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Fertility & birth rates in North Macedonia and Romania

Updated on by Georank team

North Macedonia has an annual birth rate of 9.2 births per 1,000 people, compared to 8 for Romania. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.5 in North Macedonia and 1.71 in Romania — 14% difference.

1960 vs 2023, the fertility rate has decreased by 60.8% in North Macedonia and by 26.9% in Romania — in 1960, it was 3.83 and 2.34, respectively.

  • North Macedonia is ranked 158/196 by birth rate compared to 177/196 for Romania.
  • The mean age for first-time mothers is 27.4 years in North Macedonia, compared to 27.1 years in Romania.
  • The mean age at childbearing (for all the births, not just the first) is 29.3 in North Macedonia — it's 28.5 in Romania.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 13 in North Macedonia vs 33.8 in Romania.
  • In North Macedonia, 22.4% of the population is composed of women of reproductive age (15-49), compared to 21.4% in Romania.

Fertility rate in North Macedonia vs Romania by year

North Macedonia
Romania
1x
Year Fertility rate
North Macedonia Romania
2023 1.5 1.71
2022 1.6 1.71
2021 1.6 1.81
2020 1.31 1.8
2019 1.34 1.77
2018 1.42 1.76
2017 1.43 1.78
2016 1.5 1.69
2015 1.49 1.62
2014 1.5 1.56
2013 1.5 1.46
2012 1.5 1.52
2011 1.46 1.47
2010 1.6 1.59
2009 1.5 1.66
2008 1.47 1.6
2007 1.46 1.45
2006 1.46 1.42
2005 1.5 1.4
2004 1.52 1.33
2003 1.75 1.3
2002 1.79 1.27
2001 1.73 1.27
2000 1.86 1.31
1999 1.77 1.3
1998 1.89 1.32
1997 1.92 1.32
1996 2.06 1.3
1995 2.13 1.33
1994 2.23 1.4
1993 2.26 1.43
1992 2.28 1.51
1991 2.31 1.59
1990 2.27 1.83
1989 2.25 2.22
1988 2.32 2.3
1987 2.32 2.38
1986 2.25 2.39
1985 2.25 2.31
1984 2.24 2.26
1983 2.25 2.06
1982 2.29 2.17
1981 2.29 2.36
1980 2.36 2.43
1979 2.4 2.49
1978 2.42 2.52
1977 2.49 2.57
1976 2.62 2.54
1975 2.69 2.59
1974 2.7 2.71
1973 2.72 2.44
1972 2.87 2.55
1971 2.93 2.67
1970 3.01 2.89
1969 3.1 3.19
1968 3.22 3.63
1967 3.33 3.66
1966 3.43 1.9
1965 3.52 1.91
1964 3.56 1.96
1963 3.62 2.01
1962 3.5 2.04
1961 3.62 2.17
1960 3.83 2.34

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

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

According to the latest available data on birth rates, the fertility rate in North Macedonia was 1.5 children per woman in 2023, compared to 1.71 in Romania in 2023. The replacement level is considered to be 2.1 children per woman.

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

Natural population change by year

North Macedonia
Romania
1x
Year Natural population change
North Macedonia Romania
2023 -3,290 -89,587
2022 -4,397 -93,338
2021 -9,737 -141,504
2020 -5,939 -100,179
2019 -375 -60,053
2018 1,512 -62,316
2017 1,329 -50,930
2016 2,374 -53,196
2015 2,294 -59,447
2014 3,644 -55,745
2013 3,653 -59,951
2012 3,087 -54,157
2011 3,100 -56,413
2010 4,866 -46,567
2009 4,309 -34,625
2008 3,746 -30,806
2007 2,974 -37,590
2006 3,988 -38,148
2005 4,011 -40,508
2004 5,444 -42,904
2003 8,900 -56,093
2002 9,697 -58,673
2001 10,174 -37,625
2000 12,159 -22,443
1999 10,489 -31,461
1998 12,446 -33,761
1997 12,979 -42,853
1996 14,806 -56,548
1995 17,239 -36,295
1994 19,103 -18,184
1993 20,797 -13,658
1992 21,659 -4,559
1991 23,387 25,301
1990 22,868 69,605
1989 22,912 122,756
1988 24,064 126,817
1987 24,359 128,517
1986 23,720 134,737
1985 24,167 111,392
1984 24,436 117,731
1983 24,690 87,986
1982 25,810 119,121
1981 25,689 156,472
1980 26,547 168,776
1979 27,096 194,397
1978 27,150 204,148
1977 27,410 215,385
1976 28,799 213,361
1975 28,983 219,324
1974 28,400 235,530
1973 28,032 175,020
1972 28,236 198,316
1971 28,010 206,662
1970 28,022 234,905
1969 27,464 264,120
1968 28,378 338,577
1967 28,401 347,709
1966 28,766 115,293
1965 28,564 114,190
1964 27,889 134,326
1963 28,124 139,104
1962 25,317 130,736
1961 27,846 163,286
1960 28,816 191,431

