# It came about as she was giving birth

This phrase "It came about" marks an important event in the story. If your language has a way for doing this, you could consider using it here.

# one put out a hand

"one of the babies put out his hand"

# midwife

This is a person who helps a woman when she is giving birth to a child. See how you translated this in [Genesis 35:17](../35/17.md).

# scarlet thread

"bright red thread"

# on his hand

"around his wrist"