Nishmat's Women’s Health and HalachaIn memory of Chaya Mirel bat R' Avraham

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Extended bleeding after miscarriage & surgery

2 April, 2006

Question:

I have recently lost twins a boy & a girl at 19 weeks gestation. I tore badly while in labor and needed extensive surgery. My doctor tells me it will take months before I heal and I will continue bleeding lightly for a couple of months at least, possibly 4 or 5.

Could you tell me please what I should do – realize we cannot be intimate until after I immerse, that could be months away, do we need to still observe the distancing laws until I do immerse?

We will be traveling by plane soon and it is extremely difficult maintaining the laws in small confined areas.

Many thanks for your help


Answer:

We are sorry to hear of your miscarriage.  The question at issue here is the source(s) of the bleeding.   Only uterine bleeding renders a woman niddah.  Please clarify this with your physician – is all the bleeding he anticipates from the uterus or does he expect bleeding from the sutures, surgical site etc?  If the bleeding is uterine, you could explain the consequences to your physician and explore whether a medication to stop the bleeding earlier would be appropriate.  If the bleeding is non-uterine, so long as you could get a clean hefsek taharah, there would be room for various leniencies during the clean days so you could immerse. Please get back to us for details when this becomes relevant.

Our website www.jewishwomenshealth.org, now also available as an app, is designed to explain the laws of niddah to healthcare professionals. You may find it helpful to refer your physician to the site, or to print out the relevant pages to show him.


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