its.tsa.von denotes painful effort, whether in childbirth or in working cursed soil.

The term most often occurs with work connected to cursed soil and the hands that labor from it; it also appears in the woman’s childbearing as painful effort.

1. Painful work from cursed soil · dominant

   In Genesis 3:17, the absolute noun occurs in the statement that food will be eaten from the ground through painful effort. In Genesis 5:29, the construct form is joined with work of the hands and the cursed soil; the APB presents Noah’s naming statement as hope for comfort from that work.

   Genesis 3:17Genesis 5:29
2. Painful effort in childbearing · occasional

   In Genesis 3:16, the singular construct form occurs in the statement addressed to the woman about giving birth. The APB renders the birth clause with painful labor, confirming the verse’s childbirth setting.

   Genesis 3:16

In the Anselm Project Bible: The APB presents the term’s settings with “painful labor” in Genesis 3:16 and “painful toil” in Genesis 3:17, while Genesis 5:29 links it with work of the hands. These renderings indicate the clauses’ overall presentation rather than a fixed English equivalent.