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.

In 2023, around 85 percent of infants in the United States were being breastfed at discharge from the hospital, highlighting a strong trend towards early breastfeeding. This statistic shows select medical and health characteristics of mothers during pregnancy and birth in the United States in 2023.

Maternal health and birth characteristics The data reveals that 59.7 percent of delivering mothers in the U.S. were overweight or obese in 2023, a concerning statistic for maternal health. Additionally, 32.3 percent of births were via cesarean delivery, while only 1.5 percent were home births. Home birth rates vary by state, with Idaho having the highest at 4.7 percent. Despite the low overall rate of home births, some women choose this option for reasons including less medical intervention, location preference, cost, and cultural or religious factors. Declining birth rates and changing demographics The overall birth rate in the United States has been steadily declining over the past few decades. In 2022, there were 11 births per 1,000 population, down from 16.7 in 1990. This decline is influenced by various factors, including financial concerns and increased focus on careers among women. Interestingly, birth rates vary significantly across different ethnic groups, with Native Hawaiian and Pacific Islander women having the highest birth rates, while Asian and white women have the lowest.

This dataset includes crude birth rates and general fertility rates in the United States since 1909. The number of states in the reporting area differ historically. In 1915 (when the birth registration area was established), 10 states and the District of Columbia reported births; by 1933, 48 states and the District of Columbia were reporting births, with the last two states, Alaska and Hawaii, added to the registration area in 1959 and 1960, when these regions gained statehood. Reporting area information is detailed in references 1 and 2 below. Trend lines for 1909–1958 are based on live births adjusted for under-registration; beginning with 1959, trend lines are based on registered live births. 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.

The graph illustrates the number of babies born in the United States from 1995 to 2025. The x-axis represents the years, labeled from '95 to '25, while the y-axis shows the annual number of births. Over this 30-year period, birth numbers peaked at 4,316,233 in 2007 and reached a low of 3,596,017 in 2023. The data reveals relatively stable birth rates from 1995 to 2010, with slight fluctuations, followed by a gradual decline starting around 2017. The information is presented in a line graph format, effectively highlighting the long-term downward trend in U.S. birth numbers over the specified timeframe.

Over the past 30 years, the birth rate in the United States has been steadily declining, and in 2022, there were 11 births per 1,000 of the population. In 1990, this figure stood at 16.7 births per 1,000 of the population. Demographics have an impact The average birth rate in the U.S. may be falling, but when broken down along ethnic and economic lines, a different picture is painted: Native Hawaiian and other Pacific Islander women saw the highest birth rate in 2022 among all ethnicities, and Asian women and white women both saw the lowest birth rate. Additionally, the higher the family income, the lower the birth rate; families making between 15,000 and 24,999 U.S. dollars annually had the highest birth rate of any income bracket in the States. Life expectancy at birth In addition to the declining birth rate in the U.S., the total life expectancy at birth has also reached its lowest value in recent years. Studies have shown that the life expectancy of both men and women in the United States has declined as of 2021. Declines in life expectancy, like declines in birth rates, may indicate that there are social and economic factors negatively influencing the overall population health and well-being of the country.

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 data set contains estimated teen birth rates for age group 15–19 (expressed per 1,000 females aged 15–19) by county and year.

DEFINITIONS

Estimated teen birth rate: Model-based estimates of teen birth rates for age group 15–19 (expressed per 1,000 females aged 15–19) for a specific county and year. Estimated county teen birth rates were obtained using the methods described elsewhere (1,2,3,4). These annual county-level teen birth estimates “borrow strength” across counties and years to generate accurate estimates where data are sparse due to small population size (1,2,3,4). The inferential method uses information—including the estimated teen birth rates from neighboring counties across years and the associated explanatory variables—to provide a stable estimate of the county teen birth rate. Median teen birth rate: The middle value of the estimated teen birth rates for the age group 15–19 for counties in a state. Bayesian credible intervals: A range of values within which there is a 95% probability that the actual teen birth rate will fall, based on the observed teen births data and the model.

