Selected Halacha on Childbirth and Brit Milah

Childbirth

(א) וַיְדַבֵּ֥ר יְהוָ֖ה אֶל־מֹשֶׁ֥ה לֵּאמֹֽר׃

(ב) דַּבֵּ֞ר אֶל־בְּנֵ֤י יִשְׂרָאֵל֙ לֵאמֹ֔ר אִשָּׁה֙ כִּ֣י תַזְרִ֔יעַ וְיָלְדָ֖ה זָכָ֑ר וְטָֽמְאָה֙ שִׁבְעַ֣ת יָמִ֔ים כִּימֵ֛י נִדַּ֥ת דְּוֺתָ֖הּ תִּטְמָֽא׃

(ג) וּבַיּ֖וֹם הַשְּׁמִינִ֑י יִמּ֖וֹל בְּשַׂ֥ר עָרְלָתֽוֹ׃

(ד) וּשְׁלֹשִׁ֥ים יוֹם֙ וּשְׁלֹ֣שֶׁת יָמִ֔ים תֵּשֵׁ֖ב בִּדְמֵ֣י טָהֳרָ֑ה בְּכָל־קֹ֣דֶשׁ לֹֽא־תִגָּ֗ע וְאֶל־הַמִּקְדָּשׁ֙ לֹ֣א תָבֹ֔א עַד־מְלֹ֖את יְמֵ֥י טָהֳרָֽהּ׃

(ה) וְאִם־נְקֵבָ֣ה תֵלֵ֔ד וְטָמְאָ֥ה שְׁבֻעַ֖יִם כְּנִדָּתָ֑הּ וְשִׁשִּׁ֥ים יוֹם֙ וְשֵׁ֣שֶׁת יָמִ֔ים תֵּשֵׁ֖ב עַל־דְּמֵ֥י טָהֳרָֽה׃

(1) The Eternal spoke to Moses, saying:

(2) 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.—

(3) On the eighth day the flesh of his foreskin shall be circumcised.—

(4) 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.

(5) 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.

גמ׳ א"ר מני בר פטיש מאי טעמייהו דרבנן אמר קרא (ויקרא יב, ב) אשה כי תזריע וילדה זכר עד שתלד במקום שהיא מזרעת
GEMARA: The mishna cites a dispute as to whether or not a birth by caesarean section is considered a birth with regard to the halakhot pertaining to childbirth. Rabbi Mani bar Patish said: What is the reason for the opinion of the Rabbis, who say that it is not considered a birth? It is because the verse states: “If a woman emitted seed and gave birth to a male, then she shall be impure seven days…And when the days of her purification are fulfilled, for a son, or for a daughter, she shall bring a lamb of the first year for a burnt offering, and a pigeon or a dove for a sin offering” (Leviticus 12:2–6). It is derived from here that the halakhot mentioned in that passage do not apply unless she gives birth through the place where she emits seed.
ולגמר לידה לידה מאדם מה התם יוצא דופן אף כאן יוצא דופן
The Gemara objects: And let Rabbi Shimon derive a different conclusion by a similar verbal analogy, as the word birth is written with regard to consecrated animals, and the word birth is also written with regard to a person, i.e., a woman who gives birth (see Leviticus 12:2): Just as there, in the case of humans, childbirth by caesarean section has the status of childbirth according to Rabbi Shimon, so too here, in the case of consecrated animals, an animal born by caesarean section is considered the same as an animal born via a natural birth.

This ritual impurity is the basis for many more questions about pregnancy and childbirth - ritual impurity is not the same as being "dirty" rather it is a binary status - you are either pure or impure, 0 or 1, A or B, and there are appropriate times to be in each state. (MSK)

אָמַר רַבִּי אַסִּי כׇּל שֶׁאִמּוֹ טְמֵאָה לֵידָה — נִימּוֹל לִשְׁמוֹנָה, וְכֹל שֶׁאֵין אִמּוֹ טְמֵאָה לֵידָה — אֵין נִימּוֹל לִשְׁמֹנָה, שֶׁנֶּאֱמַר: ״אִשָּׁה כִּי תַזְרִיעַ וְיָלְדָה זָכָר וְטָמְאָה וְגוֹ׳ וּבַיּוֹם הַשְּׁמִינִי יִמּוֹל בְּשַׂר עׇרְלָתוֹ״.
Rabbi Asi stated a principle: Any child whose birth renders his mother ritually impure due to childbirth is circumcised at eight days; and any child whose birth does not render his mother ritually impure due to childbirth, e.g., the birth was not natural, but by caesarean section, is not necessarily circumcised at eight days. As it is stated: “If a woman bears seed and gives birth to a male, she shall be impure seven days…and on the eighth day the flesh of his foreskin shall be circumcised” (Leviticus 12:2–3). This verse draws a parallel between the two issues, indicating that only a child whose birth renders his mother impure is circumcised on the eighth day.

