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Fertility & birth rates in Bulgaria and North Macedonia

Updated on by Georank team

Bulgaria has an annual birth rate of 8.9 births per 1,000 people, compared to 9.2 for North Macedonia. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.81 in Bulgaria and 1.5 in North Macedonia — 17.1% difference.

1960 vs 2023, the fertility rate has decreased by 21.6% in Bulgaria and by 60.8% in North Macedonia — in 1960, it was 2.31 and 3.83, respectively.

  • Bulgaria is ranked 165/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age for first-time mothers is 26.9 years in Bulgaria, compared to 27.4 years in North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 28.3 in Bulgaria — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 39.1 in Bulgaria vs 13 in North Macedonia.
  • In Bulgaria, 20.7% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Bulgaria vs North Macedonia by year

Bulgaria
North Macedonia
1x
Year Fertility rate
Bulgaria North Macedonia
2023 1.81 1.5
2022 1.78 1.6
2021 1.8 1.6
2020 1.77 1.31
2019 1.79 1.34
2018 1.73 1.42
2017 1.71 1.43
2016 1.67 1.5
2015 1.64 1.49
2014 1.62 1.5
2013 1.54 1.5
2012 1.5 1.5
2011 1.51 1.46
2010 1.57 1.6
2009 1.66 1.5
2008 1.56 1.47
2007 1.49 1.46
2006 1.44 1.46
2005 1.37 1.5
2004 1.33 1.52
2003 1.26 1.75
2002 1.23 1.79
2001 1.21 1.73
2000 1.26 1.86
1999 1.23 1.77
1998 1.11 1.89
1997 1.09 1.92
1996 1.23 2.06
1995 1.23 2.13
1994 1.37 2.23
1993 1.46 2.26
1992 1.55 2.28
1991 1.66 2.31
1990 1.82 2.27
1989 1.9 2.25
1988 1.97 2.32
1987 1.96 2.32
1986 2.02 2.25
1985 1.97 2.25
1984 2.01 2.24
1983 2.01 2.25
1982 2.01 2.29
1981 2 2.29
1980 2.05 2.36
1979 2.16 2.4
1978 2.15 2.42
1977 2.21 2.49
1976 2.24 2.62
1975 2.23 2.69
1974 2.29 2.7
1973 2.15 2.72
1972 2.03 2.87
1971 2.1 2.93
1970 2.17 3.01
1969 2.27 3.1
1968 2.27 3.22
1967 2.02 3.33
1966 2.03 3.43
1965 2.09 3.52
1964 2.19 3.56
1963 2.21 3.62
1962 2.24 3.5
1961 2.29 3.62
1960 2.31 3.83

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

According to the latest available data on birth rates, the fertility rate in Bulgaria was 1.81 children per woman in 2023, compared to 1.5 in North Macedonia in 2023. The replacement level is considered to be 2.1 children per woman.

Check Bulgaria vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Bulgaria
North Macedonia
1x
Year Natural population change
Bulgaria North Macedonia
2023 -43,837 -3,290
2022 -62,065 -4,397
2021 -90,452 -9,737
2020 -65,507 -5,939
2019 -46,317 -375
2018 -46,304 1,512
2017 -45,583 1,329
2016 -42,744 2,374
2015 -44,699 2,294
2014 -41,027 3,644
2013 -37,948 3,653
2012 -40,183 3,087
2011 -37,477 3,100
2010 -34,759 4,866
2009 -26,800 4,309
2008 -32,967 3,746
2007 -37,727 2,974
2006 -39,526 3,988
2005 -42,124 4,011
2004 -40,128 5,444
2003 -44,319 8,900
2002 -46,240 9,697
2001 -44,050 10,174
2000 -41,668 12,159
1999 -39,411 10,489
1998 -52,844 12,446
1997 -58,185 12,979
1996 -45,159 14,806
1995 -42,030 17,239
1994 -32,086 19,103
1993 -24,569 20,797
1992 -18,789 21,659
1991 -14,675 23,387
1990 -3,487 22,868
1989 5,326 22,912
1988 9,879 24,064
1987 8,971 24,359
1986 16,125 23,720
1985 11,649 24,167
1984 20,610 24,436
1983 21,455 24,690
1982 24,077 25,810
1981 29,341 25,689
1980 30,129 26,547
1979 40,599 27,096
1978 44,070 27,150
1977 47,543 27,410
1976 56,055 28,799
1975 54,941 28,983
1974 64,223 28,400
1973 57,760 28,032
1972 47,169 28,236
1971 52,925 28,010
1970 61,125 28,022
1969 63,256 27,464
1968 69,468 28,378
1967 49,861 28,401
1966 54,504 28,766
1965 58,249 28,564
1964 66,783 27,889
1963 66,241 28,124
1962 64,104 25,317
1961 75,460 27,846
1960 76,314 28,816

