In 2022, the mean age of Hispanic mothers at first birth amounted to 25.7 years in the United States. In comparison, the mean age of mothers of all races and origins in the U.S. was 27.4 years.

Mean age of mother at time of delivery, 1991 to most recent year.

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2023-24, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2024. Data is included from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS). HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset. In April 2019, the MSDS transitioned to a new version of the dataset. This version, MSDS v2.0, is an update that introduced a new structure and content - including clinical terminology, in order to meet current clinical practice and incorporate new requirements. It is designed to meet requirements that resulted from the National Maternity Review, which led to the publication of the Better Births report in February 2016. This is the fifth publication of data from MSDS v2.0 and data from 2019-20 onwards is not directly comparable to data from previous years. This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with a breakdown for the mother's smoking status at the booking appointment by age group. It also provides counts of live born term babies with breakdowns for the general condition of newborns (via Apgar scores), skin-to-skin contact and baby's first feed type - all immediately after birth. There is also data available in a separate file on breastfeeding at 6 to 8 weeks. For the first time information on 'Smoking at Time of Delivery' has been presented using annual data from the MSDS. This includes national data broken down by maternal age, ethnicity and deprivation. From 2025/2026, MSDS will become the official source of 'Smoking at Time of Delivery' information and will replace the historic 'Smoking at Time of Delivery' data which is to become retired. We are currently undergoing dual collection and reporting on a quarterly basis for 2024/25 to help users compare information from the two sources. We are working with data submitters to help reconcile any discrepancies at a local level before any close down activities begin. A link to the dual reporting in the SATOD publication series can be found in the links below. Information on how all measures are constructed can be found in the HES Metadata and MSDS Metadata files provided below. In this publication we have also included an interactive Power BI dashboard to enable users to explore key NHS Maternity Statistics measures. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This report will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. Any feedback on this publication or dashboard can be provided to enquiries@nhsdigital.nhs.uk, under the subject “NHS Maternity Statistics”.

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.

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2022-23, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2023. Data is included from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS). HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset. In April 2019 the MSDS transitioned to a new version of the dataset. This version, MSDS v2.0, is an update that introduced a new structure and content - including clinical terminology, in order to meet current clinical practice and incorporate new requirements. It is designed to meet requirements that resulted from the National Maternity Review, which led to the publication of the Better Births report in February 2016. This is the fourth publication of data from MSDS v2.0 and data from 2019-20 onwards is not directly comparable to data from previous years. This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with breakdowns including the baby's first feed type, birthweight, place of birth, and breastfeeding activity; and the mothers' ethnicity and age at booking. There is also data available in a separate file on breastfeeding at 6 to 8 weeks. The count of Total Babies includes both live and still births, and previous changes to how Total Babies and Total Deliveries were calculated means that comparisons between 2019-20 MSDS data and later years should be made with care. Information on how all measures are constructed can be found in the HES Metadata and MSDS Metadata files provided below. In this publication we have also included an interactive Power BI dashboard to enable users to explore key NHS Maternity Statistics measures. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This report will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. Any feedback on this publication or dashboard can be provided to enquiries@nhsdigital.nhs.uk, under the subject “NHS Maternity Statistics”.

This dataset contains counts of live births for California counties based on information entered on birth certificates. Final counts are derived from static data and include out of state births to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all births that occurred during the time period.

The final data tables include both births that occurred in California regardless of the place of residence (by occurrence) and births to California residents (by residence), whereas the provisional data table only includes births that occurred in California regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by parent giving birth's age, parent giving birth's race-ethnicity, and birth place type. See temporal coverage for more information on which strata are available for which years.

In 2023, the average age at childbirth among women in France was 31.1 years old. It appears that the mean age of French mothers at childbirth has been increasing since the 1990’s. In 2015, more than 52 percent of French newborns had a mother aged between 30 and 39 years.

Women are having children at an older age

Studies have shown that in France, women tend to have children at an older age than before. In 1990, the proportion of newborns whose mothers were 40 or older amounted to 2.15 percent in France. Years later, in 2014, and after a gradual progression over the years, this share reached 5.13 percent. French mothers do not only have their children at an older age, they mostly have their first born later. In 2014, more than 26 percent of newborns born from a mother aged 40 and older were their first child.

The most fertile country in Europe

Even though the mean age of mothers at first birth is increasing in most Western countries, it seems that women in France still have children at a younger age than most of their European counterparts. But French women are not only younger when they give birth, they also have more children. In 2018, France was the most fertile country in Europe with nearly 2 births per women. A number that has remained relatively stable for several years.