Circumcision

Who? When? What about Shabbat?

NB: Due to the nature of the procedure, it is assumed that all male children undergo Brit Milah. There are cases when a child is born and the biological sex of the child is unknown or unclear. We will see the term "androgynous" and "tumtum" which refer to a child whose sexual organs are underdeveloped or concealed. There is also the case when the child is born already circumcised. [MSK]

(ג) וּבַיּ֖וֹם הַשְּׁמִינִ֑י יִמּ֖וֹל בְּשַׂ֥ר עָרְלָתֽוֹ׃
(3) On the eighth day the flesh of his foreskin shall be circumcised.—

(ה) קָטָן נִמּוֹל לִשְׁמֹנָה, לְתִשְׁעָה, וְלַעֲשָׂרָה, וּלְאַחַד עָשָׂר, וְלִשְׁנֵים עָשָׂר, לֹא פָחוֹת וְלֹא יוֹתֵר. הָא כֵּיצַד. כְּדַרְכּוֹ, לִשְׁמֹנָה. נוֹלַד לְבֵין הַשְּׁמָשׁוֹת, נִמּוֹל לְתִשְׁעָה. בֵּין הַשְּׁמָשׁוֹת שֶׁל עֶרֶב שַׁבָּת, נִמּוֹל לַעֲשָׂרָה. יוֹם טוֹב לְאַחַר הַשַּׁבָּת, נִמּוֹל לְאַחַד עָשָׂר. שְׁנֵי יָמִים טוֹבִים שֶׁל רֹאשׁ הַשָּׁנָה, נִמּוֹל לִשְׁנֵים עָשָׂר. קָטָן הַחוֹלֶה, אֵין מוֹהֲלִין אוֹתוֹ עַד שֶׁיַּבְרִיא:

(5) Although a child is generally circumcised at eight days, as the verse states: “And on the eighth day, the flesh of his foreskin shall be circumcised” (Leviticus 12:3), nevertheless, at times he is circumcised at nine days, at times at ten days, at eleven days, and at twelve days, no earlier and no later. How so? In his usual manner, a child is circumcised at eight days.

If he was born at twilight and it is therefore uncertain on which day he was born, he is circumcised at nine days, as his circumcision is postponed due to that uncertainty, as perhaps the eighth day from his birth has not yet arrived.

If he was born at twilight on Shabbat eve, he is not circumcised on the following Shabbat, due to the uncertainty whether it is the eighth or ninth day since his birth, and only a circumcision definitely performed at the appointed time overrides Shabbat. Rather, he is circumcised on Sunday, and the result is that he is circumcised at ten days.

If there was a Festival after that Shabbat, he is not circumcised on the Festival either, and he is circumcised at eleven days. And if that Shabbat was followed by two days of Rosh HaShana, the result is that he is circumcised at twelve days.

The mishna states another halakha: With regard to a sick child, one does not circumcise him until he becomes healthy.

(טז) חוֹלֶה אֵין מָלִין אוֹתוֹ עַד שֶׁיַּבְרִיא. וּמוֹנִין לוֹ מֵעֵת שֶׁיַּבְרִיא מֵחָלְיוֹ שִׁבְעָה יָמִים מֵעֵת לְעֵת וְאַחַר כָּךְ מָלִין אוֹתוֹ. בַּמֶּה דְּבָרִים אֲמוּרִים בְּשֶׁחֲלַצְתּוֹ חַמָּה וְכַיּוֹצֵא בְּחלִי זֶה. אֲבָל אִם כָּאֲבוּ לוֹ עֵינָיו בְּעֵת שֶׁיִּפָּתְחוּ עֵינָיו וְיֵרָפְאוּ מָלִין אוֹתוֹ מִיָּד. וְכֵן כָּל כַּיּוֹצֵא בָּזֶה:

(16) A sick infant is not circumcised till it is well. Seven consecutive periods, each of twenty four hours, are counted from its recovery, after which it is circumcised. This applies to recovery from fever and similar illnesses. But if it had suffered from sore eyes, then as soon as the eyes are open and well, it is immediately circumcised. And so with similar disorders [that are localized and do not affect the general health].

