The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.

Today, globally, women of childbearing age have an average of approximately 2.2 children over the course of their lifetime. In pre-industrial times, most women could expect to have somewhere between five and ten live births throughout their lifetime; however, the demographic transition then sees fertility rates fall significantly. Looking ahead, it is believed that the global fertility rate will fall below replacement level in the 2050s, which will eventually lead to population decline when life expectancy plateaus. Recent decades Between the 1950s and 1970s, the global fertility rate was roughly five children per woman - this was partly due to the post-WWII baby boom in many countries, on top of already-high rates in less-developed countries. The drop around 1960 can be attributed to China's "Great Leap Forward", where famine and disease in the world's most populous country saw the global fertility rate drop by roughly 0.5 children per woman. Between the 1970s and today, fertility rates fell consistently, although the rate of decline noticeably slowed as the baby boomer generation then began having their own children. Replacement level fertility Replacement level fertility, i.e. the number of children born per woman that a population needs for long-term stability, is approximately 2.1 children per woman. Populations may continue to grow naturally despite below-replacement level fertility, due to reduced mortality and increased life expectancy, however, these will plateau with time and then population decline will occur. It is believed that the global fertility rate will drop below replacement level in the mid-2050s, although improvements in healthcare and living standards will see population growth continue into the 2080s when the global population will then start falling.

The average for 2022 based on 196 countries was 18.19 births per 1000 people. The highest value was in the Central African Republic: 45.42 births per 1000 people and the lowest value was in Hong Kong: 4.4 births per 1000 people. The indicator is available from 1960 to 2023. Below is a chart for all countries where data are available.

In 2025, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have between 5-6 children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan and Yemen are the only countries not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost six children per woman, Chad is the country with the highest fertility rate in the world. Population growth in Chad is among the highest in the world. Lack of healthcare access, as well as food instability, political instability, and climate change, are all exacerbating conditions that keep Chad's infant mortality rates high, which is generally the driver behind high fertility rates. This situation is common across much of the continent, and, although there has been considerable progress in recent decades, development in Sub-Saharan Africa is not moving as quickly as it did in other regions. Demographic transition While these countries have the highest fertility rates in the world, their rates are all on a generally downward trajectory due to a phenomenon known as the demographic transition. The third stage (of five) of this transition sees birth rates drop in response to decreased infant and child mortality, as families no longer feel the need to compensate for lost children. Eventually, fertility rates fall below replacement level (approximately 2.1 children per woman), which eventually leads to natural population decline once life expectancy plateaus. In some of the most developed countries today, low fertility rates are creating severe econoic and societal challenges as workforces are shrinking while aging populations are placin a greater burden on both public and personal resources.

The statistic shows the 20 countries with the lowest fertility rates in 2024. All figures are estimates. In 2024, the fertility rate in Taiwan was estimated to be at 1.11 children per woman, making it the lowest fertility rate worldwide. Fertility rate The fertility rate is the average number of children born per woman of child-bearing age in a country. Usually, a woman aged between 15 and 45 is considered to be in her child-bearing years. The fertility rate of a country provides an insight into its economic state, as well as the level of health and education of its population. Developing countries usually have a higher fertility rate due to lack of access to birth control and contraception, and to women usually foregoing a higher education, or even any education at all, in favor of taking care of housework. Many families in poorer countries also need their children to help provide for the family by starting to work early and/or as caretakers for their parents in old age. In developed countries, fertility rates and birth rates are usually much lower, as birth control is easier to obtain and women often choose a career before becoming a mother. Additionally, if the number of women of child-bearing age declines, so does the fertility rate of a country. As can be seen above, countries like Hong Kong are a good example for women leaving the patriarchal structures and focusing on their own career instead of becoming a mother at a young age, causing a decline of the country’s fertility rate. A look at the fertility rate per woman worldwide by income group also shows that women with a low income tend to have more children than those with a high income. The United States are neither among the countries with the lowest, nor among those with the highest fertility rate, by the way. At 2.08 children per woman, the fertility rate in the US has been continuously slightly below the global average of about 2.4 children per woman over the last decade.

Graph and download economic data for Crude Birth Rate for the United States (SPDYNCBRTINUSA) from 1960 to 2023 about birth, crude, rate, and USA.

Graph and download economic data for Fertility Rate, Total for the United States (SPDYNTFRTINUSA) from 1960 to 2023 about fertility, rate, and USA.

Number and percentage of live births, by month of birth, 1991 to most recent year.

