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Fertility & birth rates in Italy and Sao Tome and Principe

Updated on by Georank team

Italy has an annual birth rate of 6.4 births per 1,000 people, compared to 28.2 for Sao Tome and Principe. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.2 in Italy and 3.64 in Sao Tome and Principe — 203.7% difference.

1960 vs 2023, the fertility rate has decreased by 50% in Italy and by 41.6% in Sao Tome and Principe — in 1960, it was 2.4 and 6.24, respectively.

  • Italy is ranked 190/196 by birth rate compared to 39/196 for Sao Tome and Principe.
  • The mean age for first-time mothers is 31.8 years in Italy, compared to 19.4 years in Sao Tome and Principe.
  • The mean age at childbearing (for all the births, not just the first) is 32.3 in Italy — it's 28.4 in Sao Tome and Principe.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 2.85 in Italy vs 86.2 in Sao Tome and Principe.
  • In Italy, 19.6% of the population is composed of women of reproductive age (15-49), compared to 25.2% in Sao Tome and Principe.

Fertility rate in Italy vs Sao Tome and Principe by year

Italy
Sao Tome and Principe
1x
Year Fertility rate
Italy Sao Tome
2023 1.2 3.64
2022 1.24 3.7
2021 1.25 3.76
2020 1.24 3.83
2019 1.27 3.9
2018 1.31 3.98
2017 1.34 4.07
2016 1.36 4.2
2015 1.36 4.35
2014 1.38 4.49
2013 1.39 4.58
2012 1.42 4.66
2011 1.42 4.72
2010 1.44 4.77
2009 1.44 4.84
2008 1.44 4.91
2007 1.39 4.96
2006 1.37 4.93
2005 1.33 4.94
2004 1.34 4.96
2003 1.29 5.01
2002 1.27 5.06
2001 1.25 5.1
2000 1.26 5.16
1999 1.23 5.23
1998 1.22 5.3
1997 1.22 5.4
1996 1.2 5.47
1995 1.19 5.55
1994 1.21 5.56
1993 1.25 5.64
1992 1.3 5.7
1991 1.3 5.77
1990 1.33 5.83
1989 1.33 5.88
1988 1.36 5.94
1987 1.33 5.99
1986 1.35 6.05
1985 1.42 6.1
1984 1.46 6.16
1983 1.51 6.22
1982 1.56 6.28
1981 1.58 6.33
1980 1.64 6.39
1979 1.73 6.43
1978 1.84 6.47
1977 1.93 6.5
1976 2.04 6.52
1975 2.17 6.53
1974 2.28 6.53
1973 2.3 6.53
1972 2.35 6.51
1971 2.4 6.49
1970 2.38 6.47
1969 2.47 6.44
1968 2.46 6.42
1967 2.5 6.39
1966 2.58 6.37
1965 2.6 6.35
1964 2.66 6.33
1963 2.51 6.31
1962 2.46 6.28
1961 2.44 6.26
1960 2.4 6.24

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

GeoRank.org/birth-rate/italy/sao-tome-and-principe | 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 3.64 in Sao Tome and Principe in 2023. The replacement level is considered to be 2.1 children per woman.

Check Italy vs Sao Tome and Principe population clock for a dynamic visualization of the changing population.

Natural population change by year

Italy
Sao Tome and Principe
1x
Year Natural population change
Italy Sao Tome
2023 -283,125 5,221
2022 -318,674 5,102
2021 -301,579 4,954
2020 -338,801 4,874
2019 -215,025 4,932
2018 -192,475 4,957
2017 -192,007 5,007
2016 -138,265 5,125
2015 -162,620 5,269
2014 -96,513 5,381
2013 -90,468 5,449
2012 -78,248 5,501
2011 -48,021 5,445
2010 -23,928 5,391
2009 -17,866 5,349
2008 -11,842 5,297
2007 -5,876 5,226
2006 0 5,057
2005 -17,450 4,897
2004 11,566 4,810
2003 -40,179 4,702
2002 -22,836 4,591
2001 -11,396 4,471
2000 -17,082 4,334
1999 -22,766 4,221
1998 -39,835 4,120
1997 -22,756 4,041
1996 -22,744 3,993
1995 -34,107 3,948
1994 -17,053 3,860
1993 0 3,841
1992 22,718 3,822
1991 11,352 3,801
1990 22,688 3,719
1989 28,336 3,576
1988 33,977 3,544
1987 16,980 3,440
1986 11,319 3,180
1985 28,297 3,242
1984 50,919 3,163
1983 33,939 3,100
1982 79,161 3,047
1981 73,452 3,015
1980 84,650 2,965
1979 129,531 2,893
1978 168,465 2,800
1977 190,248 2,705
1976 228,445 2,608
1975 271,660 2,515
1974 336,176 2,422
1973 328,508 2,329
1972 364,355 2,232
1971 383,922 2,127
1970 376,753 1,980
1969 390,827 1,862
1968 399,268 1,767
1967 439,074 1,693
1966 488,427 1,642
1965 474,222 1,611
1964 527,089 1,600
1963 440,767 1,609
1962 427,387 1,625
1961 459,880 1,657
1960 426,697 1,547