(יח) אִשָּׁה שֶׁמָּלָה בְּנָהּ רִאשׁוֹן וּמֵת מֵחֲמַת מִילָה שֶׁהִכְשִׁילָה אֶת כֹּחוֹ. וְכֵן מָלָה אֶת הַשֵּׁנִי וּמֵת מֵחֲמַת מִילָה. בֵּין מִבַּעֲלָהּ הָרִאשׁוֹן בֵּין מִבַּעֲלָהּ הַשֵּׁנִי הֲרֵי זֶה לֹא יָמוּל אֶת הַשְּׁלִישִׁי בִּזְמַנּוֹ. אֶלָּא מַמְתִּינִין לוֹ עַד שֶׁיַּגְדִּיל וְיִתְחַזֵּק כֹּחוֹ. אֵין מָלִין אֶלָּא וָלָד שֶׁאֵין בּוֹ שׁוּם חלִי. שֶׁסַּכָּנַת נְפָשׁוֹת דּוֹחָה אֶת הַכּל. וְאֶפְשָׁר לָמוּל לְאַחַר זְמַן וְאִי אֶפְשָׁר לְהַחֲזִיר נֶפֶשׁ אַחַת מִיִּשְׂרָאֵל לְעוֹלָם:

(18) When a woman's first male child was circumcised and died as a result of the operation, which lowered its vitality, and her second male child also died as a result of its circumcision,—whether that infant was by the same or by another husband,—her third male child must not be circumcised at the appointed period (on the eighth day).

The operation must be deferred till the infant has grown and its constitutional vigour is established. No child may be circumcised, unless it is entirely free from disease, since danger to life is a factor that overrides everything else. It is possible to circumcise after the appointed time, but it is impossible to restore a life that is extinct.

(ג) אֵין מְיַלְּדִין אֶת הַבְּהֵמָה בְיוֹם טוֹב, אֲבָל מְסַעֲדִין. וּמְיַלְּדִין אֶת הָאִשָּׁה בְּשַׁבָּת, וְקוֹרִין לָהּ חֲכָמָה מִמָּקוֹם לְמָקוֹם, וּמְחַלְּלִין עָלֶיהָ אֶת הַשַּׁבָּת, וְקוֹשְׁרִין אֶת הַטַּבּוּר. רַבִּי יוֹסֵי אוֹמֵר, אַף חוֹתְכִין. וְכָל צָרְכֵי מִילָה עוֹשִׂין בְּשַׁבָּת:

(3) One may not birth an animal on a Festival, and all the more one may not birth it on Shabbat. However, one may assist it to give birth. And one may birth a woman even on Shabbat, and call a midwife for her to travel from place to place, even when the midwife’s travel involves the desecration of Shabbat. And one may desecrate Shabbat for a woman giving birth. And one may tie the umbilical cord of a child born on Shabbat. Rabbi Yosei says: One may even cut the umbilical cord. And all the requirements of circumcision may be performed for a baby whose eighth day of life occurs on Shabbat.

מַתְנִי׳ רַבִּי אֱלִיעֶזֶר אוֹמֵר: אִם לֹא הֵבִיא כְּלִי מֵעֶרֶב שַׁבָּת — מְבִיאוֹ בְּשַׁבָּת מְגוּלֶּה, וּבַסַּכָּנָה מְכַסֵּהוּ עַל פִּי עֵדִים. וְעוֹד אָמַר רַבִּי אֱלִיעֶזֶר: כּוֹרְתִים עֵצִים לַעֲשׂוֹת פֶּחָמִין לַעֲשׂוֹת (כְּלִי) בַּרְזֶל.
MISHNA: As a continuation to the discussion at the end of the previous chapter, which mentioned circumcision in the context of a discussion of the halakhot of childbirth on Shabbat, the mishna continues to address the halakhot of circumcision. Rabbi Eliezer says: If he did not bring an implement for circumcising the child on Shabbat eve, he brings it on Shabbat itself uncovered so that it will be clear to all that he is bringing a circumcision scalpel. And in times of danger, when decrees of persecution prohibit Jews from circumcising their children, one covers it in the presence of witnesses who can testify that he transported the scalpel to perform a mitzva. And furthermore, Rabbi Eliezer said with regard to this issue: One may even cut down trees to prepare charcoal in order to fashion iron tools for the purpose of circumcision.