NOTES

Data on the number of live births for women aged 15–19 years were extracted from the National Center for Health Statistics’ (NCHS) National Vital Statistics System birth data files for 2003–2015 (5).

Population estimates were extracted from the files containing intercensal and postcensal bridged-race population estimates provided by NCHS. For each year, the July population estimates were used, with the exception of the year of the decennial census, 2010, for which the April estimates were used.

Hierarchical Bayesian space–time models were used to generate hierarchical Bayesian estimates of county teen birth rates for each year during 2003–2015 (1,2,3,4).

The Bayesian analogue of the frequentist confidence interval is defined as the Bayesian credible interval. A 100*(1-α)% Bayesian credible interval for an unknown parameter vector θ and observed data vector y is a subset C of parameter space Ф such that 1-α≤P({C│y})=∫p{θ │y}dθ, where integration is performed over the set and is replaced by summation for discrete components of θ. The probability that θ lies in C given the observed data y is at least (1- α) (6).

County borders in Alaska changed, and new counties were formed and others were merged, during 2003–2015. These changes were reflected in the population files but not in the natality files. For this reason, two counties in Alaska were collapsed so that the birth and population counts were comparable. Additionally, Kalawao County, a remote island county in Hawaii, recorded no births, and census estimates indicated a denominator of 0 (i.e., no females between the ages of 15 and 19 years residing in the county from 2003 through 2015). For this reason, Kalawao County was removed from the analysis. Also , Bedford City, Virginia, was added to Bedford County in 2015 and no longer appears in the mortality file in 2015. For consistency, Bedford City was merged with Bedford County, Virginia, for the entire 2003–2015 period. Final analysis was conducted on 3,137 counties for each year from 2003 through 2015. County boundaries are consistent with the vintage 2005–2007 bridged-race population file geographies (7).

This dataset includes birth rates for females by age group in the United States since 1940. The number of states in the reporting area differ historically. In 1915 (when the birth registration area was established), 10 states and the District of Columbia reported births; by 1933, 48 states and the District of Columbia were reporting births, with the last two states, Alaska and Hawaii, added to the registration area in 1959 and 1960, when these regions gained statehood. Reporting area information is detailed in references 1 and 2 below. Trend lines for 1909–1958 are based on live births adjusted for under-registration; beginning with 1959, trend lines are based on registered live births. 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.

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).

This dataset assembles all final birth data for females aged 15–19, 15–17, and 18–19 for the United States and each of the 50 states. Data are based on 100% of birth certificates filed in all 50 states. All the teen birth rates in this dashboard reflect the latest revisions to Census populations (i.e., the intercensal populations) and thus provide a consistent series of accurate rates for the past 25 years. The denominators of the teen birth rates for 1991–1999 have been revised to incorporate the results of the 2000 Census. The denominators of the teen birth rates for 2001–2009 have revised to incorporate the results of the 2010 Census.

United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data was reported at 14.000 Ratio in 2015. This stayed constant from the previous number of 14.000 Ratio for 2014. United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data is updated yearly, averaging 13.000 Ratio from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 15.000 Ratio in 2009 and a record low of 11.000 Ratio in 1998. United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births 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. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Weighted average; This indicator represents the risk associated with each pregnancy and is also a Sustainable Development Goal Indicator for monitoring maternal health.

This dataset includes percent distribution of births for females by age group in the United States since 1933. The number of states in the reporting area differ historically. In 1915 (when the birth registration area was established), 10 states and the District of Columbia reported births; by 1933, 48 states and the District of Columbia were reporting births, with the last two states, Alaska and Hawaii, added to the registration area in 1959 and 1960, when these regions gained statehood. Reporting area information is detailed in references 1 and 2 below. Trend lines for 1909–1958 are based on live births adjusted for under-registration; beginning with 1959, trend lines are based on registered live births. 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.

