The child mortality rate in the United States, for children under the age of five, was 462.9 deaths per thousand births in 1800. This means that for every thousand babies born in 1800, over 46 percent did not make it to their fifth birthday. Over the course of the next 220 years, this number has dropped drastically, and the rate has dropped to its lowest point ever in 2020 where it is just seven deaths per thousand births. Although the child mortality rate has decreased greatly over this 220 year period, there were two occasions where it increased; in the 1870s, as a result of the fourth cholera pandemic, smallpox outbreaks, and yellow fever, and in the late 1910s, due to the Spanish Flu pandemic.

The infant mortality rate in the United States, for children under the age of one (twelve months), was 60 deaths per thousand births in 1935. Approximately six percent of children born in 1935 did not survive past their first birthday. Over the course of the next 85 years, this number has dropped significantly, and the rate has reached its lowest point ever in the period between 2015 and 2020, at six deaths per thousand births. Figures have been below ten since the 1990s.

This dataset of U.S. mortality trends since 1900 highlights childhood mortality rates by age group for age at death. Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below). Age groups for childhood death rates are based on age at death. SOURCES CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov). REFERENCES National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

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.

This dataset of U.S. mortality trends since 1900 highlights the differences in age-adjusted death rates and life expectancy at birth by race and sex. Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below). Life expectancy data are available up to 2017. Due to changes in categories of race used in publications, data are not available for the black population consistently before 1968, and not at all before 1960. More information on historical data on age-adjusted death rates is available at https://www.cdc.gov/nchs/nvss/mortality/hist293.htm. SOURCES CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov). REFERENCES National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

The infant mortality rate in Germany, for children under the age of one (twelve months), was 295 deaths per thousand births in 1840. This translated into approximately three out of every ten children born in 1840 not surviving past their first birthday. The largest decrease in this 180 year period came in the late 1870s, as Germany introduced mandatory vaccination for children, which brought infant mortality down by almost sixty in this five year period. From the turn of the twentieth century onwards, the infant mortality rate in Germany dropped considerably (although data in and immediately after the Second World War is not available), and by 2020 the number is expected to be just three deaths per thousand births.

Number of deaths and mortality rates, by age group, sex, and place of residence, 1991 to most recent year.

The child mortality rate in the United Kingdom, for children under the age of five, was 329 deaths per thousand births in 1800. This means that approximately one in every three children born in 1800 did not make it to their fifth birthday. Over the course of the next 220 years, this number has dropped drastically, particularly in the first half of the twentieth century, and the rate has dropped to its lowest point ever in 2020 where it is just four deaths per thousand births.

The infant mortality rate in Russia, for children under the age of one year old, was over 266 deaths per thousand births in 1870. This means that for all babies born in 1870, over one quarter did not survive past their first birthday. Unfortunately some information is missing in the early twentieth century, during Russia's revolutionary period and again during the Second World War, however it is noticeable that Russia's infant mortality rate fell to one death for every ten babies born in 1955, and from this point the rate has fallen to just six deaths per thousand births today.

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.

The child mortality rate in China, for children under the age of five, was 417 deaths per thousand births in 1850. This means that for all children born in 1850, almost 42 percent did not make it to their fifth birthday. Over the course of the next 170 years, this number has dropped drastically, and the rate has dropped to its lowest point ever in 2020 where it is just twelve deaths per thousand births. The sharpest decrease came between 1950 and 1955, as the Chinese Civil War ended, and the country began to recover from the Second World War. The decline then stopped between 1955 and 1965, due to famines caused by Chairman Mao Zedong's attempted Great Leap Forward, which was a failed attempt to industrialize China in the late twentieth century.

From the mid-19th century until today, life expectancy at birth in the United States has roughly doubled, from 39.4 years in 1850 to 79.6 years in 2025. It is estimated that life expectancy in the U.S. began its upward trajectory in the 1880s, largely driven by the decline in infant and child mortality through factors such as vaccination programs, antibiotics, and other healthcare advancements. Improved food security and access to clean water, as well as general increases in living standards (such as better housing, education, and increased safety) also contributed to a rise in life expectancy across all age brackets. There were notable dips in life expectancy; with an eight year drop during the American Civil War in the 1860s, a seven year drop during the Spanish Flu empidemic in 1918, and a 2.5 year drop during the Covid-19 pandemic. There were also notable plateaus (and minor decreases) not due to major historical events, such as that of the 2010s, which has been attributed to a combination of factors such as unhealthy lifestyles, poor access to healthcare, poverty, and increased suicide rates, among others. However, despite the rate of progress slowing since the 1950s, most decades do see a general increase in the long term, and current UN projections predict that life expectancy at birth in the U.S. will increase by another nine years before the end of the century.

The variables contained in the data sets are primarily concerned with perinatal outcomes and maternal health. A number of variables with respect to the social and economic status of the mothers and their families were also included (ie. Occupation, Marital status, Region). While all nine data sets are centered around these common themes and hold many variables in common, each data set has a unique combination of variables. The types of fields are wide-ranging but are primarily concerned with infant birth, maternal health, and socioeconomic status. The clinical records of the Boston Lying-in inpatient and outpatient services, and those of the New England Hospital maternity unit, are housed in the Rare Book Room, Francis A. Countway Library of Medicine, Harvard University, Boston, Massachusetts. While the information found in these records varied somewhat from one hospital to the next, each set of records was consistent throughout the period under review. Four data bases were established, one consisting exclusively of white patients for each of the three clinics and one composed of all black patients from both services of the Boston Lying-in. The four sample populations were constituted in the following ways. The clinical records of the New England Hospital’s maternity clinic exist in continuous series from 1872 to 1900. All births were recorded because there were fewer than 200 deliveries annually. The patient registers of the Boston Lying-in inpatient service span the years 1886-1900, with a gap in 1893 and 1894. A random sample of 200 cases was chosen for each year. The same procedure was followed at the outpatient clinic, whose case files extend from 1884 to 1900, excepting those years in which all were recorded because fewer births occurred, and a short period when all cases were noted even though they totaled more than 200. Because the number of black patients was small, and because the birth weight experience of blacks was distinctive in some important respects, a fourth file was created consisting of all blacks in the Lying-in inpatient and outpatient records. The preliminary data bases consisted of 3480, 2503, 3654, and 373 cases, respectively. The birth weight means in the Lying-in inpatient sample are accurate to 79 grams, and those of the outpatient clinic sample to 65 grams, at the 95 percent confidence level.