(ב) עוֹשִׂין כָּל צָרְכֵי מִילָה בְשַׁבָּת, מוֹהֲלִין, וּפוֹרְעִין, וּמוֹצְצִין, וְנוֹתְנִין עָלֶיהָ אִסְפְּלָנִית וְכַמּוֹן. אִם לֹא שָׁחַק מֵעֶרֶב שַׁבָּת, לוֹעֵס בְּשִׁנָּיו וְנוֹתֵן. אִם לֹא טָרַף יַיִן וְשֶׁמֶן מֵעֶרֶב שַׁבָּת, יִנָּתֵן זֶה בְעַצְמוֹ וְזֶה בְעַצְמוֹ. וְאֵין עוֹשִׂין לָהּ חָלוּק לְכַתְּחִלָּה, אֲבָל כּוֹרֵךְ עָלֶיהָ סְמַרְטוּט. אִם לֹא הִתְקִין מֵעֶרֶב שַׁבָּת, כּוֹרֵךְ עַל אֶצְבָּעוֹ וּמֵבִיא, וַאֲפִלּוּ מֵחָצֵר אַחֶרֶת:

(2) When the eighth day of a baby’s life occurs on Shabbat, he must be circumcised on that day.

Therefore, one performs all the necessities of the circumcision, even on Shabbat: One circumcises the foreskin, and uncovers the skin by removing the thin membrane beneath the foreskin, and sucks the blood from the wound, and places on it both a bandage [ispelanit] and cumin as a salve. [MSK: We will come back to this section later and cover it in more detail]

If one did not grind the cumin from Shabbat eve, he chews it with his teeth and places it on the place of circumcision as a salve.

If he did not mix wine and oil on Shabbat eve, a mixture designed to heal and strengthen the child, this, the wine, is placed on the wound by itself and that, the oil, is placed by itself.

And on Shabbat one may not make a pouch to place over the circumcision as a bandage ab initio, but he may wrap a rag over it as a dressing.

If he did not prepare the bandage on Shabbat eve by bringing it to the place where the circumcision was performed, he wraps the bandage on his finger and brings it on Shabbat, even from a different courtyard. While the Sages permitted it to be brought, they required that it be performed in an unusual fashion, by wearing it in the manner of a garment.

(ג) מַרְחִיצִין אֶת הַקָּטָן, בֵּין לִפְנֵי הַמִּילָה וּבֵין לְאַחַר הַמִּילָה, וּמְזַלְּפִין עָלָיו בַּיָּד, אֲבָל לֹא בִכְלִי. רַבִּי אֶלְעָזָר בֶּן עֲזַרְיָה אוֹמֵר, מַרְחִיצִין אֶת הַקָּטָן בַּיּוֹם הַשְּׁלִישִׁי שֶׁחָל לִהְיוֹת בְּשַׁבָּת, שֶׁנֶּאֱמַר (בראשית לד) וַיְהִי בַיּוֹם הַשְּׁלִישִׁי בִּהְיוֹתָם כֹּאֲבִים. סָפֵק וְאַנְדְּרוֹגִינוֹס אֵין מְחַלְּלִין עָלָיו אֶת הַשַּׁבָּת, וְרַבִּי יְהוּדָה מַתִּיר בְּאַנְדְּרוֹגִינוֹס:

(3) One may wash the baby on Shabbat, both before the circumcision and after the circumcision.

And one may sprinkle hot water on him by hand but not with a vessel, in order to depart from the usual manner in which this is done.

Rabbi Elazar ben Azarya says: One may wash the baby on the third day following his circumcision, even if that third day occurs on Shabbat. On the third day following circumcision, the baby is considered to be in danger, as it is stated with regard to the men of Shekhem, who were circumcised: “And it came to pass on the third day, when they were in pain” (Genesis 34:25). This teaches us that on the third day the pain of circumcision poses a danger.

If there is uncertainty whether or not to circumcise a baby, and likewise in the case of an androgynous baby, who possesses both male and female genitals, one does not desecrate Shabbat to perform the circumcision, since it is not certain that the circumcision is required. And Rabbi Yehuda permits doing so for an androgynous baby.

רב שיזבי אמר אף אינו נימול לשמנה דאמר קרא (ויקרא יב, ב) אשה כי תזריע וילדה זכר וביום השמיני ימול עד שיהא זכר משעת לידה
Rav Sheizevi says: A tumtum who was found to be male is also not circumcised on the eighth day, if his eighth day occurs on Shabbat, although the mitzva of circumcision on the eighth day generally overrides Shabbat prohibtions. As the verse states: “If a woman bears seed and gives birth to a male then she shall be unclean seven days; as in the days of the impurity of her sickness shall she be unclean. And on the eighth day the flesh of his foreskin shall be circumcised” (Leviticus 12:2–3), which is interpreted to mean that he is not circumcised on the eighth day, in the event that it occurs on Shabbat, unless he is recognized as a male from the moment of his birth.
סָפֵק וְאַנְדְּרוֹגִינוֹס כּוּ׳. תָּנוּ רַבָּנַן: ״עׇרְלָתוֹ״ — עׇרְלָתוֹ וַדַּאי דּוֹחֶה אֶת הַשַּׁבָּת,

