Characteristics of Pregnant Women and Infant Outcomes in Southern Gaza's Humanitarian Crisis
DOI:
https://doi.org/10.56744/irchum.v5i1.145Keywords:
pregnant women, anemia, infant outcomes, Gaza, humanitarian crisisAbstract
The prolonged humanitarian crisis in Southern Gaza has restricted access to food, medicines, medical supplies, and maternal health services. An-Nasser Medical Complex in Khan Younis continues to provide obstetric care under these constraints. To describe the characteristics of pregnant women and infant outcomes recorded in the labor ward of An-Nasser Medical Complex during the humanitarian crisis from 10–24 July 2025. A descriptive quantitative study using a cross-sectional approach based on medical records was conducted among 216 pregnant women recorded in the labor ward. The variables analyzed included maternal age, parity, gestational age, hemoglobin level, birth weight, infant sex, number of fetuses, and mode of delivery. Data were analyzed using frequency distributions and percentages. Most mothers were aged 20–35 years (81.0%) and were multigravida (51.9%). A total of 75.0% of deliveries occurred at term and 13.9% were preterm. Anemia was identified in 53.7% of mothers. Most infants had a normal birth weight (84.7%), while 14.3% were classified as low birth weight. In the labor-ward dataset, 91.2% of deliveries were recorded as normal deliveries. The study showed a high prevalence of anemia, as well as the occurrence of preterm birth and low birth weight among mothers and infants managed in a humanitarian crisis setting. These findings support the importance of access to nutrition, antenatal care, and sustained maternal-neonatal medical support in conflict-affected areas. Because the study used a descriptive design, causal relationships between conflict conditions and maternal-neonatal outcomes cannot be determined.
Downloads
References
Aldabbour, B., Elamassie, S., Mahdi, S., Abuzaid, H., Abed, T., Tannira, Y., Skaik, K., Abu Zaydah, Y., Elkolak, A., Alhabashi, M., Abualqumboz, A., Alwali, A., Alagha, H., Eid, M., Abed, S., & Bottcher, B. (2025). Exploring maternal and neonatal health in a conflict-affected setting: Cross-sectional findings from Gaza. Conflict and Health, 19, 45. https://doi.org/10.1186/s13031-025-00687-9
Bodalal, Z., Agnaeber, K., Nagelkerke, N., Stirling, B., Temmerman, M., & Degomme, O. (2014). Pregnancy outcomes in Benghazi, Libya, before and during the armed conflict in 2011. Eastern Mediterranean Health Journal, 20(3), 175–180. https://doi.org/10.26719/2014.20.3.175
Böttcher, B., Abu-El-Noor, M., & Abu-El-Noor, N. (2019). Choices and services related to contraception in the Gaza Strip, Palestine: Perceptions of service users and providers. BMC Women’s Health, 19, 165. https://doi.org/10.1186/s12905-019-0869-0
Chen, Y., Zhong, T., Song, X., Zhang, S., Sun, M., Liu, X., Wei, J., Shu, J., Liu, Y., & Qin, J. (2024). Maternal anaemia during early pregnancy and the risk of neonatal outcomes: A prospective cohort study in Central China. BMJ Paediatrics Open, 8(1), e001931. https://doi.org/10.1136/bmjpo-2023-001931
Food and Agriculture Organization of the United Nations. (2024). Protecting the right to adequate food and saving lives in the Gaza Strip: Briefing note on the Occupied Palestinian Territory. https://openknowledge.fao.org/handle/20.500.14283/cd1622en
Horino, M., Massad, S., Ahmed, S., Abu Khalid, K., & Abed, Y. (2024). Understanding coverage of antenatal care in Palestine: Cross-sectional analysis of Palestinian Multiple Indicator Cluster Survey, 2019–2020. PLOS ONE, 19(2), e0297956. https://doi.org/10.1371/journal.pone.0297956
International Committee of the Red Cross. (2024, July 12). Red Cross Field Hospital in Rafah, Gaza Strip: After two months. https://www.icrc.org/en/article/red-cross-field-hospital-rafah-gaza-strip-after-two-months
Keasley, J., Blickwedel, J., & Quenby, S. (2017). Adverse effects of exposure to armed conflict on pregnancy: A systematic review. BMJ Global Health, 2(4), e000377. https://doi.org/10.1136/bmjgh-2017-000377
Lauer, J. M., Bhaise, S., Dhurde, V., Gugel, A., Shah, M., Hibberd, P. L., Patel, A., & Locks, L. M. (2024). Maternal anemia during pregnancy and infant birth outcomes: A prospective cohort study in Eastern Maharashtra, India. Current Developments in Nutrition, 8(11), 104476. https://doi.org/10.1016/j.cdnut.2024.104476
Leone, T., Alburez-Gutierrez, D., Ghandour, R., Coast, E., & Giacaman, R. (2019). Maternal and child access to care and intensity of conflict in the occupied Palestinian territory: A pseudo-longitudinal analysis (2000–2014). Conflict and Health, 13, 36. https://doi.org/10.1186/s13031-019-0220-2
Movahedinia, S., Soltaninejad, N., Nikpour, N., Mirzaei, M., & Omidi Kermanshahaninezhad, S. (2026). Maternal age and perinatal morbidity: A comparative cohort study including advanced maternal age and adolescent pregnancy. BMC Pregnancy and Childbirth. Advance online publication. https://doi.org/10.1186/s12884-026-09586-0
Seetho, S., Kongwattanakul, K., Saksiriwuttho, P., & Thepsuthammarat, K. (2023). Epidemiology and factors associated with preterm births in multiple pregnancy: A retrospective cohort study. BMC Pregnancy and Childbirth, 23, 872. https://doi.org/10.1186/s12884-023-06186-0
United Nations Population Fund. (2024, May 22). UNFPA Palestine situation report #8. https://www.unfpa.org/resources/unfpa-palestine-situation-report-8-22-may-2024
Vogel, J. P., Torloni, M. R., Seuc, A., Betrán, A. P., Widmer, M., Souza, J. P., & Merialdi, M. (2013). Maternal and perinatal outcomes of twin pregnancy in 23 low- and middle-income countries. PLOS ONE, 8(8), e70549. https://doi.org/10.1371/journal.pone.0070549
World Food Programme. (2024, October 17). New Gaza food security assessment sees famine risk persisting amid ongoing fighting and restricted aid operations. https://www.wfp.org/news/new-gaza-food-security-assessment-sees-famine-risk-persisting-amid-ongoing-fighting-and
World Health Organization. (2023, December 27). WHO teams deliver supplies to hospitals in Northern and Southern Gaza. https://www.who.int/news/item/27-12-2023-who-teams-deliver-supplies-to-hospitals-in-northern-and-southern-gaza
Zerfu, T. A., Umeta, M., & Baye, K. (2016). Dietary diversity during pregnancy is associated with reduced risk of maternal anemia, preterm delivery, and low birth weight in a prospective cohort study in rural Ethiopia. The American Journal of Clinical Nutrition, 103(6), 1482–1488. https://doi.org/10.3945/ajcn.115.116798
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Leny Suardi, Prita Kusumaningsih, Nour Kamal Abushammala

This work is licensed under a Creative Commons Attribution 4.0 International License.





