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Fertility & birth rates in Italy and North Macedonia

Updated on by Georank team

Italy has an annual birth rate of 6.4 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 1.2 in Italy and 1.5 in North Macedonia — 25% difference.

1960 vs 2023, the fertility rate has decreased by 50% in Italy and by 60.8% in North Macedonia — in 1960, it was 2.4 and 3.83, respectively.

  • Italy is ranked 190/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age for first-time mothers is 31.8 years in Italy, compared to 27.4 years in North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 32.3 in Italy — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 2.85 in Italy vs 13 in North Macedonia.
  • In Italy, 19.6% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Italy vs North Macedonia by year

Italy
North Macedonia
1x
Year Fertility rate
Italy North Macedonia
2023 1.2 1.5
2022 1.24 1.6
2021 1.25 1.6
2020 1.24 1.31
2019 1.27 1.34
2018 1.31 1.42
2017 1.34 1.43
2016 1.36 1.5
2015 1.36 1.49
2014 1.38 1.5
2013 1.39 1.5
2012 1.42 1.5
2011 1.42 1.46
2010 1.44 1.6
2009 1.44 1.5
2008 1.44 1.47
2007 1.39 1.46
2006 1.37 1.46
2005 1.33 1.5
2004 1.34 1.52
2003 1.29 1.75
2002 1.27 1.79
2001 1.25 1.73
2000 1.26 1.86
1999 1.23 1.77
1998 1.22 1.89
1997 1.22 1.92
1996 1.2 2.06
1995 1.19 2.13
1994 1.21 2.23
1993 1.25 2.26
1992 1.3 2.28
1991 1.3 2.31
1990 1.33 2.27
1989 1.33 2.25
1988 1.36 2.32
1987 1.33 2.32
1986 1.35 2.25
1985 1.42 2.25
1984 1.46 2.24
1983 1.51 2.25
1982 1.56 2.29
1981 1.58 2.29
1980 1.64 2.36
1979 1.73 2.4
1978 1.84 2.42
1977 1.93 2.49
1976 2.04 2.62
1975 2.17 2.69
1974 2.28 2.7
1973 2.3 2.72
1972 2.35 2.87
1971 2.4 2.93
1970 2.38 3.01
1969 2.47 3.1
1968 2.46 3.22
1967 2.5 3.33
1966 2.58 3.43
1965 2.6 3.52
1964 2.66 3.56
1963 2.51 3.62
1962 2.46 3.5
1961 2.44 3.62
1960 2.4 3.83

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

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

According to the latest available data on birth rates, the fertility rate in Italy was 1.2 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 Italy vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Italy
North Macedonia
1x
Year Natural population change
Italy North Macedonia
2023 -283,125 -3,290
2022 -318,674 -4,397
2021 -301,579 -9,737
2020 -338,801 -5,939
2019 -215,025 -375
2018 -192,475 1,512
2017 -192,007 1,329
2016 -138,265 2,374
2015 -162,620 2,294
2014 -96,513 3,644
2013 -90,468 3,653
2012 -78,248 3,087
2011 -48,021 3,100
2010 -23,928 4,866
2009 -17,866 4,309
2008 -11,842 3,746
2007 -5,876 2,974
2006 0 3,988
2005 -17,450 4,011
2004 11,566 5,444
2003 -40,179 8,900
2002 -22,836 9,697
2001 -11,396 10,174
2000 -17,082 12,159
1999 -22,766 10,489
1998 -39,835 12,446
1997 -22,756 12,979
1996 -22,744 14,806
1995 -34,107 17,239
1994 -17,053 19,103
1993 0 20,797
1992 22,718 21,659
1991 11,352 23,387
1990 22,688 22,868
1989 28,336 22,912
1988 33,977 24,064
1987 16,980 24,359
1986 11,319 23,720
1985 28,297 24,167
1984 50,919 24,436
1983 33,939 24,690
1982 79,161 25,810
1981 73,452 25,689
1980 84,650 26,547
1979 129,531 27,096
1978 168,465 27,150
1977 190,248 27,410
1976 228,445 28,799
1975 271,660 28,983
1974 336,176 28,400
1973 328,508 28,032
1972 364,355 28,236
1971 383,922 28,010
1970 376,753 28,022
1969 390,827 27,464
1968 399,268 28,378
1967 439,074 28,401
1966 488,427 28,766
1965 474,222 28,564
1964 527,089 27,889
1963 440,767 28,124
1962 427,387 25,317
1961 459,880 27,846
1960 426,697 28,816

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

GeoRank.org/birth-rate/italy/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 -0.48% in Italy and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been -0.38% in Italy and -0.07% in North Macedonia.