We learned in the mishna: If there is uncertainty whether or not to circumcise a baby, and likewise in the case of an androgynous baby, one does not desecrate Shabbat to perform the circumcision of an androgynous baby, even on the eighth day following the birth. The Sages taught in a baraita: The verse states: “And on the eighth day the flesh of his foreskin shall be circumcised” (Leviticus 12:3), and they interpreted the verse: “His foreskin” indicates that only the circumcision of his halakhically certain foreskin overrides Shabbat,

וְלֹא סָפֵק דּוֹחֶה אֶת הַשַּׁבָּת. ״עׇרְלָתוֹ״ — וַדַּאי דּוֹחֶה אֶת הַשַּׁבָּת, וְלֹא אַנְדְּרוֹגִינוֹס דּוֹחֶה אֶת הַשַּׁבָּת.

and the circumcision of a halakhically uncertain foreskin does not override Shabbat. And by means of the same inference from the term his foreskin, derive that circumcision of his definite foreskin overrides Shabbat, and circumcising the foreskin of an androgynous baby, with regard to whom there is uncertainty whether or not circumcision is required, does not override Shabbat.

Are there Exceptions?

וְכִי תֵּימָא זְרִיזִין מַקְדִּימִין לְמִצְוֹת, נִבְדּוֹק מִצַּפְרָא. דִּכְתִיב: ״וּבַיּוֹם הַשְּׁמִינִי יִמּוֹל בְּשַׂר עָרְלָתוֹ״, וְתַנְיָא: כָּל הַיּוֹם כּוּלּוֹ כָּשֵׁר לְמִילָה, אֶלָּא שֶׁזְּרִיזִין מַקְדִּימִים לְמִצְוֹת, שֶׁנֶּאֱמַר: ״וַיַּשְׁכֵּם אַבְרָהָם בַּבֹּקֶר״.

And lest you say that this halakha is in accordance with the principle that the vigilant are early in the performance of mitzvot, let us search in the morning.

The principle: The vigilant are early in the performance of mitzvot, is derived, as it is written: “And on the eighth day the flesh of his foreskin shall be circumcised” (Leviticus 12:3). And it was taught in a baraita: The entire day is suitable for performance of the mitzva of circumcision; however, the vigilant are early in the performance of mitzvot, and circumcise in the morning.

As it is stated with regard to the binding of Isaac: “And Abraham arose early in the morning” (Genesis 22:3) after hearing God’s command. This indicates that Abraham arose early in his eagerness to perform God’s commandment.

אֵין עוֹשִׂין לָהּ חָלוּק כּוּ׳. אָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי חָלוּק דְּיָנוֹקָא, לַפְּכֵיהּ לְסִיטְרֵיהּ לְעִילַּאי, דִּילְמָא מִידְּבִיק גִּרְדָּא מִינֵּיהּ, וְאָתֵי לִידֵי כְּרוּת שׇׁפְכָה. אִימֵּיהּ דְּאַבָּיֵי עָבְדָא כִּיסְתָּא לְפַלְגָא.

אָמַר אַבָּיֵי: הַאי יָנוֹקָא דְּלֵית לֵיהּ חָלוּק — לַיְיתֵי בְּלִיתָא דְּאִית לֵיהּ שִׂיפְתָּא, וְלִיכְרְכֵיהּ לְשִׂיפְתָּא לְתַתַּאי, וְעָיֵיף לֵיהּ לְעִילַּאי.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּלָא יְדִיעַ מַפַּקְתֵּיהּ, לְשַׁיְיפֵיהּ מִישְׁחָא וְלוֹקְמֵיהּ לַהֲדֵי יוֹמָא, וְהֵיכָא דְּזִיג — לִיקְרְעֵיהּ בִּשְׂעָרְתָּא שְׁתִי וָעֵרֶב. אֲבָל בִּכְלִי מַתָּכוֹת — לָא, מִשּׁוּם דְּזָרֵיף.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּלָא מָיֵיץ, מֵיקַר [הוּא] דְּקָר פּוּמֵּיהּ. מַאי תַּקַּנְתֵּיהּ? לַיְתוֹ כָּסָא גּוּמְרֵי, וְלַינְקְטֵיהּ לֵיהּ לַהֲדֵי פּוּמֵּיהּ, דְּחָיֵים פּוּמֵּיהּ וּמָיֵיץ.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּלָא מִנַּשְׁתֵּים — לִינְפְּפֵיהּ בְּנָפְווֹתָא וּמִנַּשְׁתֵּים.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּלָא מְעַוֵּי — לַיְתוֹ סִילְתָּא דְאִימֵּיהּ וְלִישְׁרְקֵיהּ עִילָּוֵיהּ, וּמְעַוֵּי.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּקַטִּין, לַיְיתוֹ לְסִילְתָּא דְאִימֵּיהּ, וְלִישְׁרְקֵיהּ עִילָּוֵיהּ מִקּוּטְנָא לְאוּלְמָא. וְאִי אַלִּים — מֵאוּלְמָא לְקוּטְנָא.

