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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.

  • 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 29.3 in North Macedonia — 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 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.

Fertility rate in North Macedonia vs United States by year

North Macedonia
United States
1x
Year Fertility rate
North Macedonia United States
2023 1.5 1.62
2022 1.6 1.66
2021 1.6 1.66
2020 1.31 1.64
2019 1.34 1.71
2018 1.42 1.73
2017 1.43 1.77
2016 1.5 1.82
2015 1.49 1.84
2014 1.5 1.86
2013 1.5 1.86
2012 1.5 1.88
2011 1.46 1.89
2010 1.6 1.93
2009 1.5 2
2008 1.47 2.07
2007 1.46 2.12
2006 1.46 2.11
2005 1.5 2.06
2004 1.52 2.05
2003 1.75 2.05
2002 1.79 2.02
2001 1.73 2.03
2000 1.86 2.06
1999 1.77 2.01
1998 1.89 2
1997 1.92 1.97
1996 2.06 1.98
1995 2.13 1.98
1994 2.23 2
1993 2.26 2.02
1992 2.28 2.05
1991 2.31 2.06
1990 2.27 2.08
1989 2.25 2.01
1988 2.32 1.93
1987 2.32 1.87
1986 2.25 1.84
1985 2.25 1.84
1984 2.24 1.81
1983 2.25 1.8
1982 2.29 1.83
1981 2.29 1.81
1980 2.36 1.84
1979 2.4 1.81
1978 2.42 1.76
1977 2.49 1.79
1976 2.62 1.74
1975 2.69 1.77
1974 2.7 1.84
1973 2.72 1.88
1972 2.87 2.01
1971 2.93 2.27
1970 3.01 2.48
1969 3.1 2.46
1968 3.22 2.46
1967 3.33 2.56
1966 3.43 2.72
1965 3.52 2.91
1964 3.56 3.19
1963 3.62 3.32
1962 3.5 3.46
1961 3.62 3.62
1960 3.83 3.65

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

GeoRank.org/birth-rate/north-macedonia/united-states | 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 1.62 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.

Natural population change by year

North Macedonia
United States
1x
Year Natural population change
North Macedonia United States
2023 -3,290 502,372
2022 -4,397 399,926
2021 -9,737 199,137
2020 -5,939 208,862
2019 -375 887,476
2018 1,512 955,022
2017 1,329 1,028,037
2016 2,374 1,197,627
2015 2,294 1,270,126
2014 3,644 1,357,281
2013 3,653 1,322,711
2012 3,087 1,411,822
2011 3,100 1,441,697
2010 4,866 1,548,182
2009 4,309 1,717,920
2008 3,746 1,794,154
2007 2,974 1,897,757
2006 3,988 1,849,955
2005 4,011 1,684,445
2004 5,444 1,698,271
2003 8,900 1,653,615
2002 9,697 1,581,938
2001 10,174 1,595,826
2000 12,159 1,664,758
1999 10,489 1,564,050
1998 12,446 1,573,857
1997 12,979 1,501,014
1996 14,806 1,510,137
1995 17,239 1,546,031
1994 19,103 1,633,302
1993 20,797 1,717,685
1992 21,659 1,875,328
1991 23,387 1,926,543
1990 22,868 2,026,068
1989 22,912 1,875,826
1988 24,064 1,735,943
1987 24,359 1,720,252
1986 23,720 1,656,917
1985 24,167 1,689,258
1984 24,436 1,627,192
1983 24,690 1,636,544
1982 25,810 1,714,317
1981 25,689 1,652,153
1980 26,547 1,608,450
1979 27,096 1,597,894
1978 27,150 1,402,283
1977 27,410 1,431,556
1976 28,799 1,264,604
1975 28,983 1,252,644
1974 28,400 1,218,968
1973 28,032 1,165,499
1972 28,236 1,301,355
1971 28,010 1,640,519
1970 28,022 1,824,965
1969 27,464 1,702,487
1968 28,378 1,565,507
1967 28,401 1,669,181
1966 28,766 1,749,387
1965 28,564 1,943,030
1964 27,889 2,245,099
1963 28,124 2,289,826
1962 25,317 2,406,337
1961 27,846 2,571,681
1960 28,816 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/north-macedonia/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 -0.18% in North Macedonia and +0.15% in the United States.

