Albert Barnes Commentary Jeremiah 49:24

"Damascus is waxed feeble, she turneth herself to flee, and trembling hath seized on her: anguish and sorrows have taken hold of her, as of a woman in travail." — Jeremiah 49:24 (ASV)

And turns - Omit and. The original is a rapid sequence of unconnected sentences. “Damascus is unnerved; she turned to flee, and a trembling seized her; anguish and writhings took hold of her, and so on.”