Sarah Al-Hassan lost her baby due to the lack of care in the camps. Credit: Sonia Al Ali/IPS

By Sonia Al Ali
IDLIB, Syria, Aug 22 2024 (IPS)

Pregnant women in northern Syria’s camps for internally displaced people fear about their health and the health of their unborn children because of a lack of basic medical care and a healthy diet. These conditions exacerbate the illnesses and challenges faced by women, particularly amid the region’s widespread poverty, food insecurity, and the remoteness of hospitals and health centers from the camps.

Pregnant women in the camps are susceptible to anemia, malnutrition, and giving birth to stunted children if they survive. The delay in obtaining care poses a significant health risk to both pregnant women and their infants.

Fatima Al-Aboud, a 26-year-old displaced woman living in the Ma’arat Misrin camp north of Idlib, is six months pregnant and suffering from severe anemia, which threatens both her health and that of her fetus.

“The doctor told me that I need to eat a balanced diet in sufficient quantities throughout my pregnancy to maintain my health and that of my fetus, but poverty and high prices have made me unable to buy fruits and vegetables rich in vitamins and proteins. I am also unable to afford the necessary medications for pregnant women.”

Al-Aboud does not hide her fear of giving birth to a child in poor health due to malnutrition or of her labor starting without a car available to transport her to the hospital, especially since the road between the camp and health centers is poor and rugged and it is more than five kilometers away.

Pregnant women face health risks in the camps. Credit: Sonia Al Ali/IPS

“I have many fears, as there are no comfortable places to sit or sleep inside the tent, and I cannot get physical rest during pregnancy. As a pregnant woman, I do not have a private space or clean toilets,” Al-Aboud told IPS.

The health risks faced by pregnant women increase due to the distance of health centers and hospitals from the camps, exposing them to the risk of miscarriage and even death during childbirth, along with the possibility of premature births.

The Syria Response Coordinators team, which specializes in gathering information and statistics in the areas of northwestern Syria, reports that more than 87 percent of the camps suffer from a lack of medical points and mobile clinics, and there are difficulties in transporting patients to nearby hospitals, knowing that the financial condition of most of the displaced is very poor and they are unable to secure the necessary treatment for any medical condition without exception.

Sara Al-Hassan, a 31-year-old displaced woman in a makeshift camp north of Syria near the Turkish border and a mother of three, lost her baby during childbirth.

“I started labor after midnight, and due to the distance of the hospitals from the camp and the lack of transportation, I relied on a nurse who lived nearby.”

She says that her delivery was difficult, and her baby was in critical condition and urgently needed an incubator. While being transported to a hospital, the baby passed away.

Al-Hassan confirms that she no longer wants to have children and relies on contraception to avoid repeating the experience of pregnancy and childbirth within the camps. She added that her life in the tent is harsh, as she lacks clean drinking water, bathing water, and food. She wouldn’t be able to provide for the needs of newborn babies as there is a significant shortage of personal hygiene items.

“Stress, anxiety, and overthinking dominate my life, and I feel helpless towards my three children who are living in difficult conditions, but despite that, I try my best to take care of their cleanliness and provide for their needs,” Al-Hassan says.

Dr. Ola Al-Qudour, a specialist in obstetrics and gynecology from Idlib city in northwestern Syria, talks about the suffering of pregnant women in northern Syria’s camps.

“Thousands of Syrian pregnant women live in camps in harsh conditions, as most of them cannot provide the necessities of food and medicine. Malnutrition leads to health problems that affect both the pregnant woman and the fetus and exposes the mother to a decrease in milk after childbirth, making her unable to breastfeed her child.”

Al-Qudour points out that the lack of hospitals within the camps increases the suffering of pregnant women, forcing most cases to move outside, confirming that displaced women live in tents made of cloth, and those who give birth in the hospital often return to the tent after only a few hours due to hospital congestion, knowing that the first 24 hours after childbirth are the most critical in terms of complications, so it is important to keep the mother in the hospital for as long as possible.

She confirms that low levels of hygiene make pregnant women more susceptible to influenza due to a decrease in their immunity, and that pregnant women who don’t get enough sleep can also expose them to early labor as well as affect the growth of the child after birth. She also indicates that non-sterile home births increase the risk of infection in newborns and mothers.

The doctor emphasizes the need to provide healthcare services for pregnant women and newborns in the camps, including regular medical check-ups and early diagnosis of any health problems, and providing the necessary care and nutrition for mothers during pregnancy, childbirth, and afterwards.

With the continuation of the war and displacement, more than two million people still reside in camps in northwestern Syria, including 604,000 women.

The UN Office for the Coordination of Humanitarian Affairs (OCHA) says as many as “660 camps (44 percent of over 1,500 camps) across Idleb and northern Aleppo do not have water, sanitation and hygiene (WASH) support, affecting over 907,000 people. Half of them are children.”

IPS UN Bureau Report

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