מְעֻבֶרֶת שֶׁהִתְחִילָה לְהִצְטַעֵר וַאֲחָזוּהָ חֶבְלֵי לֵדָה וְהִתְחִיל הַדָּם לָצֵאת קֹדֶם שֶׁתֵּלֵד אוֹתוֹ הַדָּם הוּא הַנִּקְרָא דַּם הַקֹּשִׁי. וְהֵיאַךְ דִּינוֹ. אִם בָּא בִּימֵי נִדָּתָהּ הֲרֵי הוּא דַּם נִדָּה וַהֲרֵי זוֹ טְמֵאָה נִדָּה. וְאִם בָּא בִּימֵי זִיבָתָהּ הֲרֵי זוֹ טְהוֹרָה שֶׁנֶּאֱמַר בְּזָבָה (ויקרא טו יט) "דָּם יִהְיֶה זֹבָהּ בִּבְשָׂרָהּ". מִפִּי הַשְּׁמוּעָה לָמְדוּ זוֹבָהּ מֵחֲמַת עַצְמָהּ וְלֹא מֵחֲמַת וָלָד. וּבִלְבַד שֶׁתֵּלֵד וָלָד חַי. אֲבָל אִם הִפִּילָה אֵין קֹשִׁי לִנְפָלִים. אֲפִלּוּ הָיָה הַדָּם שׁוֹתֵת וְיוֹרֵד עִם הַחֲבָלִים וְהַצַּעַר י"ד יוֹם קֹדֶם שֶׁתֵּלֵד הֲרֵי זֶה דַּם קֹשִׁי וְטָהוֹר. אֲבָל אִם הִתְחִיל הַדָּם קֹדֶם הַלֵּדָה בְּט"ו יוֹם אוֹ יֶתֶר הֲרֵי זֶה דַּם זִיבָה וַהֲרֵי הִיא יוֹלֶדֶת בְּזוֹב:
When a pregnant woman begins to feel pain, the labor pains take hold of her, and there is a flow of blood before she gives birth, that bleeding called "the blood of the throes." What are the laws that govern it? If it comes during her days of niddah, it is considered as niddah bleeding and she is impure as a niddah. If it comes in her days of zivah, she is pure. [This is derived from Leviticus 15:19]: "When blood flows within her flesh." According to the Oral Tradition , we learn that the bleeding must come from herself, and not because of a child. [The above applies] provided she gives birth to a living child. If, however, she miscarries, [the laws of "the blood of] the throes" do not apply. Even if the blood is flowing together with contractions and pain for fourteen days before she gives birth, this is considered as "the blood of the throes" and she is pure. If, however, the bleeding began fifteen days or more before birth, the bleeding is considered as "the blood of zivah" and the laws that apply to a woman who gives birth while in the state of zivah apply to her.
