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Fertility & birth rates in Germany and North Macedonia

Updated on by Georank team

Germany has an annual birth rate of 8.3 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 1.39 in Germany and 1.5 in North Macedonia — 7.91% difference.

1960 vs 2023, the fertility rate has decreased by 41.4% in Germany and by 60.8% in North Macedonia — in 1960, it was 2.37 and 3.83, respectively.

  • Germany is ranked 172/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age for first-time mothers is 29.8 years in Germany, compared to 27.4 years in North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 31.7 in Germany — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.47 in Germany vs 13 in North Macedonia.
  • In Germany, 19.7% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Germany vs North Macedonia by year

Germany
North Macedonia
1x
Year Fertility rate
Germany North Macedonia
2023 1.39 1.5
2022 1.46 1.6
2021 1.58 1.6
2020 1.53 1.31
2019 1.54 1.34
2018 1.57 1.42
2017 1.57 1.43
2016 1.6 1.5
2015 1.5 1.49
2014 1.47 1.5
2013 1.42 1.5
2012 1.41 1.5
2011 1.39 1.46
2010 1.39 1.6
2009 1.36 1.5
2008 1.38 1.47
2007 1.37 1.46
2006 1.33 1.46
2005 1.34 1.5
2004 1.36 1.52
2003 1.34 1.75
2002 1.34 1.79
2001 1.35 1.73
2000 1.38 1.86
1999 1.36 1.77
1998 1.36 1.89
1997 1.35 1.92
1996 1.3 2.06
1995 1.25 2.13
1994 1.24 2.23
1993 1.28 2.26
1992 1.29 2.28
1991 1.33 2.31
1990 1.45 2.27
1989 1.42 2.25
1988 1.46 2.32
1987 1.43 2.32
1986 1.43 2.25
1985 1.37 2.25
1984 1.29 2.24
1983 1.33 2.25
1982 1.41 2.29
1981 1.43 2.29
1980 1.44 2.36
1979 1.38 2.4
1978 1.38 2.42
1977 1.4 2.49
1976 1.45 2.62
1975 1.45 2.69
1974 1.51 2.7
1973 1.54 2.72
1972 1.71 2.87
1971 1.92 2.93
1970 2.03 3.01
1969 2.21 3.1
1968 2.38 3.22
1967 2.48 3.33
1966 2.53 3.43
1965 2.5 3.52
1964 2.54 3.56
1963 2.51 3.62
1962 2.44 3.5
1961 2.45 3.62
1960 2.37 3.83

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

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

According to the latest available data on birth rates, the fertility rate in Germany was 1.39 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 Germany vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Germany
North Macedonia
1x
Year Natural population change
Germany North Macedonia
2023 -333,149 -3,290
2022 -324,394 -4,397
2021 -224,629 -9,737
2020 -216,218 -5,939
2019 -157,877 -375
2018 -165,812 1,512
2017 -148,783 1,329
2016 -123,523 2,374
2015 -187,879 2,294
2014 -153,866 3,644
2013 -209,679 3,653
2012 -193,022 3,087
2011 -184,632 3,100
2010 -179,909 4,866
2009 -188,375 4,309
2008 -164,220 3,746
2007 -148,080 2,974
2006 -148,278 3,988
2005 -148,445 4,011
2004 -107,271 5,444
2003 -140,309 8,900
2002 -123,733 9,697
2001 -98,820 10,174
2000 -73,990 12,159
1999 -73,890 10,489
1998 -65,637 12,446
1997 -49,221 12,979
1996 -90,107 14,806
1995 -114,349 17,239
1994 -114,013 19,103
1993 -105,503 20,797
1992 -80,625 21,659
1991 -80,014 23,387
1990 -15,887 22,868
1989 -23,625 22,912
1988 -7,815 24,064
1987 -31,136 24,359
1986 -77,721 23,720
1985 -116,527 24,167
1984 -109,002 24,436
1983 -109,380 24,690
1982 -78,333 25,810
1981 -94,090 25,689
1980 -86,117 26,547
1979 -125,002 27,096
1978 -140,566 27,150
1977 -125,055 27,410
1976 -164,508 28,799
1975 -212,418 28,983
1974 -150,038 28,400
1973 -149,980 28,032
1972 -62,950 28,236
1971 46,988 28,010
1970 70,352 28,022
1969 155,820 27,464
1968 239,612 28,378
1967 353,977 28,401
1966 405,982 28,766
1965 410,204 28,564
1964 482,038 27,889
1963 455,757 28,124
1962 436,752 25,317
1961 462,279 27,846
1960 385,919 28,816

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

GeoRank.org/birth-rate/germany/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 -0.4% in Germany and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been -0.25% in Germany and -0.07% in North Macedonia.

