Menachot 70b ~ The Chemistry of Chametz

It is less than two weeks until Pesach, so it is time to talk about about unleavened bread, called chametz. Luckily, it comes up in today’s daf.

מנחות ע,ב

מנא הני מילי אמר ריש לקיש אתיא לחם לחם ממצה כתיב הכא (במדבר טו, יט) והיה באכלכם מלחם הארץ וכתיב התם (דברים טז, ג) לחם עוני 

והתם גופה מנלן אמר ריש לקיש וכן תנא דבי ר' ישמעאל וכן תנא דבי ר' אליעזר בן יעקב אמר קרא (דברים טז, ג) לא תאכל עליו חמץ שבעת ימים תאכל עליו מצות לחם עוני דברים הבאים לידי חימוץ אדם יוצא בהן ידי חובתו בפסח יצאו אלו שאין באין לידי חימוץ אלא לידי סירחון

How do we know that matzah must be made from one of five species of grain [wheat, barley, oats spelt and rye]?  Reish Lakish said, and likewise a Sage of the school of Rabbi Yishmael taught, and likewise a Sage of the school of Rabbi Eliezer ben Ya’akov taught, that the verse states: “You shall eat no leavened bread with it; seven days you shall eat with it matzah, the bread of affliction” (Deuteronomy 16:3). This verse indicates that only with regard to substances that will come to a state of leavening does a person fulfill his obligation to eat matzah by eating them on Passover, provided that he prevents them from becoming leavened. This serves to exclude these foods, i.e., rice, millet, and similar grains, which, even if flour is prepared from them and water is added to their flour, do not come to a state of leavening but to a state of decay [sirḥon].

The important question we need to answer here is whether there is something fundamentally different about rice when compared to the five grain species that can become chametz. And is there any scientific support to the claim that rice spoils sooner than it ferments?

The Chemistry of bread making

To get at the answers we need to remind ourselves how plants make and consume starch. They take carbon dioxide from the atmosphere and water from the soil, and using the energy contained in sunlight (and the magic of chlorophyll) convert the two into a large sugar molecule we call starch. Plants use this starch to store and provide them with energy.

If you grind up wheat (or many other species of grain) you make flour which contains loads of starch. In addition to starch, flour contains proteins and enzymes which become important when the flour is mixed with water. Without going down a rabbit-hole of detail, here in general is what happens. First, an enzyme called beta-amylase breaks the large starch molecule down into a smaller molecule called maltose which is made up of two molecules of glucose. Another enzyme, maltase, breaks down each molecule of maltose into two molecules of glucose which is then broken down further to provide the plant with energy. Here is what it looks like:

From Lloyd, James R and Kötting, Oliver (July 2016) Starch Biosynthesis and Degradation in Plants. John Wiley & Sons, Ltd: Chichester.

If you add some yeast into that mix, a chemical reaction called fermentation occurs. Yeast, which is a fungus, consumes glucose and turns it into carbon dioxide and ethanol, which is an alcohol.

As the flour and water and yeast all mix together, two proteins in the flour called gliadin and glutenin (which are glutens) give the dough mixture its characteristic body, which strengthens the more it is mixed. The dough traps the carbon dioxide that is given off by the yeast cells, which causes the bread to rise. And that gives us the leavened bread we call chametz.

Of course when matzah is made, we do not add yeast to the dough. But there are yeast particles in the air and these will inevitably land on the dough where they will act in the same way, consuming glucose and creating carbon dioxide and alcohol. This process is much slower than when yeast is added when bread is made, but the plain dough will rise a little as a result.

The differences between grains and rice

Resh Lakish (together with those sages of the schools of Rabbi Yishmael and Rabbi Eliezer ben Ya’akov) claim that unlike grains, rice does not ferment when water is added to it. Instead it spoils. That’s why it may be eaten on Passover (unless of course you are an Ashkenazi Jew, in which case you still can’t eat it, but for another reason we’re not going to get into). Is this in fact the case?