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

The chart above illustrates the comparison of the absolute yearly changes in population resulting from births and deaths.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was -0.68% in Bulgaria and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been -0.79% in Bulgaria and -0.07% in North Macedonia.

Birth rate in Bulgaria vs North Macedonia by year

Bulgaria
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Bulgaria North Macedonia
2023 8.9 9.2
2022 8.8 9.9
2021 9 10.2
2020 9 9.2
2019 9.3 9.6
2018 9.3 10.3
2017 9.4 10.5
2016 9.4 11.1
2015 9.4 11.1
2014 9.6 11.4
2013 9.3 11.2
2012 9.5 11.4
2011 9.6 11.1
2010 10.2 11.8
2009 10.9 11.5
2008 10.4 11.2
2007 10 11.1
2006 9.7 11.1
2005 9.3 11
2004 9.1 11.5
2003 8.7 13.3
2002 8.5 13.7
2001 8.5 13.3
2000 9 14.5
1999 8.8 13.5
1998 7.9 14.6
1997 7.7 14.8
1996 8.6 16.1
1995 8.6 16.7
1994 9.4 17.7
1993 10 18.2
1992 10.4 18.4
1991 11.1 18.7
1990 12.1 18.4
1989 12.6 18.4
1988 13.1 19.1
1987 13 19.3
1986 13.4 18.9
1985 13.3 19.1
1984 13.6 19.2
1983 13.8 19.5
1982 13.9 19.9
1981 14 20.1
1980 14.5 20.8
1979 15.3 21.1
1978 15.5 21.3
1977 16.1 21.9
1976 16.5 23
1975 16.6 23.6
1974 17.2 23.5
1973 16.2 23.5
1972 15.3 24.5
1971 15.9 24.7
1970 16.3 25.1
1969 17 25.4
1968 16.9 26.1
1967 15 26.7
1966 14.9 27.5
1965 15.3 28.1
1964 16.1 28.4
1963 16.4 29
1962 16.7 28.3
1961 17.4 29.2
1960 17.8 31

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

The latest reported birth rate per 1,000 people in 2023 was 8.9 in Bulgaria and 9.2 in North Macedonia, compared with 17.8 and 31, respectively, in 1960.

Birth rate data compared

Bulgaria North Macedonia
Fertility rate 1.81 1.5
Fertility rate rank 110/196 146/196
Birth rate 8.9 9.2
Birth rate rank 165/196 158/196
Population change due to births and deaths -43,837 -3,290
Natural population change rank 182/196 165/196
Natural population change rate -0.68% -0.18%
Population growth -0.08% -0.19%
Population growth rank 171/197 176/197
Age at first childbirth 26.9 years 27.4 years
Average age at childbearing 28.3 years 29.3 years
Annual births per 1,000 women ages 15-19 36 11.7
Annual births per 1,000 women ages 20-29 86.2 76.7
Annual births per 1,000 women ages 30+ 10.7 11.9
Female of reproductive age (15-49), share of population 20.7% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 39.6% 14%
Share of births attended by skilled health staff 94.5% 100%
Maternal mortality per live birth 0.006% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.26% 0.14%
Infant mortality rate (before reaching 1 year of age) 0.5% 0.28%
Mortality rate before reaching 5 years of age 0.61% 0.33%
Life expectancy 76.1 years 77.8 years

