In the last post, I
listed several points that were assumed in the formulation of the restrictions that many Halachic authorities placed upon the husband in
the delivery room. The first point was that a woman in labor has the
status of a Niddah, and that because of this the husband and wife are forbidden
to touch each other. So we must start our series by explaining the origins of
the Halacha that a woman in labor is considered a Niddah, then we can analyze if indeed this assumption is necessarily true.
The Torah states:
Speak to the Israelite people thus: When a woman
at childbirth bears a male, she shall be unclean seven days; she shall be
unclean as at the time of her menstrual infirmity. On the eighth day the flesh
of his foreskin shall be circumcised. She shall remain in a state of blood
purification for thirty-three days: she shall not touch any consecrated thing,
nor enter the sanctuary until her period of purification is completed. If she
bears a female, she shall be unclean two weeks as during her menstruation, and
she shall remain in a state of blood purification for sixty-six days.
(Leviticus12:2-5)
From here we learn that
a woman in childbirth has the same status in terms of "uncleanliness"
as a woman who menstruates. For the following verse we learn that a woman
who is menstruating is prohibited to have sexual intercourse with her husband:
Do not come near a woman during her period of
uncleanness to uncover her nakedness. (Leviticus 18:19)
The context of the verse
I just quoted is referring to sexual intercourse, which the Torah calls
"coming near" as a euphemism for intercourse. The fact
that the Torah uses the terminology of "coming near" instead
of more explicit language as used in the other verses in the same chapter will be of
importance later in our
discussion. Be that as it may, we now have established that a woman who
gives birth is prohibited to have intercourse with her husband until a certain
period of time is completed and she immerses in a mikveh.
At what point during childbirth does the Niddah status begin? This is very unclear from the verses themselves.
From the simple meaning of the verses it would seem that this "uncleanliness"
only begins after she "bears a male" or "bears a female"
meaning after the baby is born. It is by no means clear from the verses
themselves that she becomes "unclean" during labor prior to the
actual birth. Even if she has bleeding during labor prior to birth, which
almost always is the case, from the verses themselves we do not know if this
bleeding would render her a Niddah. I say this because we see in the same
chapter that not all blood associated with childbirth is considered "unclean"
menstrual blood. Since this is not menstrual blood, we do not know from
these verses when exactly she becomes a Niddah. For this we have to rely
upon the Talmud and further rabbinic explanations.
In the Talmud Tractate
Niddah 21a, the Talmud makes several points clear (please forgive me for not
bringing the direct quotes here as I usually do. The discussion is
several pages long and it would be quite tedious. Feel free to study it
yourself)
- The Talmud records a debate among the rabbis as to whether or not
it is possible for the uterus to "open" and discharge some tissue (or
a baby!), and there be no bleeding accompanying that discharge
- In the case of an actual birth, whether it is a live
birth or tragically a miscarriage or stillbirth, the woman is considered a
Niddah regardless of whether or not there is bleeding. Some Rabbis say that
this is because it is impossible to have the uterus open and there be something
exiting the uterus without blood. Other Rabbis say that it is because a
woman is "impure" due to a birth even without blood.
It is thus inferred that there are two ways to
understand the verses quoted that declare that a woman who delivers a baby is
"impure" like a Niddah.
The first group of rabbis understanding is that the "uncleanliness" is a result of bleeding. They apply the rule that
"There is no opening of the uterus without blood". Even if you
don't see any blood, she is still "impure". Though this is virtually
impossible in a full-term delivery, it could apply in cases where the uterus
opens to deliver other types of tissue such as Fibroids or polyps.
According to these authorities, the time that the women becomes a Niddah in
childbirth would be the point when the uterus opens, or when she has obvious uterine bleeding. Exactly when is the time that the "uterus opens is unclear, and we will have to search the sources to clarify this.
The second group of
rabbis argue that it is possible to have the "uterus open without
bleeding". According to these rabbis, the "impurity" of the
childbearing woman has nothing to do with blood. They hold that it is
the birth itself that causes this impurity, which would only apply to the birth
of an actual child, whether alive of stillborn. But it would not apply to
passing other types of tissue as long as there is no blood. Practically
speaking, according to the second group of Rabbis, if there is blood during
labor, the woman would be considered a niddah if the blood came from inside the
uterus. However, until there is bleeding, even if she was in labor, she
would not be "impure" until the actual birth occurs.
