carried

Deir el-Balah, Gaza – For years, Nuha Abu Lebda dreamed of becoming a mother. But Israel’s genocidal war on Gaza has turned that dream into loss, time and time again.

As she was forcibly displaced several times across the Gaza Strip since the war began in October 2023, Abu Lebda lost three pregnancies. She says the losses came after months of air strikes, hunger, fear and living without proper medical care.

“I miscarried because of the air strikes, the displacement, the difficult conditions, the lack of clean water and malnutrition,” she tells Al Jazeera.

After each miscarriage, she hoped she could still become a mother.

“When I lost my baby, I was exhausted. I woke up hoping my baby was still inside me. But the dream I carried for 10 years was gone.”

Abu Lebda sold her gold and almost everything she owned to pay for injections of heparin, a drug prescribed to some women to prevent blood clotting during pregnancy. She hoped the treatment would help her bring her pregnancies to term, but she lost the babies despite it.

“I cried so much because I lost the baby I dreamed of every single day,” she laments.

Even after the fighting slowed, her dream remained the same. “I dream of bringing a baby into this world. I want to be a mother and have children. Every time I see my husband playing with children, I start crying.”

Medical officials in Gaza say they are treating a surge in miscarriages, which they link directly to Israel’s genocidal war and blockade. The trend has worsened as Gaza’s health system has collapsed under bombardments and Israeli ground operations with malnutrition and psychological strain cited as key drivers.

Dr Yasser Saadeddine, the maternity director at al-Awda Hospital in Deir el-Balah in central Gaza, told Al Jazeera roughly 70 percent of pregnancy losses his team treats are linked to the war and blockade.

‘I lost my daughter during childbirth’

Abu Lebda is one of many women in Gaza who say they have lost pregnancies during the war. They describe miscarriages, premature births and losing newborns while trying to survive bombardments, displacement, hunger and the collapsing healthcare system.

Mai Zaqout tells Al Jazeera she lost her daughter because she could not access the medical care she needed.

“I lost my daughter during childbirth. She had already died inside my womb for a month, but I could not deliver her because the medical resources and support I needed were not available,” she says.

Her loss came shortly after another tragedy. “All of this happened within a very short time after my husband was killed.”

For Sara al-Awad, she had a scare when she was eight months pregnant. She says powerful explosions in Tal al-Hawa, a neighbourhood in Gaza City, caused extreme fear and stress, leading to severe bleeding.

“Because of the fear, anxiety and the power of the explosions, I started bleeding. My placenta had separated.”

Al-Awad says no ambulance could reach her, and she waited for hours before her brother took her to al-Quds Hospital in a wheelchair. “The doctors decided I needed an emergency C-section immediately.”

Her baby, Muhammad, was born weighing only 1.1kg (2.4lb) and was placed in an incubator. But as fighting continued around the hospital, Sara and her family were separated from him.

“My brother had to leave for the south while Muhammad stayed alone in the incubator. We could only check on him through messages from the medical staff,” she says.

After more than a month, al-Awad was finally reunited with her baby. “Thank God, the ceasefire came. … Muhammad left the incubator after 37 days.”

‘I witnessed horrific situations’

Across Gaza, other women have similar stories.

For Iman Badah, the loss was of the child she had waited years for.

“I am a mother who lost my only son. I waited six years to have him. I gave birth prematurely while I was being displaced,” she tells Al Jazeera.

Nuha Salameh was carrying twins during the war. “Fear and trauma caused me to lose them.”

She says doctors told her that, before the war, her babies may have survived.

“The doctor told me that if the situation had been normal, we would have placed them in the incubator, and they would have lived.”

Nidaa Seyam says she experienced her second miscarriage during the war. “I lost a baby girl, and this is the second time I have miscarried.”

She says doctors told her the war conditions affected her pregnancy. “They told me it was because of the psychological stress we are living through and malnutrition.”

She also describes surviving intense bombardment.

“I witnessed horrific situations where I was trapped under air strikes. I inhaled a lot of toxic fumes.”

‘War, blockade, malnutrition, displacement’

Palestinian doctors say these stories are becoming more common.

They report more miscarriages and pregnancy complications linked to hunger, stress, displacement and the lack of medical care.

