A woman about to give birth is in great pain and unable to do anything. The young men are so frightened that their bodies hurt, and they are unable to fight. AT: "The young men are holding their bellies like a woman giving birth; they all look sick because they are so afraid." (See: [[rc://en/ta/man/translate/figs-simile]] and [[rc://en/ta/man/translate/figs-rquestion]])
The name Jacob is a metonym for the man's descendants. This can be translated in active form. AT: "for the descendants of Jacob, but I will rescue them from it" (See: [[rc://en/ta/man/translate/figs-metonymy]] and [[rc://en/ta/man/translate/figs-activepassive]])