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Fertility & birth rates in North Macedonia and United States

Updated on by Georank team

North Macedonia has an annual birth rate of 9.2 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 1.5 in North Macedonia and 1.62 in the United States — 7.77% difference.

1960 vs 2023, the fertility rate has decreased by -60.8% in North Macedonia and by -55.8% in the United States — in 1960, it was 3.83 and 3.65, respectively.

Birth rates facts compared:

  • North Macedonia is ranked 158/196 by birth rate compared to 140/196 for the United States.
  • The mean age for first-time mothers is 27.4 years in North Macedonia, compared to 27.3 years in the United States.
  • The mean age at childbearing (for all the births, not just the first) is 29.2 in North Macedonia — it's 30.1 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 13 in North Macedonia vs 13.1 in the United States.
  • In North Macedonia, 22.4% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.
  • Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was -0.18% in North Macedonia and +0.15% in the United States.

Birth rate data compared

North Macedonia United States
Fertility rate 1.5 1.62
Birth rate 9.2 10.7
Birth rate rank 158/196 140/196
Age at first childbirth 27.4 years 27.3 years
Average age at childbearing 29.2 years 30.1 years
Annual births per 1,000 women ages 15-19 12 11.8
Annual births per 1,000 women ages 20-29 78.2 72.8
Annual births per 1,000 women ages 30+ 12 17.4
Female of reproductive age (15-49), share of population 22.4% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 14% 66.1%
Share of births attended by skilled health staff 100% 99.1%
Maternal mortality per live birth 0.003% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 0.14% 0.34%
Infant mortality rate (before reaching 1 year of age) 0.28% 0.55%
Mortality rate before reaching 5 years of age, per 1,000 live births 0.33% 0.65%
Population change due to births and deaths -3,290 +502,372
Natural population change rank 165/196 37/196
Natural population change rate -0.18% +0.15%
Population growth -1.95% +1.55%
Population growth rank 195/197 72/197
Life expectancy 77.7 years 79.6 years

Fertility rate in North Macedonia vs United States chart

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 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

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

The chart below showcases historical changes in the birth rates.

North Macedonia
Factual

UN forecast
United States
Factual

UN forecast

Births per woman

Year Fertility rate
North Macedonia United States
1960 3.83 3.65
1961 3.62 3.62
1962 3.5 3.46
1963 3.62 3.32
1964 3.56 3.19
1965 3.52 2.91
1966 3.43 2.72
1967 3.33 2.56
1968 3.22 2.46
1969 3.1 2.46
1970 3.01 2.48
1971 2.93 2.27
1972 2.87 2.01
1973 2.72 1.88
1974 2.7 1.84
1975 2.69 1.77
1976 2.62 1.74
1977 2.49 1.79
1978 2.42 1.76
1979 2.4 1.81
1980 2.36 1.84
1981 2.29 1.81
1982 2.29 1.83
1983 2.25 1.8
1984 2.24 1.81
1985 2.25 1.84
1986 2.25 1.84
1987 2.32 1.87
1988 2.32 1.93
1989 2.25 2.01
1990 2.27 2.08
1991 2.31 2.06
1992 2.28 2.05
1993 2.26 2.02
1994 2.23 2
1995 2.13 1.98
1996 2.06 1.98
1997 1.92 1.97
1998 1.89 2
1999 1.77 2.01
2000 1.86 2.06
2001 1.73 2.03
2002 1.79 2.02
2003 1.75 2.05
2004 1.52 2.05
2005 1.5 2.06
2006 1.46 2.11
2007 1.46 2.12
2008 1.47 2.07
2009 1.5 2
2010 1.6 1.93
2011 1.46 1.89
2012 1.5 1.88
2013 1.5 1.86
2014 1.5 1.86
2015 1.49 1.84
2016 1.5 1.82
2017 1.43 1.77
2018 1.42 1.73
2019 1.34 1.71
2020 1.31 1.64
2021 1.6 1.66
2022 1.6 1.66
2023 1.5 1.62
2024 1.5 1.62
2025 1.5 1.62
2026 1.51 1.62
2027 1.51 1.62
2028 1.51 1.62
2029 1.51 1.62
2030 1.52 1.62
2031 1.52 1.62
2032 1.52 1.62
2033 1.52 1.63
2034 1.52 1.62
2035 1.52 1.63
2036 1.53 1.63
2037 1.53 1.63
2038 1.53 1.63
2039 1.53 1.63
2040 1.53 1.63
2041 1.53 1.63
2042 1.53 1.63
2043 1.54 1.63
2044 1.54 1.63
2045 1.54 1.64
2046 1.54 1.64
2047 1.55 1.63
2048 1.55 1.64
2049 1.55 1.63
2050 1.55 1.64

