Reproductive Justice and Judaism Annotated Talk

Setting the Stage:

Jewish Ideas about Sex, Reproductive Justice, and Bodily Autonomy

Loretta J. Ross and Richie Solinger define reproductive justice as “the right not to have a child; the right to have a child; and the right to parent children in safe and healthy environments … reproductive justice demands sexual autonomy and gender freedom for every human being” (Rabbi Liz P.G. Hirsch, The Social Justice Torah Commentary, p. 308).

Rabbi Danya Ruttenberg, NCJW: Reproductive freedom is a Jewish value. Our tradition not only permits the termination of pregnancy, but even requires it when the life of the pregnant person is at stake. And, of course, kavod habriyot —human dignity —and, more broadly, building a just society are ultimate Jewish concerns.

רַב כָּהֲנָא עָל, גְּנָא תּוּתֵיהּ פּוּרְיֵיהּ דְּרַב. שַׁמְעֵיהּ דְּשָׂח וְשָׂחַק וְעָשָׂה צְרָכָיו. אֲמַר לֵיהּ: דָּמֵי פּוּמֵּיהּ דְּאַבָּא כִּדְלָא שָׂרֵיף תַּבְשִׁילָא. אֲמַר לֵיהּ: כָּהֲנָא, הָכָא אַתְּ? פּוּק, דְּלָאו אֹרַח אַרְעָא. אֲמַר לֵיהּ: תּוֹרָה הִיא, וְלִלְמוֹד אֲנִי צָרִיךְ.

The rabbis tell us that Rav Kahana entered and lay beneath Rav’s bed. He heard Rav chatting and laughing with his wife, and seeing to his needs, i.e., having relations with her. Rav Kahana said to Rav: The mouth of Abba, Rav, is like one whom has never eaten a cooked dish, i.e., his behavior was lustful. Rav said to him: Kahana, you are here? Leave, as this is an undesirable mode of behavior. Rav Kahana said to him: It is Torah, and I must learn.

This "rabbi under the bed" story reminds us that Judaism believes that sexual relationships have the potential for holiness, and how we have sex is a matter of religious importance. While there might be some "right" and "wrong" ways of doing things, there is no inherent sin or impurity in consensual sex.

חוֹלֶה מַאֲכִילִין אוֹתוֹ עַל פִּי בְּקִיאִין. אָמַר רַבִּי יַנַּאי: חוֹלֶה אוֹמֵר צָרִיךְ, וְרוֹפֵא אוֹמֵר אֵינוֹ צָרִיךְ — שׁוֹמְעִין לַחוֹלֶה. מַאי טַעְמָא — ״לֵב יוֹדֵעַ מׇרַּת נַפְשׁוֹ״. פְּשִׁיטָא! מַהוּ דְּתֵימָא: רוֹפֵא קִים לֵיהּ טְפֵי, קָא מַשְׁמַע לַן.

§ It was taught in the mishna: If a person is ill and requires food due to potential danger, one feeds them according to the advice of medical experts. Rabbi Yannai said: If an ill person says they need to eat, and a doctor says they do not need to eat, one listens to the ill person. What is the reason for this halakha? It is because the verse states: “The heart knows the bitterness of its soul” (Proverbs 14:10), meaning an ill person knows the intensity of his pain and weakness, and doctors cannot say otherwise. The Gemara asks: It is obvious that a person knows themself better than anyone else does. Why does this need to be stated explicitly? The Gemara answers: It is lest you say that the doctor is more certain because they have had more experience with this condition. Therefore, the verse teaches us that even so, it is the ill person who knows their own suffering better than anyone else.

While this text refers to fasting rather than pregnancy, it indicates the autonomy of an individual when it comes to making decisions about their own health. While a medical professional might intervene if a person is putting themselves in danger, if a person demands a certain intervention for themselves, the medical professionals must defer to them. A person is considered the authority when it comes to their own body and their own experience.

