The Britain-based Syrian Observatory for Human Rights said 18 of 23 civilians killed in the Damascus suburb on Wednesday were victims of Russian air strikes.

Syrian Arab Red Crescent help a woman carrying a baby board an ambulance during the evacuation of sick people from Eastern Ghouta, near Damascus, Syria, Wednesday, December 27, 2017.
Syrian Arab Red Crescent help a woman carrying a baby board an ambulance during the evacuation of sick people from Eastern Ghouta, near Damascus, Syria, Wednesday, December 27, 2017. ( AP )

At least 23 civilians were killed on Wednesday in the Syrian opposition stronghold of Eastern Ghouta, near Damascus, most of them in Russian air raids, a monitor said.

The Britain-based Syrian Observatory for Human Rights told AFP 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.

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.

A medical source at the hospital told AFP that "among the wounded were two women in their twenties. One of them lost both eyes and the other lost one eye."

The war in Syria has killed more than 340,000 people and displaced millions from their homes since it began in 2011 with the brutal repression of anti-regime protests.

Eastern Ghouta, a small enclave east of the capital Damascus, is controlled mostly by rebels from the Jaish al Islam group.

Russia first launched bombing raids in 2015 in support of Syrian regime leader Bashar al Assad's beleaguered forces. The strikes have helped Assad regain control over much of the war-ravaged country.

The Observatory relies on a network of sources inside Syria and says it determines whose planes carry out raids according to type, location, flight patterns and munitions used.

The latest raids came after at least seven civilians, including five children, were killed on Tuesday by air strikes in northwestern Idlib province, the last outside regime control, the Observatory said.

Regime forces and their allies backed by Russian warplanes have been battling rebels for more than a week in an area straddling the boundary between Idlib and Hama provinces.

Regime push on Idlib

The regime push on the edge of Idlib province follows two months of sporadic fighting that the United Nations says has displaced more than 60,000 people.

Idlib province, held by Tahrir al Sham, was one of four "de-escalation zones" agreed to help halt fighting around Syria by regime backers Russia and Iran and rebel supporter Turkey.

Observers say government forces first aim to take control of the southeast of Idlib province, allowing the regime to have full control of a road that links the capital Damascus to the regime-held second city of Aleppo.

Earlier on Wednesday, Moscow's defence ministry said a Russian helicopter crashed in Syria on New Year's Eve killing both pilots following a technical fault.

The Mi-24 military helicopter was flying to Hama, northwestern Syria, and there was no firing from the ground, agencies quoted the ministry as saying.

"Both pilots died in a hard landing 15 km (nine miles) from the air base," the ministry said, adding that a technician had been injured and taken to another air base at for emergency treatment.

Russia's Defence Minister Sergei Shoigu last month said the military had completed the partial withdrawal from Syria ordered by President Vladimir Putin, but Moscow would maintain a presence in the country, including three battalions and two bases.

Moscow acknowledged in recent months that its special forces are also active on the ground in the offensive against Daesh militants.

Source: AFP