Children 0-14 years as share of population

Bulgaria
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Bulgaria North Macedonia
2100 13% 10.6%
2099 13.1% 10.7%
2098 13.1% 10.7%
2097 13.1% 10.8%
2096 13.2% 10.8%
2095 13.2% 10.9%
2094 13.3% 11%
2093 13.4% 11%
2092 13.4% 11.1%
2091 13.4% 11.2%
2090 13.5% 11.2%
2089 13.5% 11.3%
2088 13.6% 11.3%
2087 13.6% 11.4%
2086 13.6% 11.4%
2085 13.6% 11.4%
2084 13.6% 11.4%
2083 13.6% 11.4%
2082 13.6% 11.4%
2081 13.6% 11.4%
2080 13.6% 11.4%
2079 13.6% 11.3%
2078 13.6% 11.3%
2077 13.6% 11.3%
2076 13.6% 11.2%
2075 13.5% 11.2%
2074 13.5% 11.2%
2073 13.5% 11.2%
2072 13.5% 11.1%
2071 13.5% 11.2%
2070 13.5% 11.2%
2069 13.6% 11.2%
2068 13.6% 11.3%
2067 13.6% 11.4%
2066 13.6% 11.5%
2065 13.6% 11.6%
2064 13.7% 11.7%
2063 13.7% 11.9%
2062 13.7% 12%
2061 13.8% 12.2%
2060 13.8% 12.3%
2059 13.8% 12.4%
2058 13.9% 12.6%
2057 13.9% 12.7%
2056 13.9% 12.8%
2055 13.9% 12.9%
2054 13.9% 13%
2053 13.9% 13%
2052 13.9% 13.1%
2051 13.8% 13.1%
2050 13.8% 13.1%
2049 13.8% 13.1%
2048 13.7% 13.1%
2047 13.7% 13%
2046 13.6% 13%
2045 13.6% 13%
2044 13.6% 13%
2043 13.6% 12.9%
2042 13.6% 12.9%
2041 13.6% 12.9%
2040 13.6% 13%
2039 13.6% 13%
2038 13.7% 13%
2037 13.7% 13.2%
2036 13.7% 13.4%
2035 13.7% 13.6%
2034 13.8% 13.8%
2033 13.8% 14.1%
2032 13.9% 14.4%
2031 14% 14.7%
2030 14.1% 15.1%
2029 14.2% 15.4%
2028 14.2% 15.8%
2027 14.3% 16.1%
2026 14.4% 16.4%
2025 14.4% 16.7%
2024 14.5% 16.8%
2023 14.5% 17.1%
2022 14.5% 17.2%
2021 14.5% 17.2%
2020 14.4% 17.2%
2019 14.4% 17.2%
2018 14.3% 17.4%
2017 14.2% 17.5%
2016 14% 17.8%
2015 13.9% 18%
2014 13.8% 18.3%
2013 13.7% 18.6%
2012 13.6% 18.8%
2011 13.5% 19%
2010 13.5% 19.3%
2009 13.4% 19.7%
2008 13.3% 20%
2007 13.4% 20.4%
2006 13.5% 20.8%
2005 13.7% 21.2%
2004 14% 21.7%
2003 14.4% 22.1%
2002 14.8% 22.5%
2001 15.2% 22.9%
2000 15.7% 23.4%
1999 16.1% 23.9%
1998 16.5% 24.4%
1997 17% 24.8%
1996 17.4% 25.1%
1995 17.9% 25.4%
1994 18.3% 25.5%
1993 18.8% 25.7%
1992 19.3% 26.1%
1991 19.8% 26.5%
1990 20.3% 26.9%
1989 20.8% 27.1%
1988 21.1% 27.4%
1987 21.3% 27.6%
1986 21.4% 27.8%
1985 21.6% 28.1%
1984 21.8% 28.3%
1983 22% 28.5%
1982 22.1% 28.8%
1981 22.1% 29.1%
1980 22.1% 29.5%
1979 22.1% 29.9%
1978 22.2% 30.3%
1977 22.2% 30.6%
1976 22.3% 30.9%
1975 22.3% 31.3%
1974 22.2% 31.7%
1973 22.3% 32.2%
1972 22.4% 32.6%
1971 22.6% 33%
1970 22.8% 33.5%
1969 23% 34.1%
1968 23.2% 34.7%
1967 23.4% 35.2%
1966 23.8% 35.8%
1965 24.2% 36.3%
1964 24.7% 36.7%
1963 25.1% 37.2%
1962 25.4% 37.6%
1961 25.8% 37.8%
1960 26.1% 37.7%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