At al-Awda Hospital, doctors say they have seen a major increase in pregnancy losses.

“During the war, there was a significant increase in miscarriage cases we received,” Saadeddine says.

He says the causes include “the war and the blockade, including malnutrition, poor hygiene, environmental contamination and continuous displacement”.

Doctors say miscarriages are only one part of the crisis. They are also seeing more babies dying in the womb, more premature deliveries and more dangerous pregnancy complications.

Many women lost their homes, medical records and access to regular check-ups during repeated displacements. Hospitals are also struggling with shortages of medicines, equipment and medical staff.

For many mothers, the war has left wounds that continue to hurt even after most of the fighting has stopped. For women in Gaza, the war has not ended with October’s “ceasefire”. It continues with every pregnancy lost, and every dream of motherhood left unfulfilled.

To put it simply, the testing could help to combat micro-dosing. This is where tiny amounts of performance-enhancing drugs are ingested but are in and out of the rider’s system within a few hours, leaving only a short window for detection.

If a rider knows they have a seven-hour window where they are not normally tested, some believe it could be an opportunity to micro-dose.

Vaughters said: “If you introduce a low enough dose of a peptide hormone, the clearance time can be four hours. If you take it at 11pm, it’ll be out of the system at 3am, so it makes a difference.”

He added testing technology is evolving quickly but, where riders and teams push the boundaries, doping is always going to be a risk factor.

On night testing, he added: “It sucks if it happened all the time – but it’s happening once or twice a year. Listen, it’s a great deterrent. One night of lost sleep; lose a little sleep – gain a lot of credibility.”

Generally, the days when riders boosted blood values using first EPO and then moved on to blood transfusions (which is why the night-time hotel room is such a taboo backdrop in cycling) are thought to have largely gone from the top of the sport.

Since the 1990s and decade from 2000, when the disgraced once seven-time winner Armstrong tricked the world into thinking he was clean when dominating the sport, the athlete biological passport (ABP) used by Wada is sophisticated enough to pick up seemingly all inconsistencies recorded.

There have been cyclists banned recently but no high-profile names.

The sport’s lower-tiers frequently has seen riders busted for being tempted back to EPO and human growth hormones.

The ITA told BBC Sport: “Due consideration has been given to minimise as much as possible the impact testing activities have on riders.

“However, the ITA, on behalf of the UCI, has the responsibility to ensure the effectiveness of the cycling anti-doping program and the integrity of cycling races.

“As such, effective testing must, in limited and justified circumstances, be capable to occur outside standard daytime hours.”

May 25 (UPI) — The United States launched strikes in southern Iran on Monday even as negotiators for Tehran and Washington were preparing for further talks to end their war, a U.S. military spokesman said.

Capt. Tim Hawkins of the U.S. Central Command said in a statement issued to media outlets that the strikes were “self-defensive” in nature and were carried out “to protect our troops from threats posed by Iranian forces.”

“Targets included missile launch sites and Iranian boats attempting to emplace mines,” Hawkins said. “U.S. Central Command continues to defend our forces while using restraint during the ongoing cease-fire.”

The semi-official Mehr News Agency in Iran reported that “several explosions” were heard in the area of Bandar Abbas along the Strait of Hormuz and that civil defense sirens had been sounding there.

The agency said the situation in the city “is completely under control and there is no reason for any concern for the honorable people of Bandar Abbas.”

The announcement of new strikes came only hours after U.S. President Donald Trump wrote on his Truth Social platform that negotiations with Iran were “proceeding nicely,” but also issued a warning that the war could reignite if an agreement isn’t reached.

Iran, meanwhile, confirmed some progress had been made but cautioned that no agreement was on the verge of being signed.

Tehran’s lead negotiator, Parliament Speaker Mohammad Ghalibaf, and Foreign Minister Seyed Abbas Araghchi arrived in Doha for the talks, the semi-official Fars News Agency reported.

The renewed attacks came on the heels of Secretary of State Marco Rubio signaling to reporters while in India that an agreement appeared on the horizon before walking it back hours later.

Rubio had said that the president may have an update on negotiations but later walked that back, saying the agreement was “still a work in progress.”

The United States is seeking to have Iran reopen the important Strait of Hormuz energy route. After that is achieved, negotiations will entered the next phase focused on ending the war.