The UN envoy to Syria has urged the US and Russia to intervene "at the highest level" to save struggling peace talks.
Speaking after briefing the Security Council on the peace process, Staffan de Mistura said a partial truce agreed in February was "barely alive".
Violence in Syria has intensified in recent days, despite the ceasefire.
At least 20 civilians were reportedly killed on Wednesday in government strikes on a hospital and nearby residential building in eastern Aleppo.
The dead included children, a dentist and the only paediatrician left in rebel-held areas of the city, civil defence volunteers told AFP news agency.
Over the past week, more than 100 civilians have been killed in renewed bombardment by both rebel and government forces in Syria's largest city, according to the UK-based Syrian Observatory for Human Rights monitoring group.
Calling on the US and Russia to co-operate, Mr de Mistura from the High Negotiations Committee (HNC) said the legacies of both President Barack Obama and President Vladimir Putin were linked to the success of the peace process in Syria.
There will be one or two more rounds of talks before July, Mr de Mistura said. He added: "There are still major differences on the major issues, but there is movement on certain areas where there was not before."
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