KHAN YOUNIS: Nearly seven months pregnant, Yasmine Siam couldn’t sleep, living in a crowded tent camp in Gaza and shaken often by Israeli bombardment. She couldn’t find proper food and hadn’t eaten meat for more than a month. Weak and losing weight, she saw doctors every day. There was little they could do.
One night this month, pain shot through her. She worried labor was starting but was too terrified of gunfire to leave her tent. Siam waited till daybreak to walk to the nearest mobile clinic. The medics told her to go to Nasser Hospital, miles away.
She had to take a donkey cart, jolted by every bump in the bombed-out roads. Exhausted, the 24-year-old found a wall to lean on for the hourslong wait for a doctor.
An ultrasound showed her baby was fine. Siam had a urinary tract infection and was underweight: 57 kilos (125 pounds), down 6 kilos (13 pounds) from weeks earlier. The doctor prescribed medicine and told her what every other doctor did: Eat better.
“Where do I get the food?” Siam said, out of breath as she spoke to The Associated Press on April 9 after returning to her tent outside the southern city of Khan Younis.
“I am not worried about me. I am worried about my son,” she said. “It would be terrible if I lose him.”
With Gaza decimated, miscarriages rise
Siam’s troubled pregnancy has become the norm in Gaza. Israel’s 18-month-old military campaign decimating the territory has made pregnancy and childbirth more dangerous, even fatal, for Palestinian women and their babies.
It has become worse since March 2, when Israel cut off all food, medicine and supplies for Gaza’s more than 2 million people.
Meat, fresh fruits and vegetables are practically nonexistent. Clean water is difficult to find. Pregnant women are among the hundreds of thousands who trudge for miles to find new shelters after repeated Israeli evacuation orders. Many live in tents or overcrowded schools amid sewage and garbage.
Up to 20 percent of Gaza’s estimated 55,000 pregnant women are malnourished, and half face high-risk pregnancies, according to the United Nations Population Fund, or UNFPA. In February and March, at least 20 percent of newborns were born prematurely or suffering from complications or malnutrition.
With the population displaced and under bombardment, comprehensive miscarriage and stillbirth figures are impossible to obtain. Records at Khan Younis’ Nasser Hospital show miscarriages in January and February were double the same period in 2023.
Dr. Yasmine Shnina, a Doctors Without Borders supervisor of midwives at Nasser Hospital, documented 40 miscarriages a week in recent weeks. She has recorded five women a month dying in childbirth, compared with around two a year before the war.
“We don’t need to wait for future impact. The risks are emerging now,” she said.
A love story in the tents
For Siam and her family, her pregnancy — after a whirlwind, wartime marriage — was a rare joy.
Driven from Gaza City, they had moved three times before settling in the tent city sprawling across the barren coastal region of Muwasi.
Late last summer, they shared a meal with neighbors. A young man from the tent across the way was smitten.
The next day, Hossam Siam asked for Yasmine’s hand in marriage.
She refused initially. “I didn’t expect marriage in war,” she said. “I wasn’t ready to meet someone.”
Hossam didn’t give up. He took her for a walk by the sea. They told each other about their lives. “I accepted,” she said.
On Sept. 15, the groom’s family decorated their tent. Her best friends from Gaza City, dispersed around the territory, watched the wedding online
Within a month, Yasmine Siam was pregnant.
Her family cherished the coming baby. Her mother had grandsons from her two sons but longed for a child from her daughters. Siam’s older sister had been trying for 15 years to conceive. Her mother and sister — now back in Gaza City — sent baby essentials.
From the start, Siam struggled to get proper nutrition, relying on canned food.
After a ceasefire began in January, she and Hossam moved to Rafah. On Feb, 28, she had a rare treat: a chicken, shared with her in-laws. It was her last time eating meat.
A week later, Hossam walked for miles searching for chicken. He returned empty-handed.
‘Even the basics are impossible’
Israel has leveled much of Gaza with its air and ground campaign and has killed over 51,000 Palestinians, mostly women and children, according to Gaza’s Health Ministry, whose count does not distinguish between civilians and combatants.
In Gaza’s ruins, being pregnant is a formidable struggle.
It’s not just about quantity of food, said Rosalie Bollen, of UNICEF, “it’s also about nutritional diversity, the fact that they have been living in very dire, unsanitary conditions, sleeping on the ground, sleeping in the cold and just being stuck in this permanent state of very toxic stress.”
Nine of the 14 hospitals providing maternal health services before the war still function, though only partially, according to UNFPA.
Because many medical facilities are dislocated by Israeli military operations or must prioritize critical patients, women often can’t get screenings that catch problems early in pregnancy, said Katy Brown, of Doctors Without Borders-Spain.