Legal Personhood and the Status of a Fetus

(כב) וְכִֽי־יִנָּצ֣וּ אֲנָשִׁ֗ים וְנָ֨גְפ֜וּ אִשָּׁ֤ה הָרָה֙ וְיָצְא֣וּ יְלָדֶ֔יהָ וְלֹ֥א יִהְיֶ֖ה אָס֑וֹן עָנ֣וֹשׁ יֵעָנֵ֗שׁ כַּֽאֲשֶׁ֨ר יָשִׁ֤ית עָלָיו֙ בַּ֣עַל הָֽאִשָּׁ֔ה וְנָתַ֖ן בִּפְלִלִֽים׃ (כג) וְאִם־אָס֖וֹן יִהְיֶ֑ה וְנָתַתָּ֥ה נֶ֖פֶשׁ תַּ֥חַת נָֽפֶשׁ׃ (כד) עַ֚יִן תַּ֣חַת עַ֔יִן שֵׁ֖ן תַּ֣חַת שֵׁ֑ן יָ֚ד תַּ֣חַת יָ֔ד רֶ֖גֶל תַּ֥חַת רָֽגֶל׃ (כה) כְּוִיָּה֙ תַּ֣חַת כְּוִיָּ֔ה פֶּ֖צַע תַּ֣חַת פָּ֑צַע חַבּוּרָ֕ה תַּ֖חַת חַבּוּרָֽה׃ (ס)
(22) When men fight, and one of them pushes a pregnant woman and a miscarriage results, but no other damage ensues, the one responsible shall be fined according as the woman’s husband may exact from him, the payment to be based on reckoning. (23) But if other damage ensues, the penalty shall be life for life, (24) eye for eye, tooth for tooth, hand for hand, foot for foot, (25) burn for burn, wound for wound, bruise for bruise.

The text above establishes that, according to the Hebrew Bible, a fetus does not have the same legal status of personhood as the mother. In rabbinic literature (i.e. the Talmud), a fetus is referred to as "mere water" until 40 days of gestation (Yevamot 69b) and the "thigh of its mother" for the duration of a pregnancy (Chullin 58a, Gittin 23b).

Jewish law around burial and mourning rites further indicates that miscarriages, stillbirths, and even the death of a newborn hold a different status than that of a person older than one month (Shabbat 135b-136a; Mishneh Torah Laws of Mourning Chapter 1: 6-8; Shulkhan Arukh Yoreh Deah Avilut 374:8)

Fetus as Rodef: When an Abortion is Necessary

In a case where the woman's life is at stake, abortion is not only permitted but required. Maimonides (12th century) equates the fetus with a rodef, or pursuer, someone who, according to the Talmud, "must be saved from sinning even at the cost of their own life" including those who plan to commit murder, perform idolatry, or violate a betrothed woman (Sanhedrin 73a).

(ט) אַף זוֹ מִצְוַת לֹא תַּעֲשֶׂה שֶׁלֹּא לָחוּס עַל נֶפֶשׁ הָרוֹדֵף. לְפִיכָךְ הוֹרוּ חֲכָמִים שֶׁהָעֻבָּרָה שֶׁהִיא מַקְשָׁה לֵילֵד מֻתָּר לַחְתֹּךְ הָעֵבָּר בְּמֵעֶיהָ בֵּין בְּסַם בֵּין בְּיָד מִפְּנֵי שֶׁהוּא כְּרוֹדֵף אַחֲרֶיהָ לְהָרְגָהּ. וְאִם מִשֶּׁהוֹצִיא רֹאשׁוֹ אֵין נוֹגְעִין בּוֹ שֶׁאֵין דּוֹחִין נֶפֶשׁ מִפְּנֵי נֶפֶשׁ וְזֶהוּ טִבְעוֹ שֶׁל עוֹלָם:

This, too, is a mitzvah: not to take pity on the life of a pursuer [rodef]. Therefore the Sages [Mishnah Ohalot 7:6] have ruled that when a woman has difficulty in giving birth one may cut up the child within her womb, either by drugs or by surgery, because the fetus is like a pursuer seeking to kill her. Once the head has emerged the fetus may not be touched for we do not set aside one life for another; this is the natural course of the world.

Be Fruitful and Multiply? Obligations and Exceptions

It is also discussed in the Talmud whether a woman is bound by the commandment "be fruitful and multiply" (Genesis 1:28). The rabbis conclude that men are bound by this commandment, but not women, because they might be infertile, or because their lives might be endangered by pregnancy and childbirth (Yevamot 65b).

While the text below refers to the use of contraception (a device called a mokh) it also speaks to several reasons a person might not want to be pregnant, or might not be able to carry a pregnancy to term safely.

