In England and Wales in 2021, the conception rate among women aged between 30 and 34 years was approximately 116.2 per 1,000 women, meaning this age group had the highest rate of conceptions that year. Slightly lower was the rate of conceptions among 25 to 29-year-old's at 113.6 conceptions per 1,000 women, while there were 78.9 conceptions per 1,000 women aged between 20 and 24 years of age. Trends in teenage conceptions The rate of teenage pregnancies has declined sharply in the last ten years. In 2008, the conception rate among teenagers was approximately 60 per 1,000, by 2021 this rate has dropped to 26.1 as displayed above. While the number of teenage pregnancies has dropped in England and Wales, the share of pregnant teenagers getting abortions has increased. The share of teenage conceptions ending in abortion increased from 40.1 percent in 2004 to 51.6 percent in 2021. Additionally, teenagers are the most likely age group in England and Wales to go through with an abortion after a pregnancy. Birth rate trends in the UK In 2021, the birth rate in the UK was 10.4 births per 1,000 population, which, with the exception of 2020, was the lowest birth rate in the country since the start of the provided time period in 1938. The average age at which a mother gives birth in the UK has also increased alongside the drop in birth rate. In 2000, the average age of a mother giving birth in the UK was 28.5, by 2021 it was 30.9 year's old. Furthermore, there were just 41 live births per women aged 22 in 2022, compared with 71 live births for 22-year-olds in 2002, and 86 live births for women aged 22 in 1992.

Annual statistics on conceptions to residents of England and Wales – numbers and rates by age group including women aged under 18 years, inside and outside marriage or civil partnership, and area of usual residence.

Indicators in the Child and maternal health profiles and Sexual and reproductive health profiles have been updated. The profiles give data at a local, regional and national level to inform the development and provision of family planning, antenatal and maternity care.

This release updates indicators relating to:

• conceptions, abortions and birth rates for women under 18 and conceptions for women under 16
• ethnicity and age of mothers
• premature births
• admissions of babies aged under 14 days
• deliveries by caesarean section
• ectopic pregnancy
• pelvic inflammatory disease

Indicators which were due to have been updated in November 2021 have also been updated for:

• general fertility rates
• neonatal and post-neonatal deaths
• stillbirths
• multiple births
• low birthweight and very low birthweight of all babies

These indicators were not updated in 2021 because the coronavirus (COVID-19) pandemic has led to delays in birth and death registrations which has delayed the publication of statistics by the Office for National Statistics which are the source data for these indicators.

The fertility rate of a country is the average number of children that women from that country would have throughout their reproductive years. In the United Kingdom in 1800, the average woman of childbearing age would have five children over the course of their lifetime. Over the next 35 years the fertility rate was quite sporadic, rising to over 5.5 in the 1810s and 1820s, then dropping to 4.9 by 1835. This was during and after the Napoleonic Wars and the War of 1812 with the US, which was a time of increased industrialization, economic depression and high unemployment after the war. As things became more stable, and the 'Pax Britannica' (a period of relative, international peace and economic prosperity for the British Empire) came into full effect, the fertility rate plateaued until 1880, before dropping gradually until the First World War. The fertility rate then jumped from 2.6 to 3.1 children per woman between 1915 and 1920, as many men returned from the war. It then resumed it's previous trajectory in the interwar years, before increasing yet again after the war (albeit, for a much longer time than after WWI), in what is known as the 'Baby Boom'. Like the US, the Baby Boom lasted until around 1980, where it then fell to 1.7 children per woman, and it has remained around this number (between 1.66 and 1.87) since then.

In 2021 there were 43,116 teenage conceptions in England and Wales, one of the fewest number of teenage conceptions in the provided time period. The number of teenage conceptions has been falling since 2007, when there over 106,319 teenage pregnancies.

United Kingdom UK: Adolescent Fertility Rate: Births per 1000 Women Aged 15-19 data was reported at 13.547 Ratio in 2016. This records a decrease from the previous number of 14.596 Ratio for 2015. United Kingdom UK: Adolescent Fertility Rate: Births per 1000 Women Aged 15-19 data is updated yearly, averaging 30.317 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 88.785 Ratio in 1962 and a record low of 13.547 Ratio in 2016. United Kingdom UK: Adolescent Fertility Rate: Births per 1000 Women Aged 15-19 data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s United Kingdom – Table UK.World Bank.WDI: Health Statistics. Adolescent fertility rate is the number of births per 1,000 women ages 15-19.; ; United Nations Population Division, World Population Prospects.; Weighted average;

Annual analysis of fertility by cohort for women born in England and Wales. Cohort fertility analysis allows the fertility experience of a group of women sharing the same birth year (a “cohort”) to be traced through time and compared with other cohorts.

Between 2000 and 2020 the teenage pregnancy rate in England and Wales has declined across all age groups, despite a noticeable uptick in the mid 1990s which kept the overall rate over 60 until 2008, when the rate started to decrease, eventually reaching a low of 26.3 by 2020. For 2021, the rate increased slightly for under 18s, up to 13.2 from 13.1, with the rate not changing for under 16s and under 20s.

Presents data on fertility by year of birth of mother rather than the year of birth of child. This package includes average number of live-born children and the proportion of women remaining childless by year of birth.

Quarterly statistics on conceptions to women aged under 18 years resident in England and Wales; numbers and rates are by regions and other local authority areas.

