1.   Long shuddering sobs shook her slight frame as she poured out her hurt and misery.

2.   Emotion welled up inside her, and with a strangled exclamation she turned her face into the pillow and wept, great shuddering sobs which hurt her chest.

3.   The suspended despair inside her splintered into a shuddering sob and Fernando tightened his hold on her.

4.   Nobody heaves shuddering sobs of grief.