The icon follows the standard imagery of the Birth of the
Virgin. On the left, we see Saint Anna reclining on a bed, attended by midwives.
On the bottom right, the St Anna and the new-born are attended by midwives.
Above them, atop a tower, is Joachim the father of the Virgin, he observes the
scene from this isolated position under a ciborium. The imagery of the Birth of
the Virgin (Nativity of the Theotokos) is taken from the apocryphal Book of
James or Protevangelium, a late second century ‘gospel’ recounting
the life of the Virgin.