The Halacha has been
determined on the side of the Talmudic Rabbis who hold of the first
explanation (See Maggid Mishna on Maimonides Mishna Torah Laws of Forbidden Interourse 5:13 for full explanation of why we decide according to this opinion). That it is the blood of the delivery that causes the
"impurity". Once the uterus opens, she is assumed to have blood
even if we don't see it, because "there is no opening of the uterus
without blood". So, the question of when a woman has the status of Niddah
is dependent upon exactly when this event of "opening of the uterus"
is assumed to have occurred.
Interestingly, the
question of exactly when the process of labor begins as it relates to exactly
when she becomes prohibited to her husband is not discussed in the Talmud at
all. The "Opening of the Womb" is discussed, but only as it
relates to two other Halachic issues. In order to make sense out of this,
one must understand that there are three Halachic issues related to the
beginning of the labor process. The three issues are Ritual impurity, Desecration of Shabbat, and Niddah status. The first issue is
related to ritual impurity. this is discussed in the Mishna in Oholot:
If a woman was having great difficulty giving
birth and they carried her out from one house to another, the first house is
doubtfully unclean and the second is certainly unclean. Rabbi Judah said: When
is this so? When she is carried out [supported] by the armpits, but if she was
able to walk, the first house remains clean, for after the womb has been opened
there is no possibility of walking, For stillborn children are not [deemed to
have] opened the womb until they present a head rounded like a spindle-knob.
(Mishna Oholot 7:4)
This issue of ritual
impurity has little relevance in practical Halacha today, as we no longer are
concerned about ritual impurity after the destruction of the temple. However,
if one assumes that ritual impurity begins at the same time as the Niddah
prohibition between the couple begins, then one would derive from this Mishna
that as soon as a woman is in significant pain (and needs help to walk) that
would be the time she would be prohibited to her husband as a Niddah. Rabbi
Shimon ben Avraham of Sens (1150-1230, also known as the Rash MiShantz)
compares this Mishna to another discussion in the Talmud Shabbat. He
points out that they seem to contradict one another regarding when this moment
of the "opening of the womb" is. The following Gemara is discussing
at what point a woman in labor is considered in a situation of life-threatening
risk for whom the desecration of Shabbat would be permitted.With regard to the matter of the open womb, the
Gemara asks: From when is it considered that the
opening of the womb has begun? Abaye says: It
begins from when the woman sits on the travailing
chair. Rav Huna, son of Rav Yehoshua, said: It begins from
when the blood flows and descends; and others say when her friends need
to carry her by her arms, as she can no longer walk on her
own. (Shabbat 129:a)
So here we have two
different explanations for when the "womb opens" though the context
is very different. The context here is regarding the laws of Shabbat and being
allowed to violate the shabbat for her. If we assume that the time of "the opening of the womb is the same for all three categories, we then have to reconcile which is of these opinions is authoritative.
It is important to explain the the ritual impurity being discussed in Oholot is the impurity that the deceased body of the stillborn baby would impart to the house within which it is born. As long as it is within the woman's body, it would be considered a "Tumah Belu'ah" - an impurity contained within her body and as such a house in which the woman was present would not be "impure". As soon as the "womb is open" though, then the corpse would be exposed to the house and the entire house and its' contents would become ritually impure. In Oholot, we are not discussing the "impurity" associated with Niddah status. That impurity would indeed coincide with the onset of the contact restrictions between husband and wife. Thus we are discussing three completely separate areas of Halacha: Ritual impurity, Niddah, and Shabbat.
However, it is not clear that the time that a woman is considered in a life-threatening
situation and the time that she becomes a Niddah is necessarily the same
moment. They may be different points in time even though the Talmud uses the same
terminology of "the opening of the womb". Some later authorities seem to make the assumption that in all three of these categories
of Halacha: ritual impurity; Shabbat desecration; and Niddah status; that the
moment of the start of labor is the same. This seems to have been the underlying assumption of the Rash MiShantz when he asked why the Mishna in Oholot was contradicted by the amoraim in Shabbat.
This assumption seems
reasonable enough, except that at least one of the opinions regarding the
"opening of the womb" on Shabbat is when the bleeding starts.
On the other hand, when it comes to Niddah status, we know that it will start
even without seeing any bleeding at all. We described above in Niddah 21a
above that even without bleeding, we assume that there is always blood even if
we don’t see it as soon as the womb "opens". This leaves us with some mind-bending cyclical logic. When does the "womb open"
= when the bleeding starts. When do we assume that bleeding starts even
if we don't see it = when the womb opens. Round and round we go.