וְאָמַר אַבָּיֵי, אֲמַרָה לִי אֵם: הַאי יָנוֹקָא דְּסוּמָּק — דְּאַכַּתִּי לָא אִיבְּלַע בֵּיהּ דְּמֵיהּ — לִיתָּרְחוּ לֵיהּ עַד דְּמִיבְּלַע בֵּיהּ דְּמֵיהּ, וְלִימְהֲלוּהּ. דְּיָרוֹק, דְּאַכַּתִּי לָא נְפַל בֵּיהּ דְּמֵיהּ — לִיתָּרְחוּ עַד דְּנָפֵל בֵּיהּ דְּמֵיהּ, וְלִימְהֲלוּהּ.

דְּתַנְיָא, אָמַר רַבִּי נָתָן: פַּעַם אַחַת הָלַכְתִּי לִכְרַכֵּי הַיָּם, וּבָאת אִשָּׁה אַחַת לְפָנַי שֶׁמָּלָה בְּנָהּ רִאשׁוֹן וָמֵת, שֵׁנִי וָמֵת, שְׁלִישִׁי, הֱבִיאַתּוּ לְפָנַי, רְאִיתִיו שֶׁהוּא אָדוֹם. אָמַרְתִּי לָהּ: הַמְתִּינִי לוֹ עַד שֶׁיִּבָּלַע בּוֹ דָּמוֹ, הִמְתִּינָה לוֹ עַד שֶׁנִּבְלַע בּוֹ דָּמוֹ, וּמָלָה אוֹתוֹ וְחָיָה, וְהָיוּ קוֹרִין אוֹתוֹ ״נָתָן הַבַּבְלִי״ עַל שְׁמִי.

שׁוּב פַּעַם אַחַת הָלַכְתִּי לִמְדִינַת קַפּוֹטְקְיָא, וּבָאת אִשָּׁה אַחַת לְפָנַי שֶׁמָּלָה בְּנָהּ רִאשׁוֹן וָמֵת, שֵׁנִי וָמֵת, שְׁלִישִׁי הֱבִיאַתּוּ לְפָנַי, רְאִיתִיו שֶׁהוּא יָרוֹק. הֵצַצְתִּי בּוֹ וְלֹא רָאִיתִי בּוֹ דַּם בְּרִית. אָמַרְתִּי לָהּ: הַמְתִּינִי לוֹ עַד שֶׁיִּפּוֹל בּוֹ דָּמוֹ, וְהִמְתִּינָה לוֹ וּמָלָה אוֹתוֹ וְחָיָה, וְהָיוּ קוֹרִין שְׁמוֹ ״נָתָן הַבַּבְלִי״ עַל שְׁמִי.

We learned in the mishna: And on Shabbat one may not make a pouch to place over the circumcision as a bandage ab initio.

Abaye said: My mother, actually his foster mother who was the nursemaid who raised him, told me: With regard to that pouch, placed as a bandage over the circumcision of a baby, let one place it on the upper side with the threads below, lest a thread from it stick to the place of circumcision and cause the baby to become one with a severed urethra.

The Gemara relates that Abaye’s mother would make a pouch that covered half the place of circumcision so that it would not be damaged through contact with the threads emerging from the edge of the pouch.

Abaye said: If this baby does not have a pouch to put on the place of the circumcision, let one bring a worn-out garment with a hem, and wrap the hem under, and fold the garment over, so that the threads from the worn-out garment will not adhere to the wound.

And Abaye also said: My mother told me: In the case of a baby the location of whose exit, i.e., anus, is unknown, as it is obscured by skin, let one rub it with oil and stand it before the light of the day. And where it appears transparent, let one tear it with a barley grain widthwise and lengthwise. However, one may not tear it with a metal implement because it causes infection and swelling.

And Abaye said that my mother told me: If a baby refuses to nurse, that is because its mouth is cold and it is unable to nurse. What is his remedy? They should bring a cup of coals and place it near his mouth, so that his mouth will warm and he will nurse.

And Abaye said that my mother told me: A baby that does not urinate, let one place him in a sieve and shake him, and he will urinate.

