Suhaib Webb – Connecting Fiqh Womens Health

Suhaib Webb
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: Transcript ©
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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

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of clay, then we made him a drop

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in a secured dwelling

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place.

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So elsewhere in the Quran,

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humans are described as being created from dried

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clay made of molded mud, a base fluid,

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or dried clay like earthen vessels. And then

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there are many other references simply to clay.

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So the drop here refers to seminal fluid,

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and I think that is also what the

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base fluid would refer to.

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And then the secure dwelling place is the

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womb. Okay? And just as an FYI, this

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commentary comes from the start the study Quran

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if you have it.

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And then the rest of the source says,

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then,

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of the drop, we created a blood clot.

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Then of the blood clot, we created a

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lump of flesh.

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Then of the lump of flesh, we created

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bones, and we clothe the bones with flesh.

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Then we brought him into being as another

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creation. Blessed is God, best of creators.

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So in, in these verses,

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you have a,

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somewhat vivid description of what the development is

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like within the uterus. You go from a

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blood clot to a lump of flesh

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to a lump of flesh with bones,

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and then eventually brought into a being as

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another creation, so becoming a human.

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So this verse is paired with the following

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hadith, and from it scholars extrapolate the age

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of ensoulment.

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So in this hadith, it says, your creation

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is such that you are brought together in

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your mother's belly for 40 nights. Then you

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are a blood clot for the same duration,

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40 nights, then a lump of flesh of

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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.

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