One way out is
to assume that the criteria for shabbat are completely different than the
criteria for Niddah status. However, the accepted halachic norm has been to
assume otherwise. Indeed, Rabbi Elhanan Ashkenazi (from late 18th to early 19th
century) attempts answer the seeming contradiction raised by the Rash MiShantz
between the Gemara in Shabbat and the Mishna in Oholot by explaining that
regarding ritual impurity, the womb must be open a significant amount, however
regarding violating shabbat, the time from when we are allowed to violate
Shabbat is much earlier, even when the womb is "only open a little
bit" (my translation):
That which we said in the Mishna (in Oholot)
that the opening of the womb is only from when she can no longer walk on her
own, that is only when the womb is open a significant amount which is required
for her to be ritually impure, However, even a small opening occurs before she
is unable to walk, and therefore regarding Shabbat and danger to life all of
those Amoraim (Talmudic Rabbis) ion Tractate Shabbat felt that we can violate
the Shabbat as soon as the womb begins to open even if it is only open a small
amount, she is still approaching birth (and is in danger) and therefore there
is no contradiction (with the Mishna in Oholot) and therefore the same rule
would apply regarding her Niddah status and the husband must be careful (from
touching her) as soon as the womb opens even a little unless it turns out that
the labor was false ...(Sidrei tahara 194:25)
While the above may seem
a bit obscure, it is actually very important. For reasons which he does
not explain at all, Rabbi Ashkenazi has just explicitly done two things. First, he stated that "opening of the womb" is not universally the same
event. For the purpose of determining ritual impurity it is a different event than
it is when determining the laws of Shabbat. This makes perfect
sense. But then he states clearly that the laws of the "open
womb" on Shabbat are exactly the same as the laws for when the husband may
no longer touch his wife. He offers no explanation as to why he made this
assumption. How did he know that? Maybe just like the "opening of the womb" is determined differently for ritual impurity than it is for Shabbat desecration, it might also be determined differently as it relates to Niddah status? One could
easily make a very logical argument that regarding shabbat, one should be
allowed to violate shabbat at any question of the possibility of labor, even in
the very beginning stages, while regarding Niddah status, maybe it occurs much
later?
Nonetheless, the words
of Rabbi Ashkenazi became standard in the subsequent Halachic literature.
Most influentially we find this in Iggerot Moshe Yoreh Deah 2:75, and in other
modern Poskim. Thus, according to Rabbi Feinstein, the moment she feels
labor pains, is the moment she is prohibited. Other Rabbis are more
lenient and say that it is only when she starts to have bleeding, or is fully
dilated (which they equate with "sitting on the birth stool" to push
the baby out), or when she is in so much pain that she requires help to walk.
In truth, since the
overwhelming majority of women have some bleeding even in the early stages of
labor, the other two criteria of not being able to walk on her own or being fully dilated are rarely relevant. We have now explained the halachic basis for the current halachic guidance that a woman in labor is a Niddah. This is what we saw reflected on the yoatzot website, and what appears in most of the modern halachic literature. Exactly
when it begins is a bit of a Halachic moving target, but we've done the best we
can to explain the options available in the current literature. The same point in time that the Gemara in Shabbat determined she was in labor regarding the allowance to desecrate Shabbat for her, is the same point at which she becomes a Niddah.
I would like to suggest a potential alternative based on the same sources, but coming to a very different conclusion. The following logical
steps are listed in chronological order, using the sources that we have quoted so far. However, these steps lead us in another direction completely:
- The Mishna and the
subsequent Talmudic discussion that began in Niddah 21a gave us two alternative
understandings of the biblical teaching that a woman that has a child has the
status of Niddah
- The first understanding was
that the birth itself and not the blood is what renders her a Niddah, and the
second understanding was that it is the blood that renders the woman a Niddah,
and that even if we don't see blood, there is always blood when "the womb
opens". The Halacha was determined by the second approach
- The "opening of the womb" for shabbat purposes is
determined by when the woman is in danger, and all agree that this is the
moment she begins having labor pains or even if there is any doubt about her
status. However, let us assume for a moment, unlike Rabbi Ashkenazi, that
the "opening of the womb" regarding Niddah status is not the same as
it is for Shabbat.
- The Talmud in Niddah from which we derive the idea that delivery =
blood even if we do not see any blood is discussing cases where a woman passes
any sort of tissue, even a piece of "flesh" (likely a polyp or
fibroid). This tissue was almost certainly only noticed when she actually
passed the tissue. In other words, the application of the "opening
of the womb always has blood" law only happened after the delivery, and
the Niddah status did not start until it passed out of her body.
