The description of trembling seizing the kings and pangs similar to those of a woman in labor establishes the intensity of their fear and the totality of their distress. The comparison to childbirth pangs suggests sudden onset and overwhelming intensity; the kings experience acute psychological anguish. The specific mention of a woman in labor creates vivid imagery of pain and distress; the monarchs are reduced to this condition of helpless suffering. The phrase about trembling seizing them suggests loss of composure and command; the kings lose their authority and control. This verse emphasizes the psychological dissolution of the enemy's will and military capacity through fear of the divine city.

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