That leads to complications. A quarter of the nearly 130 births a day in February and March required surgical deliveries, UNFPA says.
“Even the basics are impossible,” Brown said.
Under the blockade, over half the medicines for maternal and newborn care have run out, including ones that control bleeding and induce labor, the Health Ministry says. Diapers are scarce. Some women reuse them, turning them inside out, leading to severe skin infections, aid workers say.
Israel says the blockade aims to pressure Hamas into releasing the remaining hostages. Rights groups call it a “starvation tactic” endangering the entire population and a potential war crime.
At Nasser Hospital’s maternity ward, Dr. Ahmad Al-Farra witnessed things go from bad to worse.
Israeli forces raided the hospital in early 2024, claiming it housed Hamas fighters. Incubators in a warehouse were wrecked. The maternity ward was rebuilt into Gaza’s largest and best equipped for emergencies.
Since Israel broke the two-month ceasefire on March 18, the hospital has been flooded with wounded.
Up to 15 premature babies at a time need respirators, but the hospital has only two CPAP machines to keep preemies breathing. Some are put on adult respirators, often leading to death, Al-Farra said.
Twenty CPAP machines languish outside Gaza, unable to enter because of the blockade, along with 54 ultrasounds, nine incubators and midwifery kits, according to the UN
A lack of cleaning supplies makes hygiene nearly impossible. After giving birth, women and newborns weakened by hunger frequently suffer infections causing long-term complications, or even death, said Al-Farra.
Yasmine Zakout was rushed to Nasser Hospital in early April after giving birth prematurely to twin girls. One girl died within days, and her sister died last week, both from sepsis.
Before the war, Al-Farra said he would maybe see one child a year with necrotizing pneumonia, a severe infection that kills lung tissue.
“In this war, I treated 50 cases,” Al-Farra said. He removed parts of the lungs in nearly half those babies. At least four died.
Pregnant women are regularly among the wounded.
Khaled Alserr, a surgeon at Nasser Hospital, told of treating a four months pregnant woman after an April 16 strike. Shrapnel had torn through her uterus. The fetus couldn’t be saved, he said, and pregnancy will be risky the rest of her life. Two of her children were among 10 children killed in the strike, he said.
The stress of the war
In her sixth month of pregnancy, Siam walked and rode a donkey cart for miles back to a tent in Muwasi after Israel ordered Rafah evacuated.
With food even scarcer, she turned to charity kitchens distributing meals of plain rice or pasta.
Weakened, she fell down a lot. Stress was mounting — the misery of tent life, the separation from her mother, the terror of airstrikes, the fruitless visits to clinics.
“I just wish a doctor would tell me, ‘Your weight is good.’ I’m always malnourished,” she told the AP, almost pleading.
Hours after her scare on April 9, Siam was still in pain. She made her fifth visit to the mobile clinic in two days. They told her to go to her tent and rest.
She started spotting. Her mother-in-law held her up as they walked to a field hospital in the dead of night.
At 3 a.m., the doctors said there was nothing she could do but wait. Her mother arrived from Gaza City.
Eight hours later, the fetus was stillborn. Her mother told her not to look at the baby. Her mother-in-law said he was beautiful.
Her husband took their boy to a grave.
Days later, she told the AP she breaks down when she sees photos of herself pregnant. She can’t bear to see anyone and refuses her husband’s suggestions to take walks by the sea, where they sealed their marriage.
She wishes she could turn back time, even for just a week.
“I would take him into my heart, hide him and hold on to him.”
She plans to try for another baby.
Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby
https://arab.news/v6u8x
Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby

- It’s become worse since Israel seven weeks ago cut off food, medicine and supplies for the territory’s more than 2 million people
- According to the United Nations Population Fund, up to 20 percent of Gaza’s estimated 55,000 pregnant women are malnourished, and half face high-risk pregnancies
Activist Gaza aid boat slams Israel ‘threat’

ROME: International activists seeking to sail an aid boat to Gaza condemned Wednesday what they called Israel’s threats and “declared intent to attack” their vessel as it crosses the Mediterranean.
Israel’s military said Tuesday it was ready to “protect” the country’s seas, after the vessel — the Madleen, sailed by the Freedom Flotilla Coalition — left Sicily on Sunday carrying around a dozen people, including environmental activist Greta Thunberg.
“The navy operates day and night to protect Israel’s maritime space and borders at sea,” army spokesman Brig. Gen. Effie Defrin said.
Asked about the aid vessel, he said: “For this case as well, we are prepared.”
He added: “We have gained experience in recent years, and we will act accordingly.”
In a statement on Wednesday, the activist coalition said it “strongly condemns Israel’s declared intent to attack Madleen,” calling it a “threat.”