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

GeoRank.org/birth-rate/north-macedonia/romania | 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 -0.18% in North Macedonia and -0.47% in Romania.

For the past 10 years, the annual natural population change has been -0.07% in North Macedonia and -0.4% in Romania.

Birth rate in North Macedonia vs Romania by year

North Macedonia
Romania

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
North Macedonia Romania
2023 9.2 8
2022 9.9 9.4
2021 10.2 10.1
2020 9.2 10.3
2019 9.6 10.3
2018 10.3 10.4
2017 10.5 10.8
2016 11.1 10.4
2015 11.1 10.2
2014 11.4 10
2013 11.2 9.4
2012 11.4 10
2011 11.1 9.7
2010 11.8 10.5
2009 11.5 10.9
2008 11.2 10.8
2007 11.1 10.3
2006 11.1 10.4
2005 11 10.4
2004 11.5 10.1
2003 13.3 9.8
2002 13.7 9.7
2001 13.3 10
2000 14.5 10.4
1999 13.5 10.4
1998 14.6 10.5
1997 14.8 10.5
1996 16.1 10.2
1995 16.7 10.4
1994 17.7 10.9
1993 18.2 11
1992 18.4 11.4
1991 18.7 12
1990 18.4 13.6
1989 18.4 16
1988 19.1 16.5
1987 19.3 16.7
1986 18.9 16.5
1985 19.1 15.8
1984 19.2 15.5
1983 19.5 14.3
1982 19.9 15.3
1981 20.1 17
1980 20.8 18
1979 21.1 18.6
1978 21.3 19
1977 21.9 19.5
1976 23 19.4
1975 23.6 19.6
1974 23.5 20.3
1973 23.5 18.2
1972 24.5 18.8
1971 24.7 19.6
1970 25.1 21.1
1969 25.4 23.3
1968 26.1 26.6
1967 26.7 27
1966 27.5 14.2
1965 28.1 14.6
1964 28.4 15.2
1963 29 15.7
1962 28.3 16.2
1961 29.2 17.5
1960 31 19.1

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

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

The latest reported birth rate per 1,000 people in 2023 was 9.2 in North Macedonia and 8 in Romania, compared with 31 and 19.1, respectively, in 1960.

Birth rate data compared

North Macedonia Romania
Fertility rate 1.5 1.71
Fertility rate rank 146/196 119/196
Birth rate 9.2 8
Birth rate rank 158/196 177/196
Population change due to births and deaths -3,290 -89,587
Natural population change rank 165/196 188/196
Natural population change rate -0.18% -0.47%
Population growth -0.19% -0.05%
Population growth rank 176/197 169/197
Age at first childbirth 27.4 years 27.1 years
Average age at childbearing 29.3 years 28.5 years
Annual births per 1,000 women ages 15-19 11.7 30.4
Annual births per 1,000 women ages 20-29 76.7 85.8
Annual births per 1,000 women ages 30+ 11.9 11
Female of reproductive age (15-49), share of population 22.4% 21.4%
Any modern method of contraceptive prevalence among married women ages 15-49 14% 50.5%
Share of births attended by skilled health staff 100% 93%
Maternal mortality per live birth 0.003% 0.01%
Neonatal mortality rate (before reaching 28 days of age) 0.14% 0.33%
Infant mortality rate (before reaching 1 year of age) 0.28% 0.54%
Mortality rate before reaching 5 years of age 0.33% 0.66%
Life expectancy 77.8 years 76.4 years

