Packed hospitals, treacherous roads, harried parents: Newborns in Gaza face steeper odds of survival

Dec 12, 2023, 12:01 PM

DEIR AL-BALAH, Gaza Strip (AP) — The birth of their daughter should have marked the beginning of a joyful chapter for the young Palestinian couple.

Instead, the devastating war in Gaza, now in its third month, has turned childbirth and parenthood into a time of worry and fear for Salim and Israa al-Jamala.

First, they endured a perilous journey, dodging missile fire, to reach a maternity ward. And now, the couple is sheltering with their newborn in the partially tented courtyard of another hospital where they can’t care properly for their now 3-week-old daughter, her mother’s namesake.

His wife’s breast milk is not sufficient because she cannot eat enough as a result of widespread food shortages, said the 29-year-old Salim, rocking baby Israa, swaddled in blankets in a crib cobbled together from wood scraps. Baby formula and medicine for the infant’s persistent cough are not available and in any case not affordable.

The war, triggered by a deadly Oct. 7 Hamas assault on southern Israel, has unleashed unimaginable destruction, with more than 18,000 Palestinians killed and close to 50,000 wounded in Israel’s offensive, according to health officials in Hamas-run Gaza. The initial Hamas attack killed about 1,200 people in Israel, most of them civilians.

Amid the devastation, about 5,500 births are expected over the next month, out of an estimated 50,000 women in Gaza who are currently pregnant, according to the World Health Organization.

Yet the health sector is close to collapse, with two-thirds of Gaza’s 36 hospitals now out of service. The 12 remaining health facilities are only partially operational. Even in the functioning hospitals, doctors report a lack of basic medicines and the kind of equipment needed to treat newborns, including ventilators, formula milk and disinfectant.

The severe shortage of fuel is another major concern for hospitals that have run solely on generators since the early days of the war when Israel cut Gaza’s electricity supply.

“Electricity sometimes comes on for a few minutes” before dropping off, said Wisam Shaltout, head of the neonatal intensive care unit at the Al-Aqsa Hospital in Deir al-Balah in central Gaza.

Salim and Israa’s odyssey began in mid-October. During that period, the Israeli military had been issuing daily warnings to residents of northern Gaza, including Gaza City, to head to the southern half of the territory ahead of a looming Israel ground offensive in the north.

Heeding the warnings, Salim, a heavily pregnant Israa and their 5-year-old son fled their home in the Sheikh Radwan neighborhood of Gaza City and headed south on foot. The family of three shortly arrived at Shifa hospital in Gaza City before managing to secure a taxi later that day to take them to Al-Aqsa Hospital where they found shelter.

When 26-year old Israa went into labor on Nov. 23, the pair were told to head to Al-Awda Hospital, near the Nuseirat refugee camp, as it still had a maternity ward.

The couple managed to find a Red Crescent ambulance to take them to Al-Awda, just 6 kilometers (3.7 miles) away. But it was a frightful stop-start journey that took more than an hour because three airstrikes hit near the road.

Most arriving at Al-Awda’s maternity ward have no vehicle to help. Some pregnant women are too scared to go at all, fearing airstrikes that in some cases have also struck ambulances, said Dr. Yasmin Kafarneh, who runs the obstetrics department at Al-Awda.

She said she believes her department is the only functioning maternity ward in southern Gaza. Before the war, the department used to handle around six births a day. Now, pregnant women arrive from all over and more than 70 babies are delivered each day.

Under the current conditions, first-time mothers are permitted to stay and receive treatment in the hospital for around four hours after giving birth, while those who have previously given birth can stay for only half that time.

Israa gave birth at 2 a.m. on Nov. 24, but the joy was short-lived. Just after daybreak, the family was told by medical staff they had to leave to make room for others.

They secured a donkey cart to carry them back to their shelter at the Al-Aqsa Hospital. They have little to eat, some days just onions.

Their neighbors make fires to stay warm, sometimes burning plastic that releases toxic fumes. “The atmosphere here is all smoke, all dust,” Salim said. “It is not an appropriate environment for a newborn girl!”

The baby’s health has deteriorated, said Salim, troubled by her persistent cough.

Israa was born just hours before a cease-fire took effect that lasted a week. After fighting resumed and ground forces advanced in central and southern Gaza, their shelter became even more crowded.

Given the circumstances, Salim said he has done the best he can. But he’s scared for his daughter. “I do not know whether she will be alive tomorrow,” he said.


Jeffrey reported from Cairo.

United States News


Associated Press

Robert F. Kennedy Jr. fails to qualify for CNN’s debate next week

Robert F. Kennedy Jr. failed to qualify for the presidential debate on June 27, meaning it'll be a showdown between Democratic President Joe Biden and Republican nominee Donald Trump.

3 hours ago

Associated Press

Pursuit of Milwaukee carjacking suspects ends with police shooting 2 teens in stolen vehicle

MILWAUKEE (AP) — A police pursuit of carjacking suspects in Milwaukee ended Thursday with police firing into the vehicle and injuring two teens, one of whom was pregnant and lost her baby, Milwaukee police said. Officers tried to stop the stolen vehicle just before 2:30 p.m. on Interstate 43 north of Milwaukee. The pursuit ended […]

9 hours ago

Associated Press

How Biden and Trump are taking very different approaches to preparing for next week’s debate

NEW YORK (AP) — President Joe Biden begins an intense period of private preparations Friday at Camp David for what may be the most consequential presidential debate in decades. The 81-year-old Democrat’s team is aware he cannot afford an underwhelming performance when he faces Republican rival Donald Trump for 90 minutes on live television June […]

10 hours ago

Associated Press

2 crop dusting airplanes collided in southern Idaho, killing 1 pilot and severely injuring the other

ARCO, Idaho (AP) — Two crop dusting airplanes collided near an airport in southern Idaho on Thursday and crashed to the ground, killing one of the pilots and leaving the other with life-threatening injuries, officials said. The crash was reported at about 12:30 p.m. in an area covered by sage and grass near the airport […]

10 hours ago

Associated Press

Seattle police officer fired for off-duty racist comments

SEATTLE (AP) — A Seattle police officer was fired for calling his Chinese American neighbor racist and sexist slurs while off duty in 2022, according to a news report. Officer Burton Hill was fired in May, The Seattle Times reported. The termination stemmed from an altercation with his neighbor, Zhen Jin, over the disposal of […]

11 hours ago

Associated Press

Appeals court panel refuses to delay Trump ally Steve Bannon’s 4-month contempt prison sentence

WASHINGTON (AP) — A federal appeals court panel on Thursday rejected longtime Donald Trump ally Steve Bannon’s bid to stay out of prison while he fights his conviction for defying a subpoena from the House committee that investigated the U.S. Capitol attack. Bannon is supposed to report to prison by July 1 to begin serving […]

12 hours ago

Sponsored Articles


Midwestern University

Midwestern University Clinic visits boost student training & community health

Going to a Midwestern University Clinic can help make you feel good in more ways than one.


Day & Night Air Conditioning, Heating and Plumbing

Beat the heat, ensure your AC unit is summer-ready

With temperatures starting to rise across the Valley, now is a great time to be sure your AC unit is ready to withstand the sweltering summer heat.


Condor Airlines

Condor Airlines can get you smoothly from Phoenix to Frankfurt on new A330-900neo airplane

Adventure Awaits! And there's no better way to experience the vacation of your dreams than traveling with Condor Airlines.

Packed hospitals, treacherous roads, harried parents: Newborns in Gaza face steeper odds of survival