Note: (10/12/2010) The Health and Social Care Information Centre initially published the Provider Level Analysis spreadsheet on 18/11/2010. Due to the suppression of small numbers it wasn't possible to calculate method of onset or delivery rates for all providers. Additional information has been added to tables C and D of the Provider Level Analysis allowing estimated rates to be presented. Maternity data The publication includes details of all deliveries taking place in NHS hospitals (in England) excluding home births and those taking place in independent sector hospitals. This includes a wide range of information such as details of how the baby was born (method of delivery), complications, birth weight and gestation. Data for 2009-10 A number of revisions have been made to the size and the presentation of the 2009-10 NHS Maternity Statistics publication. These revisions are intended to bring the publication in line with the National Statistics code of practice and highlight data quality issues to stimulate improvement in the quality of HES maternity data submitted by NHS organisations. For further details on the changes to the table numbers and locations see Appendix A of the maternity explanatory notes. The 2009-10 NHS Maternity Statistics publication will include two downloadable excel files; NHS Maternity Statistics, 2009-10 33 tables and 3 graphs are now available in one excel workbook which includes data on the following; Place of delivery Person conducting delivery Anaesthetics Method of onset and method of delivery Episiotomy Antenatal/postnatal stay Complications Gestation Birth weight Miscarriage and ectopic pregnancy Provider level analysis, 2009-10 The purpose of the provider level analysis is to contribute to the improvement of both the quality and coverage of maternity data submitted to HES. It is hoped this will stimulate discussion and ultimately contribute to enhancements in patient care. The provider level analysis provides information at National, strategic health authority, hospital provider and site level (where submitted) relating to: Gestation period in weeks at first antenatal assessment date Gestation length at delivery Method of onset of labour Method of delivery Person conducting delivery Place of delivery Selected maternity statistics Spontaneous deliveries with episiotomy Caesarean with postnatal stay 0-3 days Total caesarean with anaesthetics Unassisted deliveries Please note that an additional data quality note relating to gestation length at delivery was added on 08/01/2014.

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2021-22, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2022. 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 third 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. The MethodfDelivery measure counting babies has been replaced by the DeliveryMethodBabyGroup measure which counts deliveries, and the smoking at booking and folic acid status measures have been renamed - these changes have been made to better align this annual publication with the Maternity Services Monthly Statistics publication. 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”.

Teenage conception rate for under 16 year olds and the % of conceptions that lead to abortion Source: Teenage Pregnancy Unit Publisher: Office for National Statistics (ONS) Geographies: Local Authority District (LAD), County/Unitary Authority, Government Office Region (GOR), National Geographic coverage: England Time coverage: 2001-2004 and 2005-2007 Type of data: Administrative data

Data on teenage conceptions at ward level has been analysed by quintiles and are presented as maps to illustrate the variation whilst avoiding the risk of disclosing information on individuals. Under 18 conception rates at ward level were produced by aggregating the number of conceptions to all girls aged under 18 over three year periods (2000-2002 and 2001-2003) and calculating the rate as the number of conceptions per 1,000 women aged 15-17 resident in the area using the mid year ward population estimates. Quintiles were then produced by ranking ward level under 18 conceptions rates from the lowest to highest at National level and then allocating wards to one of five equal groups based on the total number of wards. Quintile 1 therefore includes wards with the lowest rates, whilst quintile 5 includes wards with the highest rates in England and Wales. Source: Office for National Statistics (ONS) Publisher: Neighbourhood Statistics Geographies: Ward, Local Authority District (LAD) Geographic coverage: England and Wales Time coverage: 2000-2002, 2001-2003 Type of data: Administrative data

In 2021, the total fertility rate, in the United Kingdom fell to 1.53 births per woman, compared with 1.56 in 2020. The fertility rate in the most recent year is the lowest in this provided time period, and far below the peak of 2.65 births per woman recorded in 1964.

The total fertility rate in the United Kingdom saw no significant changes in 2022 in comparison to the previous year 2021 and remained at around 1.57 children per woman. Nevertheless, this was the first time during the observed period that the fertility rate increased in the United Kingdom. The total fertility rate is the average number of children that a woman of childbearing age (generally considered 15 to 44 years) can hypothetically expect to have throughout her reproductive years. As fertility rates are estimates (similar to life expectancy), they refer to a hypothetical woman or cohort, and estimates assume that current age-specific fertility trends would remain constant throughout this person's reproductive years.Find more statistics on other topics about the United Kingdom with key insights such as crude birth rate, total life expectancy at birth, and infant mortality rate.

'Report on fertility patterns for UK born and non-UK born mothers in the period 2007 - 2011. Includes investigation of fertility patterns at the country level, and also of countries of birth.'

Source agency: Office for National Statistics

Designation: National Statistics

Language: English

Alternative title: Childbearing of UK and non-UK born women living in the UK

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2017-18, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2018. 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. As the number of deliveries recorded in the MSDS is only 78 per cent of the number of deliveries recorded in HES, the partial coverage of the MSDS both geographically and over time means that figures from the MSDS should not be interpreted as England level figures for 2017-18. 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 and the smoking status of women in early pregnancy. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England.

This is a report on deliveries in English NHS hospitals. This annual publication covers the financial year ending March 2017. For the first time the publication includes data 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 which has been impacted in terms of non-response from providers as they work towards establishing their reporting flows. In 2016-17 MSDS reported 55.9 per cent of the number of deliveries reported in HES based on data submitted by 111 maternity providers. Therefore, caution should be taken when interpreting the data at geographies above reporting organisation level and figures derived from the MSDS data are presented in terms of 'all providers who submitted data to the MSDS' instead of England total figures for 2016-17 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 and the smoking status of women in early pregnancy. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England.