And Abaye said: My nurse told me: If a baby is not breathing, let them bring his mother’s placenta and place the placenta on him, and the baby will breathe.

And Abaye said that my mother told me: If a baby is too small, let them bring his mother’s placenta and rub the baby with it from the narrow end to the wide end of the placenta. And if the baby is strong, i.e., too large, let them rub the baby from the wide end of the placenta to the narrow end.

And Abaye said that my mother told me: If a baby is red, that is because the blood has not yet been absorbed in him. In that case, let them wait until his blood is absorbed and then circumcise him.

Likewise, if a baby is pale and his blood has not yet entered him, let them wait until his blood enters him and then circumcise him.

As it was taught in a baraita, Rabbi Natan said: On one occasion, I went to the coastal cities, and one woman came before me who circumcised her first son and he died, and she circumcised her second son and he died, and since she feared circumcising the third due to concern that he might die as well, she brought him before me. I saw that he was red. I said to her: Wait until his blood is absorbed into him. She waited until his blood was absorbed into him and then circumcised him, and he lived. And they would call him Natan the Babylonian after my name.

Rabbi Natan further related: On another occasion I went to the state of Cappadocia, and a woman came before me who circumcised her first son and he died, and she circumcised her second son and he died. Since she feared circumcising the third due to concern that he might die as well, she brought him before me. I saw that he was pale. I looked at him and I could not see in him the blood of the covenant, i.e., he had a blood deficiency. I said to her: Wait until blood enters him. And she waited and then circumcised him, and he lived. And they would call his name Natan the Babylonian after my name.

דתניא מלה הראשון ומת שני ומת שלישי לא תמול דברי רבי רבן שמעון בן גמליאל אומר שלישי תמול רביעי לא תמול והתניא איפכא הי מינייהו אחריניתא ת"ש דאמר ר' חייא בר אבא א"ר יוחנן מעשה בארבע אחיות בצפורי שמלה ראשונה ומת שניה ומת שלישית ומת רביעית באת לפני רבן שמעון בן גמליאל אמר לה אל תמולי ודלמא אי אתיא שלישית נמי הוה אמר לה א"כ מאי אסהדותיה דר' חייא בר אבא ודלמא הא קמ"ל דאחיות מחזקות

As it is taught in a baraita: If a woman circumcised her first son and he died as a result of the circumcision, and she circumcised her second son and he also died, she should not circumcise her third son, as the deaths of the first two produce a presumption that this woman’s sons die as a result of circumcision. This is the statement of Rabbi Yehuda HaNasi.

Rabban Shimon ben Gamliel says: She should circumcise her third son, as there is not considered to be a legal presumption that her sons die from circumcision, but she should not circumcise her fourth son if her first three sons died from circumcision.

The Gemara asks: Isn’t the reverse taught in a baraita, that Rabbi Yehuda HaNasi holds that the woman’s third son must be circumcised and Rabban Shimon ben Gamliel holds that he is not circumcised? Which of them was composed later and is therefore presumed to be more reliable?

The Gemara suggests: Come and hear, as Rabbi Ḥiyya bar Abba said that Rabbi Yoḥanan said: An incident occurred involving four sisters in Tzippori, that the first sister circumcised her son and he died, and the second sister circumcised her son and he died, and the third one circumcised her son and he too died. The fourth sister came before Rabban Shimon ben Gamliel, who said to her: Do not circumcise him. This indicates that according to Rabban Shimon ben Gamliel a presumption is established only after three occurrences.

The Gemara refutes this proof: Perhaps if the third sister had come before him he would also have said to her the same ruling. The Gemara asks: If so, what is the purpose of Rabbi Ḥiyya bar Abba’s testimony? Why would he have related this incident if it does not teach us anything? The Gemara answers: Perhaps he comes to teach us that sisters establish a presumption in a case like this even though the children who died were not from the same mother.

לימא מסייע ליה הכל שוחטין ואפילו כותי ואפילו ערל ואפילו ישראל מומר האי ערל ה"ד אילימא מתו אחיו מחמת מילה האי ישראל מעליא הוא אלא פשיטא מומר לערלות וקא סבר מומר לדבר אחד לא הוי מומר לכל התורה כולה

Let us say that the following baraita supports the opinion of Rava: Everyone slaughters [is permitted to engage in ritual slaughter of animals], and even a Samaritan, and even an uncircumcised man, and even a Jewish transgressor.

The Gemara asks: This uncircumcised man, what are the circumstances? If we say that he is an uncircumcised man whose brothers died due to circumcision and the concern is that he might suffer a similar fate, clearly he may slaughter, as he is a full-fledged Jew and not a transgressor at all. Rather, it is obvious that he is a transgressor with regard to remaining uncircumcised, as he refuses to be circumcised, and the tanna holds that he may nevertheless slaughter an animal since a transgressor concerning one matter is not a transgressor concerning the entire Torah.