United States Total Fertility Rate: Black data was reported at 1,581.000 % in 2023. This records a decrease from the previous number of 1,639.000 % for 2022. United States Total Fertility Rate: Black data is updated yearly, averaging 2,062.000 % from Dec 1985 (Median) to 2023, with 39 observations. The data reached an all-time high of 2,480.000 % in 1990 and a record low of 1,581.000 % in 2023. United States Total Fertility Rate: Black data remains active status in CEIC and is reported by Centers for Disease Control and Prevention. The data is categorized under Global Database’s United States – Table US.G013: Fertility Rate.

From 1950 to 1955, the worldwide crude birth rate was just under 37 births per thousand people, which means that 3.7 percent of the population, who were alive during this time had been born in this five year period. Between this five year period, and the time between 2015 and 2020, the crude birth rate has dropped to 18.5 births per thousand people, which is fifty percent of what the birth rate was seventy years ago. This change has come as a result of increased access and reliability of contraception, a huge reduction in infant and child mortality rate, and increased educational and vocational opportunities for women. The continents that have felt the greatest change over this seventy year period are Asia and Latin America, which fell below the global average in the 1990s and early 2000s, and are estimated to have fallen below the crude birth rate of Oceania in the current five-year period. Europe has consistently had the lowest crude birth rate of all continents during the past seventy years, particularly in the 1990s and 2000s, when it fell to just over ten births per thousand, as the end of communism in Europe caused sweeping demographic change across Europe. The only continent that still remains above the global average is Africa, whose crude birth rate is fifteen births per thousand more than the world average, although the rate of decrease is higher than it was in previous decades.

Key figures on fertility, live and stillborn children and multiple births among inhabitants of The Netherlands.

Available selections: - Live born children by sex; - Live born children by age of the mother (31 December), in groups; - Live born children by birth order from the mother; - Live born children by marital status of the mother; - Live born children by country of birth of the mother and origin country of the mother; - Stillborn children by duration of pregnancy; - Births: single and multiple; - Average number of children per female; - Average number of children per male; - Average age of the mother at childbirth by birth order from the mother; - Average age of the father at childbirth by birth order from the mother; - Net replacement factor.

CBS is in transition towards a new classification of the population by origin. Greater emphasis is now placed on where a person was born, aside from where that person’s parents were born. The term ‘migration background’ is no longer used in this regard. The main categories western/non-western are being replaced by categories based on continents and a few countries that share a specific migration history with the Netherlands. The new classification is being implemented gradually in tables and publications on population by origin.

Data available from: 1950 Most of the data is available as of 1950 with the exception of the live born children by country of birth of the mother and origin country of the mother (from 2021, previous periods will be added at a later time), stillborn children by duration of pregnancy (24+) (from 1991), average number of children per male (from 1996) and the average age of the father at childbirth (from 1996).

Status of the figures: The 2023 figures on stillbirths and (multiple) births are provisional, the other figures in the table are final.

Changes per 17 December 2024: Figures of 2023 have been added. The provisional figures on the number of live births and stillbirths for 2023 do not include children who were born at a gestational age that is unknown. These cases were included in the final figures for previous years. However, the provisional figures show a relatively larger number of children born at an unknown gestational age. Based on an internal analysis for 2022, it appears that in the majority of these cases, the child was born at less than 24 weeks. To ensure that the provisional 2023 figures do not overestimate the number of stillborn children born at a gestational age of over 24 weeks, children born at an unknown gestational age have now been excluded.

When will new figures be published? Final 2023 figures on the number of stillbirths and the number of births are expected to be added to the table in de third quarter of 2025. In the third quarter of 2025 final figures of 2024 will be published in this publication.

