This simile is used to show how greatly distressed Judah will be. Alternate translation: "severe distress as in the pain and suffering a woman has while giving birth" (See: [[rc://en/ta/man/translate/figs-simile]])
God shows his love for the people of Jerusalem by speaking of them as a daughter. Alternate translation: "my dear daughter, Zion" (See: [[rc://en/ta/man/translate/figs-metaphor]])