“Madleen carries humanitarian aid and international human rights defenders in direct challenge to Israel’s illegal, decades-long blockade, and ongoing genocide” in Gaza, it said.
Israel has come under increasing international criticism over the dire humanitarian situation in the Palestinian territory, where the United Nations warned in May that the entire population was at risk of famine.
The Freedom Flotilla Coalition, launched in 2010, is an international movement supporting Palestinians, combining humanitarian aid with political protest against the blockade on Gaza.
The Madleen is a small sailboat reportedly carrying fruit juices, milk, rice, tinned food and protein bars.
In early May, the Freedom Flotilla ship Conscience was damaged in international waters off Malta as it headed to Gaza, with the activists saying they suspected an Israeli drone attack.
The coalition said that on Tuesday evening, off the coast of the Greek island of Crete, the Madleen “was approached and circled by a drone, followed, several hours later by two additional drones.”
It said it was later informed these were surveillance drones operated by the Greek coast guard, EU border agency Frontex or both.
Israel recently eased a more than two-month blockade on war-ravaged Gaza, but the aid community has urged it to allow in more food, faster.
IAEA head in Damascus to discuss nuclear power

- The IAEA has urged Syria repeatedly to cooperate fully with the agency in connection to a suspected nuclear reactor at the Deir Ezzor desert site
DAMASCUS: UN nuclear watchdog head Rafael Grossi said Wednesday his agency and Syrian authorities would begin “exploring the possibility of nuclear power,” on his first visit to Damascus since the ouster of Bashar Assad.
The International Atomic Energy Agency (IAEA) has repeatedly been at loggerheads with Syria in the past over what it says are “unresolved issues” regarding suspected nuclear activities.
On his visit, the IAEA chief met with Syrian President Ahmed Al-Sharaa and Foreign Minister Asaad Al-Shaibani.
“Honoured to meet Syrian President Ahmed Al-Sharaa in Damascus. I recognize his courage in cooperating with full transparency to close a chapter of Syria’s past that diverted resources necessary for development,” Grossi said in a post on X.
He said the two sides “will also begin exploring the possibility of nuclear power in Syria.”
“Our cooperation is key to closing outstanding issues and focusing on the much needed help IAEA can provide Syria in health and agriculture,” he added.
The IAEA has urged Syria repeatedly to cooperate fully with the agency in connection to a suspected nuclear reactor at the Deir Ezzor desert site.
Israel in 2018 admitted carrying out a top-secret air raid in 2007 against what it said was a nuclear reactor under construction at the site in eastern Syria.
Syria had denied it was building a nuclear reactor.
Grossi visited Damascus in March last year, meeting then president Assad who was overthrown in December after nearly 14 years of civil war.
Grossi told an IAEA Board of Governors meeting in March this year that he had requested Syria’s cooperation to “fulfil our obligation to verify nuclear material and facilities” and to “address unresolved issues.”
“Clarifying these issues remains essential to Syria demonstrating its commitment to nuclear non-proliferation and international peace and security,” he said at the time.
Sudan’s former premier Hamdok says recent military gains won’t end the war

MARRAKECH: Sudan’s former prime minister on Wednesday dismissed the military’s moves to form a new government as “fake,” saying its recent victories in recapturing the capital Khartoum and other territory will not end the country’s two-year civil war.
Abdalla Hamdok said no military victory, in Khartoum or elsewhere, could end the war that has killed tens of thousands and driven millions from their homes.
“Whether Khartoum is captured or not captured, it’s irrelevant,” Hamdok said on the sidelines of the Mo Ibrahim Foundation’s governance conference in Morocco.
“There is no military solution to this. No side will be able to have outright victory.”
Hamdok became Sudan’s first civilian prime minister after decades of military rule in 2019, trying to lead a democratic transition. He resigned in January 2022 after a turbulent stretch in which he was ousted in a coup and briefly reinstated amid international pressure.
The following year, warring generals plunged the country into civil war. Sudan today bears the grim distinction of being home to some of the world’s worst humanitarian crises.
Fighting between the army and the paramilitary Rapid Support Forces has left at least 24,000 dead, though many believe the true toll is far worse.
Both sides stand accused of war crimes.
The RSF, with roots in Darfur’s notorious Janjaweed militia, has been accused of carrying out genocide. The army is accused of unleashing chemical weapons and targeting civilians where they live.
The war has driven about 13 million people from their homes, including 4 million who have crossed into neighboring countries. Famine is setting in and cholera is sweeping through.
The military recaptured the Khartoum area from the RSF in March, as well as some surrounding territory. Army chief Gen. Abdel-Fattah Al-Burhan has framed the advances as a major turning point in the conflict.
