The Complete Collapse of fertility in the United States

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The general fertility rate in the United States decreased by 3% from 2022, reaching a historic low. This marks the second consecutive year of decline, following a brief 1% increase from 2020 to 2021. From 2014 to 2020, the rate consistently decreased by 2% annually.

These statistics and others from provisional 2023 birth data were released by CDC’s National Center for Health Statistics (NCHS).

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The new report, “Births: Provisional Data for 2023,” analyzes data from more than 99% of birth certificates issued during that year. The report shows a 2% decline from 2022, with 3,591,328 births recorded in 2023.

Other findings in the new report:

  • 2023 birth rates
    • declined for women ages 20–39 years
    • were unchanged for females aged 10–14 and 40–49.
  • The birth rate for teenagers aged 15–19 was down 3% in 2023 to 13.2 births per 1,000 women.
  • The birth rate for women ages 20–24 (55.4) reached a record low.
  • The cesarean delivery rate increased for the fourth year in a row to 32.4% in 2023; the low-risk cesarean delivery rate increased to 26.6%.
  • The preterm birth rate was essentially unchanged at 10.41%.
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The report is available on the NCHS website at,delivery%20rate%20increased%20to%2026.6%.

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