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Fertility & birth rates in Italy and United States

Updated on by Georank team

Italy has an annual birth rate of 6.4 births per 1,000 people, compared to 10.7 for the United States. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.2 in Italy and 1.62 in the United States — 34.7% difference.

1960 vs 2023, the fertility rate has decreased by 50% in Italy and by 55.8% in the United States — in 1960, it was 2.4 and 3.65, respectively.

  • Italy is ranked 190/196 by birth rate compared to 140/196 for the United States.
  • The mean age for first-time mothers is 31.8 years in Italy, compared to 27.3 years in the United States.
  • The mean age at childbearing (for all the births, not just the first) is 32.3 in Italy — it's 30.2 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 2.85 in Italy vs 13.1 in the United States.
  • In Italy, 19.6% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in Italy vs United States by year

Italy
United States
1x
Year Fertility rate
Italy United States
2023 1.2 1.62
2022 1.24 1.66
2021 1.25 1.66
2020 1.24 1.64
2019 1.27 1.71
2018 1.31 1.73
2017 1.34 1.77
2016 1.36 1.82
2015 1.36 1.84
2014 1.38 1.86
2013 1.39 1.86
2012 1.42 1.88
2011 1.42 1.89
2010 1.44 1.93
2009 1.44 2
2008 1.44 2.07
2007 1.39 2.12
2006 1.37 2.11
2005 1.33 2.06
2004 1.34 2.05
2003 1.29 2.05
2002 1.27 2.02
2001 1.25 2.03
2000 1.26 2.06
1999 1.23 2.01
1998 1.22 2
1997 1.22 1.97
1996 1.2 1.98
1995 1.19 1.98
1994 1.21 2
1993 1.25 2.02
1992 1.3 2.05
1991 1.3 2.06
1990 1.33 2.08
1989 1.33 2.01
1988 1.36 1.93
1987 1.33 1.87
1986 1.35 1.84
1985 1.42 1.84
1984 1.46 1.81
1983 1.51 1.8
1982 1.56 1.83
1981 1.58 1.81
1980 1.64 1.84
1979 1.73 1.81
1978 1.84 1.76
1977 1.93 1.79
1976 2.04 1.74
1975 2.17 1.77
1974 2.28 1.84
1973 2.3 1.88
1972 2.35 2.01
1971 2.4 2.27
1970 2.38 2.48
1969 2.47 2.46
1968 2.46 2.46
1967 2.5 2.56
1966 2.58 2.72
1965 2.6 2.91
1964 2.66 3.19
1963 2.51 3.32
1962 2.46 3.46
1961 2.44 3.62
1960 2.4 3.65

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

GeoRank.org/birth-rate/italy/united-states | 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 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

Check Italy vs the United States population clock for a dynamic visualization of the changing population.

Natural population change by year

Italy
United States
1x
Year Natural population change
Italy United States
2023 -283,125 502,372
2022 -318,674 399,926
2021 -301,579 199,137
2020 -338,801 208,862
2019 -215,025 887,476
2018 -192,475 955,022
2017 -192,007 1,028,037
2016 -138,265 1,197,627
2015 -162,620 1,270,126
2014 -96,513 1,357,281
2013 -90,468 1,322,711
2012 -78,248 1,411,822
2011 -48,021 1,441,697
2010 -23,928 1,548,182
2009 -17,866 1,717,920
2008 -11,842 1,794,154
2007 -5,876 1,897,757
2006 0 1,849,955
2005 -17,450 1,684,445
2004 11,566 1,698,271
2003 -40,179 1,653,615
2002 -22,836 1,581,938
2001 -11,396 1,595,826
2000 -17,082 1,664,758
1999 -22,766 1,564,050
1998 -39,835 1,573,857
1997 -22,756 1,501,014
1996 -22,744 1,510,137
1995 -34,107 1,546,031
1994 -17,053 1,633,302
1993 0 1,717,685
1992 22,718 1,875,328
1991 11,352 1,926,543
1990 22,688 2,026,068
1989 28,336 1,875,826
1988 33,977 1,735,943
1987 16,980 1,720,252
1986 11,319 1,656,917
1985 28,297 1,689,258
1984 50,919 1,627,192
1983 33,939 1,636,544
1982 79,161 1,714,317
1981 73,452 1,652,153
1980 84,650 1,608,450
1979 129,531 1,597,894
1978 168,465 1,402,283
1977 190,248 1,431,556
1976 228,445 1,264,604
1975 271,660 1,252,644
1974 336,176 1,218,968
1973 328,508 1,165,499
1972 364,355 1,301,355
1971 383,922 1,640,519
1970 376,753 1,824,965
1969 390,827 1,702,487
1968 399,268 1,565,507
1967 439,074 1,669,181
1966 488,427 1,749,387
1965 474,222 1,943,030
1964 527,089 2,245,099
1963 440,767 2,289,826
1962 427,387 2,406,337
1961 459,880 2,571,681
1960 426,697 2,565,530