Last month, he appointed a new prime minister, Kamil Al-Taib Idris, for the first time since the war began, tasked with forming a new government. But the fighting has continued.
The RSF has regrouped in its stronghold in Darfur and made advances elsewhere, including in Kordofan.
Hamdok, a 69-year-old former economist who now leads a civilian coalition from exile, called the idea that the conflict was drawing down “total nonsense.” The idea that reconstruction can begin in Khartoum while fighting rages elsewhere is “absolutely ridiculous,” he said.
“Any attempt at creating a government in Sudan today is fake. It is irrelevant,” he said, arguing that lasting peace can’t be secured without addressing the root causes of the war.
Hamdok said a ceasefire and a credible process to restore democratic, civilian rule would need to confront Sudan’s deep inequalities, including uneven development, issues among different identity groups and questions about the role of religion in government.
“Trusting the soldiers to bring democracy is a false pretense,” he added.
Though rooted in longstanding divisions, the war has been supercharged by foreign powers accused of arming both sides.
Pro-democracy groups, including Hamdok’s Somoud coalition, have condemned atrocities committed by both the army and the RSF.
“What we would like to see is anybody who is supplying arms to any side to stop,” he said.
Egypt says the sovereignty of a famous monastery is assured

- Egypt’s foreign minister assured his Greek counterpart that the spiritual and religious value of Saint Catherine Monastery will be preserved
CAIRO: Egypt says the sovereignty of a famous monastery is assured.
Egypt’s foreign minister on Wednesday told his Greek counterpart that the spiritual and religious value of the Saint Catherine Monastery and surrounding archaeological sites will be preserved. That’s according to a statement.
The Greek Orthodox Church had been concerned after an administrative court said the state owns the land but affirmed the monks’ right to use the site.
The Patriarchate of Jerusalem last week expressed concern and said “it is our sacred obligation to ensure that Christian worship continues on this holy ground, as it has done for 17 centuries.” It acknowledged Egypt’s assurances there would be no infringement.
Egypt’s presidency last week said the ruling consolidates the state’s commitment to preserve the monastery’s religious status.
UN calls for probe into Libya mass graves

- UN rights chief ‘shocked’ as dozens of bodies discovered in a section of Libyan capital run by armed militia
GENEVA: The UN human rights office called on Wednesday for an independent investigation into the discovery of mass graves at detention centers in Libya’s capital Tripoli.
It expressed concerns about the discovery of dozens of bodies, some charred and buried and others in hospital refrigerators, in an area of Libya’s capital controlled by an armed militia whose leader was killed last month.
UN High Commissioner for Human Rights Volker Türk said he was shocked by revelations that gross rights violations were uncovered at detention facilities in Tripoli run by the Stabilization Support Authority, or SSA, an armed group whose commander, Abdel-Ghani Al-Kikli, was killed in militia fighting in mid-May.
It was established to uphold the rule of law and falls under the Presidential Council that came to power in 2021 with the Government of National Unity of Abdul Hamid Dbeibah through a UN-backed process.
The rights office said it later received information on the excavation of 10 charred bodies at the SSA headquarters in the Abu Salim neighborhood and another 67 bodies discovered in refrigerators in the Abu Salim and Al-Khadra Hospitals.
It also cited reports of a burial site at the Tripoli Zoo that was run by the SSA.
The office said the identities of the bodies were not immediately clear. “Our worst-held fears are being confirmed: Dozens of bodies have been discovered at these sites, along with the discovery of suspected instruments of torture and abuse, and potential evidence of extrajudicial killings,” Türk said in a statement.
Türk called on authorities to seal the area to preserve evidence and said there needed to be accountability for the killings. He said the UN should be granted access to the sites to document rights violations.
Libya, a major oil producer in the Mediterranean, has known little law and order since a 2011 NATO-backed uprising that toppled dictator Muammar Qaddafi and eventually divided the country between warring eastern and western factions.
The rights body said the discovery of dozens of bodies and suspected instruments of torture and abuse confirmed longstanding findings by the UN that human rights violations were committed at such sites.
“We call on the Libyan authorities to conduct independent, impartial and transparent investigations into these discoveries,” it said in a statement. It urged the authorities to preserve evidence and grant Libya’s forensic teams, as well as the United Nations, full access to the sites.
Outright war fighting in Libya abated with a ceasefire in 2020. However, efforts to end the political crisis have failed, with major factions occasionally joining forces in armed clashes and competing for control over Libya’s substantial energy resources.
Armed clashes erupted on Monday evening and gunfire echoed in the center and other parts of Tripoli following reports that the commander of one of its most powerful armed groups had been killed, three residents said by phone.