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I am studying to become certified as a doula and am already a breastfeeding educator. Is it permissible for me to drive to the hospital to attend a woman in labor and with breastfeeding on Shabbos? Thanks in advance, J.

Shalom, You asked about traveling to the hospital on Shabat, in order to help women give birth in your capacity as a labor coach. It is certainly permitted - and if you are the person the mother needs to calm her, and help her through the birth process, then it is even an obligation for you to travel on the Shabat for her.

Before the question of traveling, let me point out that most uses of the telephone today are Rabbinic prohibitions, and not from the Torah. This means that you would be better off using the telephone extensively when this wouldput off the need to travel. For example, if the mother is uncertain about what stage of labor she is in- rather than driving to you for you to talk to her, it is often possible to talk over the phone.

In such a case, may I advise that you buy a telephone answering machine that allows you to hear the incoming calls. Then, when someone calls on Shabat, you will hear them speak, and know to answer the phone. You should, where possible, use a "Shinui" (a way that differs from the everyday way of picking up the phone) in using the phone. A good shinui is to use two hands to pick up the phone from the hook, or two fingers (one from each hand) to dial the numbers, in place of one. You may talk in the normal manner, and you do not have to shorten your normal way of discussion. Until you acquire an answering machine, it seems to me that you are obligated to answer all calls on Shabat in case they are from someone who needs your help. You could alternatively provide the expectant mothers with a calling code - ring once, hang up, and ring again - but an answering machine is better.

The best way to travel is by walking. If you can walk to the hospital and meet the mother there, that is good. Alternatively, you could walk to the mothers house, and travel in the same car that she takes to the hospital. If you need to arrange the vehicle, the best option is to go in a car driven by a non-Jew. You should organize an agreement with a local taxi company, or driver, that when you call for them on Shabat [using the telephone as described above], they will send a non-Jewish driver (the taxi dispatcher should also be a non-Jew), and you will pay them after Shabat. I am certain that this can be arranged - even if it means leaving a security check or the like with the company on a regular basis. If payment must be made on Shabat it is better to let the driver take it himself from your house. Or, if this proves impossible, to carry one bill in an unusual way, like in your shoe, to give to the driver in the car. If this method is not going to work for some reason, you would be allowed to drive yourself, or with a Jewish driver, but trying to limit the Shabat desecration. (see Shmirat Shabat KeHilchatah chapter 40, 50 - 67). Of course, if using these methods could endanger the mothers life, and speed is of the essence, then you may travel normally, and not employ these methods where they will slow you down.

If there is no Shabat Eruv to allow carrying in the place you will travel, you should try not to take anything with you. Rather, you should have a place in the hospital (or at the mother's house) where you can leave what you will need. Where this is not feasible, you should carry one bag of things you may need for the mother (herbs, etc), and try to carry it with a shinui.

Traveling home after the birth, whilst halachically not so simple, can be allowed when using a non- Jewish driver. If it is possible for you to walk, or to stay at the hospital until after the Shabat, I would advise that course. But where this will cause you hardship, as in being away from your house for the whole Shabat, you should arrange for the non-Jewish driver to return you home. Where your patient is not Jewish, you should talk to a local Rabbi who is familiar with your situation, who can advise you how to proceed.

In connection to your question about breastfeeding counselling and Shabat, I am not quite clear on what your question is. But if you are asking about traveling on Shabat to counsel nursing mothers, then you should know that in nearly every case there is not a direct life threatening situation, or even a possible life threatening situation, and so you are not allowed to break Shabat. If I have misunderstood your question - please contact me again.

Some other issues that might arise, that you will want to learn the laws about are: 1. Directing a non-Jew to break Shabat. 2. Breaking Shabat for a non-Jew (when you have non-Jewish mothers). 3. The laws of Family Purity in relation to directing the fathers physical contact with the mother during birth. 4. The laws of "putting a stumbling block before the blind" and helping others break Jewish Law, when dealing with non-religious people. 5. The laws of pregnant ladies fasting (not so as to give rulings, but to direct the mothers in a proper course). 6. The blessings recited upon birth. 7. The general prayers said by the mother and father during birth. Of course, it is hard for me to write at length about any of these subjects without knowing your own level of knowledge. May I suggest that you read "A Joyful Mother Of Children", by Rabbi D. Rosenthal (Feldheim Press), as a good place to start. I would be happy to answer any more specific questions that come up. Once again, may you be blessed with every success in your work, May you be blessed with every success in your endeavors. D. Sperling.

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