The chapter opens by naming the sons of Jacob who came to Egypt, seventy people counting Joseph, who was already there. Joseph, his brothers and that whole generation died, but the Israelites were fruitful, multiplied and filled the land.
Then a new king arose over Egypt who did not know Joseph. Afraid that the Hebrew people were so numerous they might join an enemy in a war, he enslaved them harshly. Taskmasters were set over them, and they built the store cities of Pithom and Rameses for Pharaoh, working with mud, bricks and every kind of field labor. Yet the more they were oppressed, the more they multiplied and spread, and the Egyptians came to dread them.
The king of Egypt then spoke to the Hebrew midwives, Shiphrah and Puah, and told them to kill the baby boys at birth and let the girls live. The midwives feared God and did not do what the king commanded. When Pharaoh demanded an explanation, they answered that the Hebrew women gave birth before they arrived. God dealt well with the midwives and gave them families, while the people kept growing. In the end Pharaoh ordered all his people to throw every newborn Hebrew boy into the river, while letting the girls live.