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
Romania
Factual

UN forecast
1x
Year Young
North Macedonia Romania
2100 10.6% 12.8%
2099 10.7% 12.8%
2098 10.7% 12.8%
2097 10.8% 12.9%
2096 10.8% 12.9%
2095 10.9% 13%
2094 11% 13.1%
2093 11% 13.1%
2092 11.1% 13.2%
2091 11.2% 13.2%
2090 11.2% 13.3%
2089 11.3% 13.4%
2088 11.3% 13.4%
2087 11.4% 13.5%
2086 11.4% 13.5%
2085 11.4% 13.5%
2084 11.4% 13.6%
2083 11.4% 13.6%
2082 11.4% 13.6%
2081 11.4% 13.6%
2080 11.4% 13.6%
2079 11.3% 13.6%
2078 11.3% 13.6%
2077 11.3% 13.6%
2076 11.2% 13.6%
2075 11.2% 13.6%
2074 11.2% 13.6%
2073 11.2% 13.6%
2072 11.1% 13.6%
2071 11.2% 13.6%
2070 11.2% 13.6%
2069 11.2% 13.6%
2068 11.3% 13.6%
2067 11.4% 13.6%
2066 11.5% 13.7%
2065 11.6% 13.7%
2064 11.7% 13.8%
2063 11.9% 13.8%
2062 12% 13.9%
2061 12.2% 13.9%
2060 12.3% 14%
2059 12.4% 14.1%
2058 12.6% 14.1%
2057 12.7% 14.2%
2056 12.8% 14.3%
2055 12.9% 14.3%
2054 13% 14.4%
2053 13% 14.4%
2052 13.1% 14.4%
2051 13.1% 14.4%
2050 13.1% 14.4%
2049 13.1% 14.4%
2048 13.1% 14.4%
2047 13% 14.4%
2046 13% 14.4%
2045 13% 14.3%
2044 13% 14.3%
2043 12.9% 14.3%
2042 12.9% 14.3%
2041 12.9% 14.2%
2040 13% 14.2%
2039 13% 14.2%
2038 13% 14.3%
2037 13.2% 14.3%
2036 13.4% 14.3%
2035 13.6% 14.4%
2034 13.8% 14.5%
2033 14.1% 14.6%
2032 14.4% 14.8%
2031 14.7% 15%
2030 15.1% 15.1%
2029 15.4% 15.2%
2028 15.8% 15.3%
2027 16.1% 15.4%
2026 16.4% 15.5%
2025 16.7% 15.6%
2024 16.8% 15.7%
2023 17.1% 15.9%
2022 17.2% 16%
2021 17.2% 16.1%
2020 17.2% 16.1%
2019 17.2% 16%
2018 17.4% 15.9%
2017 17.5% 15.8%
2016 17.8% 15.7%
2015 18% 15.7%
2014 18.3% 15.7%
2013 18.6% 15.7%
2012 18.8% 15.7%
2011 19% 15.8%
2010 19.3% 15.7%
2009 19.7% 15.7%
2008 20% 15.7%
2007 20.4% 15.7%
2006 20.8% 15.8%
2005 21.2% 16%
2004 21.7% 16.4%
2003 22.1% 16.9%
2002 22.5% 17.5%
2001 22.9% 18.1%
2000 23.4% 18.6%
1999 23.9% 19.1%
1998 24.4% 19.3%
1997 24.8% 19.6%
1996 25.1% 20%
1995 25.4% 20.5%
1994 25.5% 21%
1993 25.7% 21.6%
1992 26.1% 22.2%
1991 26.5% 22.8%
1990 26.9% 23.3%
1989 27.1% 23.7%
1988 27.4% 23.9%
1987 27.6% 24%
1986 27.8% 24.3%
1985 28.1% 24.6%
1984 28.3% 25.1%
1983 28.5% 25.9%
1982 28.8% 26.8%
1981 29.1% 27.1%
1980 29.5% 26.8%
1979 29.9% 26.5%
1978 30.3% 26.3%
1977 30.6% 26%
1976 30.9% 25.7%
1975 31.3% 25.3%
1974 31.7% 25.1%
1973 32.2% 24.9%
1972 32.6% 24.9%
1971 33% 24.9%
1970 33.5% 25.1%
1969 34.1% 25.1%
1968 34.7% 25.1%
1967 35.2% 25%
1966 35.8% 25.2%
1965 36.3% 26%
1964 36.7% 26.7%
1963 37.2% 27.3%
1962 37.6% 27.7%
1961 37.8% 28%
1960 37.7% 28.1%