I know next to nothing about plant biology. But Dr Angus Murphy does. He is Professor and Chair of the Department of Plant Science at the University of Maryland, and wrote the textbook on plant physiology. Dr. Murphy was kind enough to have a long chat with me over the phone and he agreed with the suggestion that grains and rice do very different things when mixed with water. The wheat seed is surrounded by the endosperm, which is itself covered by the aluerone layer. This aleurone is rich in amylase which as you recall is needed to breakdown starch into glucose (which is eaten by yeast which releases carbon dioxide and alcohol which causes the dough to rise…) However (most species of) rice do not contain this aleurone layer. So they have very little amylase, which means that it takes them a much longer time to convert starch into glucose. In fact it takes so long that by the time there is enough yeast in the dough for it to start to rise, bacteria in the air will have colonized the mixture and started breaking down the proteins in the dough. And that protein breakdown is what makes the mixture spoil, and which is what the Talmud calls סירחון. To conclude, Professor Murphy thought that the Talmud’s description of the difference between grain and rice was firmly based in plant biology.

The fine print and the final verdict

Distribution of variou types of amylases in rice grains. (Beta-Amylase activity was expressed in terms of maltose mg liberated in 3 min at 30°C by 1 g of ground rice samples.) From Ryu Shinke, Hiroshi Nishira & Narataro Mugibayashi. Types of Amylases in Rice Grains. Agricultural and Biological Chemistry 1973; 37:10, 2437-2438

Of course things are a little more complicated than that. (They always are.) Different kinds of wheat flour contain different amounts of amylase. Fine bleached white flour contains less amylase than say whole wheat flour, because the aleurone layer in whole wheat flour has not been broken down. Similarly, different species of rice contain different amounts of amylase, so that while standard white rice has very little, brown rice has considerably more. During talmudic times, the wheat flour would have been far less processed than any of the flour we would use today. As a result it would contain more amylase, and would have risen faster than would today’s four-water mixtures.

But as a rule of thumb, the Talmud is, biochemically speaking, spot on. When mixed with water, the five species of grain from which matzah may be made do undergo fermentation even without the addition of yeast, while rice will spoil long before the fermentation process becomes noticeable.

Menachot 64b ~ Cursed Be He Who Raises Swine

Today we are going to talk about pigs. But before we get into it, here is some important background, courtesy of the Jewish historian of the first century, Josephus.

From here.

Following the death of their father Alexander Yannai in the first century B.C.E. two brothers, Hyrcanus and Aristobulus fought over which would ascend to the Hasmonean throne. Both appealed to Rome (which turned out to be a very bad idea) and in 63 B.C.E. the military leader Pompey turned up to sort things out. He backed Hyrcanus, who was the Cohen Gadol, (high priest) at the time, and who had been originally named as the heir. Pompey captured Aristobulus and took him off to Rome, and he let Hyrcanus remain as the Cohen Gadol. But Pompey refused to Hyrcanus become king. And that is how the Romans came to Jerusalem, or as Josephus put it “we lost our liberty, and became subject to the Romans.” OK. Now here is the relevant part in tomorrow’s Daf Yomi:

מנחות סד, ב 

תנו רבנן כשצרו מלכי בית חשמונאי זה על זה והיה הורקנוס מבחוץ ואריסטובלוס מבפנים בכל יום ויום היו משלשלין להן דינרין בקופה ומעלין להן תמידין היה שם זקן אחד שהיה מכיר בחכמת יוונית לעז להם בחכמת יוונית אמר להן כל זמן שעסוקין בעבודה אין נמסרין בידכם למחר שלשלו להן דינרין בקופה והעלו להן חזיר כיון שהגיע לחצי חומה נעץ צפרניו בחומה ונזדעזעה ארץ ישראל ארבע מאות פרסה על ארבע מאות פרסה באותה שעה אמרו ארור שיגדל חזיר וארור שילמד בנו חכמת יוונית ועל אותה שעה שנינו מעשה שבא עומר מגגות צריפין ושתי הלחם מבקעת עין סוכר

The Sages taught: When the kings of the Hasmonean monarchy besieged each other [in their civil war,] Hyrcanus was outside of Jerusalem, besieging it, and Aristoblus was inside. On each and every day they would lower dinars in a box from inside the city, and those on the outside would send up animals for them to bring the daily offerings in the Temple. A certain elderly man was there [in Jerusalem] who was familiar with Greek wisdom. He communicated to those on the outside by using words understood only by those proficient in Greek wisdom. The elderly man said to them: “As long as they are engaged with the Temple service, they will not be delivered into your hands.” Upon hearing this, on the following day, when they lowered dinars in a box, they sent up a pig to them. Once the pig reached halfway up the wall, it inserted its hooves into the wall and Eretz Yisrael shuddered four hundred parasangs by four hundred parasangs. When the Sages saw this, they said at that time: Cursed is he who raises pigs, and cursed is he who teaches his son Greek wisdom…

“Alongside circumcision and Sabbath observance, the prohibition against pork is considered one of the clearest identifiers of what a Jew does and, as such, who is a Jew.”