Birth rate in Italy vs North Macedonia by year

Italy
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Italy North Macedonia
2023 6.4 9.2
2022 6.7 9.9
2021 6.8 10.2
2020 6.8 9.2
2019 7 9.6
2018 7.3 10.3
2017 7.6 10.5
2016 7.9 11.1
2015 8.1 11.1
2014 8.3 11.4
2013 8.5 11.2
2012 8.9 11.4
2011 9.1 11.1
2010 9.4 11.8
2009 9.6 11.5
2008 9.7 11.2
2007 9.6 11.1
2006 9.6 11.1
2005 9.5 11
2004 9.7 11.5
2003 9.5 13.3
2002 9.4 13.7
2001 9.4 13.3
2000 9.5 14.5
1999 9.4 13.5
1998 9.3 14.6
1997 9.4 14.8
1996 9.3 16.1
1995 9.2 16.7
1994 9.4 17.7
1993 9.7 18.2
1992 10 18.4
1991 9.9 18.7
1990 10 18.4
1989 9.9 18.4
1988 10.1 19.1
1987 9.7 19.3
1986 9.8 18.9
1985 10.2 19.1
1984 10.4 19.2
1983 10.6 19.5
1982 10.9 19.9
1981 11 20.1
1980 11.3 20.8
1979 11.9 21.1
1978 12.6 21.3
1977 13.2 21.9
1976 14 23
1975 14.9 23.6
1974 15.8 23.5
1973 16 23.5
1972 16.3 24.5
1971 16.8 24.7
1970 16.7 25.1
1969 17.4 25.4
1968 17.5 26.1
1967 17.9 26.7
1966 18.7 27.5
1965 19 28.1
1964 19.7 28.4
1963 18.7 29
1962 18.4 28.3
1961 18.4 29.2
1960 18.1 31

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

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

The latest reported birth rate per 1,000 people in 2023 was 6.4 in Italy and 9.2 in North Macedonia, compared with 18.1 and 31, respectively, in 1960.

Birth rate data compared

Italy North Macedonia
Fertility rate 1.2 1.5
Fertility rate rank 182/196 146/196
Birth rate 6.4 9.2
Birth rate rank 190/196 158/196
Population change due to births and deaths -283,125 -3,290
Natural population change rank 191/196 165/196
Natural population change rate -0.48% -0.18%
Population growth -0.05% -0.19%
Population growth rank 170/197 176/197
Age at first childbirth 31.8 years 27.4 years
Average age at childbearing 32.3 years 29.3 years
Annual births per 1,000 women ages 15-19 2.92 11.7
Annual births per 1,000 women ages 20-29 38.3 76.7
Annual births per 1,000 women ages 30+ 11.7 11.9
Female of reproductive age (15-49), share of population 19.6% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 51.8% 14%
Share of births attended by skilled health staff 99.8% 100%
Maternal mortality per live birth 0.006% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.16% 0.14%
Infant mortality rate (before reaching 1 year of age) 0.23% 0.28%
Mortality rate before reaching 5 years of age 0.28% 0.33%
Life expectancy 84.2 years 77.8 years

Children 0-14 years as share of population

Italy
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Italy North Macedonia
2100 11.1% 10.6%
2099 11.1% 10.7%
2098 11.1% 10.7%
2097 11.1% 10.8%
2096 11.1% 10.8%
2095 11.1% 10.9%
2094 11.1% 11%
2093 11.2% 11%
2092 11.2% 11.1%
2091 11.2% 11.2%
2090 11.2% 11.2%
2089 11.3% 11.3%
2088 11.3% 11.3%
2087 11.3% 11.4%
2086 11.3% 11.4%
2085 11.3% 11.4%
2084 11.3% 11.4%
2083 11.3% 11.4%
2082 11.3% 11.4%
2081 11.2% 11.4%
2080 11.2% 11.4%
2079 11.2% 11.3%
2078 11.1% 11.3%
2077 11.1% 11.3%
2076 11% 11.2%
2075 10.9% 11.2%
2074 10.9% 11.2%
2073 10.8% 11.2%
2072 10.8% 11.1%
2071 10.7% 11.2%
2070 10.7% 11.2%
2069 10.6% 11.2%
2068 10.6% 11.3%
2067 10.6% 11.4%
2066 10.5% 11.5%
2065 10.5% 11.6%
2064 10.5% 11.7%
2063 10.6% 11.9%
2062 10.6% 12%
2061 10.6% 12.2%
2060 10.6% 12.3%
2059 10.7% 12.4%
2058 10.7% 12.6%
2057 10.8% 12.7%
2056 10.8% 12.8%
2055 10.8% 12.9%
2054 10.9% 13%
2053 10.9% 13%
2052 10.9% 13.1%
2051 10.9% 13.1%
2050 10.9% 13.1%
2049 10.9% 13.1%
2048 10.8% 13.1%
2047 10.8% 13%
2046 10.7% 13%
2045 10.7% 13%
2044 10.6% 13%
2043 10.6% 12.9%
2042 10.5% 12.9%
2041 10.5% 12.9%
2040 10.4% 13%
2039 10.4% 13%
2038 10.3% 13%
2037 10.3% 13.2%
2036 10.3% 13.4%
2035 10.3% 13.6%
2034 10.4% 13.8%
2033 10.4% 14.1%
2032 10.5% 14.4%
2031 10.7% 14.7%
2030 10.8% 15.1%
2029 11% 15.4%
2028 11.1% 15.8%
2027 11.3% 16.1%
2026 11.5% 16.4%
2025 11.8% 16.7%
2024 11.9% 16.8%
2023 12.1% 17.1%
2022 12.4% 17.2%
2021 12.6% 17.2%
2020 12.8% 17.2%
2019 13% 17.2%
2018 13.2% 17.4%
2017 13.4% 17.5%
2016 13.6% 17.8%
2015 13.7% 18%
2014 13.8% 18.3%
2013 13.9% 18.6%
2012 14% 18.8%
2011 14% 19%
2010 14% 19.3%
2009 14% 19.7%
2008 14% 20%
2007 14% 20.4%
2006 14.1% 20.8%
2005 14.1% 21.2%
2004 14.2% 21.7%
2003 14.2% 22.1%
2002 14.2% 22.5%
2001 14.2% 22.9%
2000 14.3% 23.4%
1999 14.3% 23.9%
1998 14.3% 24.4%
1997 14.4% 24.8%
1996 14.5% 25.1%
1995 14.6% 25.4%
1994 14.8% 25.5%
1993 15% 25.7%
1992 15.2% 26.1%
1991 15.8% 26.5%
1990 16.5% 26.9%
1989 17% 27.1%
1988 17.5% 27.4%
1987 18.1% 27.6%
1986 18.7% 27.8%
1985 19.3% 28.1%
1984 19.9% 28.3%
1983 20.5% 28.5%
1982 21.1% 28.8%
1981 21.6% 29.1%
1980 22.3% 29.5%
1979 22.8% 29.9%
1978 23.4% 30.3%
1977 23.7% 30.6%
1976 24.1% 30.9%
1975 24.3% 31.3%
1974 24.5% 31.7%
1973 24.6% 32.2%
1972 24.6% 32.6%
1971 24.6% 33%
1970 24.7% 33.5%
1969 24.7% 34.1%
1968 24.6% 34.7%
1967 24.6% 35.2%
1966 24.5% 35.8%
1965 24.5% 36.3%
1964 24.5% 36.7%
1963 24.5% 37.2%
1962 24.7% 37.6%
1961 25% 37.8%
1960 25% 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/italy/north-macedonia | CC BY

