In the United States in 2021, the death rate was highest among those aged 85 and over, with about 17,190.5 men and 14,914.5 women per 100,000 of the population passing away. For all ages, the death rate was at 1,118.2 per 100,000 of the population for males, and 970.8 per 100,000 of the population for women. The death rate Death rates generally are counted as the number of deaths per 1,000 or 100,000 of the population and include both deaths of natural and unnatural causes. The death rate in the United States had pretty much held steady since 1990 until it started to increase over the last decade, with the highest death rates recorded in recent years. While the birth rate in the United States has been decreasing, it is still currently higher than the death rate. Causes of death There are a myriad number of causes of death in the United States, but the most recent data shows the top three leading causes of death to be heart disease, cancers, and accidents. Heart disease was also the leading cause of death worldwide.

Historical chart and dataset showing U.S. birth rate by year from 1950 to 2025.

In 2021, around 373,594 babies were born while 267,651 people died in the state of Texas in the United States. In comparison, there were 34,333 deaths and 35,670 babies born in Connecticut in that same year.

Historical chart and dataset showing U.S. infant mortality rate by year from 1950 to 2025.

In 2022, the state of Mississippi had the highest infant mortality rate in the United States, with around 9.11 deaths per 1,000 live births. Infant mortality is the death of an infant before the age of one. The countries with the lowest infant mortality rates worldwide are Slovenia, Singapore, and Iceland. The countries with the highest infant mortality rates include Afghanistan, Somalia, and the Central African Republic. Causes of infant mortality Rates and causes of infant mortality are different depending on the country and region. However, the leading causes of neonatal deaths include preterm birth complications, intrapartum-related events, and sepsis. The leading causes of death among children aged 1 to 59 months are pneumonia, diarrhea, and injury. In the United States The infant mortality rate in the United States has decreased over the past few decades, reaching a low of 5.4 deaths per 1,000 live births in 2021. The most common causes of infant death in the United States are congenital malformations, low birth weight, and sudden infant death syndrome. In 2022, congenital malformations accounted for around 108 infant deaths per 100,000 live births.

Women 40 years and over have the highest rates of maternal mortality in the United States. In 2023, the rate of maternal mortality among this age group was around 60 per 100,000 live births. This statistic presents maternal mortality rates in the United States from 2018 to 2023, by age group.

While the standard image of the nuclear family with two parents and 2.5 children has persisted in the American imagination, the number of births in the U.S. has steadily been decreasing since 1990, with about 3.6 million babies born in 2023. In 1990, this figure was 4.16 million. Birth and replacement rates A country’s birth rate is defined as the number of live births per 1,000 inhabitants, and it is this particularly important number that has been decreasing over the past few decades. The declining birth rate is not solely an American problem, with EU member states showing comparable rates to the U.S. Additionally, each country has what is called a “replacement rate.” The replacement rate is the rate of fertility needed to keep a population stable when compared with the death rate. In the U.S., the fertility rate needed to keep the population stable is around 2.1 children per woman, but this figure was at 1.67 in 2022. Falling birth rates Currently, there is much discussion as to what exactly is causing the birth rate to decrease in the United States. There seem to be several factors in play, including longer life expectancies, financial concerns (such as the economic crisis of 2008), and an increased focus on careers, all of which are causing people to wait longer to start a family. How international governments will handle falling populations remains to be seen, but what is clear is that the declining birth rate is a multifaceted problem without an easy solution.

Maternal mortality rates can vary significantly around the world. For example, in 2022, Estonia had a maternal mortality rate of zero per 100,000 live births, while Mexico reported a rate of 38 deaths per 100,000 live births. However, the regions with the highest number of maternal deaths are Sub-Saharan Africa and Southern Asia, with differences between countries and regions often reflecting inequalities in health care services and access. Most causes of maternal mortality are preventable and treatable with the most common causes including severe bleeding, infections, complications during delivery, high blood pressure during pregnancy, and unsafe abortion. Maternal mortality in the United States In 2022, there were a total of 817 maternal deaths in the United States. Women aged 25 to 39 years accounted for 578 of these deaths, however, rates of maternal mortality are much higher among women aged 40 years and older. In 2022, the rate of maternal mortality among women aged 40 years and older in the U.S. was 87 per 100,000 live births, compared to a rate of 21 among women aged 25 to 39 years. The rate of maternal mortality in the U.S. has risen in recent years among all age groups. Differences in maternal mortality in the U.S. by race/ethnicity Sadly, there are great disparities in maternal mortality in the United States among different races and ethnicities. In 2022, the rate of maternal mortality among non-Hispanic white women was about 19 per 100,000 live births, while non-Hispanic Black women died from maternal causes at a rate of almost 50 per 100,000 live births. Rates of maternal mortality have risen for white and Hispanic women in recent years, but Black women have by far seen the largest increase in maternal mortality. In 2022, around 253 Black women died from maternal causes in the United States.

