At least 23 civilians were killed Wednesday in the Syrian opposition stronghold of Eastern Ghouta, near Damascus, most of them in Russian air raids, the Syrian Observatory for Human Rights said.
The Britain-based Observatory told Agence France Presse that 18 people were killed by Russian strikes in the town of Misraba, while the remainder died in shelling from regime forces.
Observatory head Rami Abdel Rahman said three children and 11 women were among those killed.
Victims were taken to a hospital in Douma, where an AFP correspondent saw rescuers bringing in mostly women and children.
A medical source at the hospital told the news agency that "among the wounded were two women in their twenties."
Medical staff tried to revive an infant who had been pulled from the rubble, but without success. A young girl among the wounded received stitches for a serious injury to her face.
The latest raids came after at least seven civilians, including five children, were killed Tuesday by air strikes in northwestern Idlib province, the Observatory said.