— Jordan Rosenblum. ‘Why Do You Refuse to Eat Pork?’’ Jews, Food, and Identity in Roman Palestine. The Jewish Quarterly Review 2011. 100 (1): 95–110

Pig Husbandry in Iron Age Israel - North vs SOuth

It has been long taken as a given that archeologists could use the presence (or absence) of pig remains to distinguish a Philistine from an Israelite settlement. For example, in known Philistine sites from Iron Age I (~950-780 BCE) like Ashdod and Ekron, pig bones account for 7-19% of the animal remains, depending on which strata you are excavating. This is a much higher percentage than is found in Israelite settlements of the same period. But in 2013 this assumption was challenged by a group of top-notch Israeli archeologists (including the controversial Israel Finkelstein) who reviewed the evidence for it. They studied data from 35 sites in Israel, and found a remarkable trend. In the territory of what was once the Northern Kingdom of Israel, pig remains account for 3-7% of all animal remains. But in the Southern Kingdom of Judah, pig remains are almost absent. (The site of Aroer is a bit of an anomaly, with more than 3% pigs. However this site seems to have been a rest stop for many international travelers and so may have served a more international cuisine.) There was a dichotomy between the kingdoms of Israel and Judah that was manifest in whether they ate pork.

Sapir-Hen, L. Bar-Oz, G. Finkelstein, I. Pig Husbandry in Iron Age Israel and Judah. New Insights Regarding the Origin of the "Taboo." Zeitschrift des Deutschen Palästina-Vereins (1953-), Bd. 129, H. 1 (2013), pp. 1-20.

Why was there a rapid rise in the frequency of pigs being eaten in northern Israelite sites during Iron Age II (the period between 870 and 680 BCE)? Among the answers proposed is that “the pig taboo could have been another Judahite cultural trait that was opposed to the situation in the north, and which the authors [of the Torah] wished to impose on the entire Israelite population.” Alternatively, it may have been a result of the larger population found in the Northern Kingdom of Israel. “This process” wrote the authors of the paper Pig Husbandry in Iron Age Israel and Judah “brought about shrinkage of the open areas that are important for sheep/goat husbandry, and could have forced the Iron Age IIB population to a shift in meat production, breeding smaller herds of sheep and goats and concentrating more on pigs, which could supply large and immediate sources of meat.” In contrast, the population of the Kingdom of Judah was much smaller than that of Israel. Hence they had more open space to raise livestock.

By the way, it was the Philistines who were responsible for importing European type pigs into the Middle East. Dr Merav Meiri of the Department of Zoology at Tel Aviv University analyzed the DNA of ancient pigs in the area, and found that they possessed a European gene signature. This raises the possibility that European pigs were brought to the region by the Sea Peoples who migrated to the Levant around 900 BCE, bringing their pigs with them.

Pigs & Ancient Rome

Whether or not pigs were eaten in some parts of Biblical Israel, there is no doubt that not eating pork became synonymous with Jewish practice. In Rome, things were different. There, eating pork was widespread and enjoyed, and it was one of the most common meats associated with its residents. And as Jordan Rosenblum points out in his 2010 paper Why Do You Refuse to Eat Pork?’’ Jews, Food, and Identity in Roman Palestine swine were one of the four most common animals used for sacrifices in Rome. It was used in the most sacred rite of the Roman religion known as the suovetaurilia, in which a pig, a sheep and a goat were sacrificed to Mars, as part of a ceremony consecrating the land to the gods. According to the Roman philosopher Epictetus “the conflict between Jews and Syrians and Egyptians and Romans, [was] not over the question whether holiness should be put before everything else and should be pursued in all circumstances, but whether the particular act of eating swine’s flesh is holy or unholy.”

Our Passage in the Talmud Yerushalmi

In the Jerusalem Talmud, there is a similar description of the story told in tomorrow’s Daf Yomi, with an important difference. Can you spot it?

