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“What does a nation that has killed more than 60 million of their own children deserve? Every single day, the number of American children that are killed exceeds the number of Americans that were killed on 9/11. Every single year, the number of American children that are killed is nearly equal to the number of Americans that have been killed in all of the wars that the U.S. has ever been involved in combined. More than 60 million babies have been slaughtered since Roe v. Wade was decided in 1973.” From 25 Facts About Abortion In America That Should Make You Very Sick
What’s the proper biblical response? Does the Bible have anything to say about abortion?
First, Exodus 21:22-25 deals with a judicial case where two men struggle (fight) with each other. A pregnant woman is standing near enough to them that she is affected by the altercation. She goes into premature labor. This case law covers all the “cases,” everything from no harm to the mother and her prematurely born children (plural) to harm resulting in death to the mother and one or more of her unborn children.
Second, the woman is not deciding to have an abortion. At one level, her premature labor is the result of outside circumstances. There is no premeditation on her part. At another level, however, the men should not have been fighting, so there is some liability on their part. The woman could be the wife of one of the men who is trying to break up the fight.

Myths, Lies, and Half-Truths
Myths, Lies, and Half-Truths takes a closer look at God's Word and applies it to erroneous misinterpretations of the Bible that have resulted in a virtual shut-down of the church's full-orbed mission in the world (Acts 20:27). Due to these mistaken interpretations and applications of popular Bible texts to contemporary issues, the Christian faith is being thrown out and trampled under foot by men (Matt. 5:13).
Buy NowEven if there is a distinction in terms of harm to the mother and the unborn child in what is ostensibly an accidental act, this is a far cry from permitting women to intentionally kill their unborn children up until the endpoint of a normal pregnancy.
Notice that this Mosaic regulation had to do with injury inflicted indirectly and accidentally: “The phrasing of the case suggests that we are dealing with an instance of unintentional battery involving culpability” (Michael Fishbane, Biblical Interpretation in Ancient Israel (New York: Oxford University Press, 1985), 92). Abortion, on the other hand, is a deliberate, purposeful, intentional termination of a child’s life. If God dealt severely with the accidental death of a pre-born infant, how do you suppose He feels about the deliberate murder of the unborn by an abortion doctor in collusion with the mother? The Bible states explicitly how He feels: “[D]o not kill the innocent and righteous. For I will not justify the wicked” (Exodus 23:7). As a matter of fact, one of the things that God hates is “hands that shed innocent blood” (Proverbs 6:17; cf. 2 Kings 8:12; 15:16; Hosea 13:16; Amos 1:13). Abortion is a serious matter with God. We absolutely must base our views on God’s will—not the will of men. The very heart and soul of this great nation is being ripped out by unethical actions like abortion. We must return to the Bible as our standard of behavior—before it is everlastingly too late.[1]
Third, the text is clear, she is pregnant with at least one child: “If men [אֲנָשִׁ֗ים/enowsh] struggle with each other and strike a woman with child so that she gives birth prematurely…” (Ex. 21:22). The Brown-Driver-Briggs Hebrew-English Lexicon defines hareh as a pregnant woman with child. It’s clear that she is not carrying around a mass of undefined tissue that becomes a human being when “it” exits the sanctuary of the womb.
Fourth, the Bible attributes self-consciousness to unborn babies. Jacob and Esau “struggled together within” their mother’s womb (Gen. 25:22). The New Testament offers a similar glimpse into prenatal consciousness: “And it came about that when Elizabeth heard Mary’s greeting, the baby leaped in her womb” (Luke 1:41). “Struggling” and “leaping” are the result of consciousness. Jacob and Esau fighting inside the womb is indicative of their continued fighting outside the womb. John leaps in reaction to Mary’s pregnancy.
Fifth, some commentators claim that in Exodus 21:22 the death of a “fetus,”[2] either accidentally or on purpose, is nothing more than a property crime rather than the killing of a human being. The Bible teaches otherwise. The original Hebrew reads: “And if men struggle with each other and strike a pregnant woman so that her children [yeled] come out….” Notice that the text uses the word “children,” not “products of conception.” The Hebrew word for “children” in this verse is used in other contexts to designate a child already born. For example, in Exodus 2:6 we read: “When Pharaoh’s daughter opened [the basket], she saw the child [yeled], and behold, the boy was crying. And she had pity on him and said, ‘This is one of the Hebrews’ children [yeled].’” Since in the Exodus case these are “children that come out,” they are persons, not body parts like an appendix or a kidney.
Sixth, if there is no injury to these individuals—the mother and her prematurely delivered child or children—then there is no penalty. If there is injury, then the judges must decide on an appropriate penalty based on the extent of the injury either to the mother and/or her child because both are persons in terms of biblical law.