In 2023, non-Hispanic Black women had the highest rates of maternal mortality among select races/ethnicities in the United States, with 50.3 deaths per 100,000 live births. The total maternal mortality rate in the U.S. at that time was 18.6 per 100,000 live births, a decrease from a rate of almost 33 in 2021. This statistic presents the maternal mortality rates in the United States from 2018 to 2023, by race and ethnicity.

In 2022, the infant mortality rate in the United States was 5.4 out of every 1,000 live births. This is a significant decrease from 1960, when infant mortality was at around 26 deaths out of every 1,000 live births. What is infant mortality? The infant mortality rate is the number of deaths of babies under the age of one per 1,000 live births. There are many causes for infant mortality, which include birth defects, low birth weight, pregnancy complications, and sudden infant death syndrome. In order to decrease the high rates of infant mortality, there needs to be an increase in education and medicine so babies and mothers can receive the proper treatment needed. Maternal mortality is also related to infant mortality. If mothers can attend more prenatal visits and have more access to healthcare facilities, maternal mortality can decrease, and babies have a better chance of surviving in their first year. Worldwide infant mortality rates Infant mortality rates vary worldwide; however, some areas are more affected than others. Afghanistan suffered from the highest infant mortality rate in 2024, and the following 19 countries all came from Africa, with the exception of Pakistan. On the other hand, Slovenia had the lowest infant mortality rate that year. High infant mortality rates can be attributed to lack of sanitation, technological advancements, and proper natal care. In the United States, Massachusetts had the lowest infant mortality rate, while Mississippi had the highest in 2022. Overall, the number of neonatal and post neonatal deaths in the United States has been steadily decreasing since 1995.

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 statistic shows the 20 countries* with the highest infant mortality rate in 2024. An estimated 101.3 infants per 1,000 live births died in the first year of life in Afghanistan in 2024. Infant and child mortality Infant mortality usually refers to the death of children younger than one year. Child mortality, which is often used synonymously with infant mortality, is the death of children younger than five. Among the main causes are pneumonia, diarrhea – which causes dehydration – and infections in newborns, with malnutrition also posing a severe problem. As can be seen above, most countries with a high infant mortality rate are developing countries or emerging countries, most of which are located in Africa. Good health care and hygiene are crucial in reducing child mortality; among the countries with the lowest infant mortality rate are exclusively developed countries, whose inhabitants usually have access to clean water and comprehensive health care. Access to vaccinations, antibiotics and a balanced nutrition also help reducing child mortality in these regions. In some countries, infants are killed if they turn out to be of a certain gender. India, for example, is known as a country where a lot of girls are aborted or killed right after birth, as they are considered to be too expensive for poorer families, who traditionally have to pay a costly dowry on the girl’s wedding day. Interestingly, the global mortality rate among boys is higher than that for girls, which could be due to the fact that more male infants are actually born than female ones. Other theories include a stronger immune system in girls, or more premature births among boys.

The total fertility rate of the world has dropped from around five 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 five 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.

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.

Infant mortality rates in the United States reveal significant disparities among racial and ethnic groups. In 2023, Black mothers faced the highest rate at nearly 11 deaths per 1,000 live births, more than double the rate for white mothers. This stark contrast persists despite overall improvements in healthcare and highlights the need for targeted interventions to address these inequalities. Birth rates and fertility trends While infant mortality rates vary, birth rates also differ across ethnicities. Native Hawaiian and Pacific Islander women had the highest fertility rate in 2022, with about 2,237.5 births per 1,000 women, far exceeding the national average of 1,656.5. In 2023, this group maintained the highest birth rate at 79 births per 1,000 women. Asian women, by contrast, had a much lower birth rate of around 50 per thousand women. These differences in fertility rates can impact overall population growth and demographic shifts within the United States. Hispanic birth trends and fertility decline The Hispanic population in the United States has experienced significant changes in birth trends over recent decades. In 2021, 885,916 babies were born to Hispanic mothers, with a birth rate of 14.1 per 1,000 of the Hispanic population. This represents a slight increase from the previous year. However, the fertility rate among Hispanic women has declined dramatically since 1990, dropping from 108 children per 1,000 women aged 15-44 to 63.4 in 2021. This decline aligns with broader trends of decreasing fertility rates in more industrialized nations.

