Religion - Abortion - Abortion & Halacha
The traditional Jewish
view of abortion does not fit conveniently into any of the major "camps"
in the current American abortion debate. We neither ban abortion
completely, nor do we allow indiscriminate abortion "on demand." To gain
a clear understanding of when abortion is sanctioned, or even required,
and when it is forbidden, requires an appreciation of certain nuances of
halacha (Jewish law) which govern the status of the fetus.
The easiest way to
conceptualize a fetus in halacha is to imagine it as a
full-fledged human being - but not quite. In most circumstances, the
fetus is treated like any other "person." Generally, one may not
deliberately harm a fetus, and sanctions are placed upon those that
purposefully cause a woman to miscarry. However, when its life comes
into direct conflict with an already born person, the autonomous
person's life takes precedence.
It follows from this
simple approach, that as a general rule, abortion in Judaism is
permitted only if there is a direct threat to the life of the mother by
carrying the fetus to term or through the act of childbirth. In such a
circumstance, the baby is considered tantamount to a rodef,
a pursuer after the mother with the intent to kill her. Nevertheless, as
explained in the
Mishna (Oholos 7:6), if it would be possible to save the mother by
maiming the fetus, such as by amputating a limb, abortion would be
forbidden. Despite the classification of the fetus as a persuer, once
the baby's head has been delivered, the baby's life is considered equal
to the mother's, and we may not choose one life over another, because it
is considered as though they are both pursuing each other.
Judaism recognizes
psychiatric as well as physical factors in evaluating the potential
threat that the fetus poses to the mother. However, the danger posed by
the fetus (whether physical or emotional) must be both probable and
substantial to justify abortion. The degree of mental illness that must
be present to justify termination of a pregnancy is not well established
and therefore criteria for permitting abortion in such instances remains
controversial.
As a rule, halacha
does not assign relative values to different lives. Therefore, almost
all major poskim (Rabbis qualified to decide matters of
Jewish law) forbid abortion in cases of abnormalities or deformities
found in a fetus.
Rabbi Moshe Feinstein, one the greatest poskim in this
century, rules that even amniocentesis is forbidden if it is performed
only to evaluate for birth defects for which the parents might request
an abortion. Nevertheless, a test may be performed if a permitted action
may result, such as performance of amniocentesis or drawing
alpha-fetoprotein levels for improved peripartum or postpartum medical
management. While most poskim forbid abortion for
"defective" fetuses, Rabbi Eliezar Waldenberg is a notable exception.
Rabbi Waldenberg allows first trimester abortion of a fetus which would
be born with a deformity that would cause it to suffer, and termination
of a fetus with a lethal fetal defect such as Tay Sachs up to the end of
the second trimester of gestation.
The question of abortion
in cases of rape, incest, and adultery is a complex one, with various
legal justifications propounded on both sides. In cases of rape and
incest, a key issue would be the emotional toll exacted from the mother
in carrying the fetus to term. The same analysis used in other cases of
emotional harm might be applied here. Cases of adultery interject
additional considerations into the debate which are beyond the scope of
this short essay.
I have attempted to
distill the essence of the traditional Jewish approach to abortion, but
in reality, the parameters determining the permissibility of abortion
within halacha are subtle and complex. It is crucial to remember
that when faced with an actual patient, a competent halachic
authority must be consulted in every case.
Source: Maimonides: Health in the
Jewish World, Vol. 2, No. 1 (Spring 1996),
The Institute for Jewish Medical Ethics.
I would be happy to hear from anyone with questions on this topic or who
is interested in further information on other Jewish medical ethics
topics. My e-mail address is
eisenber@pol.net, web.
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