At least two people died and a pregnant woman had her leg severed after a bomb hit a maternity hospital in Syria.
Two women suffered shrapnel wounds to the stomach and Several babies were injured when their incubators crashed to the floor.
"Lots of patients and staff" were also injured in the attack - which is the latest on medical facilities in the war-torn country.
It comes just days after six air strikes against hospitals in Aleppo - one which caused the death of two-day old baby.
Charity Save the Children, which supports the hospital in rebel-held Idlib, said the building was extensively damaged by a direct hit.
It released this footage on Twitter of the aftermath of the bombing.
At the time of the bombing, two operations were underway and a woman was in labour.
The hospital is currently thought to have ceased functioning except for the emergency room, and the generator was damaged in the attack.
Syrian doctor Dr Abdul Kharim told ITV News equipment within the hospital and the building structure had been damaged during the raid.
"There were seven airstrikes targeting the town, one of these strikes targeted the entrance of the hospital.
"We don't have the exact figures about the number of injured and affected staff".
The hospital, which works with approximately 1,300 women and children a month, is the only maternity facility for about 70 miles.
Sonia Khush, Syria Director for Save the Children, condemned the attack for which she said there was "no excuse".
She said: "Our thoughts are with the brave Syrian staff who run the hospital and the families affected.
"Bombing a maternity hospital which is helping women living under the shadow of war to give birth safely is a shameful act, whether it was done intentionally or because due care was not taken to avoid civilian areas.
"There is no excuse, and unfortunately this is only the latest in a series of strikes on health facilities in Syria.
"We condemn these attacks, which are illegal under international law, in the strongest possible terms.
"We need an immediate ceasefire across Syria and an end to the appalling bombing of medical facilities."