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/north-macedonia/romania | CC BY

Children aged 0-14 make up 16.8% of the population in North Macedonia and 15.7% in Romania in 2024, compared to 26.9% and 23.3% respectively in 1990.

Demographics of North Macedonia and Romania compared.

Fertility rates around the globe

1x

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

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

Maternal mortality chart: North Macedonia vs Romania

North Macedonia
Romania
1x
Year Maternal mortality per 100K births
North Macedonia Romania
2023 3 12
2022 3 13
2021 12 20
2020 7 16
2019 3 14
2018 3 15
2017 4 17
2016 4 17
2015 4 18
2014 4 18
2013 5 18
2012 5 19
2011 5 20
2010 5 23
2009 6 25
2008 6 25
2007 7 25
2006 7 27
2005 7 30
2004 8 32
2003 8 35
2002 10 38
2001 9 41
2000 11 45
1999 12 51
1998 13 58
1997 13 66
1996 14 72
1995 13 75
1994 13 80
1993 14 87
1992 14 95
1991 15 104
1990 16 118
1989 14 143
1988 16 159
1987 15 173
1986 16 180
1985 17 184

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 3 deaths per 100,000 live births in North Macedonia, compared to 12 deaths in Romania.

Under-five mortality rates

North Macedonia
Romania

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
North Macedonia Romania
2023 0.33% 0.66%
2022 0.41% 0.66%
2021 0.5% 0.65%
2020 0.59% 0.66%
2019 0.7% 0.68%
2018 0.83% 0.73%
2017 0.97% 0.79%
2016 1.08% 0.85%
2015 1.13% 0.92%
2014 1.11% 0.99%
2013 1.07% 1.05%
2012 1.02% 1.12%
2011 1% 1.18%
2010 1.04% 1.24%
2009 1.1% 1.31%
2008 1.17% 1.4%
2007 1.23% 1.51%
2006 1.3% 1.66%
2005 1.37% 1.82%
2004 1.42% 1.94%
2003 1.43% 1.99%
2002 1.43% 2.01%
2001 1.48% 2.06%
2000 1.59% 2.16%
1999 1.73% 2.29%
1998 1.83% 2.44%
1997 1.93% 2.58%
1996 2.12% 2.68%
1995 2.45% 2.73%
1994 2.85% 2.76%
1993 3.13% 2.79%
1992 3.3% 2.84%
1991 3.46% 2.97%
1990 3.7% 3.14%
1989 4.01% 3.31%
1988 4.36% 3.43%
1987 4.69% 3.45%
1986 4.91% 3.33%
1985 5% 3.16%
1984 5.06% 3.08%
1983 5.25% 3.14%
1982 5.53% 3.28%
1981 5.79% 3.44%
1980 - 3.57%
1979 - 3.68%
1978 - 3.76%
1977 - 3.86%
1976 - 4.05%
1975 - 4.27%
1974 - 4.43%
1973 - 4.49%
1972 - 4.64%
1971 - 5.06%
1970 - 5.69%
1969 - 6.23%
1968 - 6.44%
1967 - 6.27%
1966 - 5.83%
1965 - 5.44%
1964 - 5.45%
1963 - 6.03%
1962 - 6.98%
1961 - 7.98%
1960 - 8.82%

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

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

The chance that a newborn baby will die before reaching age five is 0.33% in North Macedonia and 0.66% in Romania. 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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