U.S. birth and fertility rates drop to record lows, according to CDC report

By Tyler Arnold

Washington, D.C. Newsroom, Apr 26, 2024 / 16:45 pm

Provisional data published by the Centers for Disease Control and Prevention (CDC) this week showed that the fertility rate in the United States hit a record low and the total number of births in the country was the lowest it’s been in decades. 

According to the report, slightly fewer than 3.6 million babies were born in 2023, or 54.4 births per 1,000 women aged 15 through 44. This was a 2% decline in total births and a 3% decline in births per 1,000 women when compared with the previous year.

The total fertility rate, which estimates how many children an average woman would have over the course of her life based on the yearly data, was just over 1.6 births per woman, which was a 2% decline from the previous year. This is well below the replacement rate needed to sustain a population, which is about 2.1 births per woman over her life.

This was the fewest number of babies born in the United States in a year since 1979 and the lowest fertility rate recorded in American history — just under the previous record lows set in 2020.

The 2023 decline reverses a minor fertility rate bump for the calendar years of 2021 and 2022, which was the first increase since 2014. The 2023 numbers continue a wider trend in fertility declines since the 1960s when contraception became widely available in the United States and the women’s liberation movement began to emerge. Abortion became widely available in the 1970s after the U.S. Supreme Court’s Roe v. Wade decision — which was overturned in 2022.

Fertility rates by age group

The birth rate dropped for teenagers and women in their 20s and 30s — but the decline was sharper for teenagers and women in their 20s than it was for women in their 30s. The birth rate for women in their 40s did not show significant changes. 

According to the data, the 2023 birth rate for teenagers aged 15 through 19 was 13.2 per 1,000 women, which was a 3% decline from the previous year. The birth rate for women aged 20 to 24 was 55.4 births for 1,000 women, which is a 4% decline from the previous year. The birth rate for women aged 25 through 29 was 91 births per 1,000 women, which was a 3% decline from the previous year.

The 2023 birth rate for women aged 30 through 34 was 95.1 births per 1,000 women, which was a 2% decline from the previous year. For women aged 35 through 39, there were 54.7 births per 1,000 women, which was a decrease of less than 1%.

Fertility rates by ethnic group

According to the report, most ethnic groups saw a decline in total births and a decrease in fertility rates from 2022 to 2023 — but this reduction affected some ethnic groups at different rates.

The total number of births was down 5% for American Indian and Alaska Native women, 4% for Black women, 3% for white women, and 2% for Asian women. For Hispanic women, the total number of births went up by 1%. There was not much change for Native Hawaiian or other Pacific Islander women.

No ethnic group saw an increased general fertility rate from 2022 to 2023. It decreased by 5% among American Indian and Alaska Native women and Black women, by 3% for Asian and white women, and by 1% for Hispanic women. The rate was virtually unchanged for Native Hawaiian and other Pacific Islander women.