What happens when a child is born in Bethlehem:

Many of the medical problems afflicting pregnant women here are more mundane than Jamilla’s darkest fears: 30 per cent of pregnant Palestinians suffer from anaemia, a lack of red blood cells. The extreme poverty caused by the siege and now the international boycott seems to be a key factor. The doctors here warn grimly that as ordinary Palestinians’ income evaporates, they eat more staples and fewer proteins - a recipe for anaemia. There is some evidence, they add, that women are giving the best food to their husbands and children, and subsisting on gristle and scraps. The anaemia leaves women at increased risk of bleeding heavily and contracting an infection during childbirth.

Earlier this year, conditions for pregnant women on the West Bank - already poor - fell off a cliff. Following the election of Hamas, the world choked off funding for the Palestinian Authority, which suddenly found itself unable to pay its doctors and nurses. After several months medical staff went on strike, refusing to take anything but emergency cases. For more than three months, the maternity wards of the West Bank were empty and echoing. Beds lay, perfectly made, waiting for patients who could not come.

In all this time, there were no vitamins handed out, no ultrasound scans, no detection of congenital abnormalities. Imagine that the NHS had simply packed up and stopped one day and did not reopen for 12 weeks, and you get a sense of the scale of the medical disaster.

Some women were wealthy enough to go to the few private hospitals scattered across the West Bank. Most were not. So because of the international boycott of the Palestinians, every hospital warns there has been an unseen, unreported increase in home births on the West Bank.

I found Dr Hamdan Hamdan, the head of maternity services at Hussein Hospital, Bethlehem, pacing around an empty ward, chain-smoking. “This ward is usually full,” he said. “The women who should be in this hospital - what is happening to them?”

They have been giving birth in startlingly similar conditions to those suffered by Mary 2,000 years ago. They have delivered their babies with no doctors, no sterilised equipment, no back-up if there are complications. They have been boycotted back into the Stone Age. The strike ended this month after the PA raised funds from Muslim countries - but the effects of stopping maternity services are only now becoming clear. Hindia Abu Nabah says: “There is a clear link between the deteriorating health situation and the international boycott.