This dataset includes number of births to unmarried women by age group in the United States since 1940. 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. SOURCES CDC/NCHS, National Vital Statistics System, birth data (see http://www.cdc.gov/nchs/births.htm); public-use data files (see http://www.cdc.gov/nchs/data_access/Vitalstatsonline.htm); and CDC WONDER (see http://wonder.cdc.gov/). REFERENCES Curtin SC, Ventura SJ, Martinez GM. Recent declines in nonmarital childbearing in the United States. NCHS data brief, no 162. Hyattsville, MD: National Center for Health Statistics. 2014. Available from: http://www.cdc.gov/nchs/data/databriefs/db162.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.

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.

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

In 1990, there were around 173 teen pregnancies among teens aged 18 to 19 years per 1,000 women in the United States. This rate had decreased to about 50 per 1,000 by the year 2020. This statistic depicts the U.S. pregnancy rate among teenagers from 1973 to 2020, by age group.

Analysis of ‘🤰 Pregnancy, Birth & Abortion Rates (1973 - 2016)’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://www.kaggle.com/yamqwe/pregnancy-birth-abortion-rates-in-the-united-stae on 13 February 2022.

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

About this dataset

Source: OSF | Downloaded on 29 October 2020

This data source is a subset of the original data source. The data has been split by State, Metric and Age Range. It has been limited to pregnancy rate, birth rate and abortion rate per 1,000 women. The original data contains many more measures.

The data was prepared with Tableau Prep.

Summary via OSF -

A data set of comprehensive historical statistics on the incidence of pregnancy, birth and abortion for people of all reproductive ages in the United States. National statistics cover the period from 1973 to 2016, the most recent year for which comparable data are available; state-level statistics are for selected years from 1988 to 2016. For a report describing key highlights from these data, as well as a methodology appendix describing our methods of estimation and data sources used, see https://guttmacher.org/report/pregnancies-births-abortions-in-united-states-1973-2016.

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This dataset was created by Andy Kriebel and contains around 20000 samples along with Age Range, Events Per 1,000 Women, technical information and other features such as: - State - Year - and more.

How to use this dataset

• Analyze Metric in relation to Age Range
• Study the influence of Events Per 1,000 Women on State
• More datasets

Acknowledgements

If you use this dataset in your research, please credit Andy Kriebel

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

The Natality Detail File, 2012 [United States] provides information on live births in the United States during the calendar year 2012. 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 and alcohol use during pregnancy, pregnancy history, medical risk factors, and infant health characteristics. Birth and fertility rates and other statistics related to this study can be found in an Appendix to the User Guide, under Detailed Technical Notes. Demographic variables include the child's sex and month and year of birth and the parents' ages, races, ethnicities, education levels, as well as the mother's marital status and residency status.

United States US: Births Attended by Skilled Health Staff: % of Total data was reported at 99.100 % in 2015. This records an increase from the previous number of 98.500 % for 2014. United States US: Births Attended by Skilled Health Staff: % of Total data is updated yearly, averaging 99.300 % from Dec 1989 (Median) to 2015, with 27 observations. The data reached an all-time high of 99.500 % in 2002 and a record low of 98.500 % in 2014. United States US: Births Attended by Skilled Health Staff: % of Total data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s United States – Table US.World Bank.WDI: Health Statistics. Births attended by skilled health staff are the percentage of deliveries attended by personnel trained to give the necessary supervision, care, and advice to women during pregnancy, labor, and the postpartum period; to conduct deliveries on their own; and to care for newborns.; ; UNICEF, State of the World's Children, Childinfo, and Demographic and Health Surveys.; Weighted average; Assistance by trained professionals during birth reduces the incidence of maternal deaths during childbirth. The share of births attended by skilled health staff is an indicator of a health system’s ability to provide adequate care for pregnant women.

Sex ratio at birth (male births per female births) in United States was reported at 1.049 in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. United States - Sex ratio at birth (male births per female births) - actual values, historical data, forecasts and projections were sourced from the World Bank on July of 2025.