In the United States, the crude birth rate in 1800 was 48.3 live births per thousand people, meaning that 4.8 percent of the population had been born in that year. Between 1815 and 1825 the crude birth rate jumped from 46.5 to 54.7 (possibly due to Florida becoming a part of the US, but this is unclear), but from this point until the Second World War the crude birth rate dropped gradually, reaching 19.2 in 1935. Through the 1940s, 50s and 60s the US experienced it's baby boom, and the birth rate reached 24.1 in 1955, before dropping again until 1980. From the 1980s until today the birth rate's decline has slowed, and is expected to reach twelve in 2020, meaning that just over 1 percent of the population will be born in 2020.

A global phenomenon, known as the demographic transition, has seen life expectancy from birth increase rapidly over the past two centuries. In pre-industrial societies, the average life expectancy was around 24 years, and it is believed that this was the case throughout most of history, and in all regions. The demographic transition then began in the industrial societies of Europe, North America, and the West Pacific around the turn of the 19th century, and life expectancy rose accordingly. Latin America was the next region to follow, before Africa and most Asian populations saw their life expectancy rise throughout the 20th century.

The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. In the United States in 1800, the average woman of childbearing age would have seven children over the course of their lifetime. As factors such as technology, hygiene, medicine and education improved, women were having fewer children than before, reaching just two children per woman in 1940. This changed quite dramatically in the aftermath of the Second World War, rising sharply to over 3.5 children per woman in 1960 (children born between 1946 and 1964 are nowadays known as the 'Baby Boomer' generation, and they make up roughly twenty percent of todays US population). Due to the end of the baby boom and increased access to contraception, fertility reached it's lowest point in the US in 1980, where it was just 1.77. It did however rise to over two children per woman between 1995 and 2010, although it is expected to drop again by 2020, to just 1.78.

Throughout most of history, average life expectancy from birth was fairly consistent across the globe, at around 24 years. A major contributor to this was high rates of infant and child mortality; those who survived into adulthood could expect to live to their 50s or 60s, yet pandemics, food instability, and conflict did cause regular spikes in mortality across the entire population. Gradually, from the 16th to 19th centuries, there was some growth in more developed societies, due to improvements in agriculture, infrastructure, and medical knowledge. However, the most significant change came with the introduction of vaccination and other medical advances in the 1800s, which saw a sharp decline in child mortality and the onset of the demographic transition. This phenomenon began in more developed countries in the 1800s, before spreading to Latin America, Asia, and (later) Africa in the 1900s. As the majority of the world's population lives in countries considered to be "less developed", this figure is much closer to the global average. However, today, there is a considerable difference in life expectancies across these countries, ranging from 84.7 years in Japan to 53 years in the Central African Republic.

For most of the past two centuries, falling birth rates have been associated with societal progress. During the demographic transition, where pre-industrial societies modernize in terms of fertility and mortality, falling death rates, especially among infants and children, are the first major change. In response, as more children survive into adulthood, women have fewer children as the need to compensate for child mortality declines. This transition has happened at different times across the world and is an ongoing process, with early industrial countries being the first to transition, and Sub-Saharan African countries being the most recent to do so. Additionally, some Asian countries (particularly China through government policy) have gone through their demographic transitions at a much faster pace than those deemed more developed. Today, in countries such as Japan, Italy, and Germany, birth rates have fallen well below death rates; this is no longer considered a positive demographic trend, as it leads to natural population decline, and may create an over-aged population that could place a burden on healthcare systems.

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 2021 the live birth rate of the United Kingdom fell to 10.4 births per 1,000 population, the lowest it had been during this time period. The UK's birth rate has been declining steadily since 2010 when the birth rate was 12.9 births per 1,000 population. After 1938, the year with the highest birth rate in the UK was 1947, when the crude birth rate was 21.2 births per 1,000 population. Under two children per mother in 2021 The most recent crude live birth rate for this statistic is based on the 694,685 births, that occurred in 2021 as well as the mid-year population estimate of 67 million for the United Kingdom. It has a close relation to the fertility rate which estimates the average number of children women are expected to have in their lifetime, which was 1.53 in this reporting year. Among the constituent countries of the UK, Northern Ireland had the highest birth rate at 11.6, followed by England at 10.5, Wales at 9.3, and Scotland at 8.7. International comparisons The UK is not alone in seeing its birth and fertility rates decline dramatically in recent decades. Across the globe, fertility rates have fallen noticeably since the 1960s, with the fertility rate for Asia, Europe, and the Americas being below two in 2021. As of this year, the global fertility rate was 2.31, and was by far the highest in Africa, which had a fertility rate of 4.12, although this too has fallen from a high of 6.72 in the late 1960s. A reduction in infant mortality, as well as better access to contraception, are factors that have typically influenced declining fertility rates recently.