That, like, that women are actually they
		
01:08:10 --> 01:08:13
			constantly seeking out what men have. Like, if
		
01:08:13 --> 01:08:14
			a man wears pants, I don't wear pants.
		
01:08:14 --> 01:08:15
			And if a man does this, then I
		
01:08:15 --> 01:08:18
			wanna do this. But, actually, like, we're totally
		
01:08:18 --> 01:08:18
			missing
		
01:08:19 --> 01:08:21
			that we have this incredible
		
01:08:21 --> 01:08:24
			thing that we're given. And, certainly, like, not
		
01:08:24 --> 01:08:26
			everyone can get pregnant or
		
01:08:27 --> 01:08:30
			or or or bear children for whatever reason.
		
01:08:30 --> 01:08:31
			And it it's not about that, but it's
		
01:08:31 --> 01:08:33
			it's about just, like, respecting
		
01:08:34 --> 01:08:35
			the difference that women
		
01:08:36 --> 01:08:37
			have from men
		
01:08:37 --> 01:08:39
			and the different rights and the different responsibilities
		
01:08:39 --> 01:08:41
			and that we don't need to
		
01:08:42 --> 01:08:44
			derive, like, our own self worth relative to
		
01:08:44 --> 01:08:46
			a man's. That actually Allah is, like, continuously
		
01:08:46 --> 01:08:49
			addressing us and addressing the things that make
		
01:08:49 --> 01:08:50
			us unique
		
01:08:50 --> 01:08:53
			because, like, he loves us individually. Like, not
		
01:08:53 --> 01:08:55
			relative to men. He loves us as human
		
01:08:55 --> 01:08:57
			beings, but also humans that he imparted, like,
		
01:08:57 --> 01:08:59
			this particular gift with. And so it just
		
01:08:59 --> 01:09:01
			gives me so much, like
		
01:09:02 --> 01:09:04
			like, a calmness of mind that, like, I
		
01:09:04 --> 01:09:06
			don't I don't need to be seeking out
		
01:09:06 --> 01:09:08
			what anyone else has. Like, I can I
		
01:09:08 --> 01:09:11
			can just be an awe and appreciation of
		
01:09:11 --> 01:09:13
			of the way that Allah created me, whether,
		
01:09:13 --> 01:09:14
			you
		
01:09:14 --> 01:09:16
			know, it's because of my womb or, like,
		
01:09:16 --> 01:09:18
			anything else that makes me unique or anybody
		
01:09:18 --> 01:09:18
			unique?
		
01:09:20 --> 01:09:22
			Right. Right. And I'm I'm thinking too with
		
01:09:22 --> 01:09:24
			your comments on, you know, the danger
		
01:09:25 --> 01:09:26
			of always lionizing or idolizing,
		
01:09:28 --> 01:09:31
			what men have or the ambitions of men
		
01:09:31 --> 01:09:31
			versus
		
01:09:31 --> 01:09:32
			perhaps
		
01:09:32 --> 01:09:35
			the the task here is elevating the sacred
		
01:09:35 --> 01:09:36
			beauty of the feminine
		
01:09:36 --> 01:09:39
			and making that something to aspire towards as
		
01:09:39 --> 01:09:39
			well.
		
01:09:39 --> 01:09:40
			Absolutely.
		
01:09:41 --> 01:09:43
			Yeah. I completely agree, Sofia.
		
01:09:45 --> 01:09:47
			Oh, I would also like to point out
		
01:09:47 --> 01:09:48
			that,
		
01:09:48 --> 01:09:49
			the,
		
01:09:49 --> 01:09:52
			verse on, do not cure children out of
		
01:09:52 --> 01:09:52
			poverty.
		
01:09:54 --> 01:09:56
			Mhmm. And the whole in luck, word.
		
01:09:57 --> 01:09:59
			Mhmm. That's definitely new to me and maybe
		
01:09:59 --> 01:10:01
			to a lot of people as well because
		
01:10:01 --> 01:10:02
			of we we've just only heard the English
		
01:10:03 --> 01:10:03
			translation
		
01:10:04 --> 01:10:07
			of business poverty, and it's it's being said
		
01:10:07 --> 01:10:10
			and reiterated in, cases where, you know, with
		
01:10:10 --> 01:10:12
			families who have less wealth and all that.
		
01:10:12 --> 01:10:13
			You know?
		
01:10:13 --> 01:10:14
			And they have,
		
01:10:15 --> 01:10:17
			yeah. Sure. Children are a blessing, but they're
		
01:10:17 --> 01:10:19
			also worried. You know? How am I gonna
		
01:10:19 --> 01:10:22
			provide for them? Right? Mhmm. So it's this
		
01:10:22 --> 01:10:24
			I mean, it's a very, very new thing
		
01:10:24 --> 01:10:26
			for me to hear that, you know, oh,
		
01:10:26 --> 01:10:29
			like, I guess, wealthy people also have this
		
01:10:29 --> 01:10:32
			fear, I guess, of losing material wealth. And
		
01:10:32 --> 01:10:33
			they seem to have it more.
		
