The US-led coalition said that in October, an ongoing review of civilian casualty reports showed at least 801 civilians had been unintentionally killed since operations to defeat the Islamic State group in Iraq and Syria began in late 2014.
The toll is up 15 from 786, when the coalition in late October last announced its findings.
As operations against IS wind down, the number of new strikes has shrunk dramatically, and on Thursday the Pentagon said 400 Marines who had been supporting local forces in the operation to recapture Raqa in Syria were coming home.
Monitoring group Airwars insists the official count is well below the true civilian toll of the bombing campaign, estimating that almost 6,000 innocent lives have been lost.
Military officials insist the rules of engagement are unchanged, but under Obama many more strike decisions involved civilian approval.
"Clearly the Trump administration has opened the aperture on what is acceptable risk, whether it's a special operations attack or a bombing raid, they are more aggressive," said Congressman Adam Smith, who is the top Democrat on the House Armed Services Committee providing military oversight.
In Africa, drone strikes and ground operations against jihadists have increased dramatically.
A detailed, on-the-ground investigation by The New York Times in Iraq found one in five US-led strikes resulted in civilian casualties in that country, wildly different from the coalition claim that only 0.35 per cent of strikes result in "credible" claims of civilian casualties.
The report described the opaque and often-impossible task civilians who survived strikes, or the families of those killed, have in trying to get compensation from the coalition.
In its statement, it said it is "constantly improving its visibility on and accountability for allegations" and noted that it had trained about 30 people to help weigh claims.
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