travail
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(noun) concluding state of pregnancy; from the onset of contractions to the birth of a child. Synonyms: parturiency, labor, labour, confinement, lying-in, childbed. Example: "She was in labor for six hours."
Noun Definition 1
(noun) use of physical or mental energy; hard work. Synonyms: effort, elbow grease, exertion, sweat. Examples: "He got an a for effort." "They managed only with great exertion."
Noun Definition 2