Native Hawaiian and Pacific Islander women had the highest fertility rate of any ethnicity in the United States in 2022, with about 2,237.5 births per 1,000 women. The fertility rate for all ethnicities in the U.S. was 1,656.5 births per 1,000 women. What is the total fertility rate? The total fertility rate is an estimation of the number of children who would theoretically be born per 1,000 women through their childbearing years (generally considered to be between the ages of 15 and 44) according to age-specific fertility rates. The fertility rate is different from the birth rate, in that the birth rate is the number of births in relation to the population over a specific period of time. Fertility rates around the world Fertility rates around the world differ on a country-by-country basis, and more industrialized countries tend to see lower fertility rates. For example, Niger topped the list of the countries with the highest fertility rates, and Taiwan had the lowest fertility rate.

This dataset includes teen birth rates for females by age group, race, and Hispanic origin in the United States since 1960. Data availability varies by race and ethnicity groups. All birth data by race before 1980 are based on race of the child. Since 1980, birth data by race are based on race of the mother. For race, data are available for Black and White births since 1960, and for American Indians/Alaska Native and Asian/Pacific Islander births since 1980. Data on Hispanic origin are available since 1989. Teen birth rates for specific racial and ethnic categories are also available since 1989. From 2003 through 2015, the birth data by race were based on the “bridged” race categories (5). Starting in 2016, the race categories for reporting birth data changed; the new race and Hispanic origin categories are: Non-Hispanic, Single Race White; Non-Hispanic, Single Race Black; Non-Hispanic, Single Race American Indian/Alaska Native; Non-Hispanic, Single Race Asian; and, Non-Hispanic, Single Race Native Hawaiian/Pacific Islander (5,6). Birth data by the prior, “bridged” race (and Hispanic origin) categories are included through 2018 for comparison. National data on births by Hispanic origin exclude data for Louisiana, New Hampshire, and Oklahoma in 1989; New Hampshire and Oklahoma in 1990; and New Hampshire in 1991 and 1992. Birth and fertility rates for the Central and South American population includes other and unknown Hispanic. Information on reporting Hispanic origin is detailed in the Technical Appendix for the 1999 public-use natality data file (see ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/Nat1999doc.pdf). SOURCES NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/). REFERENCES National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

In 2023, around 50 children were born per thousand Asian women in the United States. The highest birth rate was among Native Hawaiian and other Pacific Islander mothers, at 79 percent during the same year.

In 2019, Hispanic women with no high school diploma or no college degree had higher total fertility rates (TFR) compared to women of other ethnicities. This difference changed with educational level and among women with a doctorate or professional degree, there was almost no difference in TFR between Hispanic and non-Hispanic white women. This statistic depicts the total fertility rate of U.S. women in 2019, by maternal educational attainment and ethnicity.

United States US: Fertility Rate: Total: Births per Woman data was reported at 1.800 Ratio in 2016. This records a decrease from the previous number of 1.843 Ratio for 2015. United States US: Fertility Rate: Total: Births per Woman data is updated yearly, averaging 2.002 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 3.654 Ratio in 1960 and a record low of 1.738 Ratio in 1976. United States US: Fertility Rate: Total: Births per Woman data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Total fertility rate represents the number of children that would be born to a woman if she were to live to the end of her childbearing years and bear children in accordance with age-specific fertility rates of the specified year.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average; Relevance to gender indicator: it can indicate the status of women within households and a woman’s decision about the number and spacing of children.

This dataset includes live births, birth rates, and fertility rates by race of mother in the United States since 1960.

Data availability varies by race and ethnicity groups. All birth data by race before 1980 are based on race of the child. Since 1980, birth data by race are based on race of the mother. For race, data are available for Black and White births since 1960, and for American Indians/Alaska Native and Asian/Pacific Islander births since 1980. Data on Hispanic origin are available since 1989. Teen birth rates for specific racial and ethnic categories are also available since 1989. From 2003 through 2015, the birth data by race were based on the “bridged” race categories (5). Starting in 2016, the race categories for reporting birth data changed; the new race and Hispanic origin categories are: Non-Hispanic, Single Race White; Non-Hispanic, Single Race Black; Non-Hispanic, Single Race American Indian/Alaska Native; Non-Hispanic, Single Race Asian; and, Non-Hispanic, Single Race Native Hawaiian/Pacific Islander (5,6). Birth data by the prior, “bridged” race (and Hispanic origin) categories are included through 2018 for comparison.