For the past 10 years, the annual natural population change has been -0.07% in North Macedonia and +0.25% in the United States.

Birth rate in North Macedonia vs United States by year

North Macedonia
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
North Macedonia United States
2023 9.2 10.7
2022 9.9 11
2021 10.2 11
2020 9.2 10.9
2019 9.6 11.4
2018 10.3 11.6
2017 10.5 11.8
2016 11.1 12.2
2015 11.1 12.4
2014 11.4 12.5
2013 11.2 12.4
2012 11.4 12.6
2011 11.1 12.7
2010 11.8 13
2009 11.5 13.5
2008 11.2 14
2007 11.1 14.3
2006 11.1 14.3
2005 11 14
2004 11.5 14
2003 13.3 14.1
2002 13.7 14
2001 13.3 14.1
2000 14.5 14.4
1999 13.5 14.2
1998 14.6 14.3
1997 14.8 14.2
1996 16.1 14.4
1995 16.7 14.6
1994 17.7 15
1993 18.2 15.4
1992 18.4 15.8
1991 18.7 16.2
1990 18.4 16.7
1989 18.4 16.4
1988 19.1 16
1987 19.3 15.7
1986 18.9 15.6
1985 19.1 15.8
1984 19.2 15.6
1983 19.5 15.6
1982 19.9 15.9
1981 20.1 15.8
1980 20.8 15.9
1979 21.1 15.6
1978 21.3 15
1977 21.9 15.1
1976 23 14.6
1975 23.6 14.6
1974 23.5 14.8
1973 23.5 14.8
1972 24.5 15.6
1971 24.7 17.2
1970 25.1 18.4
1969 25.4 17.9
1968 26.1 17.6
1967 26.7 17.8
1966 27.5 18.4
1965 28.1 19.4
1964 28.4 21.1
1963 29 21.7
1962 28.3 22.4
1961 29.2 23.3
1960 31 23.7

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

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

The latest reported birth rate per 1,000 people in 2023 was 9.2 in North Macedonia and 10.7 in the United States, compared with 31 and 23.7, respectively, in 1960.

Birth rate data compared

North Macedonia United States
Fertility rate 1.5 1.62
Fertility rate rank 146/196 125/196
Birth rate 9.2 10.7
Birth rate rank 158/196 140/196
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 -0.19% +0.49%
Population growth rank 176/197 134/197
Age at first childbirth 27.4 years 27.3 years
Average age at childbearing 29.3 years 30.2 years
Annual births per 1,000 women ages 15-19 11.7 11.3
Annual births per 1,000 women ages 20-29 76.7 72.5
Annual births per 1,000 women ages 30+ 11.9 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 0.33% 0.65%
Life expectancy 77.8 years 79.8 years

