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Translation
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What the Fathers say
Eastern Fathers
John Chrysostom
"A woman when she is in travail hath sorrow." And He hath used a comparison which the Prophets also use continually, likening despondencies to the exceeding pains of childbirth. But what He saith is of this kind: "Travail pains shall lay hold on you, but the pang of childbirth is the cause of joy"; both confirming His words relative to the Resurrection, and showing that the departing hence is like passing from the womb into the light of day. …
Cyril of Alexandria
He once more dilates upon the solace He had given them, and illustrates it by divers words, in every way aiding them to dispel the bitterness of their sorrow. For observe how earnestly He persuades them, by obvious illustration, of the necessity of endurance, and of not being over dismayed by troubles or sorrows, if they must surely and inevitably end in rejoicing. For the child, He says, is the fruit of sore travail; and it is through pain that the joy they have in their children comes to mothers. …
Theophylact of Ohrid
Then He brings an ordinary example of a woman and childbirth. This comparison was also used by the prophets, using the severity of labor pains to denote the highest degree of sorrow. He speaks as if to say: "Sorrows will overtake you, like the pains of birth; but the pain is the cause of the birth." At the same time He confirms the teaching about the resurrection and shows that to die is similar to coming out of the mother's womb into the light. Do not marvel, then, that you must attain joy through such sorrow. …
Western Saints
Augustine of Hippo
And then He goes on to say, "A woman when she is in travail hath sorrow, because her hour is come: but as soon as she is delivered of the child, she remembereth no more the anguish, for joy that a man is born into the world. And ye now therefore have sorrow; but I will see you again, and your heart shall rejoice, and your joy no man taketh from you." Nor does the metaphor here employed seem difficult to understand; for its key is at hand in the exposition given by Himself of its meaning. …
Bede
Just as a woman is glad when a human being has been born into the world, so the church is filled with fitting exultation when a multitude of the faithful are born into the life to come. [The church] labors and groans greatly at the present [time] over their birth, and it sorrows like [a woman] in travail. It should not seem odd to anyone that a person's departure from this life is said to be his birth. …
Thomas Aquinas
2131 Now our Lord mentions a similar case and then draws the parallels. The similar instance he gives is that of a woman about to give birth. First, he mentions the sorrow she has while in labor; and secondly, her joy once her child is born (v 21). 2132 In regard to the first he says, When a woman is in travail she has sorrow, very great sensible sorrow, because her hour of pain has come: "Anguish as of a woman in travail" (Ps 48:6). …
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