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06); U.S. Census Bureau (1960–2023, retrieved 2026-02-08).

GeoRank.org/birth-rate/italy/united-states | 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 +0.15% in the United States.

For the past 10 years, the annual natural population change has been -0.38% in Italy and +0.25% in the United States.

Birth rate in Italy vs United States by year

Italy
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Italy United States
2023 6.4 10.7
2022 6.7 11
2021 6.8 11
2020 6.8 10.9
2019 7 11.4
2018 7.3 11.6
2017 7.6 11.8
2016 7.9 12.2
2015 8.1 12.4
2014 8.3 12.5
2013 8.5 12.4
2012 8.9 12.6
2011 9.1 12.7
2010 9.4 13
2009 9.6 13.5
2008 9.7 14
2007 9.6 14.3
2006 9.6 14.3
2005 9.5 14
2004 9.7 14
2003 9.5 14.1
2002 9.4 14
2001 9.4 14.1
2000 9.5 14.4
1999 9.4 14.2
1998 9.3 14.3
1997 9.4 14.2
1996 9.3 14.4
1995 9.2 14.6
1994 9.4 15
1993 9.7 15.4
1992 10 15.8
1991 9.9 16.2
1990 10 16.7
1989 9.9 16.4
1988 10.1 16
1987 9.7 15.7
1986 9.8 15.6
1985 10.2 15.8
1984 10.4 15.6
1983 10.6 15.6
1982 10.9 15.9
1981 11 15.8
1980 11.3 15.9
1979 11.9 15.6
1978 12.6 15
1977 13.2 15.1
1976 14 14.6
1975 14.9 14.6
1974 15.8 14.8
1973 16 14.8
1972 16.3 15.6
1971 16.8 17.2
1970 16.7 18.4
1969 17.4 17.9
1968 17.5 17.6
1967 17.9 17.8
1966 18.7 18.4
1965 19 19.4
1964 19.7 21.1
1963 18.7 21.7
1962 18.4 22.4
1961 18.4 23.3
1960 18.1 23.7

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

GeoRank.org/birth-rate/italy/united-states | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.4 in Italy and 10.7 in the United States, compared with 18.1 and 23.7, respectively, in 1960.

Birth rate data compared

Italy United States
Fertility rate 1.2 1.62
Fertility rate rank 182/196 125/196
Birth rate 6.4 10.7
Birth rate rank 190/196 140/196
Population change due to births and deaths -283,125 +502,372
Natural population change rank 191/196 37/196
Natural population change rate -0.48% +0.15%
Population growth -0.05% +0.49%
Population growth rank 170/197 134/197
Age at first childbirth 31.8 years 27.3 years
Average age at childbearing 32.3 years 30.2 years
Annual births per 1,000 women ages 15-19 2.92 11.3
Annual births per 1,000 women ages 20-29 38.3 72.5
Annual births per 1,000 women ages 30+ 11.7 17.4
Female of reproductive age (15-49), share of population 19.6% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 51.8% 66.1%
Share of births attended by skilled health staff 99.8% 99.1%
Maternal mortality per live birth 0.006% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 0.16% 0.34%
Infant mortality rate (before reaching 1 year of age) 0.23% 0.55%
Mortality rate before reaching 5 years of age 0.28% 0.65%
Life expectancy 84.2 years 79.8 years