תלמוד ירושלמי (וילנא) מסכת ברכות פרק ד

א"ר לוי אף בימי מלכות רשעה הזאת היו משלשלין להן שתי קופות של זהב והיו מעלין להם שני כבשים ובסוף שלשלו להן ב' קופות של זהב והעלו להם שני חזירים לא הספיקו להגיע לחצי חומה עד שנעץ החזיר בחומה ונזדעזעה החומה וקפץ מ' פרסה מארץ ישראל באותה שעה גרמו העונות ובטל התמיד וחרב הבית

R. Levi said: ‘‘Also during the days of that Evil Empire [Rome], they would lower to them two baskets of gold and they would send up to them two lambs. At the end [of the siege], they lowered to them two baskets of gold and they sent up to them two pigs. They did not reach halfway up the wall when the pig stuck [its nails] in the wall and the wall shook and [the pig] jumped forty parasangs from the land of Israel. At that moment, the sins brought about both the suspension of the continual offering and the destruction of the Temple.

Here is the difference: in the Yerushalmi version the substitution of the pig for the lambs is directly linked to the destruction of Jerusalem, and not just to a general ban on the raising of pigs. “Rome’s secret weapon in times of war with the Jews” wrote Rosenblum, “is to deploy the very animal that functions as a metonym for Rome itself.”

So pigs turn out to have played more of a role in our history than would be expected. In biblical times, eating pork may have been a marker of whether you came from Israel or Judea, and pork, or at least its symbolism, played a pivotal role in the onset of the Roman attack on the Second Temple.

“Archaeologists take pigs very seriously.”

— Israel Finkelstein cited in "Who’d Import Pigs to Israel? Ancient Europeans, Researchers Say." New York Times Nov 5, 2014. A7.

Next time on Talmudology: The Chemistry of Chametz.

Tu B'Shvat ~ A New Year for Health

The opening Mishnah of Masechet Rosh Hashanah includes this:

ראש השנה ב ,א

באחד בשבט ראש השנה לאילן כדברי בית שמאי בית הלל אומרים בחמשה עשר בו

On the first of Shevat is the New Year for the tree; [the fruit of a tree that was formed prior to that date belong to the previous tithe year and cannot be tithed together with fruit that was formed after that date;] this ruling is in accordance with the statement of Beit Shammai. But Beit Hillel say: The New Year for trees is on the fifteenth of Shevat.

 Declaring different kinds of New Years goes back to the Talmud. But this practice was updated in a remarkable way by a Russian Jewish immigrant to the US in the early twentieth century. Tonight, we mark the fifteenth of Shvat, the date that, according to Bet Hillel, is the new year for the tithing of trees, and we will tell his remarkable - and overlooked - story.

“Twice a year on the fifteenth day of Shevat and on the eighteenth day of Iyar all the Jewish children from 3 to 13 years of age should undergo a thorough physical examination by the local Jewish physicians free of charge. ”

— Charles Spivak

Charles Spivak and the fight against tuberculosis

Hayyim Haykhl Spivakovski (1861-1927) immigrated to the US from Russia, where he became Charles Spivak. He graduated from Jefferson Medical College in Philadelphia in 1890 (and his thesis, on talmudic theories of menstruation won a prize), and after his wife contracted tuberculosis in 1896 he moved with her to Denver. There she could take advantage of the high altitude which had been shown to help fight the disease. This began his life-long mission to fight the tuberculosis and improve the care of the many Jewish refugees from eastern Europe who contracted it. 

From here.

Spivak founded the Jewish Consumptives’ Relief Society (JCRS), which provided kosher food and a Sabbath atmosphere, but was open to anyone. “We have in our institution chasidim and agnostics,” he wrote in 1914, “Jews and Christians, republicans and progressives, socialists and anarchists, men of all kinds of religious, political and economic options.” Spivak’s personal philosophy was informed by “a unique blend of Yiddishkeit [Jewish values], secularism and socialism” and his approach to the distribution of funds was sometimes at odds with bureaucratic and impersonal ways that some Jewish charities functioned. “We may not be able to return him [the patient] to his family as a useful working unit,” he reminded his benefactors, “we may actually waste money without any hope for any return, nevertheless, we feel that he or she must receive our care and attention, that whole-souled and whole-hearted charity is, after all, the only true, pure and unalloyed charity.” He estimated that of among the 3.3 million Jews then living in the US about 4,600 died each year from the disease, and ten times that number were chronically infected, or as he put it, were “living tuberculous Jews.” It was therefore the duty of the Jewish community to support the fight for to prevent the spread of tuberculosis and search for a cure. 