This dataset presents the estimated percentage of babies born alive before 37 weeks of pregnancy are completed, by country. Preterm birth is a leading cause of neonatal morbidity and mortality. Understanding national rates supports efforts to improve antenatal care, timely interventions, and newborn outcomes. These estimates are adapted from Liang et al. (2024), based on the Global Burden of Disease Study 2021, and provide a globally comparable measure of preterm birth burden.Data Source:The Lancet: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00419-X/fulltext Data Dictionary: The data is collated with the following columns:Column headingContent of this columnPossible valuesRefNumerical counter for each row of data, for ease of identification1+CountryShort name for the country195 countries in total – all 194 WHO member states plus PalestineISO3Three-digit alphabetical codes International Standard ISO 3166-1 assigned by the International Organization for Standardization (ISO). e.g. AFG (Afghanistan)ISO22 letter identifier code for the countrye.g. AF (Afghanistan)ICM_regionICM Region for countryAFR (Africa), AMR (Americas), EMR (Eastern Mediterranean), EUR (Europe), SEAR (South east Asia) or WPR (Western Pacific)CodeUnique project code for each indicator:GGTXXnnnGG=data group e.g. OU for outcomeT = N for novice or E for ExpertXX = identifier number 00 to 30nnn = identifier name eg mmre.g. OUN01sbafor Outcome Novice Indicator 01 skilled birth attendance Short_nameIndicator namee.g. maternal mortality ratioDescriptionText description of the indicator to be used on websitee.g. Maternal mortality ratio (maternal deaths per 100,000 live births)Value_typeDescribes the indicator typeNumeric: decimal numberPercentage: value between 0 & 100Text: value from list of text optionsY/N: yes or noValue_categoryExpect this to be ‘total’ for all indicators for Phase 1, but this could allow future disaggregation, e.g. male/female; urban/ruraltotalYearThe year that the indicator value was reported. For most indicators, we will only report if 2014 or more recente.g. 2020Latest_Value‘LATEST’ if this is the most recent reported value for the indicator since 2014, otherwise ‘No’. Useful for indicators with time trend data.LATEST or NOValueIndicator valuee.g. 99.8. NB Some indicators are calculated to several decimal places. We present the value to the number of decimal places that should be displayed on the Hub.SourceFor Caesarean birth rate [OUN13cbr] ONLY, this column indicates the source of the data, either OECD when reported, or UNICEF otherwise.OECD or UNICEFTargetHow does the latest value compare with Global guidelines / targets?meets targetdoes not meet targetmeets global standarddoes not meet global standardRankGlobal rank for indicator, i.e. the country with the best global score for this indicator will have rank = 1, next = 2, etc. This ranking is only appropriate for a few indicators, others will show ‘na’1-195Rank out ofThe total number of countries who have reported a value for this indicator. Ranking scores will only go as high as this number.Up to 195TrendIf historic data is available, an indication of the change over time. If there is a global target, then the trend is either getting better, static or getting worse. For mmr [OUN04mmr] and nmr [OUN05nmr] the average annual rate of reduction (arr) between 2016 and latest value is used to determine the trend:arr <-1.0 = getting worsearr >=-1.0 AND <=1.0 = staticarr >1.0 = getting betterFor other indicators, the trend is estimated by comparing the average of the last three years with the average ten years ago:decreasing if now < 95% 10 yrs agoincreasing if now > 105% 10 yrs agostatic otherwiseincreasingdecreasing Or, if there is a global target: getting better,static,getting worseNotesClarification comments, when necessary LongitudeFor use with mapping LatitudeFor use with mapping DateDate data uploaded to the Hub the following codes are also possible values: not reported does not apply don’t know This is one of many datasets featured on the Midwives’ Data Hub, a digital platform designed to strengthen midwifery and advocate for better maternal and newborn health services.

Vital Statistics: Birth Rate: per 1000 Population: West Bengal data was reported at 14.600 NA in 2020. This records a decrease from the previous number of 14.900 NA for 2019. Vital Statistics: Birth Rate: per 1000 Population: West Bengal data is updated yearly, averaging 17.200 NA from Dec 1997 (Median) to 2020, with 23 observations. The data reached an all-time high of 21.300 NA in 1998 and a record low of 14.600 NA in 2020. Vital Statistics: Birth Rate: per 1000 Population: West Bengal data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH002: Vital Statistics: Birth Rate: by States.

The COVID-19 pandemic increased the global death rate, reaching *** in 2021, but had little to no significant impact on birth rates, causing population growth to dip slightly. On a global level, population growth is determined by the difference between the birth and death rates, known as the rate of natural change. On a national or regional level, migration also affects population change. Ongoing trends Since the middle of the 20th century, the global birth rate has been well above the global death rate; however, the gap between these figures has grown closer in recent years. The death rate is projected to overtake the birth rate in the 2080s, which means that the world's population will then go into decline. In the future, death rates will increase due to ageing populations across the world and a plateau in life expectancy. Why does this change? There are many reasons for the decline in death and birth rates in recent decades. Falling death rates have been driven by a reduction in infant and child mortality, as well as increased life expectancy. Falling birth rates were also driven by the reduction in child mortality, whereby mothers would have fewer children as survival rates rose - other factors include the drop in child marriage, improved contraception access and efficacy, and women choosing to have children later in life.

Vital Statistics: Birth Rate: per 1000 Population: Assam data was reported at 20.800 NA in 2020. This records a decrease from the previous number of 21.000 NA for 2019. Vital Statistics: Birth Rate: per 1000 Population: Assam data is updated yearly, averaging 23.600 NA from Dec 1997 (Median) to 2020, with 23 observations. The data reached an all-time high of 27.900 NA in 1998 and a record low of 20.800 NA in 2020. Vital Statistics: Birth Rate: per 1000 Population: Assam data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH002: Vital Statistics: Birth Rate: by States.