קטנה שמא תתעבר ותמות מעוברת שמא תעשה עוברה סנדל מניקה שמא תגמול את בנה וימות

The baraita specifies the reason for allowing these women to use contraceptive absorbent cloths: A minor, lest she become pregnant and perhaps die from this pregnancy; a pregnant woman, lest she be impregnated a second time and her older fetus become deformed into the shape of a sandal fish, by being squashed by the pressure of the second fetus; and a nursing woman, lest she become pregnant and her milk dry up, in which case she weans her child too early, thereby endangering the child, and it dies.

Rabbi Aharon Lichtenstein, “Abortion: A Halakhic Perspective,” Tradition 25:4 (1991)

Here it is clear that saving a life is not the only sanction for permitting an abortion. This is evident from the Talmudic passage that permits a nursing mother to cohabitate using a mokh (a barrier of cotton or wool) to prevent pregnancy… Since this prohibition is waived to facilitate normal family relations (which is why the emission in this context is not “wasteful”), it would follow that other ethical and humane factors may also be taken into account. It would seem to me that issues such as kevod ha-beriyot (dignity of persons), shalom bayit (domestic peace) and tza’ar (pain), which all carry significant halakhic weight in other contexts, should be considered in making these decisions.

Rabbi Leah Rachel Berkowitz, "Sometimes Abortion is How We Choose Life," Rosh Hashana Morning Sermon 2022/5783: “There is no law without story.” This was Rabbi Aviva Richman’s refrain during the Hadar Institute’s two-day conversation about Jewish perspectives on abortion. ....

Throughout our tradition, in the Bible and the Talmud, we see authority figures making rules about how we should live in the world. But just as often, we find stories that acknowledge the “messiness of our lives and our bodies,” particularly when it comes to pregnancy, birth, and raising children (Rabbi Aviva Richman, “Stories We Know and Don’t Know: A Quest for Agency and Dignity,” Panel, August 3, 2022).....

I am speaking about this topic today, as we celebrate the world’s birth, because on Rosh Hashana, we acknowledge that the choices we make can have life or death consequences for us and those around us. On these High Holy Days, we remember that we are responsible for protecting society’s most vulnerable. For so many people, access to abortion care is a matter of pikuach nefesh, preserving life. The erosion of abortion access taking place in our country right now disproportionately puts the most vulnerable people in our society at risk. But if there is one thing I can say, that might change someone’s way of thinking about abortion as a Jewish person, it is that often terminating a pregnancy is how we choose life.

I have spent many years studying and teaching about Jewish perspectives on reproductive justice. I could lecture extensively on Jewish theories of personhood and when an abortion is permitted, or even necessitated, by Jewish law.

But this year, while studying with Rabbi Yitz Greenberg, an Orthodox theologian who might not always agree with me about when abortion is permissible, I realized that I have been asking the wrong question. The question is not, “When does life begin?” and it is not “Whose life matters most in this situation?” The question is “What is the most life-affirming decision we can make in this moment?” and “Who gets to make that decision?”

This may seem counterintuitive, since the idea of “choosing life” has been coopted by those who seek to block access to abortion care. Even within the framework of “reproductive justice,” we might imagine other life-affirming choices our communities can make. We could invest in healthcare and education, paid leave and childcare, pay equity, food security and affordable housing. These too might help create safer, healthier, places to be pregnant, to give birth, and to raise children.

But when we encounter the stories of the very real people who are faced with these decisions, we see that there are many circumstances when terminating a pregnancy is the best, or the only, life-affirming choice.

Sometimes, this is because a pregnant person’s life is endangered by continuing a pregnancy.

Sometimes, this is because a fetal anomaly would cause pain and suffering to all those involved if the pregnancy were carried to term.

Sometimes, this is because the circumstances of the pregnancy have brought anguish to the pregnant person and their loved ones.

And sometimes, this is because it is just the best decision for the pregnant person, their loved ones, and their future. ....

“There is no law without story.” And these stories, ancient and modern, remind us that we do not have the right to choose when someone else brings life into this world. We can only choose what kind of world we want to create for those who choose to be pregnant, to give birth, and to parent children, as well as for those who choose not to. But most of all, we can choose what kind of world we’ll create for those whose time has come to be born.

What Can You Do?

