The ongoing war in Gaza has led to unprecedented death and destruction.^{1, 2} Hostilities continue to have a dire effect on the 2·2 million people living in Gaza, with particular and acute effects on the estimated 52 000 women who are currently pregnant. ² At the time of writing, around 1·93 million people in Gaza (85% of the population) have been displaced and over 18 205 lives have been lost; of these lives lost, 5153 were women and 7729 were children, constituting 70% of the fatalities.^{1, 2} Indirect causes of excess mortality, including from unmanaged obstetric complications, are expected to increasingly contribute to death.