Children aged 0-14 make up 11.9% of the population in Italy and 16.8% in North Macedonia in 2024, compared to 16.5% and 26.9% respectively in 1990.

Demographics of Italy 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/italy/north-macedonia | CC BY

Maternal mortality chart: Italy vs North Macedonia

Italy
North Macedonia
1x
Year Maternal mortality per 100K births
Italy North Macedonia
2023 6 3
2022 10 3
2021 7 12
2020 8 7
2019 7 3
2018 7 3
2017 8 4
2016 8 4
2015 8 4
2014 8 4
2013 8 5
2012 8 5
2011 8 5
2010 8 5
2009 8 6
2008 7 6
2007 7 7
2006 7 7
2005 8 7
2004 8 8
2003 8 8
2002 10 10
2001 10 9
2000 11 11
1999 11 12
1998 12 13
1997 13 13
1996 14 14
1995 15 13
1994 15 13
1993 16 14
1992 17 14
1991 18 15
1990 18 16
1989 19 14
1988 20 16
1987 21 15
1986 22 16
1985 22 17

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

GeoRank.org/birth-rate/italy/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 Italy, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Italy
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Italy North Macedonia
2023 0.28% 0.33%
2022 0.28% 0.41%
2021 0.29% 0.5%
2020 0.3% 0.59%
2019 0.31% 0.7%
2018 0.32% 0.83%
2017 0.33% 0.97%
2016 0.34% 1.08%
2015 0.35% 1.13%
2014 0.36% 1.11%
2013 0.37% 1.07%
2012 0.38% 1.02%
2011 0.39% 1%
2010 0.4% 1.04%
2009 0.41% 1.1%
2008 0.41% 1.17%
2007 0.42% 1.23%
2006 0.43% 1.3%
2005 0.45% 1.37%
2004 0.46% 1.42%
2003 0.48% 1.43%
2002 0.51% 1.43%
2001 0.53% 1.48%
2000 0.56% 1.59%
1999 0.59% 1.73%
1998 0.62% 1.83%
1997 0.66% 1.93%
1996 0.7% 2.12%
1995 0.75% 2.45%
1994 0.8% 2.85%
1993 0.85% 3.13%
1992 0.89% 3.3%
1991 0.93% 3.46%
1990 0.97% 3.7%
1989 1% 4.01%
1988 1.04% 4.36%
1987 1.08% 4.69%
1986 1.14% 4.91%
1985 1.2% 5%
1984 1.27% 5.06%
1983 1.35% 5.25%
1982 1.43% 5.53%
1981 1.52% 5.79%
1980 1.61% -
1979 1.7% -
1978 1.82% -
1977 1.95% -
1976 2.11% -
1975 2.31% -
1974 2.53% -
1973 2.76% -
1972 2.98% -
1971 3.18% -
1970 3.36% -
1969 3.51% -
1968 3.64% -
1967 3.78% -
1966 3.93% -
1965 4.11% -
1964 4.31% -
1963 4.53% -
1962 4.76% -
1961 4.98% -
1960 5.19% -

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

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

The chance that a newborn baby will die before reaching age five is 0.28% in Italy 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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