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Commentaries:
To whom does the "lasting harm" refer, the mother, the fetus, or both? If it refers to the fetus or both, then the Word of God recognizes the personhood of the fetus. Regardless of its age, if the fetus dies as a result of the fight, its death becomes a capital crime, just as punishable as if the mother had been killed.
John W. Ritenbaugh
Murder?
Without doubt, death is "lasting harm." These verses illustrate the accidental miscarriage of the unborn. If the miscarried baby dies, although no harm was intended against it, the judgment is manslaughter, and the accused can become a victim of the avenger of blood (Genesis 9:6; Numbers 35:9-34; Deuteronomy 19:4-13; Joshua 20). How much more valid is the judgment of murder if the unborn is the intended victim? The Bible shows that the unborn "unviable tissue mass" is human. God's viewpoint is clear: Willful killing of the unborn—abortion—is murder.
John W. Ritenbaugh
Abortion: The Land Is Full of Bloody Crimes

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