35 The construction uses a Hiphil infinitive, which E. A. Speiser classifies as an elative Hiphil. The contrast is with the previous Piel: there “she had hard labor,” and here, “her labor was at its hardest.” Failure to see this, Speiser notes, has led to redundant translations and misunderstandings (Genesis [], ).
36 Another son. The episode recalls and fulfills the prayer of Rachel at the birth of Joseph (Gen 30:24): “may he add” another son.

In other versions

And when her labor was at its hardest, the midwife said to her, “Do not fear, for you have another son.”

And as she was having great difficulty in childbirth, the midwife said to her, “Don’t despair, for you have another son.”

During her difficult labor, the midwife said to her, “Don’t be afraid, for you have another son.”

After a very hard delivery, the midwife finally exclaimed, “Don’t be afraid—you have another son!”

And when her labor was the most difficult the midwife said to her, “Do not be afraid for you have another son.”

And it came to pass, when she was in hard labour, that the midwife said unto her, Fear not; thou shalt have this son also.

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