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.

In 2013, the total number of women aged 15 to 49 years worldwide was *** billion. In 2017 it was estimated that this number would increase to almost ****billion by 2025. The U.S. accounted for a small proportion of the total number of women globally in 2013 with just **** million. Global demographics In 2024, the total global population at approximately **** billion people. In 2024, the continent with the largest proportion of the global population was Asia, followed by Africa. While North America and Oceania were some of the least populated areas of the world. The age distribution of the population varies by region as well. For example, the percentage of the global population between the ages of 15 and 64 years varies between ** percent and ** percent. Women’s health worldwide Women face different health challenges depending on the region and country. One important global health issue is maternal mortality. The country with the highest maternal mortality rate in 2023 was Nigeria. Chad had the seventh-highest estimated birth rate in 2024 and was the country with the second-highest maternal mortality rate. The United States has one of the highest maternal mortality rates when compared to similarly developed countries.

This statistic shows the 20 countries * with the lowest infant mortality rate in 2024. An estimated 1.5 out of 1,000 live births died in the first year of life in Slovenia and Singapore in 2024. Infant mortality Infant mortality rates are often used as an indicator of the health and well-being of a nation. Monaco, Iceland, and Japan are among the top three countries with the lowest infant mortality rates with around 2 infant deaths per 1,000 infants within their first year of life. Generally, the countries with the lowest infant mortality also have some of the highest average life expectancy figures. Additionally, the countries with the highest density of physicians and doctors also generally report low infant mortality. Yet, many different factors contribute to differing rates, including the overall income of a country, health spending per capita, a mother’s level of education, environmental conditions, and medical infrastructure, to name a few. This creates a lot of variation concerning the level of childbirth and infant care around the world. The countries with the highest rates of infant mortality include Afghanistan, Mali, and Somalia. These countries experience around 100 infant deaths per 1,000 infants in their first year of life. While the reasons for high rates of infant mortality are numerous, the leading causes of death for children under the year five around the world are Pneumonia, Diarrhea, and Prematurity.

Among all U.S. states, Nebraska had the highest hospital-based Cesarean section delivery rate as of 2017, with 34 percent of births being delivered via Cesarean section. Cesarean section rates were calculated for first-time, low-risk mothers. Nebraska’s Cesarean section rate is significantly higher than the U.S. target. According to recent data, over half of U.S. hospitals have C-section delivery rates higher than the national U.S. targets.

Risks of Cesarean section

A Cesarean section (or C-section) is a surgical procedure for delivering babies in which a baby is delivered by being removed through the abdomen as opposed to being delivered vaginally. Most deaths due to childbirth in the U.S. are preventable. However, women that deliver via C-section are more prone to specific health risks including, infection, excessive bleeding, and damage to the bladder, kidneys and other internal organs. While cost may not directly affect health, the risk of financial troubles based on medical expenditures is also an issue with C-section deliveries. The U.S. has some of the highest costs globally for C-section deliveries.

High U.S. Cesarean section rates

Among all OECD countries the United States raked among the top five for highest rates of cesarean section deliveries. The number of C-sections performed in the U.S. has dramatically increased since 1997. Among mothers in the U.S., older women have higher rates of C-section delivery.

In 2022, there were around 613 thousand legal abortions in the United States. The number of legal abortions in the United States has decreased significantly since the early 1990’s. This number will probably continue to decrease in the coming years since many states have severely limited or completely banned abortion after the overturning of Roe v. Wade by the Supreme Court in 2022. The states with the highest abortion rates In 2022, the rate of legal abortions per live births in the United States was 19.9 per 100. In comparison, in 1990 there were 34.4 abortions per 100 live births. The states with the highest rates of abortion per live births are New Mexico, Illinois, and Florida. In Florida, there were around 37 abortions per 100 live births in 2022. Florida had the highest total number of abortions that year, followed by New York and Illinois. Missouri and South Dakota had the lowest number of abortions in 2022. Out-of-state abortions Critics of the Supreme Court decision to overturn Roe v. Wade argue that while those who can afford it may be able to travel to other states for an abortion if their state bans the procedure, poorer residents will have no such choice. Even before the overturning of Roe v. Wade, out-of-state residents already accounted for a high share of abortions in certain states. In 2022, 69 percent of abortions in Kansas were performed on out-of-state residents, while out-of-state residents accounted for around 62 percent of abortions in New Mexico. Illinois had the highest total number of abortions performed on out-of-state residents that year, with around 16,849 procedures.