They traveled on from Bethel, and when Ephrath was still some distance away, Rachel went into labor -- and her labor was hard.

To the woman he said, "I will greatly increase your labor pains; with pain you will give birth to children. You will want to control your husband, but he will dominate you."

He named him Noah, saying, "This one will bring us comfort from our labor and from the painful toil of our hands because of the ground that the Lord has cursed."

When her labor was at its hardest, the midwife said to her, "Don't be afraid, for you are having another son."