SOURCES

NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/).

REFERENCES

1. National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf.

2. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf.

3. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf.

4. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

5. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf.

6. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

U.S. fertility rate for 2025 is 1.79, a 0.06% increase from 2024.

<ul style='margin-top:20px;'>

<li>U.S. fertility rate for 2024 was <strong>1.79</strong>, a <strong>10.49% increase</strong> from 2023.</li>
<li>U.S. fertility rate for 2023 was <strong>1.62</strong>, a <strong>2.41% decline</strong> from 2022.</li>
<li>U.S. fertility rate for 2022 was <strong>1.66</strong>, a <strong>0.45% decline</strong> from 2021.</li>
</ul>Total fertility rate represents the number of children that would be born to a woman if she were to live to the end of her childbearing years and bear children in accordance with age-specific fertility rates of the specified year.

Analysis of ‘NCHS - Teen Birth Rates for Females by Age Group, Race, and Hispanic Origin: United States’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/681175bb-4c25-4876-9afc-4b55fd9e6920 on 26 January 2022.

--- Dataset description provided by original source is as follows ---

This dataset includes teen birth rates for females by age group, race, and Hispanic origin in the United States since 1960.

Data availability varies by race and ethnicity groups. All birth data by race before 1980 are based on race of the child. Since 1980, birth data by race are based on race of the mother. For race, data are available for Black and White births since 1960, and for American Indians/Alaska Native and Asian/Pacific Islander births since 1980. Data on Hispanic origin are available since 1989. Teen birth rates for specific racial and ethnic categories are also available since 1989. From 2003 through 2015, the birth data by race were based on the “bridged” race categories (5). Starting in 2016, the race categories for reporting birth data changed; the new race and Hispanic origin categories are: Non-Hispanic, Single Race White; Non-Hispanic, Single Race Black; Non-Hispanic, Single Race American Indian/Alaska Native; Non-Hispanic, Single Race Asian; and, Non-Hispanic, Single Race Native Hawaiian/Pacific Islander (5,6). Birth data by the prior, “bridged” race (and Hispanic origin) categories are included through 2018 for comparison.

National data on births by Hispanic origin exclude data for Louisiana, New Hampshire, and Oklahoma in 1989; New Hampshire and Oklahoma in 1990; and New Hampshire in 1991 and 1992. Birth and fertility rates for the Central and South American population includes other and unknown Hispanic. Information on reporting Hispanic origin is detailed in the Technical Appendix for the 1999 public-use natality data file (see ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/Nat1999doc.pdf).

SOURCES

NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/).

REFERENCES

1. National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf.

2. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf.

3. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf.

4. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

5. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf.

6. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

--- Original source retains full ownership of the source dataset ---

This statistic shows the fertility rate of U.S. women in 2017, by urbanization level and ethnicity. In 2017, the total fertility rate of non-Hispanic white women in rural counties was 1,907.5, while the rate among non-Hispanic white women in large metro counties was 1,575.5.

This dataset includes birth rates for unmarried women by age group, race, and Hispanic origin in the United States since 1970.

Methods for collecting information on marital status changed over the reporting period and have been documented in:

• Ventura SJ, Bachrach CA. Nonmarital childbearing in the United States, 1940–99. National vital statistics reports; vol 48 no 16. Hyattsville, Maryland: National Center for Health Statistics. 2000. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr48/nvs48_16.pdf. • National Center for Health Statistics. User guide to the 2013 natality public use file. Hyattsville, Maryland: National Center for Health Statistics. 2014. Available from: http://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm.

National data on births by Hispanics origin exclude data for Louisiana, New Hampshire, and Oklahoma in 1989; for New Hampshire and Oklahoma in 1990; for New Hampshire in 1991 and 1992. Information on reporting Hispanic origin is detailed in the Technical Appendix for the 1999 public-use natality data file (see (ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/Nat1999doc.pdf.)

All birth data by race before 1980 are based on race of the child. Starting in 1980, birth data by race are based on race of the mother.

