The blessing associated with childbirth, highlighted in this passage, was among the most desired gifts for God's chosen people, who held onto the anticipation that the promised Savior would come forth from their midst. "And I will look upon you, I will turn the eyes of my favor upon you. And I will bless you; I will renew the ancient blessing given to your ancestor Abraham" (Genesis 17:6), particularly the blessing of fruitful increase. In renewing this blessing, the Lord proclaims, "I will raise you up," indicating the intention to expand and multiply them; He will grant them a multitude of descendants, forming a powerful and significant nation due to their numbers.
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"And I will establish My covenant with you." This does not signify the initiation of a new covenant but rather the reaffirmation of the covenant established at Sinai, along with the progressive inclusion of both spiritual and material blessings associated with that covenant among the people.