Birth rate in Germany vs North Macedonia by year

Germany
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Germany North Macedonia
2023 8.3 9.2
2022 8.8 9.9
2021 9.6 10.2
2020 9.3 9.2
2019 9.4 9.6
2018 9.5 10.3
2017 9.5 10.5
2016 9.6 11.1
2015 9 11.1
2014 8.8 11.4
2013 8.5 11.2
2012 8.4 11.4
2011 8.3 11.1
2010 8.3 11.8
2009 8.1 11.5
2008 8.3 11.2
2007 8.3 11.1
2006 8.2 11.1
2005 8.3 11
2004 8.6 11.5
2003 8.6 13.3
2002 8.7 13.7
2001 8.9 13.3
2000 9.3 14.5
1999 9.4 13.5
1998 9.6 14.6
1997 9.9 14.8
1996 9.7 16.1
1995 9.4 16.7
1994 9.5 17.7
1993 9.8 18.2
1992 10 18.4
1991 10.4 18.7
1990 11.4 18.4
1989 11.2 18.4
1988 11.4 19.1
1987 11.2 19.3
1986 10.9 18.9
1985 10.5 19.1
1984 10.4 19.2
1983 10.6 19.5
1982 11 19.9
1981 11 20.1
1980 11.1 20.8
1979 10.5 21.1
1978 10.4 21.3
1977 10.3 21.9
1976 10.2 23
1975 9.9 23.6
1974 10.2 23.5
1973 10.3 23.5
1972 11.5 24.5
1971 12.9 24.7
1970 13.4 25.1
1969 14.7 25.4
1968 15.7 26.1
1967 16.5 26.7
1966 17.2 27.5
1965 17.4 28.1
1964 18 28.4
1963 18.1 29
1962 17.8 28.3
1961 17.9 29.2
1960 17.3 31

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

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

The latest reported birth rate per 1,000 people in 2023 was 8.3 in Germany and 9.2 in North Macedonia, compared with 17.3 and 31, respectively, in 1960.

Birth rate data compared

Germany North Macedonia
Fertility rate 1.39 1.5
Fertility rate rank 163/196 146/196
Birth rate 8.3 9.2
Birth rate rank 172/196 158/196
Population change due to births and deaths -333,149 -3,290
Natural population change rank 193/196 165/196
Natural population change rate -0.4% -0.18%
Population growth +0.28% -0.19%
Population growth rank 151/197 176/197
Age at first childbirth 29.8 years 27.4 years
Average age at childbearing 31.7 years 29.3 years
Annual births per 1,000 women ages 15-19 4.88 11.7
Annual births per 1,000 women ages 20-29 51.3 76.7
Annual births per 1,000 women ages 30+ 15.2 11.9
Female of reproductive age (15-49), share of population 19.7% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 80.2% 14%
Share of births attended by skilled health staff 96.2% 100%
Maternal mortality per live birth 0.004% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.23% 0.14%
Infant mortality rate (before reaching 1 year of age) 0.31% 0.28%
Mortality rate before reaching 5 years of age 0.37% 0.33%
Life expectancy 81.9 years 77.8 years