Analysis of ‘NCHS - Natality Measures for Females by Race and Hispanic Origin: United States’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/e96cb229-a501-4633-8635-386ec77fe5a1 on 26 January 2022.

--- Dataset description provided by original source is as follows ---

This dataset includes live births, birth rates, and fertility rates by race of mother in the United States since 1960.

Data availability varies by race and ethnicity groups. All birth data by race before 1980 are based on race of the child. Since 1980, birth data by race are based on race of the mother. For race, data are available for Black and White births since 1960, and for American Indians/Alaska Native and Asian/Pacific Islander births since 1980. Data on Hispanic origin are available since 1989. Teen birth rates for specific racial and ethnic categories are also available since 1989. From 2003 through 2015, the birth data by race were based on the “bridged” race categories (5). Starting in 2016, the race categories for reporting birth data changed; the new race and Hispanic origin categories are: Non-Hispanic, Single Race White; Non-Hispanic, Single Race Black; Non-Hispanic, Single Race American Indian/Alaska Native; Non-Hispanic, Single Race Asian; and, Non-Hispanic, Single Race Native Hawaiian/Pacific Islander (5,6). Birth data by the prior, “bridged” race (and Hispanic origin) categories are included through 2018 for comparison.

SOURCES

NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/).

REFERENCES

1. National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf.

2. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf.

3. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf.

4. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

5. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf.

6. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

--- Original source retains full ownership of the source dataset ---

This statistic shows the fertility rate for females aged 15 to 44 years in the U.S. in 2018 and 2019, by ethnicity. In 2019, the fertility rate among Hispanics was 65.3 per 1,000 females. The overall fertility rate for females in the U.S. was 58.3 per 1,000.

Birth rate is number of live births per 1,000 people in a year. Data are for Santa Clara County residents. The measure is summarized for total county population by race/ethnicity. Data trends are from year 2000 to 2015. Source: Santa Clara County Public Health Department, 2000-2015 Birth Statistical Master File; U.S. Census Bureau, 2010 Census.METADATA:Notes (String): Lists table title, notes, sourcesYear (Numeric): Year of birthCategory (String): Lists the category representing the data: Santa Clara County is for total population, race/ethnicity: African American, Asian/Pacific Islander, Latino and White (non-Hispanic White only).Rate per 1,000 people (Numeric): Birth rate is number of live births per 1,000 people in a year.

In 2021, the birth rate in the United States was highest in families that had under 10,000 U.S. dollars in income per year, at 62.75 births per 1,000 women. As the income scale increases, the birth rate decreases, with families making 200,000 U.S. dollars or more per year having the second-lowest birth rate, at 47.57 births per 1,000 women. Income and the birth rate Income and high birth rates are strongly linked, not just in the United States, but around the world. Women in lower income brackets tend to have higher birth rates across the board. There are many factors at play in birth rates, such as the education level of the mother, ethnicity of the mother, and even where someone lives. The fertility rate in the United States The fertility rate in the United States has declined in recent years, and it seems that more and more women are waiting longer to begin having children. Studies have shown that the average age of the mother at the birth of their first child in the United States was 27.4 years old, although this figure varies for different ethnic origins.