Seventh, some translations have “so that she has a miscarriage,” for example, the 1977 edition of the New American Standard Bible. The 1995 translation is better (“she gives birth prematurely”), but it still does not capture the literal rendering of the Hebrew. In a marginal note, the NASB translators recognize that the literal meaning of the text is “her children come out.”

Christian Reconstruction: What It Is, What It Isn't
Christians have been told that there is nothing they can do to improve society. This idea is the devil’s own lie, one that gives him breathing room. They have been told that the world is lawfully governed by neutral principles of ethics, law, and science. Christians have believed this, but the results have been anything but neutral: secular humanism, New Age mysticism, and abortion on demand. Christian Reconstruction is a theological system, a movement of independent activists, and a cultural ideal. Its goal is nothing short of transformation of the world.
Buy NowIt’s frustrating to read translations that include marginal notes telling us what it really says literally. Translate it literally and then use the margin to offer an explanation if needed. Other translations have a more word-for-word translation. Here’s one example from the Holman Christian Standard Bible:
“When men get in a fight and hit a pregnant woman so that her children are born [prematurely] but there is no injury, the one who hit her must be fined as the woman’s husband demands from him, and he must pay according to judicial assessment.”
Notice that it’s “so that her children are born.” Here’s another from Young’s Literal Translation:
“And when men strive, and have smitten a pregnant woman, and her children have come out, and there is no mischief, he is certainly fined, as the husband of the woman doth lay upon him, and he hath given through the judges.”
Eighth, there are two Hebrew words that fit the circumstances of miscarriage or premature birth: “There shall be no one miscarrying [shakal] or barren in your land” (Ex. 23:26; also, Hosea 9:14). The Hebrew word for “miscarriage” was available to Moses since it appears just two chapters later. Another example is found in Job: “Or like a miscarriage [nefel] which is discarded, I would not be” (Job 3:16). Meredith G. Kline offers a helpful summary of the passage:
This law found in Exodus 21:22-25 turns out to be perhaps the most decisive positive evidence in scripture that the fetus is to be regarded as a living person…. No matter whether one interprets the first or second penalty to have reference to a miscarriage, there is no difference in the treatments according to the fetus and the woman. Either way the fetus is regarded as a living person, so that to be criminally responsible for the destruction of the fetus is to forfeit one’s life…. The fetus, at any stage of development, is, in the eyes of this law, a living being, for life (nephesh) is attributed to it…. Consistently in the relevant data of Scripture a continuum of identity is evident between the fetus and the person subsequently born and Exodus 21:22-25 makes it clear that this prenatal human being is to be regarded as a separate and distinct human life.[3]
Umberto Cassuto, also known as Moshe David Cassuto (1883-1951), was a Jewish rabbi and biblical scholar born in Florence, Italy. In his commentary on Exodus, he presents an accurate translation of the passage based on the nuances of the Hebrew:
When men strive together and they hurt unintentionally a woman with child, and her children come forth but no mischief happens—that is, the woman and the children do not die—the one who hurts her shall surely be punished by a fine. But if any mischief happens, that is, if the woman dies or the children, then you shall give life for life.[4]
Ninth, the King James Version takes a different translation approach, but it is consistent with the text that “children” are “coming out.” The KJV reads, “If men strive, and hurt a woman with child, so that her fruit depart from her, and yet no mischief follow: he shall be surely punished, according as the woman’s husband will lay upon him; and he shall pay as the judges determine” (Ex. 21:22). The use of the word “fruit” is a descriptive euphemism for a child in the Old Testament (Gen. 30:2) and the New Testament (Luke 1:42). Elizabeth responded to Mary this way when she learned of Mary’s pregnancy:
And she spake out with a loud voice, and said,
Blessed art thou among women, and blessed is the fruit of thy womb.
The church needs to be taught what the Bible says and how it agrees with science and the long history of opposition to abortion.
[1] Dave Mill, “Abortion and Exodus 21,” Apologetics Press. Link here.
[2] “The word ‘fetus’ comes from the Latin word ‘fētus, which means ‘offspring, bringing forth, hatching of young.’”
[3] Meredith G. Kline, “Lex Talionis and the Human Fetus,” The Simon Greenleaf Law Review, 5 (1985-1986), 75, 83, 88-89. This article originally appeared in Journal of the Evangelical Theological Society (September 1977). Also see H. Wayne House, “Miscarriage or Premature Birth: Additional Thoughts on Exodus 21:22-25,” Westminster Theological Journal, 41:1 (Fall 1978), 108-123.
[4] Umberto Cassuto, Commentary on the Book of Exodus (Jerusalem: Magnes Press, 1967), 275.