Another 45 civilians were wounded in the strikes across the opposition-held Idlib region, according to the Syrian Observatory for Human Rights.

Members of the Syrian Civil Defence (White Helmets) and civilians carry the wounded following a regime air strike on the town of Ariha, in the south of Syria's Idlib province, on July 12, 2019.
Members of the Syrian Civil Defence (White Helmets) and civilians carry the wounded following a regime air strike on the town of Ariha, in the south of Syria's Idlib province, on July 12, 2019. (AFP)

At least 10 civilians were killed on Friday in Syrian regime air strikes in the country's north-west, including three children, a war monitor said.

Another 45 civilians were wounded in the strikes across the opposition-held Idlib region, according to the Syrian Observatory for Human Rights.

"It's the first time that the raids hit the centre of Idlib, after being confined until now to its suburbs," said Observatory director Rami Abdel Rahman.

Last month a civilian was killed in an air strike on the outskirts of the regional capital.

Russian and regime aircraft have ramped up strikes on Idlib since the end of April, killing more than 580 civilians.

Opposition and rebel fire has killed 45 civilians over the same period, according to Observatory figures.

Friday's air strikes hit residential buildings in one of the city's largest squares, Sabaa Bahrat, an AFP photographer said.

Ambulances were dispatched to the scene to tend to the victims, he added.

Idlib is considered the stronghold of Syria's former Al Qaeda affiliate Hayat Tahrir al Sham (HTS), although other opposition groups and rebel factions are also present.

The group in January took administrative control of the Idlib region, home to three million people.

Meanwhile, in neighbouring Hama province, six children were wounded by opposition fire in the regime-held area of Karnaz.

Fierce clashes have raged in the northern sliver of Hama province in recent days, with at least 22 fighters killed on Friday, according to the Observatory.

At least 10 regime fighters and a dozen rebels were killed in the battle near the village of Hamameyat and its strategic hilltop.

Regime forces retook the area in the north of Hama province overnight into Friday after relentless fighting, according to the Britain-based war monitor.

The latest figures bring to more than 120 the number of fighters killed since Wednesday evening, when Hamameyat was seized by rebels.

The recent uptick in violence has forced 330,000 people to flee their homes, according to the United Nations.

Syria's war has killed more than 370,000 people and displaced millions since it started in 2011 with a brutal crackdown on anti-government protests.

Source: AFP