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Pregnancy and Labor: Difference between revisions
From Halachipedia
→Inducing Labor
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==Fasting== | ==Fasting== | ||
see [[Fast_Days#Pregnant_or_Nursing_Women|Fast Days: Pregnant or Nursing Women]] | see [[Fast_Days#Pregnant_or_Nursing_Women|Fast Days: Pregnant or Nursing Women]] | ||
==Onset of Niddah before Birth== | |||
# When does a woman giving birth become a niddah? Certainly if (a) she saw blood, (b) she is on the birthing stool and the doctors say to push, or (c) she can't walk, she is a niddah from that point and on.<ref>For the purposes of violating Shabbat to provide medical care for a woman giving birth, the Gemara Shabbat 129a presents three opinions about when she is considered beginning to give birth and the womb is open. One opinion is once she is sitting on the birthing stool, another is from when she sees blood, and the last opinion is from when she can't walk on her own. The Sidrei Tahara 194:25 applies these opinions to the laws of niddah and from any of these points she is a niddah. Based on these opinions in the gemara, [https://www.yutorah.org/sidebar/lecture.cfm/876404/rabbi-mordechai-i-willig/niddah-shiur-120-chazara-3-dam-betulim-yoledet-ketem-in-toilet/ Rabbi Willig (Niddah Shiur 120 min. 30-35)] concludes that a woman is only tameh if she sees blood, the doctors say that she's giving birth and tell her to push (equivalent to sitting on the birthing stool), or she can't walk. He discussed it as well in [https://www.yutorah.org/lectures/lecture.cfm/875982/rabbi-mordechai-i-willig/niddah-shiur-117-when-does-a-woman-giving-birth-become-tameh-and-ketamim-on-toilet-and-water-/ Niddah Shiur 117]. Igrot Moshe YD 2:75 holds that once she feels birth pains so much that she calls the doctor and birth is imminent that she needs to sit on birthing stool she is considered a niddah. Orot Hatahara 17:12 based on Badei Hashulchan 194:30 writes that the strict law is that even if she can't walk she isn't a niddah.</ref> Some poskim hold that once the contractions are 5 minutes apart she has the status of a niddah, while others disagree.<ref>Rabbi Willig in previous footnote held that contractions doesn't make a woman a niddah. Orchot Tahara (Rabbi Yitzchak Kahana 19:21 p. 131) writes that a woman in labor is a niddah if 1) she saw blood, 2) she has contractions every five minutes as a pattern, 3) she has strong contractions and can't walk, 4) she feels pressure of the baby coming out, 5) the doctors lies her now on the birthing table because it is time to give birth. Rav Mordechai Eliyahu (Darkei Tahara p. 110) holds that she isn't automatically a niddah when she can't walk, is sitting on the birthing stool, or has contractions 5 minutes apart but they do have the status of a veset. Rav Ovadia Yosef in Taharat Habayit v. 2 p. 50-3 is lenient that contractions don't make a woman a niddah. Orot Hataharah 17:11 writes that although some are strict to consider her a niddah if contractions are five minutes apart the minhag is to be lenient.</ref> | |||
# Even if the doctor checks and sees that the cervix is 2 centimeters or more open in the 8th or 9th month the woman is still tahor if there wasn't any birth pangs yet.<ref>Shevet Halevi 4:106 writes that even though it is often the case that a woman's cervix opens up already in the sixth or seventh month, especially if it is her fourth baby or more, she is nonetheless tahora. Based on the Nodeh Beyehuda 116 he writes that since nothing came out when the cervix opened the woman remains tahora. This fits with the Chavot Daat 194:1. Taharat Habayit v. 2 p. 57 in discussing this topic cites the Bet Sharim who understands the Rambam (Pirush Mishnayot Niddah 21a) as a proof to the Chavot Daat. See, however, Igrot Moshe YD 2:76 who writes that if it were true that a woman's cervix opened in the last few weeks before the birth she would be automatically tameh. He just argues that it can't be the case since the poskim never discussed this problem. Rav Mordechai Eliyahu (Darkei Tahara p. 110) writes that if the cervix is 4cm open she is tameh. See [http://www.whattoexpect.com/pregnancy/symptoms-and-solutions/dilation-and-effacement.aspx whattoexpect.com] about early labor dilation of up to 3cm in up to weeks before the birth. [http://americanpregnancy.org/pregnancy-complications/incompetent-cervix/ americanpregnancy.org] for some medical discussion of the risks of a weakened cervix. </ref> | |||
# If a woman has birth pains and thought she was in labor but it was a false alarm, most poskim are lenient to assume that she isn't tameh.<ref> The Nachalat Shiva 2:9 (cited by Pitchei Teshuva 194:8) writes that if a woman thought she was in labor she is automatically tameh since once a woman sits on the birthing stool it is considered as though the cervix opened and once it opens automatically blood comes out. Most poskim disagree for one of two reasons: (1) The Chavot Daat 194:1 argues that we only assume that blood automatically comes out when the cervix opens if something actually came out. Since it was a false alarm and don't know anything came out we can assume no blood came out. Nodeh Beyehuda 116 agrees. (2) The Sidrei Tahara 194:25 argues the signs for giving birth includes her not being able to walk, however, since it was a false alarm and we see that she can walk afterwards, we know that she wasn't really in labor such that the cervix opened. Chatom Sofer 179 agrees. Rav Moshe Feinstein (Igrot Moshe YD 2:76) prefers the reason of the Sidrei Tahara but the Shiurei Shevet Halevi 194:2:4 seems to side with the Chavot Daat. Taharat Habayit v. | |||
2 p. 50-3 is lenient.</ref> | |||
# The husband may stay in the birthing room to provide emotional support but he is forbidden to see the actual birth since he is forbidden to see the areas which are usually clothed uncovered when she is a niddah. Furthermore, he may never see the vagina opening of a woman uncovered. It is equally forbidden for the to watch looking through glass.<ref>Igrot Moshe YD 2:75. Darkei Tahara p. 111 seems to assume that the husband can be at the door but not in the room.</ref> | |||
# Some say that the water breaking doesn't render her a niddah but it has the status of a veset.<ref>Darkei Tahara p. 110. Badei Hashulchan 194:30 writes that the poskim consider a woman to be a niddah after the water breaks. However, Taharat Habayit v. 2 p. | |||
54 argues that it doesn't mean she is tameh automatically unless there is blood in the water. He quotes the Mahachavat Hatahara p. | |||
121 in the name of Rav Shlomo Zalman Auerbach as being lenient.</ref> | |||
# If there’s no medical need for the baby or mother, many poskim forbid inducing labor early since it involves putting oneself in danger preemptively.<ref>Igrot Moshe YD 2:74, Taharat Habayit v. 2 p. 54</ref> | |||
==Inducing Labor== | ==Inducing Labor== | ||
