The unprovoked Russian invasion of Ukraine that began in February 2022 has caused worldwide anger and international condemnation. The European and North American response to these events has been swift and dramatic. An equally devastating war broke out in the Tigray Region of northern Ethiopia in 2020, but this conflict has been largely neglected by the international community. We are saddened to realise that this may be because African lives are being destroyed in Tigray, not European ones, as in Ukraine. This article describes the struggles of the members of the Department of Obstetrics and Gynaecology at Ayder Comprehensive Specialized Hospital in Tigray have been facing in providing clinical care to pregnant women during the Tigray War.