He named the second child Ephraim, ¹  saying, ²  “Certainly ³  God has made me fruitful in the land of my suffering.”

Then the Lord’s angel said to her, “You are now ¹  pregnant and are about to give birth ²  to a son. You are to name him Ishmael, ³  for the Lord has heard your painful groans. ⁴ 

So Leah became pregnant ¹  and gave birth to a son. She named him Reuben, ²  for she said, “The Lord has looked with pity on my oppressed condition. ³  Surely my husband will love me now.”

If the God of my father – the God of Abraham, the one whom Isaac fears ¹  – had not been with me, you would certainly have sent me away empty-handed! But God saw how I was oppressed and how hard I worked, ²  and he rebuked you last night.”