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
North Macedonia United States
2100 10.6% 14.4%
2099 10.7% 14.4%
2098 10.7% 14.4%
2097 10.8% 14.4%
2096 10.8% 14.4%
2095 10.9% 14.5%
2094 11% 14.5%
2093 11% 14.5%
2092 11.1% 14.5%
2091 11.2% 14.6%
2090 11.2% 14.6%
2089 11.3% 14.7%
2088 11.3% 14.7%
2087 11.4% 14.7%
2086 11.4% 14.8%
2085 11.4% 14.8%
2084 11.4% 14.8%
2083 11.4% 14.9%
2082 11.4% 14.9%
2081 11.4% 14.9%
2080 11.4% 14.9%
2079 11.3% 14.9%
2078 11.3% 14.9%
2077 11.3% 14.9%
2076 11.2% 14.9%
2075 11.2% 14.9%
2074 11.2% 14.9%
2073 11.2% 14.9%
2072 11.1% 14.9%
2071 11.2% 14.9%
2070 11.2% 14.9%
2069 11.2% 14.9%
2068 11.3% 14.9%
2067 11.4% 14.9%
2066 11.5% 14.9%
2065 11.6% 15%
2064 11.7% 15%
2063 11.9% 15%
2062 12% 15.1%
2061 12.2% 15.1%
2060 12.3% 15.2%
2059 12.4% 15.3%
2058 12.6% 15.4%
2057 12.7% 15.5%
2056 12.8% 15.5%
2055 12.9% 15.6%
2054 13% 15.7%
2053 13% 15.8%
2052 13.1% 15.8%
2051 13.1% 15.9%
2050 13.1% 15.9%
2049 13.1% 16%
2048 13.1% 16%
2047 13% 16%
2046 13% 16%
2045 13% 16%
2044 13% 16%
2043 12.9% 16%
2042 12.9% 16%
2041 12.9% 15.9%
2040 13% 15.9%
2039 13% 15.9%
2038 13% 15.9%
2037 13.2% 15.9%
2036 13.4% 15.9%
2035 13.6% 15.9%
2034 13.8% 15.9%
2033 14.1% 16%
2032 14.4% 16.1%
2031 14.7% 16.2%
2030 15.1% 16.3%
2029 15.4% 16.5%
2028 15.8% 16.6%
2027 16.1% 16.8%
2026 16.4% 17%
2025 16.7% 17.2%
2024 16.8% 17.3%
2023 17.1% 17.6%
2022 17.2% 17.9%
2021 17.2% 18.1%
2020 17.2% 18.4%
2019 17.2% 18.6%
2018 17.4% 18.8%
2017 17.5% 18.9%
2016 17.8% 19.1%
2015 18% 19.2%
2014 18.3% 19.3%
2013 18.6% 19.4%
2012 18.8% 19.5%
2011 19% 19.6%
2010 19.3% 19.7%
2009 19.7% 19.8%
2008 20% 19.9%
2007 20.4% 20%
2006 20.8% 20.2%
2005 21.2% 20.3%
2004 21.7% 20.5%
2003 22.1% 20.7%
2002 22.5% 20.9%
2001 22.9% 21%
2000 23.4% 21.2%
1999 23.9% 21.3%
1998 24.4% 21.4%
1997 24.8% 21.5%
1996 25.1% 21.7%
1995 25.4% 21.8%
1994 25.5% 21.9%
1993 25.7% 21.9%
1992 26.1% 21.8%
1991 26.5% 21.7%
1990 26.9% 21.6%
1989 27.1% 21.5%
1988 27.4% 21.3%
1987 27.6% 21.3%
1986 27.8% 21.3%
1985 28.1% 21.5%
1984 28.3% 21.7%
1983 28.5% 21.8%
1982 28.8% 22%
1981 29.1% 22.1%
1980 29.5% 22.4%
1979 29.9% 22.8%
1978 30.3% 23.2%
1977 30.6% 23.8%
1976 30.9% 24.4%
1975 31.3% 25.2%
1974 31.7% 25.9%
1973 32.2% 26.6%
1972 32.6% 27.4%
1971 33% 28%
1970 33.5% 28.6%
1969 34.1% 29%
1968 34.7% 29.5%
1967 35.2% 30%
1966 35.8% 30.4%
1965 36.3% 30.7%
1964 36.7% 30.9%
1963 37.2% 31.1%
1962 37.6% 31.3%
1961 37.8% 31.4%
1960 37.7% 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/north-macedonia/united-states | CC BY

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.

Fertility rates around the globe

1x

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

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

Maternal mortality chart: North Macedonia vs United States

North Macedonia
United States
1x
Year Maternal mortality per 100K births
North Macedonia United States
2023 3 17
2022 3 20
2021 12 31
2020 7 22
2019 3 18
2018 3 18
2017 4 18
2016 4 18
2015 4 17
2014 4 17
2013 5 16
2012 5 16
2011 5 15
2010 5 15
2009 6 15
2008 6 14
2007 7 13
2006 7 13
2005 7 13
2004 8 13
2003 8 13
2002 10 13
2001 9 13
2000 11 12
1999 12 12
1998 13 11
1997 13 11
1996 14 11
1995 13 12
1994 13 11
1993 14 12
1992 14 11
1991 15 12
1990 16 12
1989 14 12
1988 16 12
1987 15 11
1986 16 11
1985 17 11

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

GeoRank.org/birth-rate/north-macedonia/united-states | 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 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

North Macedonia
United States

Probability that a newborn baby will die before reaching age five

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

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

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

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. 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) (2021–2022, retrieved 2026-03-10)

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