Micah compares the suffering the people will experience when enemies force them away from their cities to the pain a woman experiences when giving birth to a baby. (See: [[rc://en/ta/man/jit/figs-simile]])
Possible meanings for the word "hand" are 1) it could be a metonym for the power that the hand exercises, Alternate translation: "the power of your enemies" or 2) it could be a synecdoche for the person. Alternate translation: "your enemies" (See: [[rc://en/ta/man/jit/figs-metonymy]] and [[rc://en/ta/man/jit/figs-synecdoche]])