First breast milk bank opposed by Pakistani clerics

Pakistan Clerics Oppose First Breast Milk Bank

The recent establishment of Pakistan’s first breast milk bank in Karachi has sparked significant controversy and opposition, particularly among the nation’s clerics. This initiative, designed to provide much-needed nourishment to infants who cannot be breastfed by their mothers, has faced fierce resistance on religious grounds. The clerics’ opposition centers on the concept of “milk kinship” in Islamic jurisprudence, which can create complex familial and social relationships.

The Breast Milk Bank Initiative

The breast milk bank, set up by the Indus Hospital in Karachi, aims to support infants in neonatal intensive care units (NICUs) whose mothers are unable to produce sufficient milk due to illness, malnutrition, or other medical conditions. This facility collects, screens, and pasteurizes donated breast milk, ensuring it meets strict health and safety standards before being given to infants in need. The program is modeled after similar successful initiatives in other parts of the world, where breast milk banks have proven vital in reducing infant mortality and improving health outcomes.

Islamic Perspective on Breast Milk Donation

In Islam, the concept of “milk kinship” or “Radaa” plays a crucial role in the social and familial structure. According to Islamic teachings, if a child is breastfed by a woman other than their biological mother, they become “milk siblings” with the woman’s biological children. This relationship carries the same weight as blood kinship, impacting issues such as marriage eligibility and inheritance. This doctrine aims to preserve family lineage and social order, and any violation is considered serious.

Clerical Opposition

Prominent clerics and religious scholars in Pakistan have voiced strong opposition to the breast milk bank, arguing that it could lead to unintentional milk kinship, thereby disrupting social and familial norms prescribed in Islam. Mufti Taqi Usmani, a leading Islamic scholar, expressed concerns that without strict documentation and control, children could unknowingly form prohibited relationships, leading to future complications. The clerics insist that such initiatives must adhere strictly to Islamic laws to avoid societal disruption.

Public Response

The public response to the clerics’ opposition has been mixed. While some segments of society, particularly the more conservative elements, support the clerics’ stance, others, including health professionals and progressive groups, argue for the necessity of the milk bank. They emphasize the health benefits for infants, particularly those in critical care, and advocate for a balanced approach that respects religious sensitivities while addressing public health needs.

Legal and Ethical Considerations

The controversy has also raised legal and ethical questions. Pakistan’s legal system, which incorporates Sharia law, must navigate the complex intersection of religious beliefs and public health imperatives. Some legal experts suggest that with proper regulations and documentation, the breast milk bank can operate within the bounds of Islamic law. This includes meticulous record-keeping of donors and recipients to prevent accidental milk kinship.

International Comparisons

Breast milk banks are not a new concept and have been successfully implemented in several Muslim-majority countries, including Malaysia and Turkey, where religious authorities have found ways to accommodate both health needs and religious doctrines. These countries have established rigorous protocols to document and manage breast milk donations, ensuring compliance with Islamic principles. Pakistan can potentially learn from these models to create a framework that addresses both health and religious concerns.

The opposition to Pakistan’s first breast milk bank by clerics highlights the challenges of integrating modern healthcare practices within traditional religious frameworks. While the concerns about milk kinship are valid within the context of Islamic jurisprudence, the health benefits of breast milk for vulnerable infants cannot be overlooked. A balanced approach that includes stringent documentation and collaboration with religious scholars may pave the way for a solution that respects both health needs and religious principles. This controversy underscores the broader need for dialogue and cooperation between healthcare providers and religious authorities to address public health issues in a culturally sensitive manner.