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Difference between In pain and In pains

in painsuffering physical pain or discomfort caused by injury or disease:

  • They lay rolling themselves on the ground, heavily groaning in pain.

in pains

1. (of a woman) in the throes of childbirth:

  • I remember that in the film, the husband of the woman in pains was sitting far from the scene.

2. = in pain:

  • She saw herself test it on a criminal—a rapist, and she saw how much he was in pains.

3. (followed by Infinitive) making a particular effort to do smth.:

  • He was in pains to stress that the main task of government was the defense of the rich against the poor.

Note: The expression does not fully correlate in meaning with the phrase at pains= in pains 3:

  • Linda was at pains to see that no one was left out.