Born too soon: Premature babies fight for survival in Gaza Israel’s genocidal war on Gaza is causing a surge in premature births and endangering mothers’ health. Noor Salem, 30, stands beside an incubator at a neonatal intensive care unit in central Gaza, where her baby, Yazan Al-Khalidi, lies attached to tubes and monitors. She watches his tiny body behind a sheet of quartz glass, tracking his meagre breathing and the slightest movement he makes.

Yazan was born eight months into Noor’s pregnancy, his body appearing bluish in the first moments of life. This required immediate transfer to the neonatal intensive care unit at Al-Aqsa Martyrs Hospital in Deir el-Balah, after it became apparent that Yazan was born with breathing issues. Instead of being able to hold her baby in the first moments after his birth, Noor is now forced to sit by the incubator and wait for Yazan’s condition to improve.

Yazan is Noor’s second child, having lost her first baby shortly after birth during the famine in Gaza in 2025, brought about by Israel’s ongoing genocide in the enclave. During her pregnancy with Yazan, she endured shortages of basic necessities and a constant fear of losing another child. “I was afraid throughout my pregnancy because I had already lost my baby before.

I was afraid I would go through the same pain again,” she said. “When he was born, and I saw that he was not moving or crying like other babies, I felt terrified. I did not know what would happen to him.

All I wanted was for him to survive.” Noor waits for daily updates from doctors, hoping Yazan will overcome his health difficulties and return to her arms. Rising premature births in Gaza There has been a sharp increase in premature births and underweight newborns, as well as stillbirths and birth defects, since the genocide in Gaza began on October 7, 2023. UNICEF has repeatedly warned about a crisis in premature births in Gaza, with one in every five newborns requiring intensive neonatal or thermal care.

Maternal malnutrition, prolonged psychological stress and declining prenatal care services have all had an impact on both mother and child. Dr Afnan Abu Hasaballah, an obstetrician and gynecologist working with UNRWA and Al-Awda Health Hospital in Nuseirat refugee camp, has personally witnessed the impact of this on the health of pregnant women and newborns. She says many pregnant women arrive at hospitals suffering from severe stress and exhaustion after repeated displacement, deprivation of essential goods and bombings.

“Constant fear, repeated displacement, lack of food and clean water, and limited access to prenatal care all increased the risk of premature birth,” she says. The Israeli siege on Gaza is also leading to severe malnutrition, and one of the main issues affecting both expectant mothers and their fetuses, leading to more premature births and low birthweights for newborns and requiring intensive care. Inadequate nutrition also increases the risk of anemia, exhaustion for expectant mothers, pregnancy complications and restricted fetal growth.

“Many pregnant women during the war were unable to access sufficient or balanced food, and this directly affected the health of mothers and newborns,” Dr Abu Hasaballah says.