Dr. Chales Spivak. From here.

In that opening Mishnah of Rosh Hashanah, we read that are several different dates that mark the beginning of different new years. The first day of the Spring month of Nissan is the new year for kings, which is used to date legal documents. The new year for trees is marked in the late winter month Shevat, which is used to count tithes, and first day of the late summer month of Tishrei is used to count the number of years since creation. In December 1918, Spivak updated this list and gave it a thoroughly modern twist. Writing in the Journal Jewish Charities, he suggested that the rhythm of the Jewish calendar could be used to improve public health and reduce the toll from tuberculosis.

Twice a year on the fifteenth day of Shvat (New Years for Trees) and on the eighteenth day of Iyar (Lag B'Omar) all the Jewish children from 3 to 13 years of age should undergo a thorough physical examination by the local Jewish physicians free of charge.  

In the evening of the respective days all organized societies in the community should hold Health meetings at which the subject of how to maintain good health and prevent disease should be discussed by health officers and physicians.

 A custom should also be inaugurated that all adults should visit their family physicians during the months of Tishre and Nisson [sic] for the purpose of undergoing a physical examination.

 Spivak’s suggestion was of course dependent on a working knowledge of the Jewish calendar, but the dates he suggested would help. The fifteenth of Shevat was often celebrated in schools, and Lag B’Omer, the thirty-third day of the period leading up to the festival of Shavuot was celebrated as a minor holiday; it marked the end of the pandemic deaths of the students of the talmudic giant Rabbi Akiva. Most Jewish adults, even those who had jettisoned traditional Jewish practice when they arrived in America, would be aware of the timing of the other two months.  The festival of Pesach (Passover) is celebrated in Nissan, and Rosh Hashanah, the start of the Jewish New Year that leads into Yom Kippur (the Day of Atonement) is commemorated in Tishrei.

Helping others, even after his death

Spivak, a member of the Denver Hebrew Speaking Society, developed liver cancer and died in 1927 at the age of 68. His generous spirit is evident in his last will and testament, where he asked that

…my body be embalmed and shipped to the nearest medical college for an equal number of non-Jewish and Jewish students to carefully dissect. After my body has been dissected, the bones should be articulated by an expert and the skeleton shipped to the University of Jerusalem, with the request that the same be used for demonstration purposes in the department of anatomy.

Apparently his request was fulfilled, and somewhere on the campus of the Hebrew University of Jerusalem is his skeleton.

Denver’s National Jewish Hospital

Spivak was not the only Jew who helped Denver’s many “consumptives.” He had traveled to Denver because of its high altitude, and in there in the 1880s a woman by the name of Frances Wisebart Jacobs raised funds to open a new hospital to treat the many “consumptives” who had traveled to the mile high city. She found support from the Jewish community, which agreed to plan, fund and build a nonsectarian hospital for the treatment of respiratory diseases, primarily tuberculosis. That hospital opened in 1899 as The National Jewish Hospital for Consumptives, and after several name changes it is now known as National Jewish Health. Today, it remains a major center for the care of patients with lung and respiratory illnesses.

““…[Pain] knows no creed, so is this building the prototype of the grand idea of Judaism, which casts aside no stranger no matter of what race or blood. We consecrate this structure to humanity, to our suffering fellowman, regardless of creed.” ”

— Rabbi William Friedman at the laying of the cornerstone of the new hospital. From Tom Sherlock. Colorado's Healthcare Heritage: A Chronology of the Nineteenth and Twentieth Century Healthcare, volume 1, p374.

While the Talmud declared four kinds of new year, Spivak declared a fifth. His new year for health was to be commemorated together with Tu B’Shavt, the new year for trees. In this way, he tied it to the Jewish calendar, and his memory is a reminder of the importance of getting a routine physical exam from your doctor. It might save your life.

Zevachim 112a ~ Caesarean Section in Cows and Ewes

Since its construction in Jerusalem, it was prohibited to offer a sacrifice outside of the Temple.  However, in today's page of Talmud there is a list of animals which, even if offered outside of the Temple, incur no penalty to their owner.  Among these are an animal that was born by caesarean section:

זבחים קיב, א

ויוצא דופן שהקריבן בחוץ פטור

One who sacrifices an animal born by caesarian section, outside of the

Temple, is exempt from punishment.