The percentage of births to unmarried women in the United States has more than doubled since 1980, reaching 40 percent in 2023. This significant shift in family structure reflects changing societal norms and demographic trends over the past four decades. The rise in births outside of marriage has implications for family dynamics, social support systems, and public policy. Age and ethnicity factors in birth rates While the overall percentage of births to unmarried women has stabilized around 40 percent in recent years, birth rates vary significantly across age groups and ethnicities. Unsurprisingly, in 2023, women between 20 and 34 years old had the highest birth rate at 83 births per 1,000 women, while teenagers aged 15 to 19 had the lowest rate at 8 births per 1,000 women. Additionally, Native Hawaiian and Pacific Islander women had the highest fertility rate among all race/ethnicities in 2022, with approximately 2,237.5 births per 1,000 women, compared to the national average of 1,656.5 births per 1,000 women. Changing household structures The increase in births to unmarried women has contributed to evolving household structures in the United States. In 2023, there were approximately 15.18 million families with a single mother, a significant increase from previous decades. This trend aligns with the overall rise in births outside of marriage and suggests a growing need for support systems and policies that address the unique challenges faced by single-parent households.

In 2022, there were about 4.15 million Black families in the United States with a single mother. This is an increase from 1990 levels, when there were about 3.4 million Black families with a single mother.

Single parenthood

The typical family is comprised of two parents and at least one child. However, that is not the case in every single situation. A single parent is someone who has a child but no spouse or partner. Single parenthood occurs for different reasons, including divorce, death, abandonment, or single-person adoption. Historically, single parenthood was common due to mortality rates due to war, diseases, and maternal mortality. However, divorce was not as common back then, depending on the culture.

Single parent wellbeing

In countries where social welfare programs are not strong, single parents tend to suffer more financially, emotionally, and mentally. In the United States, most single parents are mothers. The struggles that single parents face are greater than those in two parent households. The number of families with a single mother in the United States has increased since 1990, but the poverty rate of black families with a single mother has significantly decreased since that same year. In comparison, the poverty rate of Asian families with a single mother, and the percentage of white, non-Hispanic families with a single mother who live below the poverty level in the United States have both been fluctuating since 2002.

In 2023, there were about 15.09 million children living with a single mother in the United States, and about 3.05 million children living with a single father. The number of children living with a single mother is down from its peak in 2012, and the number of children living with a single father is down from its peak in 2005.

Marriage and divorce in the United States

Despite popular opinion in the United States that “half of all marriages end in divorce,” the divorce rate in the U.S. has fallen significantly since 1992. The marriage rate, which has also been decreasing since the 1990s, was still higher than the divorce rate in 2021. Half of all marriages may not end in divorce, but it does seem that fewer people are choosing to get married in the first place.

New family structures

In addition to a falling marriage rate, fewer people in the U.S. have children under the age of 18 living in the house in comparison to 1970. Over the past decade, the share of families with children under 18, whether that be married couples or single parents, has stayed mostly steady, although the number of births in the U.S. has also fallen.

In 2023, the birth rate in France reached its lowest level since 1982. From 1982 to 2019, the birth rate in France has been fluctuating between more than 11 births and almost 14 births for 1,000 inhabitants. For the first time in this period, the birth rate fell below 11 in 2020. The highest birth rate in France during this period was recorded in 1982. That year there were 14.8 births per 1,000 inhabitants. Since then, the birth rate in the country keeps decreasing. If France keeps being one of the European countries with the highest fertility rate, it is still been impacted by the decline in the birth rate that affects most Western countries.

A Declining birth rate

Birth rate is the ration between the annual number of live births and the average total population over that year. In 2023, there were 640,000 live births in France, while the French population amounted to 68 million people. The average number of children born per women went from 2.03 in 2010, down to 1.83 in 2020.

Births in France

With a crude birth rate of 10.9 births per 1,000 inhabitants in 2020, France still has one of the highest birth rates in Europe. The percentage of children born out-of-wedlock in France has been rising since the nineties, reaching 65.2 percent in 2022. Another change can be seen in the average age at childbirth among French women. In 2022, most of women in France were aged 31.1 years old at childbirth, compared to 28.8 years old in 1994.

Mississippi leads the nation in cesarean section rates, with 38 percent of all live births delivered via C-section in 2023. This figure significantly surpasses the national average of 32.3 percent. The high prevalence of C-sections raises important questions about maternal health care and medical decision-making in different states. Age and ethnicity influence C-section rates Demographic factors play a crucial role in the likelihood of cesarean deliveries. Maternal age significantly impacts C-section rates, with mothers aged 40 to 54 experiencing a 47.7 percent rate compared to just 18.9 percent for those under 20. Additionally, ethnic disparities persist, with non-Hispanic Black women consistently having higher C-section rates than other groups. The gap between non-Hispanic Black and non-Hispanic White women has widened from two percent in 2007 to nearly six percent by 2023. Financial implications of C-sections The cost of cesarean deliveries varies widely depending on insurance status and location. In 2023, the national median cost for an insured, in-network C-section was 16,943 U.S. dollars. However, for uninsured patients or those using out-of-network services, the median charge more than doubled to 37,653 U.S. dollars. New Jersey topped the charts for both insured and uninsured C-section costs, with median values of 26,900 U.S. dollars and 52,500 U.S. dollars respectively.