The man hearkened to her words for he felt with wonder women’s woe in the travail that they have of motherhood and he wondered to look on her face that was a fair face for any man to see but yet was she left after long years a handmaid.
There are no more uses of "travail" in the book.
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a time of economic travail
Lines formed in his face, and in those lines were the travail of the North, the bite of the frost, all that he had achieved and suffered