A woman ran through an alley in Mosul’s Old City with two babies clutched to her chest and two small children following closely behind, grabbing for her skirt.

The family was among hundreds of civilians emerging from the rubble of the besieged neighborhood on Monday as Iraqi Special Forces went door-to-door clearing homes. The evacuations are part of a final bid to wrest the last pockets of the city still controlled by the Islamic State, also known as ISIS or ISIL, from the hands of extremists.

Many who remained in the militant-controlled areas of the city are injured and malnourished, according to aid groups.