Children 0-14 years as share of population

Germany
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Germany North Macedonia
2100 13.7% 10.6%
2099 13.7% 10.7%
2098 13.8% 10.7%
2097 13.8% 10.8%
2096 13.8% 10.8%
2095 13.9% 10.9%
2094 13.9% 11%
2093 13.9% 11%
2092 13.9% 11.1%
2091 13.9% 11.2%
2090 13.9% 11.2%
2089 13.8% 11.3%
2088 13.8% 11.3%
2087 13.8% 11.4%
2086 13.7% 11.4%
2085 13.7% 11.4%
2084 13.7% 11.4%
2083 13.6% 11.4%
2082 13.6% 11.4%
2081 13.5% 11.4%
2080 13.5% 11.4%
2079 13.4% 11.3%
2078 13.4% 11.3%
2077 13.4% 11.3%
2076 13.4% 11.2%
2075 13.4% 11.2%
2074 13.4% 11.2%
2073 13.4% 11.2%
2072 13.5% 11.1%
2071 13.5% 11.2%
2070 13.6% 11.2%
2069 13.6% 11.2%
2068 13.7% 11.3%
2067 13.7% 11.4%
2066 13.8% 11.5%
2065 13.8% 11.6%
2064 13.9% 11.7%
2063 13.9% 11.9%
2062 13.9% 12%
2061 13.9% 12.2%
2060 13.9% 12.3%
2059 13.9% 12.4%
2058 13.8% 12.6%
2057 13.8% 12.7%
2056 13.7% 12.8%
2055 13.6% 12.9%
2054 13.5% 13%
2053 13.4% 13%
2052 13.3% 13.1%
2051 13.2% 13.1%
2050 13.1% 13.1%
2049 13% 13.1%
2048 12.9% 13.1%
2047 12.8% 13%
2046 12.7% 13%
2045 12.6% 13%
2044 12.6% 13%
2043 12.6% 12.9%
2042 12.5% 12.9%
2041 12.5% 12.9%
2040 12.6% 13%
2039 12.6% 13%
2038 12.6% 13%
2037 12.7% 13.2%
2036 12.9% 13.4%
2035 13% 13.6%
2034 13.1% 13.8%
2033 13.3% 14.1%
2032 13.4% 14.4%
2031 13.6% 14.7%
2030 13.7% 15.1%
2029 13.8% 15.4%
2028 13.8% 15.8%
2027 13.9% 16.1%
2026 13.9% 16.4%
2025 13.9% 16.7%
2024 13.9% 16.8%
2023 13.9% 17.1%
2022 13.9% 17.2%
2021 13.9% 17.2%
2020 13.8% 17.2%
2019 13.7% 17.2%
2018 13.6% 17.4%
2017 13.5% 17.5%
2016 13.3% 17.8%
2015 13.2% 18%
2014 13.2% 18.3%
2013 13.2% 18.6%
2012 13.4% 18.8%
2011 13.6% 19%
2010 13.7% 19.3%
2009 13.8% 19.7%
2008 13.8% 20%
2007 14% 20.4%
2006 14.2% 20.8%
2005 14.5% 21.2%
2004 14.8% 21.7%
2003 15% 22.1%
2002 15.3% 22.5%
2001 15.5% 22.9%
2000 15.7% 23.4%
1999 15.8% 23.9%
1998 15.9% 24.4%
1997 16.1% 24.8%
1996 16.2% 25.1%
1995 16.3% 25.4%
1994 16.3% 25.5%
1993 16.3% 25.7%
1992 16.3% 26.1%
1991 16.3% 26.5%
1990 16.1% 26.9%
1989 15.9% 27.1%
1988 15.7% 27.4%
1987 15.6% 27.6%
1986 15.8% 27.8%
1985 16% 28.1%
1984 16.4% 28.3%
1983 16.9% 28.5%
1982 17.4% 28.8%
1981 17.9% 29.1%
1980 18.5% 29.5%
1979 19.1% 29.9%
1978 19.7% 30.3%
1977 20.3% 30.6%
1976 20.9% 30.9%
1975 21.5% 31.3%
1974 22% 31.7%
1973 22.4% 32.2%
1972 22.8% 32.6%
1971 23% 33%
1970 23.2% 33.5%
1969 23.3% 34.1%
1968 23.3% 34.7%
1967 23.1% 35.2%
1966 23% 35.8%
1965 22.8% 36.3%
1964 22.6% 36.7%
1963 22.3% 37.2%
1962 22% 37.6%
1961 21.7% 37.8%
1960 21.3% 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/germany/north-macedonia | CC BY

Children aged 0-14 make up 13.9% of the population in Germany and 16.8% in North Macedonia in 2024, compared to 16.1% and 26.9% respectively in 1990.

Demographics of Germany 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/germany/north-macedonia | CC BY

Maternal mortality chart: Germany vs North Macedonia

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

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 4 deaths per 100,000 live births in Germany, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Germany
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Germany North Macedonia
2023 0.37% 0.33%
2022 0.37% 0.41%
2021 0.37% 0.5%
2020 0.37% 0.59%
2019 0.37% 0.7%
2018 0.38% 0.83%
2017 0.38% 0.97%
2016 0.39% 1.08%
2015 0.39% 1.13%
2014 0.4% 1.11%
2013 0.4% 1.07%
2012 0.4% 1.02%
2011 0.41% 1%
2010 0.42% 1.04%
2009 0.43% 1.1%
2008 0.44% 1.17%
2007 0.45% 1.23%
2006 0.46% 1.3%
2005 0.47% 1.37%
2004 0.48% 1.42%
2003 0.5% 1.43%
2002 0.51% 1.43%
2001 0.52% 1.48%
2000 0.54% 1.59%
1999 0.55% 1.73%
1998 0.57% 1.83%
1997 0.59% 1.93%
1996 0.62% 2.12%
1995 0.65% 2.45%
1994 0.68% 2.85%
1993 0.72% 3.13%
1992 0.76% 3.3%
1991 0.8% 3.46%
1990 0.85% 3.7%
1989 0.9% 4.01%
1988 0.95% 4.36%
1987 1.01% 4.69%
1986 1.06% 4.91%
1985 1.11% 5%
1984 1.18% 5.06%
1983 1.25% 5.25%
1982 1.32% 5.53%
1981 1.41% 5.79%
1980 1.5% -
1979 1.6% -
1978 1.71% -
1977 1.83% -
1976 1.95% -
1975 2.08% -
1974 2.2% -
1973 2.31% -
1972 2.4% -
1971 2.49% -
1970 2.57% -
1969 2.64% -
1968 2.71% -

Data sources: World Bank | Health (1968–2023, retrieved 2026-04-06).

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

The chance that a newborn baby will die before reaching age five is 0.37% in Germany 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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