Children aged 0-14 make up 14.5% of the population in Bulgaria and 16.8% in North Macedonia in 2024, compared to 20.3% and 26.9% respectively in 1990.

Demographics of Bulgaria and North Macedonia compared.

Fertility rates around the globe

1x

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

Maternal mortality chart: Bulgaria vs North Macedonia

Bulgaria
North Macedonia
1x
Year Maternal mortality per 100K births
Bulgaria North Macedonia
2023 6 3
2022 10 3
2021 9 12
2020 9 7
2019 6 3
2018 7 3
2017 7 4
2016 7 4
2015 7 4
2014 7 4
2013 7 5
2012 7 5
2011 8 5
2010 9 5
2009 9 6
2008 10 6
2007 11 7
2006 12 7
2005 13 7
2004 14 8
2003 14 8
2002 15 10
2001 17 9
2000 19 11
1999 20 12
1998 20 13
1997 23 13
1996 22 14
1995 23 13
1994 25 13
1993 23 14
1992 25 14
1991 25 15
1990 27 16
1989 25 14
1988 26 16
1987 25 15
1986 25 16
1985 26 17

Data sources: World Bank | Gender (1985–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 6 deaths per 100,000 live births in Bulgaria, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Bulgaria
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Bulgaria North Macedonia
2023 0.61% 0.33%
2022 0.62% 0.41%
2021 0.63% 0.5%
2020 0.65% 0.59%
2019 0.67% 0.7%
2018 0.7% 0.83%
2017 0.73% 0.97%
2016 0.77% 1.08%
2015 0.82% 1.13%
2014 0.87% 1.11%
2013 0.93% 1.07%
2012 0.99% 1.02%
2011 1.04% 1%
2010 1.08% 1.04%
2009 1.12% 1.1%
2008 1.14% 1.17%
2007 1.18% 1.23%
2006 1.24% 1.3%
2005 1.33% 1.37%
2004 1.42% 1.42%
2003 1.51% 1.43%
2002 1.6% 1.43%
2001 1.68% 1.48%
2000 1.75% 1.59%
1999 1.82% 1.73%
1998 1.89% 1.83%
1997 1.93% 1.93%
1996 1.94% 2.12%
1995 1.92% 2.45%
1994 1.91% 2.85%
1993 1.92% 3.13%
1992 1.92% 3.3%
1991 1.89% 3.46%
1990 1.83% 3.7%
1989 1.79% 4.01%
1988 1.78% 4.36%
1987 1.8% 4.69%
1986 1.87% 4.91%
1985 1.97% 5%
1984 2.07% 5.06%
1983 2.15% 5.25%
1982 2.22% 5.53%
1981 2.3% 5.79%
1980 2.38% -
1979 2.49% -
1978 2.6% -
1977 2.72% -
1976 2.8% -
1975 2.86% -
1974 2.91% -
1973 2.95% -
1972 3.01% -
1971 3.11% -
1970 3.25% -
1969 3.4% -
1968 3.54% -
1967 3.64% -
1966 3.7% -
1965 3.75% -
1964 3.86% -
1963 4.08% -
1962 4.43% -
1961 4.89% -
1960 5.47% -

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bulgaria/north-macedonia | CC BY

The chance that a newborn baby will die before reaching age five is 0.61% in Bulgaria and 0.33% in North Macedonia. Above is a chart with historical data on under-five mortality rates.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10)
  3. United Nations Economic Commission for Europe (UNECE) (2022–2023, retrieved 2026-03-10)

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