In the daily cycle of Talmud study, we are currently learning Sanhedrin, a tractate that discusses all things judicial including capital punishment. In three days from now - Shabbat Shuvah (the Shabbat of Repentance) - we will read a bizarre and disquieting passage. In it, the Talmud discusses a tangential issue (as it so often does) and considers the earliest age at which a boy or a girl could conceive a child. After establishing that a boy as young as eight could father a child, the Talmud entertains the possibility that a girl as young as six years of age could give birth to a child.
סנהדרין סט, ב
Batsheva gave birth when aged six - ובת שבע אולידא בשית
Don't try this at home
Today we are going to do something that goes against a fundamental belief I have about Aggadah - (rabbinic stories and legends): that they should never be taken literally. Instead, we are going to take this Aggadah literally. It suggests that perhaps (and it is only raised as a possibility) Batsheva, the woman who married King David and was the mother of King Solomon, was only six years old when she gave birth to her first child. Is this suggestion in any way scientifically possible? You might be surprised.
The Youngest Mother in the World
In May 1939 the French medical journal La Presse Medicale published a report from Lima about a little girl who had given birth to a baby at the age of only five years and seven months. Let me say that again. She had given birth to a baby when she was five years and seven months old. Putting aside the monstrous child abuse that is at the heart of this story (if that is even possible to do), let's focus on the pregnancy itself.
The little girl in the picture is Lina Medina, then five months pregnant. She lived in Peru, and her parents had brought her to a hospital fearing she had a tumor in her abdomen. Instead she was found to be pregnant, and six weeks later she gave birth by cesarian section to a healthy baby boy. She named her son Gerardo, after the chief physician Dr. Gerardo Lozada at the hospital where she was diagnosed. Her father was briefly arrested for child abuse but was later released. No charges were ever brought against her abuser, who Lina did not identify. Lina later married and had a second son in 1972.
How do we know the story is true?
On November 15, 1939, The New York Times reported that the story had been authenticated by Dr S.L. Christian, the assistant surgeon general of the US Public Health Service. Christian had travelled to Peru, and while there he examined Lina. There is also a case report from Dr Edmundo Escomel on the pathology of one of Lina's ovaries that had been removed at the time of her cesarian section. (For those of you who are French speaking pathologists, you can read it here.) The report notes that Lina had the ovaries of a fully mature woman, and that she likely had a pituitary disorder that caused her precocious fertility. The story of Lina Medina has been authenticated by the fact-checking website Snopes, and there is a Wiki page about her (though having a Wiki page is not really proof of anything.)
Finally, there is a paper from a team at Hadassah Medical School in Jerusalem, published in Fertility and Sterility in 2009. The paper (titled At what age can human oocytes be obtained?) addresses the methods to remove and preserve eggs and sperm from young patients undergoing chemotherapy. "Increasing numbers of young cancer survivors" they wrote, "are experiencing infertility related to their past cancer treatment. Having children thus becomes an important issue for young cancer patients." One option to preserve fertility is to retrieve and preserve oocytes, which are the precursors to the ovum, the mature egg. The authors (who cite the pathology report on Lina Medina's ovary) report the successful removal of oocytes in girls ages 5, 8 and 10. This report from Hadassah is of the youngest age for ovarian oocyte retrieval, and demonstrates that even in girls who show no signs of menarche (the onset of menstruation), it is possible to find oocytes that can mature into eggs.
Back to Batsheva
It would appear that it is indeed possible for Batsheva, barely be out of kindergarten, to have given birth to her first child when she was only six years old. Today, her abuser would be arrested and locked up for a very long time. How fortunate are we not to have to take this talmudic story literally, even if it is, regrettably, entirely plausible.