Days after the U.S. military said the number of airstrikes its coalition carried out in Afghanistan had soared, United Nations data released Thursday spotlights the human cost of the escalated bombing.

From the beginning of January until the end of September, UNAMA said, over 200 civilians died and 261 were injured from aerial attacks—a 52 percent increase compared to the same period last year.

The strikes have taken a particular toll on women and children, as they make up 68 percent of the victims.

The U.N. put the blame for 38 percent of the casualties from the airstrikes at the hands of the U.S.-led coalition, with Afghan forces, who are now carrying out their own airstrikes, being responsible for the bulk.

Their own fleet is being beefed up thanks to the U.S. military, which in turn is looking to carry out more strikes.

Portending more airstrikes carried out by Afghan air power, the commander of U.S. forces in Afghanistan, Gen. John Nicholson, said last week, “A tidal wave of Afghan airpower is on the horizon.”

Nicholson, speaking from a ceremony at the Kandahar airfield after two Black Hawks from the U.S. military—the first of 159—joined the Afghan fleet, said, “The momentum has shifted, and it is irreversible.”