This dataset provides the estimated number of women aged 15–49 years in each country. This age group is commonly defined as 'women of reproductive age' and is used as the denominator in calculating key sexual and reproductive health indicators. These estimates support health system planning, resource allocation, and monitoring of service coverage for women across the reproductive life course. Data Source:United Nations Population Division World Population Prospects (2024 revision): https://population.un.org/wpp/ Data Dictionary: The data is collated with the following columns:Column headingContent of this columnPossible valuesRefNumerical counter for each row of data, for ease of identification1+CountryShort name for the country195 countries in total – all 194 WHO member states plus PalestineISO3Three-digit alphabetical codes International Standard ISO 3166-1 assigned by the International Organization for Standardization (ISO). e.g. AFG (Afghanistan)ISO22 letter identifier code for the countrye.g. AF (Afghanistan)ICM_regionICM Region for countryAFR (Africa), AMR (Americas), EMR (Eastern Mediterranean), EUR (Europe), SEAR (South east Asia) or WPR (Western Pacific)CodeUnique project code for each indicator:GGTXXnnnGG=data group e.g. OU for outcomeT = N for novice or E for ExpertXX = identifier number 00 to 30nnn = identifier name eg mmre.g. OUN01sbafor Outcome Novice Indicator 01 skilled birth attendance Short_nameIndicator namee.g. maternal mortality ratioDescriptionText description of the indicator to be used on websitee.g. Maternal mortality ratio (maternal deaths per 100,000 live births)Value_typeDescribes the indicator typeNumeric: decimal numberPercentage: value between 0 & 100Text: value from list of text optionsY/N: yes or noValue_categoryExpect this to be ‘total’ for all indicators for Phase 1, but this could allow future disaggregation, e.g. male/female; urban/ruraltotalYearThe year that the indicator value was reported. For most indicators, we will only report if 2014 or more recente.g. 2020Latest_Value‘LATEST’ if this is the most recent reported value for the indicator since 2014, otherwise ‘No’. Useful for indicators with time trend data.LATEST or NOValueIndicator valuee.g. 99.8. NB Some indicators are calculated to several decimal places. We present the value to the number of decimal places that should be displayed on the Hub.SourceFor Caesarean birth rate [OUN13cbr] ONLY, this column indicates the source of the data, either OECD when reported, or UNICEF otherwise.OECD or UNICEFTargetHow does the latest value compare with Global guidelines / targets?meets targetdoes not meet targetmeets global standarddoes not meet global standardRankGlobal rank for indicator, i.e. the country with the best global score for this indicator will have rank = 1, next = 2, etc. This ranking is only appropriate for a few indicators, others will show ‘na’1-195Rank out ofThe total number of countries who have reported a value for this indicator. Ranking scores will only go as high as this number.Up to 195TrendIf historic data is available, an indication of the change over time. If there is a global target, then the trend is either getting better, static or getting worse. For mmr [OUN04mmr] and nmr [OUN05nmr] the average annual rate of reduction (arr) between 2016 and latest value is used to determine the trend:arr <-1.0 = getting worsearr >=-1.0 AND <=1.0 = staticarr >1.0 = getting betterFor other indicators, the trend is estimated by comparing the average of the last three years with the average ten years ago:decreasing if now < 95% 10 yrs agoincreasing if now > 105% 10 yrs agostatic otherwiseincreasingdecreasing Or, if there is a global target: getting better,static,getting worseNotesClarification comments, when necessary LongitudeFor use with mapping LatitudeFor use with mapping DateDate data uploaded to the Hub the following codes are also possible values: not reported does not apply don’t know This is one of many datasets featured on the Midwives’ Data Hub, a digital platform designed to strengthen midwifery and advocate for better maternal and newborn health services.

Live births and stillbirths annual summary statistics, by sex, age of mother, whether within marriage or civil partnership, percentage of non-UK-born mothers, birth rates and births by month and mothers' area of usual residence.

Vital Statistics: Birth Rate: per 1000 Population: Kerala data was reported at 13.200 NA in 2020. This records a decrease from the previous number of 13.500 NA for 2019. Vital Statistics: Birth Rate: per 1000 Population: Kerala data is updated yearly, averaging 14.800 NA from Dec 1997 (Median) to 2020, with 23 observations. The data reached an all-time high of 18.300 NA in 1998 and a record low of 13.200 NA in 2020. Vital Statistics: Birth Rate: per 1000 Population: Kerala data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH002: Vital Statistics: Birth Rate: by States.

