Ephraim: see the Revised Standard Version and Good News Translation footnotes.

Made me fruitful: that is, “made me become a father” or “made me have children.”

In the land of my affliction: that is, “here in this land where I have suffered.”

Quoted with permission from Reyburn, William D. and Fry, Euan McG. A Handbook on Genesis. (UBS Helps for Translators). New York: UBS, 1997. For this and other handbooks for translators see here .