כְּמ֤וֹ הָרָה֙ תַּקְרִ֣יב לָלֶ֔דֶת תָּחִ֥יל תִּזְעַ֖ק בַּחֲבָלֶ֑יהָ כֵּ֛ן הָיִ֥ינוּ מִפָּנֶ֖יךָ יְהוָֽה׃
Seperti seorang perempuan hamil yang sudah dekat waktunya melahirkan, menggeliat kesakitan dan menjerit dalam sakit bersalinnya, demikianlah keadaan kami karena Engkau, ya Yang Mahakekal.
Ibn Ezra
Who established you expresses the same idea as Who bore you. Both refer to a God who is mighty and firm, like a rock. The word Who is established you probably derives from the triliteral root ḥ-y-l. Compare, “a pregnant woman, about to give birth” [Isaiah 26: 17].