Mothers who’ve been left starving in Gaza are now giving birth to underweight or premature babies who die in intensive care units or struggle to survive as they endure acute malnutrition, the UN Children’s Fund (UNICEF) warned on Tuesday.

Speaking from the shattered enclave, UNICEF Communication Manager Tess Ingram said that at least 165 children are reported to have died “painful, preventable deaths” related to malnutrition during the war between Hamas fighters and Israel.

A lesser-known scourge is acute hunger among pregnant and breastfeeding women and “the devastating domino effect” of this lack of a healthy diet on thousands of newborns.

“In Gaza’s hospitals I have met several newborns who weighed less than one kilogramme, their tiny chests heaving with the effort of staying alive,” Ms. Ingram said.