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
United States
Factual

UN forecast
Year Share of people 0-14 years old
North Macedonia United States
1960 37.7% 31.3%
1961 37.8% 31.4%
1962 37.6% 31.3%
1963 37.2% 31.1%
1964 36.7% 30.9%
1965 36.3% 30.7%
1966 35.8% 30.4%
1967 35.2% 30%
1968 34.7% 29.5%
1969 34.1% 29%
1970 33.5% 28.6%
1971 33% 28%
1972 32.6% 27.4%
1973 32.2% 26.6%
1974 31.7% 25.9%
1975 31.3% 25.2%
1976 30.9% 24.4%
1977 30.6% 23.8%
1978 30.3% 23.2%
1979 29.9% 22.8%
1980 29.5% 22.4%
1981 29.1% 22.1%
1982 28.8% 22%
1983 28.5% 21.8%
1984 28.3% 21.7%
1985 28.1% 21.5%
1986 27.8% 21.3%
1987 27.6% 21.3%
1988 27.4% 21.3%
1989 27.1% 21.5%
1990 26.9% 21.6%
1991 26.5% 21.7%
1992 26.1% 21.8%
1993 25.7% 21.9%
1994 25.5% 21.9%
1995 25.4% 21.8%
1996 25.1% 21.7%
1997 24.8% 21.5%
1998 24.4% 21.4%
1999 23.9% 21.3%
2000 23.4% 21.2%
2001 22.9% 21%
2002 22.5% 20.9%
2003 22.1% 20.7%
2004 21.7% 20.5%
2005 21.2% 20.3%
2006 20.8% 20.2%
2007 20.4% 20%
2008 20% 19.9%
2009 19.7% 19.8%
2010 19.3% 19.7%
2011 19% 19.6%
2012 18.8% 19.5%
2013 18.6% 19.4%
2014 18.3% 19.3%
2015 18% 19.2%
2016 17.8% 19.1%
2017 17.5% 18.9%
2018 17.4% 18.8%
2019 17.2% 18.6%
2020 17.2% 18.4%
2021 17.2% 18.1%
2022 17.2% 17.9%
2023 17.1% 17.6%
2024 16.8% 17.3%
2025 16.5% 17.1%
2026 16.2% 16.9%
2027 15.9% 16.7%
2028 15.6% 16.6%
2029 15.3% 16.4%
2030 14.9% 16.3%
2031 14.6% 16.1%
2032 14.3% 16%
2033 14% 16%
2034 13.7% 15.9%
2035 13.5% 15.9%
2036 13.3% 15.9%
2037 13.1% 15.9%
2038 13% 15.9%
2039 13% 15.9%
2040 13% 15.9%
2041 12.9% 16%
2042 12.9% 16%
2043 13% 16%
2044 13% 16%
2045 13% 16%
2046 13% 16%
2047 13% 16%
2048 13.1% 16%
2049 13.1% 15.9%
2050 13.1% 15.9%

Children aged 0-14 make up 16.8% of the population in North Macedonia and 17.3% in the United States in 2024, compared to 26.9% and 21.6% respectively in 1990.

Demographics of North Macedonia and the United States compared.

Natural population change in North Macedonia vs United States by year

For the past 10 years, the annual natural population change (excluding migration) has been -0.07% in North Macedonia and +0.25% in the United States. The chart below illustrates the comparison of the absolute yearly changes resulting from births and deaths.

