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Reproductive Justice Torah
(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 [two or more] parties fight, and one of them pushes a pregnant woman and a miscarriage results, but no other damage ensues, the one responsible*the one responsible Heb. “he.” shall be fined according as the woman’s husband may exact, the payment to be based on reckoning.*on reckoning Others “as the judges determine.” (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.

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.
On a similar note, the Gemara relates 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.
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 him according to the advice of medical experts. Rabbi Yannai said: If an ill person says he needs to eat, and a doctor says he does 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 himself 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 he has had more experience with this condition. Therefore, the verse teaches us that even so, it is the ill person who knows his own suffering better than anyone else.

(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:

(9) This, indeed, is one of the negative mitzvot - not to take pity on the life of a rodef.
On this basis, our Sages ruled that when complications arise and a pregnant woman cannot give birth, it is permitted to abort the fetus in her womb, whether with a knife or with drugs. For the fetus is considered a rodef of its mother.
If the head of the fetus emerges, it should not be touched, because one life should not be sacrificed for another. Although the mother may die, this is the nature of the world.

גמ׳ ת"ר מניין לרודף אחר חבירו להרגו שניתן להצילו בנפשו ת"ל (ויקרא יט, טז) לא תעמוד על דם רעך והא להכי הוא דאתא האי מיבעי ליה לכדתניא מניין לרואה את חבירו שהוא טובע בנהר או חיה גוררתו או לסטין באין עליו שהוא חייב להצילו ת"ל לא תעמוד על דם רעך אין ה"נ
GEMARA: The Sages taught in a baraita: From where is it derived that with regard to one who pursues another in order to kill him, the pursued party may be saved at the cost of the pursuer’s life? The verse states: “You shall not stand idly by the blood of another” (Leviticus 19:16); rather, you must save him from death. The Gemara asks: But does this verse really come to teach us this? This verse is required for that which is taught in a baraita: From where is it derived that one who sees another drowning in a river, or being dragged away by a wild animal, or being attacked by bandits [listin], is obligated to save him? The Torah states: “You shall not stand idly by the blood of another.” The Gemara answers: Yes, it is indeed so that this verse relates to the obligation to save one whose life is in danger.
איתיביה רב חסדא לרב הונא יצא ראשו אין נוגעין בו לפי שאין דוחין נפש מפני נפש ואמאי רודף הוא שאני התם דמשמיא קא רדפי לה
Rav Ḥisda raised an objection to Rav Huna from a baraita: If a woman was giving birth and her life was being endangered by the fetus, the life of the fetus may be sacrificed in order to save the mother. But once his head has emerged during the birthing process, he may not be harmed in order to save the mother, because one life may not be pushed aside to save another life. If one is permitted to save the pursued party by killing the minor who is pursuing him, why is this so? The fetus is a pursuer who is endangering his mother’s life. The Gemara answers: This is not difficult, as it is different there, with regard to the woman giving birth, since she is being pursued by Heaven. Since the fetus is not acting of his own volition and endangering his mother of his own will, his life may not be taken in order to save his mother.

(ו) הָאִשָּׁה שֶׁהִיא מַקְשָׁה לֵילֵד, מְחַתְּכִין אֶת הַוָּלָד בְּמֵעֶיהָ וּמוֹצִיאִין אוֹתוֹ אֵבָרִים אֵבָרִים, מִפְּנֵי שֶׁחַיֶּיהָ קוֹדְמִין לְחַיָּיו. יָצָא רֻבּוֹ, אֵין נוֹגְעִין בּוֹ, שֶׁאֵין דּוֹחִין נֶפֶשׁ מִפְּנֵי נָפֶשׁ:

(6) If a woman is having trouble giving birth, they cut up the child in her womb and brings it forth limb by limb, because her life comes before the life of [the child]. But if the greater part has come out, one may not touch it, for one may not set aside one person's life for that of another.

Rashi on Sanhedrin 72b
its head came out: With a women that is experiencing difficulty giving birth and is in [mortal] danger. And it is taught in the first section [of this teaching], "the midwife extends her hand and cuts it up and extracts [the pieces];" as the entire time that that it has not gone out into the air of the world, it is not [considered] a soul, and [so] it is possible to kill it and to save its mother. But when its head came out, we cannot touch it to kill it, as it is like a born [baby]; and we do not push off one soul for the sake of another.
חַד אָמַר: הָא מַנִּי? רַבִּי הִיא, דְּאָמַר: הַמְשַׁחְרֵר חֲצִי עַבְדּוֹ – קָנָה; וְחַד אָמַר: מַאי טַעְמָא דְּרַבִּי בְּהָא? קָסָבַר: עוּבָּר יֶרֶךְ אִמּוֹ הוּא, וְנַעֲשָׂה כְּמִי שֶׁהִקְנָה לָהּ אֶחָד מֵאֵבָרֶיהָ.
One of them said: In accordance with whose opinion is this? It is in accordance with the opinion of Rabbi Yehuda HaNasi, who says: With regard to one who emancipates half of his slave, the slave acquires freedom for half of himself, and one of them added an explanation and said: What is the reasoning of Rabbi Yehuda HaNasi for this ruling? He holds: A fetus is considered as its mother’s thigh, i.e., a part of its mother’s body, and it is as though the master transferred ownership of one of her limbs to her. Since the maidservant is pregnant, the child is considered to be a part of her, and it is as though he emancipated a portion of her body. Therefore, the mother is not acting as an agent for the child, and this halakha does not present a difficulty for Rabbi Yoḥanan’s opinion.
אָמַר רַב חִסְדָּא: טוֹבֶלֶת וְאוֹכֶלֶת עַד אַרְבָּעִים, דְּאִי לָא מִיעַבְּרָא — הָא לָא מִיעַבְּרָא, וְאִי מִיעַבְּרָא — עַד אַרְבָּעִים מַיָּא בְּעָלְמָא הִיא.
Rav Ḥisda said: She immerses and partakes of teruma only until forty days after her husband’s death, when there is still no reason for concern, as if she is not pregnant then she is not pregnant. And if she is pregnant, until forty days from conception the fetus is merely water. It is not yet considered a living being, and therefore it does not disqualify its mother from partaking of teruma.
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 son too early, thereby endangering him, and he dies.