GENEVA (AP) — A new study says an African woman is roughly 130 times more likely to die from pregnancy and childbirth complications than a woman in Europe or North America, the U.N. population fund reported Wednesday as it decried widening inequality in sexual and reproductive health and rights worldwide.

UNFPA’s latest “ State of World Population ” report also estimates that nearly 500 maternal deaths occur in countries with humanitarian crises or conflicts, and shows that women of African descent in the Americas are more likely to die giving birth than white women.

“Sweeping global gains in sexual and reproductive health and rights over the last thirty years are marred by an ugly truth — millions of women and girls have not benefited because of who they are or where they were born,” the fund said in a statement.

UNFPA executive director Dr. Natalia Kanem said the unintended pregnancy rate has declined by nearly one-fifth since 1990 and the maternal death rate has dropped by more than one-third since 2000.