Vital Statistics: Birth Rate: per 1000 Population: Mizoram data was reported at 14.400 NA in 2020. This records a decrease from the previous number of 14.500 NA for 2019. Vital Statistics: Birth Rate: per 1000 Population: Mizoram data is updated yearly, averaging 16.200 NA from Dec 1997 (Median) to 2020, with 23 observations. The data reached an all-time high of 19.100 NA in 2004 and a record low of 14.400 NA in 2020. Vital Statistics: Birth Rate: per 1000 Population: Mizoram data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH002: Vital Statistics: Birth Rate: by States.

This dataset presents the percentage of births attended by skilled health personnel. Skilled birth attendants include midwives, doctors, and nurses who are trained to manage normal deliveries and recognise the onset of complications. This indicator reflects access to quality care during childbirth and is a key measure of maternal and newborn health system capacity and equity. It supports global efforts to monitor progress toward safe, respectful, and timely care at birth. Data Source: United Nations Children's Fund (UNICEF) Delivery Care Data: https://data.unicef.org/topic/maternal-health/delivery-care/ Data Dictionary: The data is collated with the following columns:Column headingContent of this columnPossible valuesRefNumerical counter for each row of data, for ease of identification1+CountryShort name for the country195 countries in total – all 194 WHO member states plus PalestineISO3Three-digit alphabetical codes International Standard ISO 3166-1 assigned by the International Organization for Standardization (ISO). e.g. AFG (Afghanistan)ISO22 letter identifier code for the countrye.g. AF (Afghanistan)ICM_regionICM Region for countryAFR (Africa), AMR (Americas), EMR (Eastern Mediterranean), EUR (Europe), SEAR (South east Asia) or WPR (Western Pacific)CodeUnique project code for each indicator:GGTXXnnnGG=data group e.g. OU for outcomeT = N for novice or E for ExpertXX = identifier number 00 to 30nnn = identifier name eg mmre.g. OUN01sbafor Outcome Novice Indicator 01 skilled birth attendance Short_nameIndicator namee.g. maternal mortality ratioDescriptionText description of the indicator to be used on websitee.g. Maternal mortality ratio (maternal deaths per 100,000 live births)Value_typeDescribes the indicator typeNumeric: decimal numberPercentage: value between 0 & 100Text: value from list of text optionsY/N: yes or noValue_categoryExpect this to be ‘total’ for all indicators for Phase 1, but this could allow future disaggregation, e.g. male/female; urban/ruraltotalYearThe year that the indicator value was reported. For most indicators, we will only report if 2014 or more recente.g. 2020Latest_Value‘LATEST’ if this is the most recent reported value for the indicator since 2014, otherwise ‘No’. Useful for indicators with time trend data.LATEST or NOValueIndicator valuee.g. 99.8. NB Some indicators are calculated to several decimal places. We present the value to the number of decimal places that should be displayed on the Hub.SourceFor Caesarean birth rate [OUN13cbr] ONLY, this column indicates the source of the data, either OECD when reported, or UNICEF otherwise.OECD or UNICEFTargetHow does the latest value compare with Global guidelines / targets?meets targetdoes not meet targetmeets global standarddoes not meet global standardRankGlobal rank for indicator, i.e. the country with the best global score for this indicator will have rank = 1, next = 2, etc. This ranking is only appropriate for a few indicators, others will show ‘na’1-195Rank out ofThe total number of countries who have reported a value for this indicator. Ranking scores will only go as high as this number.Up to 195TrendIf historic data is available, an indication of the change over time. If there is a global target, then the trend is either getting better, static or getting worse. For mmr [OUN04mmr] and nmr [OUN05nmr] the average annual rate of reduction (arr) between 2016 and latest value is used to determine the trend:arr <-1.0 = getting worsearr >=-1.0 AND <=1.0 = staticarr >1.0 = getting betterFor other indicators, the trend is estimated by comparing the average of the last three years with the average ten years ago:decreasing if now < 95% 10 yrs agoincreasing if now > 105% 10 yrs agostatic otherwiseincreasingdecreasing Or, if there is a global target: getting better,static,getting worseNotesClarification comments, when necessary LongitudeFor use with mapping LatitudeFor use with mapping DateDate data uploaded to the Hub the following codes are also possible values: not reported does not apply don’t know This is one of many datasets featured on the Midwives’ Data Hub, a digital platform designed to strengthen midwifery and advocate for better maternal and newborn health services.