After a night spent shaking in fear as the roof rattled from explosions, and a long walk along a crowded road, Diana Mahmoud arrived at the hospital where she gave birth to her son, Yaman.

Mahmoud, 22, discovered she was pregnant a week after the outbreak of the war in Gaza and, like other mothers who became pregnant about that time, spent her entire pregnancy fearing for her own safety as well as that of her child. Maternal deaths are three times more likely than before the war, according to a February report by the London School of Hygiene & Tropical Medicine and the Johns Hopkins Center for Humanitarian Health.

“It was not a day or two – no, it was nine months. Every day we lived through it we died a million times because of the bombing and destruction,” says Mahmoud.