- Taking all of the above into account, it is quite reasonable to
assume that the "opening of the womb" in Niddah 21 also refers to the
actual delivery of the baby as the start of the Niddah status, not the onset of
labor
- The bleeding that occurs during labor is almost always bleeding
from the dilation of the cervix and not uterine blood. In fact, uterine
bleeding, which is the blood that the Talmud is referring to when it states the
rule of "there is no opening of the womb without blood" does not
usually start until after delivery of the baby when the placenta
separates. In fact, bleeding from the uterus during labor can be a sign
of a problem called an abruption which can be dangerous, and certainly is not
the norm.
- Bleeding from the cervix, most Halachic decisors agree is not
considered Niddah blood, but rather has the status of "Dam Makkah" -
the blood of a wound. This is somewhat debatable, but most Halachic
decisors rely on this assumption if a woman bleeds after a doctor checks her
cervix before labor or strips the membranes or other interventions than can
result in cervical bleeding. (Feel free to ask me for sources offline or in the
comments regarding the assertion I just made regarding cervical bleeding)
- If you follow my logic outlined in steps 1 through 7 above, a woman in labor is not a
Niddah until the delivery of the baby. Even if she has bleeding, it can
be assumed to be coming from the cervix. Bleeding from cervical dilation is simply not Niddah blood as it is not uterine in origin. Only after the delivery do we
apply the rule that any opening of the womb necessarily has bleeding. In
fact, I can tell you from my extensive medical knowledge and experience, that
this is exactly when the uterine bleeding typically begins. As soon as
the baby is born.
My arguments above are all well-established from the
biblical verses, the Talmudic discussions, and the later rabbinic authorities.
I only needed to make one jump that was not documented in the halachic
literature. Rabbi Ashkenazi explained that the idea "the opening of
the womb" is not necessarily the same for the laws of ritual purity and
the laws of shabbat. He stated, without citing any sources, that the
"opening of the womb" is the same concept for shabbat and for
Niddah. I argue, based on scientific understanding of the process of birth,
and based on the context of the Gemara in Niddah, and based on simple logic,
that this is not correct. The timing of "the opening of the womb" for
Hilchot Niddah is not the same as it is for violating shabbat. So
according to me, the idea that a woman in labor is a Niddah is simply
incorrect. A woman that just had a baby though, as the Torah clearly
states, is a Niddah.
There is an indicator that I may be correct about the assertion I just made. The earlier halachic authorities, when they describe the law that a woman who gives birth has the status of a Niddah, simply do not discuss at what time during labor she gets the status of a Niddah. The Shulchan Aruch, and the Tur in the beginning of chapter 194 of Yoreh De'ah simply state that a woman who had a baby is a Niddah. The Rambam does not discuss exactly when during labor she is prohibited to her husband, and the rishonim who explain the gemara in Niddah also do not discuss this question. This discussion only began with some of the commentaries on the Shulchan Aruch. There is a reason that Rabbi Feinstein's source for the timing of the onset of Niddah status in labor was from an 18th century Posek and not a Rishon. The reason is because the rishonim do not deal with this question at all. Perhaps this is because this question was irrelevant to the earlier Halachic decisors? Perhaps it is because she is not a Niddah until the birth?
I know that the absence of evidence is not the same as the evidence of absence, but it certainly seems quite plausible.
We now
need to move on to the next step. The yoatzot website, after concluding
that a woman in labor is indeed a Niddah, stated that the couple are therefore
not allowed to have physical contact. That will be the subject of our
next post.
Addendum:
After publishing this post, I thought of a clear proof for my argument above, so I am adding it here. I argued that "the opening of the womb" as it regards Hilchot Niddah is the time of delivery of the baby, and not the onset of labor pains or bleeding. It is pretty clear from the Rambam that this is the case. The Rambam states as follows (my translation):
If the child becomes broken apart (lit. "cut up") inside her womb and delivers piece by piece, whether it comes out in order of the limbs like feet first then thighs etc, or whether it comes out in random order, she is not considered impure as it regards the impurity of a childbearing woman until most of the child has exited her body. once the head comes out, that is considered most of the body....(Rambam Hilchot Issurei Biah 10:6-7)
The Rambam here is stating as clear as day, black on white, that she is not a Niddah until either the baby's head or most of the body has delivered. It is inconceivable that she hasn't been going through a process of labor prior to the delivery of this baby. Clearly despite having been in labor for a while, she is still not a Niddah until the delivery. This is clear proof that the Rishonim understood that "Tumat Leydah" the impurity associated with childbirth, does not begin until after the child is born. The "opening of the womb", as it seemed clear from the Gemara in Niddah as we argued above, is referring to the actual passage of tissue or the baby. It is not referring to the onset of labor.