Who is Responsible for this Mitzvah?

איהי מנלן דלא מיחייבא דכתיב (בראשית כא, ד) כאשר צוה אותו אלהים אותו ולא אותה
From where do we derive that his mother is not obligated to circumcise her son? As it is written: “And Abraham circumcised his son Isaac when he was eight days old, as God commanded him” (Genesis 21:4). The verse emphasizes that God commanded him, and not her.

Who are the people involved?

  • Infant's parents
  • Mohel/elet - ritual circumciser
  • Kvatter/in (carries infant from mother to father, then to mohel/elet)
  • Sandek/et (holds the infant on lap during procedure)
  • Elijah the Prophet
אמר רב יהודה ה"ק כל מצות הבן המוטלות על האב לעשות לבנו אנשים חייבין ונשים פטורות
Rav Yehuda said that this is what the mishna is saying: With regard to all mitzvot of a son that are incumbent upon his father to perform for his son, men are obligated in them and women are exempt.
למולו מנלן דכתיב (בראשית כא, ד) וימל אברהם את יצחק בנו והיכא דלא מהליה אבוה מיחייבי בי דינא למימהליה דכתיב (בראשית יז, י) המול לכם כל זכר והיכא דלא מהליה בי דינא מיחייב איהו למימהל נפשיה דכתיב (בראשית יז, יד) וערל זכר אשר לא ימול את בשר ערלתו ונכרתה

§ The baraita teaches that a father is obligated to circumcise his son. The Gemara asks: From where do we derive this? The Gemara answers that this is as it is written: “And Abraham circumcised his son Isaac” (Genesis 21:4).

The Gemara comments: And in a case where one’s father did not circumcise him the court is obligated to circumcise him, i.e., if this obligation is not fulfilled by the father it applies to the community as a whole, as it is written: “Every male among you shall be circumcised” (Genesis 17:10), in the form of a general mitzva that does not apply only to the father.

And in a case where the court did not circumcise him the son is obligated to circumcise himself when he reaches adulthood, as it is written: “And the uncircumcised male, who is not circumcised in the flesh of his foreskin, that soul shall be cut off from his people” (Genesis 17:14).

Who Can Perform the Procedure?

ובישראל צריך לברך דאמר מר המל אומר ברוך אשר קדשנו במצותיו וצונו על המילה
And despite the fact that circumcision performed by a gentile is valid, when it is performed by a Jew, he must recite a blessing, as the Master said: The one who circumcises a child says: Blessed are You, Lord our God, King of the universe, Who has sanctified us through His mitzvot and has commanded us concerning circumcision.
וכללא הוא והרי מילה דכשירה בעובד כוכבים דתניא עיר שאין בה רופא ישראל ויש בה רופא ארמאי ורופא כותי ימול ארמאי ואל ימול כותי דברי רבי מאיר רבי יהודה אומר כותי ולא ארמאי
The Gemara asks: And is this an established principle? But what about circumcision, which is valid if performed by a gentile, as it is taught in a baraita: In a city in which there is no Jewish physician, and in which there is an Aramean, i.e., a gentile, physician and a Samaritan physician, it is preferable that the Aramean circumcise the Jewish boys of the city and the Samaritan not circumcise them; this is the statement of Rabbi Meir. Rabbi Yehuda says: It is preferable that the Samaritan circumcise the boys and the Aramean not circumcise them. Nevertheless, all agree that a circumcision performed by a gentile is valid.

What does the Process Entail?

מוֹהֲלִין, וּפוֹרְעִין, וּמוֹצְצִין, וְנוֹתְנִין עָלֶיהָ אִסְפְּלָנִית וְכַמּוֹן.

One circumcises the foreskin, and uncovers the skin by removing the thin membrane beneath the foreskin, and sucks the blood from the wound, and places on it both a bandage [ispelanit] and cumin as a salve.

מוֹצְצִין וְכוּ׳. אָמַר רַב פָּפָּא: הַאי אוּמָּנָא דְּלָא מָיֵיץ — סַכָּנָה הוּא וּמְעַבְּרִינַן לֵיהּ.
We learned in the mishna that one sucks blood from the wound after the circumcision was performed on Shabbat. Rav Pappa said: A craftsman who does not suck the blood after every circumcision is a danger to the child undergoing circumcision, and we remove him from his position as circumcisor.

https://www.ritualwell.org/ritual/adapted-traditional-bris-milah-ceremony