The term יוצא דופן literally means "brought out through the wall", the wall in question being the abdomen. Animals born by c-section may not be used as sacrifices in the Temple. There is something different, not quire right, perhaps not normal, about them. That's why these same c-sectioned animals may be offered outside of the Temple without penalty.  Or as the Mishnah on today's page puts it, "whatever is not fit to come as a sacrifice in the Tabernacle [used in the wilderness], carries no liability if offered as a sacrifice outside of it."

The indications for a caesarean section in a cow

Before we go further, a clarification. The surgical procedure about which we are discussing can be spelled in various ways: caesarean, Caesarean, cesarean or just plain "c." Take your pick. Anyway, according to the American College of Veterinary Surgeons, there are several indications for performing a c-section in a cow:

• Inadequate cervical dilation (not enough relaxation of the cervix muscles)

• Abnormal pelvic bone conformation (shape) in the cow

• Rupture of the cow's abdominal musculature

• Problems with uterine position or uterine function

• Abnormalities of the cow's uterus or vagina

• Abnormal calf position that is not correctable through the vagina

• Fetal monsters (congenital defects)

• Presence of a dead fetus

Standing left oblique celiotomy approach. The placement of the incision is indicated by the dashed line. From Schultz L.G. et al. Surgical approaches for cesarean section in cattle. Can Vet J 2008;49:565–568

Having decided that your cow needs a c-section, there are no fewer that eight different ways you could operate on her to pull this off. Eight! Here they are: (The positions described are that of the cow, not that of the surgeon.)

1. standing left paralumbar celiotomy,

2. standing right paralumbar celiotomy,

3. recumbent left paralumbar celiotomy,

4. recumbent right paralumbar celiotomy,

5. recumbent ventral midline celiotomy,

6. recumbent ventral paramedian celiotomy,

7. ventrolateral celiotomy,

8. standing left oblique celiotomy

According to this helpful paper published in the Canadian Medical Journal, it is the left oblique approach that is preferable under most circumstances. This is because the uterus is readily removed from the abdominal cavity limiting contamination of the abdominal cavity.  

...and in sheep

In sheep, things are only slightly different. The most common cause for performing a c-section is a fetal lamb in the wrong position, one which cannot be safely corrected by manipulation. This is the cause of about 50% of all sheep c-sections.  The cause of about another third is incomplete or non-dilation of the cervix which has failed to respond to medical treatment.  Feto-pelvic disproportion, in which a single large lamb is too big to pass through the maternal pelvis account for another 5%.  There are generally three approaches to the c-section: through the flank, through the midline, and through an incision parallel to the midline, which is called the paramedian approach. Today the midline approach is not recommended, because it requires a general anesthetic, as opposed to a local injection. (You can read more about c-sections in the ewe in this helpful article.)

Exceptional animals with exceptional births

In modern Hebrew the phrase meaning a caesarean section, יוצא דופן, has another meaning: exceptional. Which certainly describes these animals born by c-section. In the pre-modern era, when there were neither local anesthetics nor antibiotics, there would have been only one survivor of a c-section if you were lucky, and it wasn't the mother.  For these animals who, but for the intervention of a skilled vet would otherwise have died in-utero, perhaps being spared from sacrifice was rather fitting.  If their birth was abrupt, bloody and at the hands of a human, perhaps their deaths could be different.  

“בהמה המקשה ללדת ויש סכנה לחייה, כי הוולד מת, והרפתנים קובעים שצריכים לחתוך את הוולד ולהוציאו דבלי זה הפרה תמות. אם מותר לעשות זה בשבת. אם צער בע”ח דוחה איסור מוקצה. הב”ח בסימן שח סעיף כג, מדבריו משמע דמשום צער בע”ח שרי טלטול מוקצה. וכנראה שהמחמירים לא ראו דברי הב”ח ולכן יש להתיר וכדאי הוא הב”ח לסמוך עליו 

The question of performing an emergency caesarean section on animal on Shabbat: 

...Does the prohibition of not causing pain to animals override the prohibition of מוקצה muktzeh [not touching certain items on Shabbat]?...Those who are strict in this matter [and prohibit the c-section] have not seen the words of the Bach [R. Yoel Sirkis 1561-1640]. It is permissible [to perform the surgery] and appropriate to rely on the opinion of the Bach”

— Rabbi Tzvi Pesach Frank [1874-1960]. Har Tzvi Tal Harim Shvut 3.