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

GeoRank.org/birth-rate/italy/sao-tome-and-principe | 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 +2.26% in Sao Tome and Principe.

For the past 10 years, the annual natural population change has been -0.38% in Italy and +2.4% in Sao Tome and Principe.

Birth rate in Italy vs Sao Tome and Principe by year

Italy
Sao Tome and Principe

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Italy Sao Tome
2023 6.4 28.2
2022 6.7 28.3
2021 6.8 28.5
2020 6.8 28.6
2019 7 29.2
2018 7.3 29.8
2017 7.6 30.6
2016 7.9 31.7
2015 8.1 33
2014 8.3 34.3
2013 8.5 35.4
2012 8.9 36.4
2011 9.1 36.8
2010 9.4 37.3
2009 9.6 37.9
2008 9.7 38.5
2007 9.6 38.9
2006 9.6 38.9
2005 9.5 39
2004 9.7 39.2
2003 9.5 39.6
2002 9.4 39.8
2001 9.4 40
2000 9.5 39.7
1999 9.4 39.4
1998 9.3 39.2
1997 9.4 39.2
1996 9.3 39.3
1995 9.2 39.5
1994 9.4 39.4
1993 9.7 39.8
1992 10 40.2
1991 9.9 40.7
1990 10 40.7
1989 9.9 40.9
1988 10.1 40.9
1987 9.7 41
1986 9.8 41
1985 10.2 41
1984 10.4 41.1
1983 10.6 41.2
1982 10.9 41.3
1981 11 41.5
1980 11.3 41.6
1979 11.9 41.6
1978 12.6 41.4
1977 13.2 41.3
1976 14 41.1
1975 14.9 40.9
1974 15.8 40.6
1973 16 40.3
1972 16.3 39.9
1971 16.8 39.5
1970 16.7 38.8
1969 17.4 38.2
1968 17.5 37.8
1967 17.9 37.7
1966 18.7 38
1965 19 38.6
1964 19.7 39.7
1963 18.7 41.1
1962 18.4 42.7
1961 18.4 44.6
1960 18.1 44.6

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

GeoRank.org/birth-rate/italy/sao-tome-and-principe | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.4 in Italy and 28.2 in Sao Tome and Principe, compared with 18.1 and 44.6, respectively, in 1960.

Birth rate data compared

Italy Sao Tome
Fertility rate 1.2 3.64
Fertility rate rank 182/196 41/196
Birth rate 6.4 28.2
Birth rate rank 190/196 39/196
Population change due to births and deaths -283,125 +5,221
Natural population change rank 191/196 126/196
Natural population change rate -0.48% +2.26%
Population growth -0.05% +2.02%
Population growth rank 170/197 49/197
Age at first childbirth 31.8 years 19.4 years
Average age at childbearing 32.3 years 28.4 years
Annual births per 1,000 women ages 15-19 2.92 82.5
Annual births per 1,000 women ages 20-29 38.3 169.9
Annual births per 1,000 women ages 30+ 11.7 47.4
Female of reproductive age (15-49), share of population 19.6% 25.2%
Any modern method of contraceptive prevalence among married women ages 15-49 51.8% 46%
Share of births attended by skilled health staff 99.8% 96.8%
Maternal mortality per live birth 0.006% 0.08%
Neonatal mortality rate (before reaching 28 days of age) 0.16% 0.68%
Infant mortality rate (before reaching 1 year of age) 0.23% 0.94%
Mortality rate before reaching 5 years of age 0.28% 1.39%
Life expectancy 84.2 years 70.3 years