  1. Connect with the National Council for Jewish Women and their partner website Jews for Abortion Access to find out more about their Jewish Fund for Abortion Access and Jewish Movement for Abortion Access:
  2. Learn about abortion access in your state from the Guttmacher Institute and the Planned Parenthood Action Fund.
  3. Support local organizations the protect abortion access in your state and for those traveling from out of state, as well as national and international organizations like Planned Parenthood Action Fund; Reproductive Freedom for All (Formerly NARAL), and the International Planned Parenthood Fund.
  4. Vote. Be vigilant about legislation and ballot initiatives in your state.

  5. Be vocal about reproductive justice. Make it known--social media, letters to the editor, calls to your representative-- that there are people of faith who support abortion access.​​​​​​​

Personal Narratives

דרש רבי שמלאי למה הולד דומה במעי אמו לפנקס שמקופל ומונח ידיו על שתי צדעיו שתי אציליו על ב' ארכובותיו וב' עקביו על ב' עגבותיו וראשו מונח לו בין ברכיו ופיו סתום וטבורו פתוח ואוכל ממה שאמו אוכלת ושותה ממה שאמו שותה ואינו מוציא רעי שמא יהרוג את אמו וכיון שיצא לאויר העולם נפתח הסתום ונסתם הפתוח שאלמלא כן אינו יכול לחיות אפילו שעה אחת
§ Rabbi Samlai taught: To what is a fetus in its mother’s womb comparable? To a folded notebook [lefinkas]. And it rests with its hands on its two sides of its head, at the temples, its two arms [atzilav] on its two knees, and its two heels on its two buttocks, and its head rests between its knees, and its mouth is closed, and its umbilicus is open. And it eats from what its mother eats, and it drinks from what its mother drinks, and it does not emit excrement lest it kill its mother. But once it emerges into the airspace of the world, the closed limb, i.e., its mouth, opens, and the open limb, its umbilicus, closes, as otherwise it cannot live for even one hour.
ור"ל האי קרא דר' יוחנן מאי דריש ביה מבעי ליה לכדדריש רבי חנינא בר פפא דדריש ר' חנינא בר פפא אותו מלאך הממונה על ההריון לילה שמו ונוטל טפה ומעמידה לפני הקב"ה ואומר לפניו רבש"ע טפה זו מה תהא עליה גבור או חלש חכם או טיפש עשיר או עני ואילו רשע או צדיק לא קאמר כדר' חנינא דא"ר חנינא הכל בידי שמים חוץ מיראת שמים שנאמר (דברים י, יב) ועתה ישראל מה ה' אלהיך שואל מעמך כי אם ליראה וגו'

As Rabbi Ḥanina bar Pappa interpreted that verse in the following manner: That angel that is appointed over conception is called: Night. And that angel takes the drop of semen from which a person will be formed and presents it before the Holy Blessing One, and says before Them: Master of the Universe, what will be of this drop? Will the person fashioned from it be mighty or weak? Will they be clever or stupid? Will they be wealthy or poor? The Gemara notes: But this angel does not say: Will they be wicked or righteous? ...Rabbi Ḥanina said: Everything is in the hand of Heaven, except for fear of Heaven. People have free will to serve God or not, as it is stated: “And now, Israel, what does the Lord your God ask of you other than to fear the Lord your God” (Deuteronomy 10:12). The fact that God asks the Jewish people to fear Them indicates that it is a person’s choice to do so.

תנו רבנן שלשה שותפין יש באדם הקב"ה ואביו ואמו אביו מזריע הלובן שממנו עצמות וגידים וצפרנים ומוח שבראשו ולובן שבעין אמו מזרעת אודם שממנו עור ובשר ושערות ושחור שבעין והקב"ה נותן בו רוח ונשמה וקלסתר פנים וראיית העין ושמיעת האוזן ודבור פה והלוך רגלים ובינה והשכל

(c. 200-500 CE)

§ The Sages taught: There are three partners in the creation of a person: The Holy One, Blessed be He, and his father, and his mother. His father emits the white seed, from which the following body parts are formed: The bones, the sinews, the nails, the brain that is in its head, and the white of the eye. His mother emits red seed, from which are formed the skin, the flesh, the hair, and the black of the eye. And the Holy One, Blessed be He, inserts into him a spirit, a soul, his countenance [ukelaster], eyesight, hearing of the ear, the capability of speech of the mouth, the capability of walking with the legs, understanding, and wisdom.