North Macedonia
United States

Natural population change

Year Population change due to births and deaths
North Macedonia United States
1960 28,816 2,565,530
1961 27,846 2,571,681
1962 25,317 2,406,337
1963 28,124 2,289,826
1964 27,889 2,245,099
1965 28,564 1,943,030
1966 28,766 1,749,387
1967 28,401 1,669,181
1968 28,378 1,565,507
1969 27,464 1,702,487
1970 28,022 1,824,965
1971 28,010 1,640,519
1972 28,236 1,301,355
1973 28,032 1,165,499
1974 28,400 1,218,968
1975 28,983 1,252,644
1976 28,799 1,264,604
1977 27,410 1,431,556
1978 27,150 1,402,283
1979 27,096 1,597,894
1980 26,547 1,608,450
1981 25,689 1,652,153
1982 25,810 1,714,317
1983 24,690 1,636,544
1984 24,436 1,627,192
1985 24,167 1,689,258
1986 23,720 1,656,917
1987 24,359 1,720,252
1988 24,064 1,735,943
1989 22,912 1,875,826
1990 22,868 2,026,068
1991 23,387 1,926,543
1992 21,659 1,875,328
1993 20,797 1,717,685
1994 19,103 1,633,302
1995 17,239 1,546,031
1996 14,806 1,510,137
1997 12,979 1,501,014
1998 12,446 1,573,857
1999 10,489 1,564,050
2000 12,159 1,664,758
2001 10,174 1,595,826
2002 9,697 1,581,938
2003 8,900 1,653,615
2004 5,444 1,698,271
2005 4,011 1,684,445
2006 3,988 1,849,955
2007 2,974 1,897,757
2008 3,746 1,794,154
2009 4,309 1,717,920
2010 4,866 1,548,182
2011 3,100 1,441,697
2012 3,087 1,411,822
2013 3,653 1,322,711
2014 3,644 1,357,281
2015 2,294 1,270,126
2016 2,374 1,197,627
2017 1,329 1,028,037
2018 1,512 955,022
2019 -375 887,476
2020 -5,939 208,862
2021 -9,737 199,137
2022 -4,397 399,926
2023 -3,290 502,372

Fertility rates around the globe

Fertility rate

Maternal mortality chart: North Macedonia vs United States

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 17 deaths in the United States.

North Macedonia
United States
Year Maternal mortality per 100K births
North Macedonia United States
1985 17 11
1986 16 11
1987 15 11
1988 16 12
1989 14 12
1990 16 12
1991 15 12
1992 14 11
1993 14 12
1994 13 11
1995 13 12
1996 14 11
1997 13 11
1998 13 11
1999 12 12
2000 11 12
2001 9 13
2002 10 13
2003 8 13
2004 8 13
2005 7 13
2006 7 13
2007 7 13
2008 6 14
2009 6 15
2010 5 15
2011 5 15
2012 5 16
2013 5 16
2014 4 17
2015 4 17
2016 4 18
2017 4 18
2018 3 18
2019 3 18
2020 7 22
2021 12 31
2022 3 20
2023 3 17

Under-five mortality rates

The chance that a newborn baby will die before reaching age five is 0.33% in North Macedonia and 0.65% in the United States. Below is the historical data on under-five mortality rates.

North Macedonia
United States

Probability that a newborn baby will die before reaching age five

Year Mortality rate before reaching 5 years of age, per 1,000 live births
North Macedonia United States
1960 - 3.01%
1961 - 2.95%
1962 - 2.89%
1963 - 2.83%
1964 - 2.77%
1965 - 2.71%
1966 - 2.64%
1967 - 2.57%
1968 - 2.49%
1969 - 2.41%
1970 - 2.32%
1971 - 2.24%
1972 - 2.15%
1973 - 2.06%
1974 - 1.97%
1975 - 1.88%
1976 - 1.79%
1977 - 1.71%
1978 - 1.63%
1979 - 1.56%
1980 - 1.5%
1981 5.79% 1.44%
1982 5.53% 1.39%
1983 5.25% 1.34%
1984 5.06% 1.3%
1985 5% 1.27%
1986 4.91% 1.24%
1987 4.69% 1.21%
1988 4.36% 1.19%
1989 4.01% 1.16%
1990 3.7% 1.12%
1991 3.46% 1.09%
1992 3.3% 1.05%
1993 3.13% 1.01%
1994 2.85% 0.98%
1995 2.45% 0.95%
1996 2.12% 0.92%
1997 1.93% 0.89%
1998 1.83% 0.87%
1999 1.73% 0.86%
2000 1.59% 0.84%
2001 1.48% 0.83%
2002 1.43% 0.82%
2003 1.43% 0.81%
2004 1.42% 0.81%
2005 1.37% 0.8%
2006 1.3% 0.79%
2007 1.23% 0.77%
2008 1.17% 0.76%
2009 1.1% 0.75%
2010 1.04% 0.73%
2011 1% 0.72%
2012 1.02% 0.7%
2013 1.07% 0.69%
2014 1.11% 0.68%
2015 1.13% 0.68%
2016 1.08% 0.67%
2017 0.97% 0.66%
2018 0.83% 0.65%
2019 0.7% 0.65%
2020 0.59% 0.65%
2021 0.5% 0.65%
2022 0.41% 0.65%
2023 0.33% 0.65%

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Birth rate comparisons

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