Children 0-14 years as share of population

Italy
Factual

UN forecast
Sao Tome and Principe
Factual

UN forecast
1x
Year Young
Italy Sao Tome
2100 11.1% 19.5%
2099 11.1% 19.6%
2098 11.1% 19.8%
2097 11.1% 19.9%
2096 11.1% 20%
2095 11.1% 20.2%
2094 11.1% 20.3%
2093 11.2% 20.4%
2092 11.2% 20.6%
2091 11.2% 20.7%
2090 11.2% 20.9%
2089 11.3% 21.1%
2088 11.3% 21.2%
2087 11.3% 21.4%
2086 11.3% 21.6%
2085 11.3% 21.8%
2084 11.3% 22%
2083 11.3% 22.2%
2082 11.3% 22.4%
2081 11.2% 22.6%
2080 11.2% 22.9%
2079 11.2% 23.1%
2078 11.1% 23.3%
2077 11.1% 23.5%
2076 11% 23.7%
2075 10.9% 24%
2074 10.9% 24.2%
2073 10.8% 24.4%
2072 10.8% 24.6%
2071 10.7% 24.8%
2070 10.7% 25%
2069 10.6% 25.2%
2068 10.6% 25.4%
2067 10.6% 25.6%
2066 10.5% 25.9%
2065 10.5% 26.1%
2064 10.5% 26.3%
2063 10.6% 26.5%
2062 10.6% 26.8%
2061 10.6% 27%
2060 10.6% 27.3%
2059 10.7% 27.5%
2058 10.7% 27.8%
2057 10.8% 28.1%
2056 10.8% 28.4%
2055 10.8% 28.7%
2054 10.9% 29%
2053 10.9% 29.4%
2052 10.9% 29.7%
2051 10.9% 30.1%
2050 10.9% 30.4%
2049 10.9% 30.8%
2048 10.8% 31.1%
2047 10.8% 31.5%
2046 10.7% 31.8%
2045 10.7% 32.1%
2044 10.6% 32.5%
2043 10.6% 32.8%
2042 10.5% 33.1%
2041 10.5% 33.4%
2040 10.4% 33.6%
2039 10.4% 33.9%
2038 10.3% 34.1%
2037 10.3% 34.4%
2036 10.3% 34.6%
2035 10.3% 34.7%
2034 10.4% 34.9%
2033 10.4% 35.1%
2032 10.5% 35.3%
2031 10.7% 35.5%
2030 10.8% 35.8%
2029 11% 36.1%
2028 11.1% 36.6%
2027 11.3% 37%
2026 11.5% 37.3%
2025 11.8% 37.6%
2024 11.9% 37.8%
2023 12.1% 38.3%
2022 12.4% 38.8%
2021 12.6% 39.4%
2020 12.8% 39.9%
2019 13% 40.5%
2018 13.2% 40.9%
2017 13.4% 41.4%
2016 13.6% 41.7%
2015 13.7% 41.9%
2014 13.8% 42%
2013 13.9% 42%
2012 14% 42%
2011 14% 42%
2010 14% 42.1%
2009 14% 42.1%
2008 14% 42.1%
2007 14% 42%
2006 14.1% 42%
2005 14.1% 42%
2004 14.2% 42.1%
2003 14.2% 42.2%
2002 14.2% 42.3%
2001 14.2% 42.5%
2000 14.3% 42.8%
1999 14.3% 43.4%
1998 14.3% 43.9%
1997 14.4% 44.3%
1996 14.5% 44.7%
1995 14.6% 44.9%
1994 14.8% 45.1%
1993 15% 45.2%
1992 15.2% 45.2%
1991 15.8% 45.1%
1990 16.5% 45.1%
1989 17% 45%
1988 17.5% 45%
1987 18.1% 44.9%
1986 18.7% 44.7%
1985 19.3% 44.5%
1984 19.9% 44.4%
1983 20.5% 44.5%
1982 21.1% 44.5%
1981 21.6% 44.7%
1980 22.3% 44.9%
1979 22.8% 45.1%
1978 23.4% 45.2%
1977 23.7% 45.3%
1976 24.1% 45.4%
1975 24.3% 45.5%
1974 24.5% 45.6%
1973 24.6% 45.7%
1972 24.6% 45.9%
1971 24.6% 46.1%
1970 24.7% 46.2%
1969 24.7% 45.8%
1968 24.6% 44.9%
1967 24.6% 44%
1966 24.5% 42.9%
1965 24.5% 41.6%
1964 24.5% 40.2%
1963 24.5% 38.5%
1962 24.7% 36.6%
1961 25% 34.3%
1960 25% 32.9%