Children 0-14 years as share of population

Italy
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
Italy United States
2100 11.1% 14.4%
2099 11.1% 14.4%
2098 11.1% 14.4%
2097 11.1% 14.4%
2096 11.1% 14.4%
2095 11.1% 14.5%
2094 11.1% 14.5%
2093 11.2% 14.5%
2092 11.2% 14.5%
2091 11.2% 14.6%
2090 11.2% 14.6%
2089 11.3% 14.7%
2088 11.3% 14.7%
2087 11.3% 14.7%
2086 11.3% 14.8%
2085 11.3% 14.8%
2084 11.3% 14.8%
2083 11.3% 14.9%
2082 11.3% 14.9%
2081 11.2% 14.9%
2080 11.2% 14.9%
2079 11.2% 14.9%
2078 11.1% 14.9%
2077 11.1% 14.9%
2076 11% 14.9%
2075 10.9% 14.9%
2074 10.9% 14.9%
2073 10.8% 14.9%
2072 10.8% 14.9%
2071 10.7% 14.9%
2070 10.7% 14.9%
2069 10.6% 14.9%
2068 10.6% 14.9%
2067 10.6% 14.9%
2066 10.5% 14.9%
2065 10.5% 15%
2064 10.5% 15%
2063 10.6% 15%
2062 10.6% 15.1%
2061 10.6% 15.1%
2060 10.6% 15.2%
2059 10.7% 15.3%
2058 10.7% 15.4%
2057 10.8% 15.5%
2056 10.8% 15.5%
2055 10.8% 15.6%
2054 10.9% 15.7%
2053 10.9% 15.8%
2052 10.9% 15.8%
2051 10.9% 15.9%
2050 10.9% 15.9%
2049 10.9% 16%
2048 10.8% 16%
2047 10.8% 16%
2046 10.7% 16%
2045 10.7% 16%
2044 10.6% 16%
2043 10.6% 16%
2042 10.5% 16%
2041 10.5% 15.9%
2040 10.4% 15.9%
2039 10.4% 15.9%
2038 10.3% 15.9%
2037 10.3% 15.9%
2036 10.3% 15.9%
2035 10.3% 15.9%
2034 10.4% 15.9%
2033 10.4% 16%
2032 10.5% 16.1%
2031 10.7% 16.2%
2030 10.8% 16.3%
2029 11% 16.5%
2028 11.1% 16.6%
2027 11.3% 16.8%
2026 11.5% 17%
2025 11.8% 17.2%
2024 11.9% 17.3%
2023 12.1% 17.6%
2022 12.4% 17.9%
2021 12.6% 18.1%
2020 12.8% 18.4%
2019 13% 18.6%
2018 13.2% 18.8%
2017 13.4% 18.9%
2016 13.6% 19.1%
2015 13.7% 19.2%
2014 13.8% 19.3%
2013 13.9% 19.4%
2012 14% 19.5%
2011 14% 19.6%
2010 14% 19.7%
2009 14% 19.8%
2008 14% 19.9%
2007 14% 20%
2006 14.1% 20.2%
2005 14.1% 20.3%
2004 14.2% 20.5%
2003 14.2% 20.7%
2002 14.2% 20.9%
2001 14.2% 21%
2000 14.3% 21.2%
1999 14.3% 21.3%
1998 14.3% 21.4%
1997 14.4% 21.5%
1996 14.5% 21.7%
1995 14.6% 21.8%
1994 14.8% 21.9%
1993 15% 21.9%
1992 15.2% 21.8%
1991 15.8% 21.7%
1990 16.5% 21.6%
1989 17% 21.5%
1988 17.5% 21.3%
1987 18.1% 21.3%
1986 18.7% 21.3%
1985 19.3% 21.5%
1984 19.9% 21.7%
1983 20.5% 21.8%
1982 21.1% 22%
1981 21.6% 22.1%
1980 22.3% 22.4%
1979 22.8% 22.8%
1978 23.4% 23.2%
1977 23.7% 23.8%
1976 24.1% 24.4%
1975 24.3% 25.2%
1974 24.5% 25.9%
1973 24.6% 26.6%
1972 24.6% 27.4%
1971 24.6% 28%
1970 24.7% 28.6%
1969 24.7% 29%
1968 24.6% 29.5%
1967 24.6% 30%
1966 24.5% 30.4%
1965 24.5% 30.7%
1964 24.5% 30.9%
1963 24.5% 31.1%
1962 24.7% 31.3%
1961 25% 31.4%
1960 25% 31.3%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10); U.S. Census Bureau (1960–2024, retrieved 2026-02-08).

