en_tn_condensed/isa/21/03.md

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pains like the pains of a woman in labor have taken hold of me

Isaiah compares his pain to the pain of a woman giving birth. This emphasizes the great pain he is feeling.

I am bowed down by what I heard

"What I heard has caused me to bend over in pain"

I am disturbed by what I saw

"what I saw has greatly troubled me"