Abstract (en): This collection provides information on live births in the United States during the calendar year 2011. The natality data in these files are a component of the vital statistics collection effort maintained by the federal government. Birth data is limited to births occurring in the United States to United States residents and nonresidents. Births occurring to United States citizens outside of the United States are not included in this data collection. Dataset 1 contains data on births occurring within the United States, while Dataset 2 contains data on births occurring in the United States territories of Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. Variables describe the place of delivery, who was in attendance, and medical and health data such as the method of delivery, prenatal care, tobacco use during pregnancy, pregnancy history, medical risk factors, and infant health characteristics. Birth rates, fertility rates, and other aggregate statistics can be found in the Detailed Technical Notes section of the ICPSR User Guide. Demographic information includes the child's sex and month and year of birth, the parents' ages, races, ethnicities, education levels, as well as the mother's marital status and residency status. This report presents detailed data on numbers and characteristics of births in 2011, birth and fertility rates, maternal demographic and health characteristics, place and attendant at birth, and infant health characteristics within the United States and its territories. The data are not weighted and no weight variables are present in the collection. ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection: Created variable labels and/or value labels.; Created online analysis version with question text.; Checked for undocumented or out-of-range codes.. Live births in the United States and its territories during calendar year 2011. Smallest Geographic Unit: County One-hundred percent of birth certificates in calendar year 2011. record abstractsThe territories file, which includes data on births occurring in Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Marianas Islands, includes limited geographic detail. Information identifying individual territories and counties with populations of 100,000 or more by place of occurrence and residence are available in this file.This collection includes data based on both the 1989 Revision of the U.S. Standard Certificate of Live Birth (unrevised) and the 2003 Revision of the U.S. Standard Certificate of Live Birth (revised). However, in general, only data comparable between 1989 and 2003 revisions and data exclusive to the 2003 revision are included. Beginning with the 2005 data year, the micro-data natality file no longer includes geographic detail (e.g., state or county of birth). Information on the NCHS data release policy is available through the National Center for Health Statistics Web site. Tabulations of birth data by state and for counties with populations of 100,000 or more may be made using VitalStats. Procedures for requesting micro-data files with geographic detail are provided in the National Center for Health Statistics data release policy.Beginning with the 2007 data year, data items such as maternal anemia, ultrasound, and alcohol use are no longer available in public use files.Beginning with the 2011 data year, unrevised data for educational attainment, prenatal care, and type of vaginal and cesarean delivery are no longer included in the data files. Data for these items from the 1989 revision are not comparable with data from the 2003 revision. For additional information on the Natality Detail File Series, please visit the National Center for Health Statistics Web site.

This statistic displays the first birth rates for women aged 35 to 39 in the United States between 1990 and 2012, by ethnicity. In 2000, non-Hispanic white women between 35 and 39 years of age had a first birth rate of 9.4 per 1,000 women. The average age of women who have their first births has been rising over the past years. Having children at later ages will impact the size, composition, and growth of the country's population.

The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. In the United States in 1800, the average woman of childbearing age would have seven children over the course of their lifetime. As factors such as technology, hygiene, medicine and education improved, women were having fewer children than before, reaching just two children per woman in 1940. This changed quite dramatically in the aftermath of the Second World War, rising sharply to over 3.5 children per woman in 1960 (children born between 1946 and 1964 are nowadays known as the 'Baby Boomer' generation, and they make up roughly twenty percent of todays US population). Due to the end of the baby boom and increased access to contraception, fertility reached it's lowest point in the US in 1980, where it was just 1.77. It did however rise to over two children per woman between 1995 and 2010, although it is expected to drop again by 2020, to just 1.78.

Graph and download economic data for Consumer Unit Characteristics: Percent White, Asian, and All Other Races, Not Including African American by Generation: Birth Year from 1946 to 1964 (CXUWHTNDOTHLB1604M) from 2016 to 2023 about consumer unit, birth, asian, white, percent, and USA.

"This CD-ROM contains tables and other pertinent documents for Vital Statistics of the United States, 1994, Volume I, Natality. The collection provides information on live births in the United States during calendar year 1994. Data are presented in table format and include live births, birthrates, and fertility rates by several variables including geographic area; mother's age, race, education, marital status, and Hispanic origin; father's age, race, and Hispanic origin; child's race; Apgar s core; birthweight; live-birth order; parity; place of delivery and attendant; plurality; prenatal care; day of birth, and resident status. Births to nonresidents of the US are excluded from all tabulations by place of residence. Births occurring to US citizens outside of the US are not included. Geographic variables describing residence for births include state, county, city, standard metropolitan statistical area (SMSA), urban places, and the United States or all reporting areas."

Note to Users: This CD is part of a collection located in the Data Archive at the Odum Institute for Research in Social Science, University of North Carolina at Chapel Hill. The collection is located in Room 10, Manning Hall. Users may check out the CDs, subscribing to the honor system. Items may be checked out for a period of two weeks. Loan forms are located adjacent to the collection.

In the period 2016-2020, babies born from non-Hispanic American Indian or Alaska Native mothers in the United States had the highest rates of limb deficiencies (reduction defects), with around 8.2 babies born with this defect per 10,000 live births. A limb reduction defect is when the arm or leg of a baby does not form completely. This statistic shows the rate of select muscle/bone birth defects in the United States from 2016 to 2020, by maternal race/ethnicity.