GeoRank.org/birth-rate/italy/united-states | CC BY

Children aged 0-14 make up 11.9% of the population in Italy and 17.3% in the United States in 2024, compared to 16.5% and 21.6% respectively in 1990.

Demographics of Italy and the United States compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/italy/united-states | CC BY

Maternal mortality chart: Italy vs United States

Italy
United States
1x
Year Maternal mortality per 100K births
Italy United States
2023 6 17
2022 10 20
2021 7 31
2020 8 22
2019 7 18
2018 7 18
2017 8 18
2016 8 18
2015 8 17
2014 8 17
2013 8 16
2012 8 16
2011 8 15
2010 8 15
2009 8 15
2008 7 14
2007 7 13
2006 7 13
2005 8 13
2004 8 13
2003 8 13
2002 10 13
2001 10 13
2000 11 12
1999 11 12
1998 12 11
1997 13 11
1996 14 11
1995 15 12
1994 15 11
1993 16 12
1992 17 11
1991 18 12
1990 18 12
1989 19 12
1988 20 12
1987 21 11
1986 22 11
1985 22 11

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

GeoRank.org/birth-rate/italy/united-states | 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 17 deaths in the United States.

U.S. figures are less comparable to other countries, because reporting changes between 2003 and 2018 doubled the number of maternal deaths captured in official records without an actual doubling in mortality, and coding was revised again in 2018.

Under-five mortality rates

Italy
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Italy United States
2023 0.28% 0.65%
2022 0.28% 0.65%
2021 0.29% 0.65%
2020 0.3% 0.65%
2019 0.31% 0.65%
2018 0.32% 0.65%
2017 0.33% 0.66%
2016 0.34% 0.67%
2015 0.35% 0.68%
2014 0.36% 0.68%
2013 0.37% 0.69%
2012 0.38% 0.7%
2011 0.39% 0.72%
2010 0.4% 0.73%
2009 0.41% 0.75%
2008 0.41% 0.76%
2007 0.42% 0.77%
2006 0.43% 0.79%
2005 0.45% 0.8%
2004 0.46% 0.81%
2003 0.48% 0.81%
2002 0.51% 0.82%
2001 0.53% 0.83%
2000 0.56% 0.84%
1999 0.59% 0.86%
1998 0.62% 0.87%
1997 0.66% 0.89%
1996 0.7% 0.92%
1995 0.75% 0.95%
1994 0.8% 0.98%
1993 0.85% 1.01%
1992 0.89% 1.05%
1991 0.93% 1.09%
1990 0.97% 1.12%
1989 1% 1.16%
1988 1.04% 1.19%
1987 1.08% 1.21%
1986 1.14% 1.24%
1985 1.2% 1.27%
1984 1.27% 1.3%
1983 1.35% 1.34%
1982 1.43% 1.39%
1981 1.52% 1.44%
1980 1.61% 1.5%
1979 1.7% 1.56%
1978 1.82% 1.63%
1977 1.95% 1.71%
1976 2.11% 1.79%
1975 2.31% 1.88%
1974 2.53% 1.97%
1973 2.76% 2.06%
1972 2.98% 2.15%
1971 3.18% 2.24%
1970 3.36% 2.32%
1969 3.51% 2.41%
1968 3.64% 2.49%
1967 3.78% 2.57%
1966 3.93% 2.64%
1965 4.11% 2.71%
1964 4.31% 2.77%
1963 4.53% 2.83%
1962 4.76% 2.89%
1961 4.98% 2.95%
1960 5.19% 3.01%

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

GeoRank.org/birth-rate/italy/united-states | CC BY

The chance that a newborn baby will die before reaching age five is 0.28% in Italy and 0.65% in the United States. 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. U.S. Census Bureau (1960–2025, retrieved 2026-02-08)
  4. United Nations Economic Commission for Europe (UNECE) (2021–2023, retrieved 2026-03-10)

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