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Look at them shake uncontrollably,[a]
like a woman writhing in childbirth.[b]

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  1. Psalm 48:6 tn Heb “trembling seizes them there.” The adverb שָׁם (sham, “there”) is used here, as often in poetic texts, to point “to a spot in which a scene is localized vividly in the imagination” (BDB 1027 s.v.).
  2. Psalm 48:6 tn Heb “[with] writhing like one giving birth.”sn The language of vv. 5-6 is reminiscent of Exod 15:15.