The jihadist-held region of Idlib is supposed to be protected by a months-old ceasefire deal to prevent a broad regime offensive, but deadly bombardment has continued.

The Britain-based Syrian Observatory for Human Rights said regime artillery fire killed six civilians from the same family -- including a mother and her three children -- in the village of Badama.

In the village of Maasaran, regime air strikes killed a further four civilians.

An AFP photographer on site saw a pool of red blood and clothes strewn on the pavement by a shop whose window had been shattered.

"That's the regime for you," a resident said, as he helped a shopkeeper pick up some items of clothing.

Pro-government bombardment also led to four other civilians losing their lives in other parts of the bastion, the Observatory said.

The Idlib region, which is home to some three million people including many displaced by Syria's civil war, is controlled by the country's former Al-Qaeda affiliate.

The Damascus regime has repeatedly vowed to take back control of it.

Pro-government forces launched a blistering offensive against the region in April, killing around 1,000 civilians and displacing more than 400,000 people from their homes.

Moscow announced a ceasefire in late August, but the Observatory says deadly bombardment and skirmishes have persisted.

It says more than 200 civilians have been killed in the region since the deal.

Syria's war has killed over 370,000 people and displaced millions from their homes since beginning in 2011 with the brutal repression of anti-government protests.