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/sao-tome-and-principe | CC BY

Children aged 0-14 make up 11.9% of the population in Italy and 37.8% in Sao Tome and Principe in 2024, compared to 16.5% and 45.1% respectively in 1990.

Demographics of Italy and Sao Tome and Principe compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/italy/sao-tome-and-principe | CC BY

Maternal mortality chart: Italy vs Sao Tome and Principe

Italy
Sao Tome and Principe
1x
Year Maternal mortality per 100K births
Italy Sao Tome
2023 6 75
2022 10 82
2021 7 98
2020 8 92
2019 7 95
2018 7 100
2017 8 110
2016 8 119
2015 8 128
2014 8 138
2013 8 150
2012 8 158
2011 8 164
2010 8 170
2009 8 172
2008 7 174
2007 7 174
2006 7 177
2005 8 181
2004 8 177
2003 8 178
2002 10 179
2001 10 178
2000 11 180
1999 11 179
1998 12 175
1997 13 173
1996 14 171
1995 15 172
1994 15 168
1993 16 166
1992 17 164
1991 18 166
1990 18 164
1989 19 167
1988 20 157
1987 21 161
1986 22 175
1985 22 159

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

GeoRank.org/birth-rate/italy/sao-tome-and-principe | 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 75 deaths in Sao Tome and Principe.

Under-five mortality rates

Italy
Sao Tome and Principe

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Italy Sao Tome
2023 0.28% 1.39%
2022 0.28% 1.46%
2021 0.29% 1.53%
2020 0.3% 1.6%
2019 0.31% 1.7%
2018 0.32% 1.81%
2017 0.33% 1.95%
2016 0.34% 2.11%
2015 0.35% 2.31%
2014 0.36% 2.54%
2013 0.37% 2.77%
2012 0.38% 3.04%
2011 0.39% 3.33%
2010 0.4% 3.63%
2009 0.41% 3.95%
2008 0.41% 4.3%
2007 0.42% 4.68%
2006 0.43% 5.11%
2005 0.45% 5.56%
2004 0.46% 6.05%
2003 0.48% 6.57%
2002 0.51% 7.1%
2001 0.53% 7.66%
2000 0.56% 8.21%
1999 0.59% 8.76%
1998 0.62% 9.26%
1997 0.66% 9.73%
1996 0.7% 10.1%
1995 0.75% 10.4%
1994 0.8% 10.7%
1993 0.85% 10.8%
1992 0.89% 10.9%
1991 0.93% 10.9%
1990 0.97% 10.8%
1989 1% 10.7%
1988 1.04% 10.6%
1987 1.08% 10.4%
1986 1.14% 11.4%
1985 1.2% 9.99%
1984 1.27% 9.77%
1983 1.35% 9.56%
1982 1.43% 9.37%
1981 1.52% 9.21%
1980 1.61% 9.1%
1979 1.7% 9.02%
1978 1.82% 8.96%
1977 1.95% 8.93%
1976 2.11% 8.89%
1975 2.31% 8.85%
1974 2.53% 8.79%
1973 2.76% 8.73%
1972 2.98% 8.67%
1971 3.18% 8.63%
1970 3.36% 8.64%
1969 3.51% 8.71%
1968 3.64% 8.85%
1967 3.78% 9.04%
1966 3.93% 9.29%
1965 4.11% 9.56%
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/sao-tome-and-principe | CC BY

The chance that a newborn baby will die before reaching age five is 0.28% in Italy and 1.39% in Sao Tome and Principe. 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) (2023, retrieved 2026-03-10)
  4. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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