Just based on your comment, I can promise you I have payed attention to the conflict less than you and have less of a 'dog in the fight' in terms of supporting a side. I just noticed your comment begging the question regarding mortalities that reflect makeup of a civilian population being the null case in urban warfare that needs no explanation.
It's a positive claim that requires empirical support, which you aren't providing.
A quick squiz would suggest this women+children death toll is the greatest in some time by some margin, despite some quite bloody and urbanised conflicts in recent years [1]. Perhaps you have justified knowledge that this case is different than any other or just better-documented, and the deaths are unavoidable insofar as urban warfare is to be conducted.
But even if it is the case that urban warfare should be expected to be conducted quite inefficiently (to the point that combatants are successfully targeted at a rate barely greater than random members of the population), you are also taking it as a given that conducting it at all is justified and shouldn't be alarming.
That doesn't appear to be a given by military standards of developed countries:
> Destroying an urban area to save it is not an option for commanders. The density of civilian populations in urban areas and the multidimensional nature of the environment make it more likely that even accurate attacks with precision weapons will injure noncombatants.…If collateral damage is likely to be of sufficient magnitude, it may justify avoiding urban operations, which though tactically successful, would run counter to national and strategic objectives.
United States Army and Marine Corps 2017 Manual on Urban Operations, quoted in [2]
[1] https://www.oxfam.org/en/press-releases/more-women-and-child...
[2] https://blogs.icrc.org/law-and-policy/2021/04/27/urban-warfa...