01:10:36 --> 01:10:38
			So Sorry. I interrupted you.
		
01:10:38 --> 01:10:40
			No. No. No. Yeah. So that that that
		
01:10:40 --> 01:10:42
			was a new thing that I learned,
		
01:10:42 --> 01:10:43
			from,
		
01:10:44 --> 01:10:46
			the your explanation of that verse.
		
01:10:47 --> 01:10:48
			And also,
		
01:10:49 --> 01:10:51
			how as you said, linguistically,
		
01:10:52 --> 01:10:53
			Rahim and,
		
01:10:53 --> 01:10:56
			the Rahim itself. So,
		
01:10:56 --> 01:10:57
			ever since,
		
01:10:57 --> 01:10:58
			joining, like, classes
		
01:10:59 --> 01:11:02
			and whatnot and, learning on the name of,
		
01:11:02 --> 01:11:02
			you know,
		
01:11:03 --> 01:11:05
			a rahmanirrahim. So every time I say,
		
01:11:07 --> 01:11:10
			even in prayer, I always remember, I mean,
		
01:11:10 --> 01:11:13
			the womb and therefore my mother. And that
		
01:11:13 --> 01:11:14
			is my first, you know,
		
01:11:14 --> 01:11:16
			experience of love, I guess. So
		
01:11:17 --> 01:11:18
			as as much as my mother loves me
		
01:11:18 --> 01:11:20
			and as much as I love my child,
		
01:11:20 --> 01:11:23
			god loves me more. And to have to
		
01:11:23 --> 01:11:24
			be able to be privileged enough to know
		
01:11:24 --> 01:11:27
			a mother's love that way, and now to
		
01:11:27 --> 01:11:28
			have my own child,
		
01:11:28 --> 01:11:30
			that I feel that love towards,
		
01:11:31 --> 01:11:33
			it's just unimaginable to me that amount of
		
01:11:33 --> 01:11:36
			love that my creator has for me and
		
01:11:36 --> 01:11:37
			how, like, the Raham
		
01:11:38 --> 01:11:40
			envelopes you and, like, you know, protects you,
		
01:11:40 --> 01:11:43
			surrounds you, and, you know, gives you such
		
01:11:43 --> 01:11:45
			a warm hug. You know? So that that
		
01:11:45 --> 01:11:48
			that visualization that I have really helps me
		
01:11:48 --> 01:11:48
			with,
		
01:11:49 --> 01:11:51
			for sure in. Yeah.
		
01:11:52 --> 01:11:55
			Mhmm. That's so beautiful. I yeah. I can't
		
01:11:55 --> 01:11:55
			even imagine.
		
01:11:57 --> 01:11:59
			Yeah. Because I don't have, like, children of
		
01:11:59 --> 01:12:00
			my own, and certainly, we can all, like,
		
01:12:00 --> 01:12:01
			reflect on,
		
01:12:02 --> 01:12:04
			the way that our mothers love us. But
		
01:12:04 --> 01:12:06
			I think it kind of, like, you alluded
		
01:12:06 --> 01:12:08
			to, like, it's it's like you don't even
		
01:12:08 --> 01:12:10
			really realize how profound it is maybe unless
		
01:12:10 --> 01:12:13
			until you experience it yourself even. And to
		
01:12:13 --> 01:12:13
			think that
		
01:12:14 --> 01:12:15
			that Ella loves you even more than you
		
01:12:15 --> 01:12:18
			love your child. Like, unimaginable.
		
01:12:21 --> 01:12:23
			It's really beautiful. Thank you for bringing that
		
01:12:23 --> 01:12:23
			up.
		
01:12:27 --> 01:12:29
			Okay. That's basically all I have.
		
01:12:30 --> 01:12:31
			So
		
01:12:31 --> 01:12:35
			in 2 weeks, I believe the next course
		
01:12:35 --> 01:12:36
			is on, infertility,
		
01:12:36 --> 01:12:38
			if I remember correctly.
		
01:12:39 --> 01:12:40
			And so that's another one that I'm actually
		
01:12:40 --> 01:12:43
			also really looking forward to. And I appreciate,
		
01:12:43 --> 01:12:45
			again, you guys always joining me. So, Inshallah,
		
01:12:45 --> 01:12:47
			we'll see you then. I hope you didn't
		
01:12:47 --> 01:12:48
			stay up too late.
		
01:12:49 --> 01:12:51
			It's okay. My baby just went to sleep,
		
01:12:51 --> 01:12:52
			so perfect timing. Alright. Perfect.
		
01:12:54 --> 01:12:54
			Alright.
		
01:12:55 --> 01:12:57
			Guys. Thank you so much. Thank you so
		
01:12:57 --> 01:12:57
			much.
		
01:12:58 --> 01:12:59
			No problem. Bye bye.